Food-Body-Mind Intervention: Promote whole child health

食身心干预：促进儿童整体健康

基本信息

批准号：
10731251
负责人：
Jiying Ling
金额：
$ 78.96万
依托单位：
MICHIGAN STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-21 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10731251
关键词：
Address Adolescence Adult Affect Anger Antiinflammatory Effect Anxiety Behavior Disorders Behavioral Blood Pressure Body fat Body mass index Brain COVID-19 pandemic Caregivers Child Child Health Child Rearing Chronic stress Cognition Communities Complementary Health Conduct Disorder Control Groups Data Data Collection Day Care Day center care Depressed mood Development Diagnosis Disease Eating Eating Behavior Eating Disorders Educational Status Emergency Situation Emotional Emotional disorder Enrollment Ethnic Origin Family Food Fostering Fright Generations Geography Goals Hair Head Start Program Health Health Promotion Healthy Eating Home Home environment Hydrocortisone Income Intake Integrative Medicine Intention Intervention Knowledge Learning Legal Guardians Letters Link Literature Longterm Follow-up Low income Measurement Mediating Mental Depression Mental Health Mental disorders Michigan Mind-Body Intervention Modeling Moods Movement Parents Persons Phase Physical activity Plants Problem behavior Procedures Productivity Protocols documentation Psyche structure Race Randomized Randomized, Controlled Trials Readiness Reduce health disparities Reporting Research Research Training Residencies Risk Risk Reduction Rural Schools Services Site Socioeconomic Status Stress Stress and Coping Testing Transact United States National Institutes of Health Vulnerable Populations Work Yoga aged allostatic load behavioral health comparison control comparison intervention coping cost effective deep breathing exercises disadvantaged background early childhood emotional eating ethnic diversity evidence base experience follow-up fruits and vegetables health disparity health equity promotion high risk improved innovation intervention effect lower income families marginalization mindfulness neuroprotection novel peer phase II trial physical conditioning population health post intervention primary outcome programs racial diversity recruit rural area rural setting secondary outcome skills social skills socioeconomic disparity teacher theories urban area urban setting usual care arm

项目摘要

ABSTRACT Mental, emotional, and behavioral (MEB) disorders begin in early childhood, with one in six US preschoolers aged 3-5 years diagnosed with a MEB disorder. Children from low income and economically marginalized (LIEM) backgrounds have a higher risk of being diagnosed with MEB disorders than those from higher income families. To address the mental and physical health disparities based on socioeconomic status, ethnicity/race, and urban/rural residency, the proposed study will target Head Start racially/ethnically diverse preschoolers from LIEM backgrounds in both urban and rural areas. Guided by the Actor-Partner Interdependence Model, the Allostatic Load Model, and the Transactional Theory of Stress and Coping, the proposed 16-week Food- Body-Mind intervention includes: 1) a school-based mindfulness component delivered to equip preschoolers with knowledge and skills in mindful eating and movement (e.g., yoga, deep breathing exercises); 2) a home- based mindfulness component to increase caregivers’ skills in practicing mindful eating, movement, and parenting behaviors at home to foster a more positive, mindful, and healthy home environment; and 3) a school learning and home practice connection component to improve caregiver-preschooler relationships. The purpose of this 5-year cluster randomized controlled trial is to evaluate the effects of the 16-week school- and home-based, multi-component, Food-Body-Mind intervention on improving both preschoolers’ and caregivers’ MEB and physical health. The long-term goal is to achieve optimal whole child health in early childhood to foster a healthier generation in the US. Fifty Head Start daycare centers will be randomized into the intervention (n=25: 8 urban [16 classrooms] and 17 rural [17 classrooms] daycare centers) or usual care control group (n=25: 8 urban and 17 rural daycare centers). Five caregiver-preschooler dyads will be recruited from each daycare classroom (total 330 dyads: 160 urban dyads and 170 rural dyads). Analyses will be based on the intention-to-treat principle. The three aims are to: 1) determine effects of the intervention on improving preschoolers’ primary outcomes including mental (chronic stress), emotional (sadness, fear, anger, positive affect), and behavioral (problem behaviors, social skills) health as well as physical health (BMI z-score, % body fat; secondary outcomes) from baseline (0 month) to 4 months (immediate post-intervention) and to 12-month follow-up compared to control; 2) examine the effects of the intervention on improving caregivers’ physical (BMI, % body fat, blood pressure) and mental (stress, anxiety, depression) health from 0 to 4 months and to 12-month follow-up compared to control; and 3) explore how the intervention will modify both preschoolers’ and caregivers’ MEB and physical health via the mediating mechanisms of mindfulness, emotional eating, fruit/vegetable intake, physical activity, caregiver-preschooler relationship, and caregiver coping from 0 to 4 months and to 12-month follow-up. Results from this study will improve the evidence base of complementary and integrative health approaches that can be delivered in geographically diverse daycare settings.

抽象的精神，情感和行为（MEB）疾病始于童年，其中一个是六个美国学龄前儿童诊断为MEB疾病的3-5岁年龄。来自低收入的孩子，经济边缘化（liem）背景比来自收入更高的人的诊断为MEB疾病的风险更高家庭。基于社会经济地位，种族/种族，解决心理和身体健康差异，和城市/农村住宅，拟议的研究将以大致/种族为目标的学龄前儿童的瞄准型研究来自城市和粗糙地区的谎言背景。在参与者 - 伴侣相互依存模型的指导下， Allostatic负载模型以及应力和应对的交易理论，提议的16周食品 - 身体心理干预包括：1）提供的基于学校的正念组件，用于装备学龄前儿童凭借知识和技能在正念饮食和运动方面（例如，瑜伽，深呼吸练习）； 2）家庭 - 基于正念成分，以提高看护者在实践中的技能，运动，运动和在家中的育儿行为以促进更积极，正念和健康的家庭环境； 3）一所学校学习和家庭实践连接部分，以改善护理人员教育学家的关系。这这个为期5年的群集随机对照试验的目的是评估16周的学校和基于家庭的，多组件的食物智慧干预措施，以改善学龄前儿童和照料者 MEB和身体健康。长期目标是在童年时实现最佳的整个儿童健康在美国促进更健康的一代。五十头开始日托中心将被随机分为干预（n = 25：8 Urban [16个教室]和17个农村[17个教室]日托中心）或通常的护理对照组（n = 25：8 Urban和17个粗糙的日托中心）。将招募五个护理人员教育学家二元组从每个日托教室（总计330个二元组：160个城市二元组和170个农村二元组）。分析将基于关于意向性治疗原则。这三个目的是：1）确定干预对改善的影响学龄前儿童的主要成果，包括精神（慢性压力），情感（悲伤，恐惧，愤怒，积极）情感）和行为（问题行为，社交技能）健康以及身体健康（BMI Z分数，％身体百分比胖的;次要结果）从基线（0个月）到4个月（立即干预后）和12个月与对照相比，随访； 2）检查干预对改善护理人员身体的影响（BMI，体脂％，血压）和精神（压力，焦虑，抑郁）健康从0到4个月，到与对照相比，12个月的随访； 3）探索干预措施将如何修改学龄前儿童和护理人员的MEB和身体健康，通过正念，情感饮食的中介机制，水果/蔬菜摄入量，体育锻炼，护理人员至上的关系和护理人员应对0至4 几个月和12个月的随访。这项研究的结果将改善完善的证据基础以及可以在地理上多样化的日托环境中提供的综合健康方法。