A Pilot and Feasibility Study to Promote Physical and Food Literacy among Children with Intellectual Disabilities

促进智力障碍儿童身体和食物素养的试点和可行性研究

基本信息

批准号：
10013258
负责人：
Carol Curtin
金额：
$ 21.04万
依托单位：
UNIV OF MASSACHUSETTS MED SCH WORCESTER
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-10 至 2022-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10013258
关键词：
Adaptive Behaviors Adult Age American Area Behavior Behavioral Child Clinical Trials Communities Competence Controlled Study Dancing Data Developmental Disabilities Diet Dietary Practices Dropout Eating Behavior Education Educational Intervention Elements Environmental Risk Factor Equipment and supply inventories Experimental Designs Face Feasibility Studies Female Food Goals Guidelines Health Health Food Health Promotion Health Status Healthy Eating Home environment Individual Instruction Intellectual functioning disability International Intervention Knowledge Lead Learning Life Manufactured basketball Massachusetts Measures Mental Retardation Motivation Movement Nutrient Obesity Outcome Overweight Parents Participant Persons Phase Physical activity Physical activity scale Pilot Projects Play Policies Population Problem Solving Process Process Measure Proxy Questionnaires Recipe Reporting Research Risk Risk Factors Running Sampling Self Concept Self Perception Soccer Sports Sports Equipment Surgeon Surveys Taste Perception Testing Time Treatment Efficacy Underserved Population Vulnerable Populations Youth active lifestyle base cardiometabolic risk clinical practice comparison group design dietary guidelines disability early phase clinical trial experience fitness food preparation health disparity improved interest literacy literate male meetings nutrition programs sedentary skills social tool

项目摘要

7. PROJECT SUMMARY/ABSTRACT Children with intellectual disabilities (ID) are more likely than typically developing children to have higher cardio-metabolic risk factors, lower levels of health-related fitness, and be overweight and obese. As such, they represent a health disparities population. Low physical activity levels, increased sedentary time, and poor diet quality are likely contributors to these inequities. Our goal is to develop strategies that enable children with ID to attain optimal health by meeting US Physical Activity Guidelines and Dietary Guidelines for Americans. To achieve this goal, children with ID must develop physical literacy and food literacy - the knowledge, skills, confidence and desire to participate in physical activity and make healthy food choices. This project seeks to: 1) test the feasibility of a physical literacy and food literacy intervention for children with ID, and 2) preliminarily assess the efficacy of the intervention for increasing physical literacy including movement skills, confidence, and desire to participate in physical activity, and food literacy including knowledge around making healthy food choices, basic food preparation skills, and engaging in healthy eating behavior. Thirty male (n=15) and female (n=15) children with ID ages 12-16 will participate in a 16-week combined sport sampling and healthy eating education program. Weekly sessions will include 60 minutes of sports activities and 30 minutes of educational and skill activities to promote healthy eating. Sport sampling activities will aim to develop locomotor and object control skills via 4 sports: soccer, basketball, Run-Jump-Throw, and dance. Healthy eating sessions will focus on increasing knowledge to identify healthy foods and to make healthy choices, basic skills for preparing food, and a taste test thematically related to the lesson. The intervention will also include an at-home component called “Bring it Home, Give it Try.” Children will be provided with a piece(s) of sports equipment (e.g., soccer ball, jump rope) and skill cards with instructions and fun ideas for practicing sport skills outside of program sessions, and will be provided recipes related to the weekly taste test to promote healthy eating at home. The pilot intervention will be delivered in 2 waves of 15 participants each at YMCAs in eastern/central MA. Process measures of demand, acceptability, and implementation will be obtained to test feasibility, and a pretest- posttest design will allow for preliminary data on efficacy of the intervention. Measures of physical literacy include the Canadian Agility and Movement Skill Assessment, Physical Self-Inventory-ID, and Children's Self- Perceptions of Adequacy in and Predilection for Physical Activity scale. Measures of food literacy include a questionnaire of food knowledge, a test of rudimentary food preparation skills, and parent proxy report of dietary patterns based on questions from the Youth Risk Behavioral Surveillance Survey. This early phase study is a step toward promoting health and reducing the inequities that exist for children with ID.

7. 项目概要/摘要智力障碍 (ID) 儿童比正常发育儿童更有可能获得更高的智力水平心脏代谢危险因素、健康相关健康水平较低以及超重和肥胖。他们代表着身体活动水平低、久坐时间长且贫困的人群。饮食质量是造成这些不平等的原因之一，我们的目标是制定能够帮助患有此病的儿童的策略。 ID 通过满足美国身体活动指南和美国人饮食指南来获得最佳健康。为了实现这一目标，智力障碍儿童必须培养身体素养和食物素养——知识、技能、参与体育活动和选择健康食物的信心和愿望该项目旨在： 1) 测试对智力障碍儿童进行身体素养和食物素养干预的可行性，以及 2) 初步评估干预措施对提高体育素养的有效性，包括运动技能、信心、参与体育活动的愿望以及食物素养，包括有关制作健康食品的知识三十名男性 (n=15) 和女性。 (n=15) 12-16 岁的 ID 儿童将参加为期 16 周的运动采样和健康饮食相结合的活动每周课程将包括 60 分钟的体育活动和 30 分钟的教育活动。促进健康饮食的技能活动运动采样活动旨在发展运动能力和目标。通过 4 种运动控制技能：足球、篮球、跑跳投和舞蹈。增加识别健康食品和做出健康选择的知识、准备食物的基本技能、以及与课程主题相关的品味测试。干预措施还将包括家庭部分。名为“带回家，尝试一下”。将为孩子们提供一件运动器材（例如足球）球、跳绳）和技能卡，其中包含说明和有趣的想法，用于在计划之外练习运动技能课程，并将提供与每周口味测试相关的食谱，以促进家庭健康饮食。试点干预将在马萨诸塞州东部/中部的基督教青年会分 2 波进行，每波 15 名参与者。将获得需求、可接受性和实施的衡量标准来测试可行性，并进行预测试后测设计将提供有关干预效果的初步数据。包括加拿大敏捷性和运动技能评估、身体自我评估和儿童自我评估对身体活动充足性和偏好的认知量表包括食物素养的衡量标准。食物知识调查问卷、基本食物准备技能测试以及家长代理报告基于青年风险行为监测调查早期阶段的问题的饮食模式。这项研究是促进智力障碍儿童健康和减少不平等现象的一步。