Testing a Multilevel, Multicomponent, Multigenerational Dietary Intervention to Improve Southeast Asian Children's Diets

测试多层次、多成分、多代饮食干预措施以改善东南亚儿童的饮食

基本信息

批准号：
10584609
负责人：
Kim M. Gans
金额：
$ 27.24万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-03-07 至 2025-02-28
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10584609
关键词：
Address Adult Adult Children Affect Age Asian Behavior Behavioral Body Weight decreased Body mass index Cambodian Carotenoids Child Child Health Child Nutrition Chronic Chronic Disease Clinical Clinical Trials Communities Community Health Aides Community Healthcare County Dermal Diet Dietary Intervention Dietary Practices Disease Disparity Disparity population Dose Education Emotions Ethnic Population Exhibits Family Fatty acid glycerol esters Feasibility Studies Feedback Food Food Access Frequencies Funding Future Gestational Diabetes Glycosylated hemoglobin A Goals Guilt Health Food Healthy Eating Height Home Individual Insulin Resistance Intervention Intervention Studies Measures Methods Mission Modeling National Institute of Diabetes and Digestive and Kidney Diseases Non-Insulin-Dependent Diabetes Mellitus Obesity Outcome Parents Participant Philosophy Pilot Projects Poverty Prevalence Publishing Race Randomized Reducing diet Refugees Research Rhode Island Risk Risk Factors Scientific Advances and Accomplishments Structure Subgroup Telephone Testing Text Messaging Training Trauma Treatment Efficacy Unhealthy Diet Vietnamese Weight Gain Woman Work acceptability and feasibility arm attentional control behavior change community based participatory research community clinic community intervention community partnership design dietary early onset effective intervention efficacious intervention energy balance ethnic disparity ethnic minority ethnic minority population experience feasibility testing feasibility trial financial incentive food environment good diet grandparent health disparity health disparity populations high risk implementation fidelity implementation framework implementation intervention improved indexing innovation intergenerational intervention refinement motivational enhancement therapy multi-component intervention nutrition education prevent primary outcome process evaluation racial minority racial population recruit secondary outcome social social cognitive theory southeast Asian stem sugar transmission process treatment arm waist circumference

项目摘要

Background. Poor diet quality is a significant and critical problem for Southeast Asian (SEA) children whose families came to the US as refugees [e.g., Hmong, Cambodian, Laotian, Vietnamese]. SEA children are disproportionately burdened by higher rates of obesity and increased risk of other diet-related chronic diseases like type 2 diabetes relative to other Asian subgroups, Whites and “Other” races. Although dietary interventions have been shown to prevent/delay onset of diet-related chronic diseases, to our knowledge, there are no dietary interventions developed specifically for SEA children. Thus, there is an urgent need for dietary interventions that leverage state-of-the-art methods to address existing health disparities affecting SEA children and to advance scientific understanding of gaps in intervention research. Overview of Proposal. This proposal reflects our eight year (ongoing) academic-community research partnership with the Center for SEA in Rhode Island, formative work with SEA families, and our extensive experience conducting successful dietary interventions with underserved health disparity groups. The current study is a pilot feasibility study that tests an innovative multilevel, multicomponent, multigenerational dietary intervention to improve diet quality among SEA children. Conceptual Model. The Community Energy Balance and Family-Centered Action Model of Intervention Layout and Implementation frameworks provide the intervention rationale and structure. These frameworks propose that for disparity ethnic minority groups like SEA, multilevel, multicomponent, intergenerational interventions are the most effective intervention approach for changing and sustaining individual-level behavior change. Social cognitive theory and popular education philosophy inform the intervention content. Overview of Research Plan. 75 SEA families with children ages 6 to 11 years will be recruited from Providence County, Rhode Island. Adult-child pairs will be randomized to: (1) financial incentive only arm that will receive weekly $15 financial incentive coupons to subsidize purchase of healthy foods at a local SEA grocery store; or (2) financial incentive plus twice-monthly, family-based group nutrition education at the Center for SEA led by SEA community health workers; three motivational interviewing (MI) calls by trained community health workers; dietary norms messaging for adults (via weekly text messages) and for children (via Infographics at nutrition education sessions); and weekly $15 financial incentive coupons to subsidize purchase of healthy foods at SEA grocery stores; or (3) an Academic Engagement attention control arm that will follow the structure of the financial incentive plus nutrition education, MI and text messages and infographics arm. The primary outcomes are study feasibility and clinically meaningful improvement in child’s diet quality (measured by healthy eating index). Secondary outcomes are clinically meaningful changes in children’s body mass (~ 2kg weight loss or no weight gain), HbA1c (0.5%) and parent’s diet quality, HbA1c and the home food environment. These study findings will be used to inform a future, larger clinical trial.

背景饮食质量差。一家人来到美国，例如拒绝[例如苗族，柬埔寨，老挝，越南人] 由于肥胖率更高和其他与饮食相关的慢性呼吸的风险增加的负担不大类似于2型糖尿病，相对于其他亚洲亚组，白人和“其他”种族。据我们所知饮食干预措施是专门针对海洋儿童的。利用最先进的方法来解决现有健康差异的干预措施儿童并提高对干预研究中差距的科学理解。提案反映了我们与海洋的八年（正在进行的）学术社区研究伙伴关系在罗德岛州，与海洋家庭的形成性工作以及我们的丰富经验成功的饮食当前研究的干预措施是一项试验性研究测试ANN 创新的多级，多组分，多结一发饮食干预措施，以提高海上海上饮食质量儿童。间隔布局和实现框架提供了间隔的构造和结构。框架建议，对于差异少数民族，例如海洋，多级，多组分，代际介入是改变和维持的最有效的介绍个人级别的行为变化。干预内容。从罗德岛的普罗维登斯县招募。仅收到每周收到$ 15的经济奖励优惠券的手臂，以补贴购买健康食品当地的海杂货店；海洋社区卫生工作者领导的海洋中心；社区卫生工作者；营养教育课程的信息图）；在海上杂货店购买健康食品；将遵循经济激励以及营养教育，MI和短信以及信息图表。饮食质量（通过健康饮食指数来衡量）。儿童体重（〜2kg减肥或不体重增加），HBA1C（0.5％）和父母的饮食质量，HBA1C和这些研究结果将用于为未来的临床试验提供信息。