Spillover Benefits: The Impact of Summer Programming on Parental Rules and Routines Associated with Children's Obesogenic Behaviors

溢出效益：暑期项目对与儿童肥胖行为相关的家长规则和惯例的影响

• 批准号: 10609796
• 负责人: Layton Reesor-Oyer
• 金额: $ 2.48万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2023-08-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10609796
• 关键词: Acceleration; Age; Beds; Beets; Behavior; Behavior Therapy; Caloric Restriction; Child; Child Behavior; Child Health; Child Rearing; Communities; Control Groups; Data; Diet; Energy Intake; Enrollment; Environment; Exhibits; Exposure to; Fellowship; Fostering; Future; Gatekeeping; Health Promotion; Health behavior; Home; Hour; Household; Intake; Interview; Lead; Low income; Measures; Mediating; National Institute of Diabetes and Digestive and Kidney Diseases; Observational Study; Parents; Perception; Physical activity; Postdoctoral Fellow; Prevention program; Randomized; Relaxation; Research; Role; Schedule; Schools; Seasons; Sleep; Sleep disturbances; Specific qualifier value; Structure; Training; Unhealthy Diet; Weight; Weight Gain; aged; experience; innovation; obesity in children; obesity treatment; obesogenic; parental influence; programs; randomized trial; randomized, clinical trials; tv watching; Acceleration; Age; Beds; Beets; Behavior; Behavior Therapy; Caloric Restriction; Child; Child Behavior; Child Health; Child Rearing; Communities; Control Groups; Data; Diet; Energy Intake; Enrollment; Environment; Exhibits; Exposure to; Fellowship; Fostering; Future; Gatekeeping; Health Promotion; Health behavior; Home; Hour; Household; Intake; Interview; Lead; Low income; Measures; Mediating; National Institute of Diabetes and Digestive and Kidney Diseases; Observational Study; Parents; Perception; Physical activity; Postdoctoral Fellow; Prevention program; Randomized; Relaxation; Research; Role; Schedule; Schools; Seasons; Sleep; Sleep disturbances; Specific qualifier value; Structure; Training; Unhealthy Diet; Weight; Weight Gain; aged; experience; innovation; obesity in children; obesity treatment; obesogenic; parental influence; programs; randomized trial; randomized, clinical trials; tv watching

Summer vacation exerts a negative effect on children’s (5-12yrs) obesogenic behaviors (i.e., reduced activity, increased screen time, poor diet intake, shifted/disrupted sleep); children gain 3-5 times the amount of weight during the summer compared to the entire school year. The structured days hypothesis posits the structured environment created by school regulates obesogenic behaviors. During summer, less structure is present, leading to accelerated weight gain. We hypothesize seasonal changes in children’s obesogenic behaviors may be due in part to parents relaxing rules/routines related to obesogenic behaviors during the summer. During summer vacation parents are more lenient with rules/routines, such as allowing children to go to bed later and use screens more frequently. However, when a child attends a program that occurs at pre-specified days and times, like school, parents may enforce health-promoting rules/routines (e.g., earlier bedtime, limits on screens). Because the typical operating hours of summer day camps mimic the structure provided by school, attending summer day camp may also influence parent health-promoting rules/routines. This would promote greater consistency of parent health-promoting rules/routines during the summer; similar to rules/routines during the school year. We hypothesize that attending summer day camp will influence parent health-promoting rules/routines in the absence of a formal parenting behavior intervention and lead to more healthful behaviors of children at home. This spillover effect – summer day camp influences parent health-promoting rules/routines at home – can have important implications for obesity interventions during the summer. This F32 Post-Doctoral fellowship application will leverage data from a randomized clinical trial (NIDDK R01DK120490, PI Beets) enrolling 280 elementary-age children from low-income households with half randomized to receive free access to 8-weeks of community-operated summer day camp. We will quantitatively and qualitatively examine the impact of providing access to summer day camp on parent rules/routines associated with sleep, screen time, and diet. Further, we will examine the influence of parent health-promoting rules/routines on objectively measured obesogenic behaviors and child zBMI. The primary aim is to evaluate the impact of access to summer day camp on changes in parent health-promoting rules/routines from school to summer compared to a control group who do not receive free summer day camp. The secondary aim is to evaluate the impact of parent health- promoting rules/routines on changes in child obesogenic behaviors and weight (zBMI) from the school year to summer. The final aim is to describe parent perceptions of how/why they maintain/change health-promoting rules/routines during the summer. This study is significant because it is necessary to understand the mechanisms by which child obesogenic behaviors shift during the summer. This study will inform future summer childhood obesity prevention programs. This study is innovative because it is among the first to evaluate the impact of summer day camp access on parent health-promoting rules/routines within an RCT.

暑假对儿童（5-12岁）的肥胖行为产生负面影响（即活动减少， 屏幕时间增加，饮食摄入量不佳，睡眠中断/破坏）；孩子的体重量的3-5倍 与整个学年相比，夏季。结构化的假设提出了结构化的 学校创造的环境调节肥胖行为。在夏季，结构较少， 导致体重增加。我们假设儿童肥胖行为的季节性变化可能 部分原因是父母在夏季与肥胖行为有关的放松规则/例行程序。期间 暑假父母对规则/例行程序更宽容，例如允许孩子以后上床睡觉和 更频繁地使用屏幕。但是，当一个孩子参加在预先指定日期发生的计划时， 像学校一样，父母可以执行促进健康的规则/例行程序（例如，较早的就寝时间，限制了屏幕上的限制）。 因为夏季营地的典型营业时间模仿了学校提供的结构 夏日训练营也可能影响父母促进健康的规则/例行程序。这将促进更大 夏季，父母促进健康的规则/例行程序的一致性；类似于规则/例程 学年。我们假设参加夏季训练营将影响父母健康的促进 在没有正式的育儿行为干预的情况下，规则/例行程序并导致更健康的行为 孩子在家。这种Spilover效应 - 夏季营地影响父母健康促进健康的规则/例行程序 家 - 在夏季，可能对肥胖干预有重要影响。此F32博士后 奖学金申请将利用随机临床试验（NIDDK R01DK120490，PI BEETS）的数据来利用数据 招募来自低收入家庭的280名年龄儿童，其中一半随机接收免费访问 到8周社区经营的夏日营地。我们将定量和定性地检查 提供与睡眠，屏幕时间相关的父母规则/例行程序的访问权限的影响 和饮食。此外，我们将研究父母健康促进的规则/例程对客观的影响 测量的肥胖行为和儿童ZBMI。主要目的是评估进入夏季的影响 与对照相比 没有免费获得夏日营地的团体。第二个目的是评估父母健康的影响 - 促进从学年到儿童有机基因行为和体重（ZBMI）变化的规则/例程 夏天。最终目的是描述父母对如何/为什么保持/改变健康促进健康的看法 夏季的规则/例行程序。这项研究很重要，因为有必要了解机制 在夏季，儿童肥胖行为发生了变化。这项研究将告知未来的夏季童年 肥胖预防计划。这项研究具有创新性，因为它是最早评估的影响 RCT内的夏季训练营访问父母健康的规则/例程。