Family Inclusive Childhood Obesity Treatment designed for Low Income and Hispanic Families

专为低收入和西班牙裔家庭设计的家庭包容性儿童肥胖治疗

基本信息

批准号：
10623316
负责人：
MATTHEW A. HAEMER
金额：
$ 64.21万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-08-16 至 2026-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10623316
关键词：
16 year old Academy Address Adoption Adult Affect Behavior Therapy Body mass index Caregivers Caring Child Clinic Clinical Counseling Data Dedications Development Diabetes Mellitus Disparity Dissemination and Implementation Dose Eating Behavior Educational Curriculum Effectiveness Enrollment Exclusion Family Foundations Funding Goals Health Health Educators High-Income Populations Hispanic Hispanic Populations Home Insurance Intervention Lead Linguistics Low Income Population Low income Maintenance Measures Medicaid Mentored Patient-Oriented Research Career Development Award Non obese Not Hispanic or Latino Obesity Overweight Parents Pediatrics Pilot Projects Population Population Intervention Preparation Prevention Primary Care Protocols documentation Public Health Quality of life Quasi-experiment Randomized, Controlled Trials Reach, Effectiveness, Adoption, Implementation, and Maintenance Recommendation Recreation Research Research Personnel Siblings Testing Training United States Preventative Services Task Force Waiting Lists Weight maintenance regimen active control age group cardiometabolism clinically significant community clinic community engaged research community organizations community partnership compare effectiveness cooking cost design effective intervention effectiveness testing effectiveness/implementation trial evidence base experience fitness food insecurity food security group intervention health disparity healthy weight implementation evaluation implementation outcomes implementation process implementation strategy improved lower income families mortality novel obesity in children obesity prevention obesity treatment payment prevent primary care clinic primary care provider programs prospective randomized controlled design safety net scale up therapy design treatment program trend

项目摘要

Project Summary: This proposal addresses a significant public health problem – childhood obesity and related health disparities faced by Hispanic children from low-income families – for which interventions are lacking. This Randomized Controlled Trial (RCT) will test the effectiveness of a family-inclusive weight management program developed for low-income Hispanic populations. Interventions to prevent and treat childhood obesity have historically excluded Spanish speaking families. The intervention to be tested has been designed through in-depth collaborative research involving childhood-obesity clinician/researchers, safety-net clinics, community organizations, and the low-income and mostly Hispanic families they serve. The Healthy Living Program / La Vida Saludable (HeLP) has been designed to achieve reach, retention, and effectiveness for low-income and Hispanic families, including Spanish Speakers. HeLP incorporates the core components of evidence-based family-based-behavioral- therapy at a dose the US Preventive Services Task Force has recommended to be effective. The key novel design components of HeLP include: 1) Inclusion of the entire family. Previous interventions have focused on parent-child dyads. In HeLP, children with obesity and all siblings 2-16 years and adult caregivers receive targeted curricular components. Younger healthy weight siblings of children referred for obesity are targeted for obesity prevention, 2) Hands-on family training in meal-planning, shopping, and cooking is focused on reducing food insecurity while adapting traditional cuisine, 3) Delivery close to home through a partnership of primary care clinics and recreation centers, and 4) Delivery by trained, low-cost, culturally and linguistically concordant health educators. The goal of this research is to definitively assess using a randomized controlled design the effectiveness of the HeLP intervention for treatment and prevention of overweight and obesity vs a primary care counseling protocol active control condition—Recommended Treatment of Obesity in Primary Care (RTOP). The aims of this study are to: 1) compare the effectiveness of HeLP vs. RTOP at BMI reduction in three age groups of low- income Hispanic children with obesity: 2-6, 7-12, and 13-16 years (secondary measures include: cardiometabolic lab tests, fitness, quality of life, eating behaviors, and food security); 2) To compare the effectiveness of HeLP at obesity prevention by comparing the BMI trajectory of non-obese 2-11yr old children with BMI above median whose siblings are enrolled in HeLP vs. RTOP; 3) To study implementation of HeLP and RTOP within the RE-AIM framework, including: Reach, Adoption, Implementation (fidelity, replication costs, and cost per unit BMI change), and Maintenance. This proposal seeks to fill a major gap in understanding of how childhood obesity might be effectively treated in low-income and Hispanic families.

项目摘要：该提案解决了一个重大的公共卫生问题 - 儿童观察和来自低收入家庭的西班牙裔儿童面临的相关健康差异是干预措施缺乏这种随机对照试验（RCT）将测试家庭重量的有效性为低收入的西班牙裔人群制定了管理计划。历史上，儿童肥胖症不包括西班牙语家庭。要测试的干预措施是通过深入的协作研究设计的儿童肥胖临床医生/研究人员，安全网诊所，社区组织以及低收入和他们服务的大多数西班牙裔家庭。旨在实现低收入和西班牙裔家庭的覆盖范围，保留和有效和有效性，包括西班牙人的帮助结合了基于循证的家庭行为的组成部分在The The The Tompast Formats的治疗已推荐给帮助的设计组成部分包括：1）包含整个家庭。亲子二元组。有针对性的课程成分。预防习惯，2）餐食计划，Shopppppp和烹饪的动手家庭培训专注于减少粮食不安全时，养育传统美食时，3）通过主要的合作伙伴关系在家里交付护理诊所和娱乐中心，以及4）通过受过训练，低成本，文化和语言一致的培训健康教育者。这项研究的目的是使用随机控制设计的有效评估治疗和预防超重和观察的帮助间隔与初级保健咨询协议主动控制条件 - 对初级保健的肥胖症治疗（RTOP）这项研究是：1）比较在降低BMI的低 - 型rtop的有效性与RTOP的有效性肥胖的收入西班牙裔儿童：2-6、7-12和13-16岁（次要措施包括：心脏代谢实验室测试，健身，生活质量，饮食行为和粮食安全）；通过构成非肥胖2-11岁儿童的BMI轨迹来预防肥胖症的有效性在兄弟姐妹兄弟姐妹的中位数中，BMI被录入了帮助与RTOP；和RE-AIM框架内的RTOP，包括：覆盖，采用，插入（保真，复制成本和单位BMI的成本）和维护。了解在低收入和西班牙裔家庭中童年肥胖如何有效。