Feasibility of Network Interventions to Facilitate Community Coalition Adoption of Evidence-Based Strategies for Child Obesity Prevention

网络干预促进社区联盟采用循证儿童肥胖预防策略的可行性

• 批准号: 10738463
• 负责人: Travis Robert Moore
• 金额: $ 10.42万
• 依托单位: TUFTS UNIVERSITY BOSTON
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10738463
• 关键词: Acceleration; Adopted; Adoption; Adult; Applications Grants; Behavior; Child; Child Health; Child health equity; Chronic; Chronic Disease; Cluster randomized trial; Collaborations; Communities; Data; Diffusion; Enrollment; Ensure; Environment; Experimental Designs; Family; Feedback; Goals; Grant; Health Disparities Research; Heart Diseases; Household; Income; Individual; Institution; Intervention; K-Series Research Career Programs; Knowledge; Knowledge acquisition; Longitudinal Surveys; Mentorship; Methods; Modeling; Obesity; Outcome; Overweight; Phase; Population; Poverty; Prevalence; Prevention; Process; Protocols documentation; Public Health; Randomized, Controlled Trials; Reduce health disparities; Research; Research Personnel; Resources; Risk; Schools; Science; Social Network; Structure; Study Skills; System; Testing; Time; Tobacco use; Training; Translational Research; Translations; United States National Institutes of Health; Visualization; arm; base; behavior change; cancer type; career; community based research; community organizations; design; disorder prevention; effective intervention; evidence base; experience; experimental study; feasibility testing; health disparity; health equity; implementation science; improved; insight; intervention mapping; member; models and simulation; multidisciplinary; novel; obesity in children; obesity prevention; peer; pilot test; public health research; recruit; simulation; skill acquisition; skills; socioeconomic disadvantage; therapy development; uptake

PROJECT SUMMARY/ABSTRACT Childhood obesity is a modifiable determinant of many adulthood chronic diseases, including heart disease and most types of cancer, Children from families with socioeconomic disadvantage suffer from increased risk of childhood obesity and related chronic conditions, experiencing 23-33% greater obesity prevalence when compared to children in higher-income households. Community coalitions, consisting of members from organizations that represent multiple sectors (e.g., public health, schools, community-based organizations), have proven their ability to reduce childhood obesity by using evidence-based strategies (EBS). However. coalition adoption of EBS remains a well-cited challenge. particularly within communities with higher levels of poverty. Because coalitions are networks of partnerships, researchers have started using network interventions with coalition leaders to jointly modify coalition partnerships to accelerate behavior change and increase the diffusion of obesity prevention knowledge. Further, researchers are using systems science simulation to provide insight into the mechanisms through which individuals' relationships change over time and how individual behavior spreads. Thus, with the help of simulation, this study aims to develop and test network interventions to increase the adoption of evidence-based strategies (EBS) among childhood obesity prevention coalitions serving communities with socioeconomic disadvantage. This will be accomplished first by collaboratively developing network interventions using simulation with coalition leaders and modeling experts, and second, by using a 2- arm cluster-randomized control trial to test the feasibility of deploying the network interventions aimed at increasing the adoption of EBS among coalitions working in populations with socioeconomic disadvantage. This grant will generate crucial training for Dr. Moore's advancement to become an independent investigator in chronic disease prevention, focusing on the effects of community coalition action on child health equity, The training goals for this application are to acquire: (1) theoretical knowledge and practical skills in network science and simulation; (2) knowledge and skills in implementation science research and health disparities research; and (3) skills in the design and analysis of small-n experimental designs. Dr. Moore has a supportive institutional environment and a multidisciplinary mentorship team with expertise in obesity prevention, network science and modeling, implementation science, health disparities, and community-based research. This career development award will advance Dr. Moore through the NIH research pipeline, preparing him for a successful R01 grant application, helping him achieve his long-term career goal of becoming an independent scientific researcher with expertise in developing and testing interventions aimed at enabling coalitions to improve their evidence translation and health equity practices.

项目摘要/摘要 儿童肥胖是许多成年慢性疾病的可改变的决定因素，包括心脏病和大多数类型的癌症，来自社会经济劣势的家庭的儿童患儿童期肥胖和相关慢性病的风险增加，与高等含量家庭相比，肥胖症患病率高于23-33％。社区联盟由来自代表多个部门（例如公共卫生，学校，基于社区组织）的组织的成员组成，已证明了他们通过使用基于证据的策略（EBS）来减少儿童肥胖的能力。然而。采用EBS的联盟仍然是一个备受推测的挑战。特别是在贫困水平更高的社区中。由于联盟是合作伙伴关系的网络，因此研究人员已经开始使用与联盟领导者的网络干预措施共同修改联盟伙伴关系，以加速行为改变并增加预防肥胖症知识的扩散。此外，研究人员正在使用系统科学模拟来洞悉个人关系随着时间的变化以及个人行为如何传播的机制。因此，在模拟的帮助下，本研究旨在开发和测试网络干预措施，以增加循证策略（EBS）的采用，在儿童肥胖预防联盟中为具有社会经济劣势的社区提供服务。这将首先通过与联盟领导者和建模专家进行合作开发网络干预措施，其次是通过使用2个ARM集群随机控制试验来测试旨在增加旨在增加在与社会经济障碍人群中工作的EBS采用的网络干预措施的可行性。这项赠款将为摩尔博士的进步提供至关重要的培训，成为慢性疾病预防的独立研究者，重点关注社区联盟行动对儿童健康公平的影响，该应用的培训目标是获得：（1）网络科学和仿真的理论知识和实践技能； （2）实施科学研究与健康差异研究的知识和技能； （3）小型N实验设计设计和分析的技能。 Moore博士拥有支持性的机构环境和一个多学科指导团队，在预防肥胖，网络科学和建模，实施科学，健康差异和基于社区的研究方面具有专业知识。该职业发展奖将通过NIH研究管道推进摩尔博士，为他准备成功的R01赠款申请做好准备，从而帮助他实现了自己的长期职业目标，即成为一名具有专业知识的独立科学研究人员，以开发和测试干预措施，旨在使联盟改善证据翻译和健康公平惯例。