Pilot Project 1: H-PACE: Promoting Healthy Living Through Behavior Change

试点项目 1：H-PACE：通过行为改变促进健康生活

• 批准号: 10756837
• 负责人: Jason A Mendoza
• 金额: $ 2.26万
• 依托单位: FRED HUTCHINSON CANCER CENTER
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2026-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10756837
• 关键词: 11 year old; 18 year old; Accelerometer; Address; Adolescence; Adult; Advanced Malignant Neoplasm; Age; American; Behavior; Body mass index; Cancer Center; Cellular Phone; Child; Childhood; Chronic Disease; Clinical; Collaborations; Colorectal Cancer; Communities; Computers; County; Diabetes Mellitus; Diet Habits; Disease; Disparity; Education; Electronics; Environment; Epidemic; Evaluation; Facebook; Family; Family member; Fostering; Fruit; Funding; Goals; Guidelines; Health; Health Food; Healthy Eating; Heart Diseases; Hispanic; Hodgkin Disease; Home; Hour; Household; Institution; Intake; Leisures; Life; Life Style; Long-Term Effects; Malignant Neoplasms; Mentorship; New Mexico; Obesity; Overweight; Parents; Physical activity; Pilot Projects; Play; Preparation; Prevalence; Prevention program; Privatization; Protocols documentation; Recommendation; Recreation; Reduce health disparities; Reporting; Research; Research Project Grants; Risk; Schools; Science; Scientist; Site; Sleep; Stroke; Students; Surveys; Teenagers; Television; Testing; Time; Universities; Update; Video Games; Washington; Writing; Yakima Valley; active lifestyle; after-school program; anticancer research; behavior change; cancer risk; cancer type; career development; community engaged research; cost; design; education research; efficacy evaluation; feasibility testing; fifth grade; fruits and vegetables; graduate student; health disparity; health equity promotion; healthy lifestyle; high body mass index; improved; innovation; leukemia; low socioeconomic status; malignant breast neoplasm; mortality; nutrition; obesity in children; obesity prevention; obesity risk; oral communication; outreach; physical inactivity; pilot test; programs; recruit; school district; sedentary lifestyle; skills; social; tv watching; undergraduate student; underserved community

ABSTRACT In New Mexico, 15.2% of children between the ages of 6-15 are obese, ranking New Mexico 23rd among all U.S. states. Obesity prevalence also increases with age. In 2018, only 13% of New Mexico children ages 2-4 years were obese compared with 32% of adults 18 years of age and older. Likewise for Washington in 2016, 12% of children ages 2-4 years were obese compared to 29% of adults. To address the prevalence of obesity and related diseases such as diabetes, heart disease, stroke, and several types of cancer, programs focusing on increasing opportunities for active living and healthy eating are necessary. Multi-component school-based obesity prevention programs have demonstrated increases in PA and improvement in dietary habits; however, most afterschool programs are short term; evidence is needed to confirm long-term effects. Moreover, programs that involve parents have shown to be more successful in helping children choose healthier behaviors. Therefore, the purpose of this proposal is to pilot test the Healthy Parents and Children Enhancement (H-PACE) program -- a community-engaged research project – through an existing after-school program in Las Cruces, NM and a new partnership in Sunnyside, WA among children 8-11 years of age (3rd- 5th grade). It is expected that implementing the H-PACE program will be feasible and demonstrate clinically important changes in improving children’s lifestyle behaviors. In addition to participating in after-school activities, which will include structural, active play as well as educational lessons and activities, children will take home family-based engaging activities such as fruits and veggies for fun preparation at home with parents. Parents will also be connected to each other and program staff via a private, invitation-only Facebook group, which will provide regular updates on after-school activities and particular family-based weekly assignments. The life skill portion of this program is designed to have lasting impact on children from households of lower socioeconomic status (SES) and their family members. The current pilot project will also enhance the community-academic partnerships between the local school district, New Mexico State University, and Fred Hutchinson Cancer Center to deliver an after-school program that is low cost, mutually beneficial, and sustainable. Proper nutrition and physical activity (PA) are essential parts of overall health. Together, they can decrease the risk of developing obesity as well as related diseases such as diabetes, heart disease, stroke, and several types of cancer. Health disparities associated with active living have led the CDC to call for greater active living programing for children. The current project will address this need in southern NM and the Lower Yakima Valley of Washington by implementing an active living after-school program at four school sites.

抽象的 在新墨西哥州，6-15岁的儿童中有15.2％的儿童肥胖，新墨西哥州排名第23位 美国州。肥胖症患病率也随着年龄的增长而增加。 2018年，新墨西哥州只有13％的2-4岁儿童 年份肥胖，而18岁及以上的成年人中有32％。 2016年华盛顿也 2-4岁的儿童中有12％肥胖，而成年人有29％。解决肥胖症的患病率 以及相关疾病，例如糖尿病，心脏病，中风和几种类型的癌症，计划集中 有必要增加积极生活和健康饮食的机会。多组件基于学校 肥胖预防计划表明PA的增加和饮食习惯的改善；然而， 大多数课后课程都是短期的。需要证据以确认长期影响。而且， 涉及父母的计划已显示在帮助孩子选择更健康方面更成功 行为。因此，该建议的目的是试行健康的父母和孩子 通过现有的课后，增强（H-PACE）计划（一个社区参与的研究项目） 在新墨西哥州拉斯克鲁塞斯的计划和华盛顿州桑尼赛德的新伙伴关系8-11岁（第三名） 五年级）。预计实施H-PACE程序将是可行的，并在临床上证明 改善儿童生活方式行为的重要变化。除了参加课后 活动，其中包括结构性，积极的游戏以及教育课程和活动，儿童将 带有家庭基于家庭的吸引力活动，例如水果和蔬菜，以便在家中有趣的准备 父母。父母还将通过私人，仅邀请的Facebook相互联系，并通过计划人员联系 Group，该小组将定期提供有关课后活动和特定基于家庭的每周的特定更新 作业。该计划的生活技能部分旨在对儿童产生持久的影响 社会经济地位较低的家庭及其家人。当前的试点项目也将 加强新​​墨西哥州立大学当地学区之间的社区学术伙伴关系 和弗雷德·哈钦森癌症中心（Fred Hutchinson Cancer Center 和可持续。适当的营养和体育锻炼（PA）是整体健康的重要组成部分。他们在一起 可以降低肥胖的风险以及相关疾病，例如糖尿病，心脏病， 中风和几种类型的癌症。与活跃生活有关的健康差异已导致疾病预防控制中心呼吁 为儿童提供更大的活跃生活编程。当前的项目将在NM南部和 在华盛顿的下部亚基马山谷通过在四个学校地点实施活跃的生活后课程。