Healthy Eating and Lifestyle Program for Individuals with Intellectual Disability

智力障碍人士的健康饮食和生活方式计划

• 批准号: 9340491
• 负责人: MARTIN R. SHEEHAN
• 金额: $ 22.42万
• 依托单位: DOUBLE S INSTRUCTIONAL SYSTEMS
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9340491
• 关键词: Accelerometer; Adult; Attitude; Behavioral; Body Weight decreased; Cardiovascular Diseases; Caregivers; Caring; Chronic; Communities; Consumption; Diabetes Mellitus; Diet; Eating; Education; Effectiveness; Environment; Exercise; Fatty acid glycerol esters; Feedback; Focus Groups; Food; General Population; Goals; Group Homes; Habits; Health; Health Promotion; Health Status; Healthy Eating; High Prevalence; Home environment; Hypertension; Incentives; Incidence; Individual; Intellectual functioning disability; Intervention; Interview; Knowledge; Learning; Life Style; Living Arrangement; Malignant Neoplasms; Monitor; Motivation; Multimedia; Nutritional; Obesity; Online Systems; Overweight; Parents; Participant; Pattern; Perception; Phase; Physical Fitness; Physical activity; Population; Population Programs; Progress Reports; Provider; Public Health; Published Comment; Randomized Controlled Trials; Research; Self Determination; Support System; Testing; Time; Training; Transportation; Underserved Population; Vegetables; Writing; base; community setting; cost effective; design; disorder prevention; education cost; efficacy trial; experience; fitbit; flexibility; formative assessment; foster home; foster parent; fruits and vegetables; good diet; health disparity; healthy lifestyle; improved; innovation; nutrition; nutrition education; obesity risk; phase 2 study; programs; prototype; social cognitive theory; sugar; tool; weight maintenance

The move for individuals with ID from institutional to community settings has increased their opportunities for self-determination and provided a less restrictive environment. However, knowledge, motivation, and efficacy to engage in a healthy lifestyle tend to be low in both individuals who have ID and their care providers. Community and residential living arrangements often make choosing a healthy diet and participating in physical activity difficult. In group living situations, it is easy to serve the same foods and portion sizes to all residents. Care providers frequently decide on meal content without input from the majority of the residents. Moreover, studies show that parents of adults who have ID lack information and support in limiting access to unhealthy foods and encouraging healthy activity patterns. Financial and transportation issues also make it difficult for individuals with ID to participate in community-based physical activity programs. As a result, individuals who have ID often have poor energy dense diets and tend to be inactive; they experience rates of obesity greater than the general population which contributes to a high prevalence of health related problems, including cancer, diabetes, hypertension, and cardiovascular diseases. There is a compelling need for healthy lifestyle programs targeted to the specific context and learning needs of this population. The proposed project HELP-ID; (Healthy Eating and Lifestyle Program for Individuals) With ID, will use the best of the behavioral weight loss programs while incorporating an innovative, yet research-based approach specifically designed for the needs of this population. Guided by Social Cognitive Theory (SCT), HELP-ID is an engaging multimedia program that delivers information on nutrition, easy to implement and cost effective meal planning ideas, and a lifestyle physical activity program to individuals with ID and their care providers. In Phase I, we will develop a prototype of Help-ID and successfully established feasibility of the program. The primary aims of the Phase II study will be to fully develop the comprehensive healthy eating and lifestyle program for overweight and obese adults with ID and evaluate its efficacy in a randomized-controlled trial with overweight/obese adults who have ID and who live at home, in foster homes, in group homes, or independently with supports, and their care providers.

智障人士从机构环境转移到社区环境增加了他们自我决定的机会，并提供了一个限制较少的环境。然而，智力障碍患者及其护理人员对健康生活方式的了解、动机和功效往往较低。社区和住宅的生活安排常常使选择健康饮食和参加体育活动变得困难。在集体居住的情况下，很容易为所有居民提供相同的食物和份量。护理人员经常在没有大多数居民意见的情况下决定膳食内容。此外，研究表明，患有智力障碍的成年人的父母在限制获取不健康食品和鼓励健康的活动模式方面缺乏信息和支持。 财务和交通问题也使智障人士难以参加社区体育活动计划。因此，患有智力障碍的人通常饮食能量不足，而且往往缺乏运动。他们的肥胖率高于一般人群，这导致癌症、糖尿病、高血压和心血管疾病等健康相关问题的高发。迫切需要针对该人群的具体情况和学习需求的健康生活方式计划。 拟议的项目 HELP-ID； （个人健康饮食和生活方式计划） 通过 ID，我们将采用最好的行为减肥计划，同时结合专门针对该人群的需求而设计的创新且基于研究的方法。 HELP-ID 以社会认知理论 (SCT) 为指导，是一个引人入胜的多媒体程序，向智障人士及其护理人员提供营养信息、易于实施且具有成本效益的膳食计划理念以及生活方式体育活动计划。在第一阶段，我们将开发Help-ID的原型并成功确定该程序的可行性。 II 期研究的主要目的是为患有智力障碍的超重和肥胖成年人全面制定全面的健康饮食和生活方式计划，并在一项针对患有智力障碍且在家居住的超重/肥胖成年人的随机对照试验中评估其效果，在寄养家庭，集体之家，或在支持下独立，及其照顾者。