Quality of Life of Overweight Youth: Multicultural View

超重青少年的生活质量：多元文化观点

• 批准号: 7469345
• 负责人: Donald Lee Patrick
• 金额: $ 60.26万
• 依托单位: UNIVERSITY OF WASHINGTON
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7469345
• 关键词: Address; Adolescent; Affect; African; African American; Age; Attitude; Behavior; Behavioral; Belief; Betula Genus; Body Size; Body Weight decreased; Body mass index; California; Caregivers; Caucasians; Caucasoid Race; Censuses; Child; Clinical; Cognitive; Communities; Condition; Depth; Development; Device or Instrument Development; Discrimination; Eating; End Point; Endocrinologist; Environment; Ethnic group; Evaluation; Exercise; Factor Analysis; Focus Groups; Generations; Generic Drugs; Goals; Grant; Health; Hispanics; Intervention; Interview; Language; Life; Maintenance; Measurement; Measures; Methodology; Methods; Mexican; Mexican Americans; Mexico; Minority; Modeling; Numbers; Obesity; Observational Study; Outcome; Outcome Measure; Overweight; Parents; Patient Self-Report; Patients; Pattern; Phase; Pilot Projects; Population; Property; Psychometrics; Publishing; Purpose; Quality of life; Quality-of-Life Assessment; Questionnaires; Randomized; Range; Readability; Readiness; Recruitment Activity; Research; Research Design; Research Personnel; Risk; Sampling; Self Perception; Siblings; Social Development; Social Environment; Social Sciences; Standards of Weights and Measures; Stigmata; Stimulus; Subgroup; Testing; Therapeutic; Training; Validation; Washington; Weight; Work; Youth; Youth Quality of Life instrument/measures; aged; base; behavior change; caucasian American; cohort; concept; design; environmental stressor; experience; health disparity; improved; innovation; instrument; programs; psychologic; psychosocial; response; self esteem; sex; size; social; social stigma; theories; treatment program

DESCRIPTION (provided by applicant): Goal: To develop a multicultural quality of life (QoL) instrument specific to overweight youth for use in evaluating weight-management treatments and investigating environmental and psychosocial associations. Aims: 1) To develop a weight-specific QoL instrument in US English and Mexican-American Spanish using in-depth interviews and focus groups with African-American, Caucasian, and Mexican-American youth ages 11-18 in Western Washington and Southern California; 2) To validate cross-sectional psychometric and practical measurement properties of the new weight-specific instrument using classical psychometric and IRT analyses; 3) To explore associations of BMI with QoL and known or hypothesized correlates, 4) To assess the ability of the items and measures to detect change in a small cohort of youth participating and not participating in a formal weight loss program, and 5) To produce/disseminate final version of the instrument. Significance: The two-fold increase in overweight status among Caucasian youth in recent years is only overshadowed by the three-fold increases among minority youth, primarily Mexican-Americans and African- Americans. This disproportionate increase in overweight among minority youth may exacerbate pre-existing health outcome disparities and require innovative approaches to understanding their perspectives and to design and evaluate effective treatments that will reduce health disparities. Innovation: A QoL measure should be developed with full participation of the major affected cultural groups targeted for weight treatment. Simultaneous cultural development of measures in different ethnic groups with multicultural investigators in this study will meet this requirement. Methods and Analysis: A comprehensive conceptual model grounded in qualitative methodology will drive measurement development. In-depth interviews and focus groups with 120 overweight and at-risk youth will apply a needs-based model and culturally sensitive approach to instrument development. Generation of items in English and Spanish and cognitive debriefing, readability, and translatability analyses will be conducted. A validation sample of 360 youth (200 BMI 2> 95%, 80 BMI 85-94%; 80 BMI z 84%) will be recruited who will complete the new weight-specific instrument and other questionnaires. Factor analysis and item-response methods will be used for scale development. Evaluation of reliability, construct validity, effect sizes in a small cohort, and association with BMI will be examined. Power is estimated to be between 77-99% to detect differences with an effect size of .41 or greater using univariate and multivariate modeling to investigate known and hypothesized correlates. Investigators: Multicultural team of experienced outcomes experts, obesity experts, endocrinologists, and community agents will collaborate to recruit, study, publish, and disseminate results.

描述（由申请人提供）： 目标：开发针对超重青少年的多元文化生活质量 (QoL) 工具，用于评估体重管理治疗并调查环境和心理社会关联。目标：1) 通过对华盛顿州西部和南加州 11-18 岁非裔美国人、白人和墨西哥裔美国青少年的深入访谈和焦点小组，开发美国英语和墨西哥裔美国人西班牙语的特定体重生活质量工具; 2) 使用经典心理测量和 IRT 分析来验证新型体重专用仪器的横截面心理测量和实际测量特性； 3) 探索 BMI 与 QoL 以及已知或假设的相关因素的关联， 4) 评估项目和测量方法检测一小群参与和未参与正式减肥计划的青少年变化的能力，以及 5)制作/传播该文书的最终版本。意义：近年来，白人青年的超重状况增加了两倍，但少数族裔青年（主要是墨西哥裔美国人和非裔美国人）的超重状况却增加了三倍。少数族裔青年超重现象的不成比例增加可能会加剧已有的健康结果差异，需要创新方法来了解他们的观点，并设计和评估有效的治疗方法，以减少健康差异。创新：应在主要受影响文化群体的充分参与下制定生活质量衡量标准，以进行体重治疗。在本研究中，由多元文化研究者在不同种族群体中同时制定文化措施将满足这一要求。方法和分析：基于定性方法的综合概念模型将推动测量的发展。对 120 名超重和高危青少年的深入访谈和焦点小组将采用基于需求的模型和文化敏感的方法来开发工具。将生成英语和西班牙语项目，并进行认知汇报、可读性和可译性分析。将招募 360 名青少年（200 BMI 2> 95%、80 BMI 85-94%；80 BMI z 84%）作为验证样本，他们将完成新的体重特定工具和其他调查问卷。因素分析和项目反应方法将用于量表开发。将检查可靠性、结构有效性、小群体中的效应大小以及与 BMI 的关联性的评估。使用单变量和多变量模型来研究已知和假设的相关性，检测效应大小为 0.41 或更大的差异的功效估计在 77-99% 之间。调查人员：由经验丰富的结果专家、肥胖专家、内分泌学家和社区代理人组成的多元文化团队将合作招募、研究、发布和传播结果。

项目成果

Weight status, quality of life, and cigarette smoking among adolescents in Washington State.

华盛顿州青少年的体重状况、生活质量和吸烟情况。

• 发表时间: 2013-09
• 作者: Wang, Hong;Bell, Janice F;Edwards, Todd C;Patrick, Donald L
• 通讯作者: Patrick, Donald L

Perceived body shape, standardized body-mass index, and weight-specific quality of life of African-American, Caucasian, and Mexican-American adolescents.

非裔美国人、白人和墨西哥裔美国青少年的体型感知、标准化体重指数和特定体重的生活质量。

• 发表时间: 2012-08
• 作者: Edwards, Todd C;Patrick, Donald L;Skalicky, Anne M;Huang, Yi;Hobby, Andrea D
• 通讯作者: Hobby, Andrea D

Validation of the EQ-5D in a general population sample in urban China.

EQ-5D 在中国城市一般人群样本中的验证。

• 发表时间: 2012-02
• 作者: Wang, Hong;Patrick, Donald L;Edwards, Todd C;Skalicky, Anne M;Zeng, Hai;Gu, Wen
• 通讯作者: Gu, Wen

Weight loss and changes in generic and weight-specific quality of life in obese adolescents.

肥胖青少年的体重减轻以及一般和特定体重生活质量的变化。

• 发表时间: 2011-08
• 作者: Patrick, D L;Skalicky, A M;Edwards, T C;Kuniyuki, A;Morales, L S;Leng, M;Kirschenbaum, D S
• 通讯作者: Kirschenbaum, D S

Perceived health status and cardiometabolic risk among a sample of youth in Mexico.

墨西哥青年样本的健康状况和心脏代谢风险感知。

• 发表时间: 2015-08
• 作者: Flores, Yvonne N;Shaibi, Gabriel Q;Morales, Leo S;Salmerón, Jorge;Skalicky, Anne M;Edwards, Todd C;Gallegos;Patrick, Donald L
• 通讯作者: Patrick, Donald L