Food-Body-Mind Intervention: Promote whole child health

食身心干预：促进儿童整体健康

基本信息

批准号：
10731251
负责人：
Jiying Ling
金额：
$ 78.96万
依托单位：
MICHIGAN STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-21 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10731251
关键词：
Address Adolescence Adult Affect Anger Antiinflammatory Effect Anxiety Behavior Disorders Behavioral Blood Pressure Body fat Body mass index Brain COVID-19 pandemic Caregivers Child Child Health Child Rearing Chronic stress Cognition Communities Complementary Health Conduct Disorder Control Groups Data Data Collection Day Care Day center care Depressed mood Development Diagnosis Disease Eating Eating Behavior Eating Disorders Educational Status Emergency Situation Emotional Emotional disorder Enrollment Ethnic Origin Family Food Fostering Fright Generations Geography Goals Hair Head Start Program Health Health Promotion Healthy Eating Home Home environment Hydrocortisone Income Intake Integrative Medicine Intention Intervention Knowledge Learning Legal Guardians Letters Link Literature Longterm Follow-up Low income Measurement Mediating Mental Depression Mental Health Mental disorders Michigan Mind-Body Intervention Modeling Moods Movement Parents Persons Phase Physical activity Plants Problem behavior Procedures Productivity Protocols documentation Psyche structure Race Randomized Randomized, Controlled Trials Readiness Reduce health disparities Reporting Research Research Training Residencies Risk Risk Reduction Rural Schools Services Site Socioeconomic Status Stress Stress and Coping Testing Transact United States National Institutes of Health Vulnerable Populations Work Yoga aged allostatic load behavioral health comparison control comparison intervention coping cost effective deep breathing exercises disadvantaged background early childhood emotional eating ethnic diversity evidence base experience follow-up fruits and vegetables health disparity health equity promotion high risk improved innovation intervention effect lower income families marginalization mindfulness neuroprotection novel peer phase II trial physical conditioning population health post intervention primary outcome programs racial diversity recruit rural area rural setting secondary outcome skills social skills socioeconomic disparity teacher theories urban area urban setting usual care arm

项目摘要

ABSTRACT Mental, emotional, and behavioral (MEB) disorders begin in early childhood, with one in six US preschoolers aged 3-5 years diagnosed with a MEB disorder. Children from low income and economically marginalized (LIEM) backgrounds have a higher risk of being diagnosed with MEB disorders than those from higher income families. To address the mental and physical health disparities based on socioeconomic status, ethnicity/race, and urban/rural residency, the proposed study will target Head Start racially/ethnically diverse preschoolers from LIEM backgrounds in both urban and rural areas. Guided by the Actor-Partner Interdependence Model, the Allostatic Load Model, and the Transactional Theory of Stress and Coping, the proposed 16-week Food- Body-Mind intervention includes: 1) a school-based mindfulness component delivered to equip preschoolers with knowledge and skills in mindful eating and movement (e.g., yoga, deep breathing exercises); 2) a home- based mindfulness component to increase caregivers’ skills in practicing mindful eating, movement, and parenting behaviors at home to foster a more positive, mindful, and healthy home environment; and 3) a school learning and home practice connection component to improve caregiver-preschooler relationships. The purpose of this 5-year cluster randomized controlled trial is to evaluate the effects of the 16-week school- and home-based, multi-component, Food-Body-Mind intervention on improving both preschoolers’ and caregivers’ MEB and physical health. The long-term goal is to achieve optimal whole child health in early childhood to foster a healthier generation in the US. Fifty Head Start daycare centers will be randomized into the intervention (n=25: 8 urban [16 classrooms] and 17 rural [17 classrooms] daycare centers) or usual care control group (n=25: 8 urban and 17 rural daycare centers). Five caregiver-preschooler dyads will be recruited from each daycare classroom (total 330 dyads: 160 urban dyads and 170 rural dyads). Analyses will be based on the intention-to-treat principle. The three aims are to: 1) determine effects of the intervention on improving preschoolers’ primary outcomes including mental (chronic stress), emotional (sadness, fear, anger, positive affect), and behavioral (problem behaviors, social skills) health as well as physical health (BMI z-score, % body fat; secondary outcomes) from baseline (0 month) to 4 months (immediate post-intervention) and to 12-month follow-up compared to control; 2) examine the effects of the intervention on improving caregivers’ physical (BMI, % body fat, blood pressure) and mental (stress, anxiety, depression) health from 0 to 4 months and to 12-month follow-up compared to control; and 3) explore how the intervention will modify both preschoolers’ and caregivers’ MEB and physical health via the mediating mechanisms of mindfulness, emotional eating, fruit/vegetable intake, physical activity, caregiver-preschooler relationship, and caregiver coping from 0 to 4 months and to 12-month follow-up. Results from this study will improve the evidence base of complementary and integrative health approaches that can be delivered in geographically diverse daycare settings.

抽象的精神、情感和行为 (MEB) 障碍始于儿童早期，美国六分之一的学龄前儿童被诊断患有 MEB 疾病的 3-5 岁低收入和经济弱势儿童。 (LIEM) 背景的人被诊断患有 MEB 疾病的风险高于收入较高的人解决基于社会经济地位、民族/种族的心理和身体健康差异，和城市/农村居住地，拟议的研究将针对不同种族/民族的学龄前儿童来自城市和农村地区的 LIEM 背景，在行动者-合作伙伴相互依赖模型的指导下，动态负荷模型、压力与应对的交互理论、拟议的 16 周食物- 身心干预包括：1）以学校为基础的正念组件，为学龄前儿童提供装备具备正念饮食和运动方面的知识和技能（例如瑜伽、深呼吸练习）；2）基于正念成分，提高护理人员练习正念饮食、运动和家庭养育行为，以营造更加积极、细心和健康的家庭环境；3) 学校；学习和家庭实践连接组件，以改善看护者与学龄前儿童的关系。这项为期 5 年的整群随机对照试验的目的是评估 16 周学校和以家庭为基础的多成分食物-身体-精神干预措施，以改善学龄前儿童和看护者的健康状况 MEB 和身体健康的长期目标是在幼儿期实现最佳的整体健康。在美国培养更健康的一代。五十个启蒙日托中心将随机分布在美国。干预（n=25：8个城市[16间教室]和17个农村[17间教室]日托中心）或常规护理对照组（n=25：8 个城市日托中心和 17 个农村日托中心）将招募 5 名看护者 - 学龄前儿童。来自每个日托教室（总共 330 个二元组：160 个城市二元组和 170 个农村二元组）。意向治疗原则的三个目标是：1）确定干预措施对改善的效果。学龄前儿童的主要结果包括精神（慢性压力）、情绪（悲伤、恐惧、愤怒、积极影响）、行为（问题行为、社交技能）健康以及身体健康（BMI z 分数、身体百分比脂肪；次要结果）从基线（0 个月）到 4 个月（干预后立即）和 12 个月与对照相比，随访；2) 检查干预措施对改善护理人员身体状况的影响（BMI、体脂百分比、血压）和精神（压力、焦虑、抑郁）健康状况从 0 到 4 个月以及与对照相比进行 12 个月的随访；3) 探索干预措施将如何改变学龄前儿童和护理人员的 MEB 和身体健康通过正念、情绪化饮食、水果/蔬菜摄入量、体力活动、看护者与学龄前儿童的关系以及看护者应对能力（0 到 4）这项研究的结果将改善补充的证据基础。以及可以在不同地理位置的日托环境中提供的综合健康方法。