Improving Childhood Obesity-Related Behavior Change through Better Risk Communication

通过更好的风险沟通改善儿童肥胖相关的行为改变

基本信息

批准号：
10005542
负责人：
Davene Renee Wright
金额：
$ 9.47万
依托单位：
HARVARD PILGRIM HEALTH CARE, INC.
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-03-15 至 2021-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10005542
关键词：
12 year old Address Adult Affect Age American Anxiety Attenuated Behavior Body mass index Cardiovascular Diseases Characteristics Child Child Behavior Child Health Childhood Clinic Clinical Code Color Communication Communication Methods Communities Data Decision Making Diet Dietary intake Effectiveness Enrollment Evaluation Event Family Family history of Future Gender Goals Growth Health Health Care Costs Health Personnel High Prevalence Income Intervention Intervention Trial Interview Link Longevity Low income Medical Psychology Medical center Mentorship Methods Minority Modeling Monitor Motivation Obesity Online Systems Outcome Overweight Parents Planning Theory Plant Roots Population Probability Provider Proxy Public Health Qualitative Research Race Randomized Relative Risks Research Research Methodology Research Personnel Risk Risk Assessment Science Scientist Subgroup Surveys Tablets Techniques Testing Training Universities Visit Washington Weight Weight Gain Work adult obesity base behavior change behavioral health intervention cardiovascular disorder risk career comorbidity design experience health care settings healthy weight improved in vivo evaluation interest mathematical ability minority children models and simulation mortality motivated behavior novel novel strategies obesity in children obesity treatment optimism parental monitoring patient population prevent recruit risk perception skills tool treatment as usual treatment program tv watching uptake willingness

项目摘要

DESCRIPTION (provided by applicant): Early obesity puts children at increased risk for adult obesity, cardiovascular disease (CVD), early mortality, and other risks relative to normal weight children. Most parents of obese children are not concerned about their child's weight, and parents grossly underestimate the probabilities that their child will be obese and develop CVD in adulthood. Parents of obese children who have enrolled in obesity treatment programs cite a desire to improve their child's long-term health as a reason for engaging in behavior change. Concern about a child's health may be an important facilitator for behavior change engagement. Therefore, we are interested in understanding ways to promote accurate understanding of children's long-term health risks in order to raise an appropriate level of concern about obese children's weight and increase uptake of healthful behaviors. Health care providers are essential to help parents understand whether their child is on a healthy weight trajectory, but providers do not have effective tools for talking to parents about obesity and its associated adverse health risks; BMI growth charts alone are insufficient. This proposal's overall research goal is to identiy clinic-based risk communication approaches that can motivate parents of obese children to engage in behavior change to prevent future obesity and CVD. In Aim 1, we will develop novel risk communication messages. We will consider several novel approaches around message content and framing, but primarily, we propose using microsimulation models to forecast a child's long-term health risks, based on his age, race, gender, BMI, and family history of CVD. Qualitative interviews with providers and parents, and a stakeholder panel comprised of health researchers and parent research partners, will be used to evaluate potentially effective and acceptable messages. In Aim 2, we will experimentally evaluate the efficacy of four novel risk communication messages on parental behavior change willingness and intent using a national web-based survey. Finally, in Aim 3, we will test the acceptability and effectiveness of new risk communication messages in a clinical setting, and we will observe the impact of new messages on behavior change activities. A survey will assess parent-perceived risks, perceived message accuracy, concern about child health, and anxiety. This research plan is part of a K01 proposal designed to provide scholarly training, mentorship, and support for Dr. Wright to gain skills and experience needed to conduct research on how improved obesity-related risk communication messages may affect child behavior change. Dr. Wright is a decision scientist whose career goal is to become an independent investigator with a focus on using decision science methods to motivate uptake of childhood obesity treatment and behavior change. To achieve this objective, she will pursue training in: (1) the psychology of medical decision making and principles of pediatric risk communication, (2) qualitative research methods, and (3) the design, implementation, and evaluation of behavioral health interventions. (End of Abstract)

描述（由申请人提供）：与正常体重儿童相比，早期肥胖会增加儿童患成人肥胖、心血管疾病 (CVD)、过早死亡和其他风险的风险。大多数肥胖儿童的父母并不关心孩子的体重。父母严重低估了孩子成年后肥胖和患心血管疾病的可能性。参加肥胖治疗计划的肥胖儿童的父母将改善孩子长期健康的愿望作为参与行为改变的原因。对儿童健康的关注可能是行为改变参与的重要促进因素，因此，我们有兴趣了解促进准确了解儿童长期健康风险的方法，以提高对肥胖儿童体重的适当关注程度并增加摄入量。健康行为的提供者对于帮助父母了解他们的孩子是否处于健康的体重轨迹至关重要，但提供者没有有效的工具来与父母讨论肥胖及其相关的不良健康风险；仅靠体重指数增长图表是不够的。这该提案的总体研究目标是确定基于临床的风险沟通方法，这些方法可以激励肥胖儿童的父母进行行为改变，以预防未来的肥胖和心血管疾病。在目标 1 中，我们将开发新的风险沟通信息。围绕信息内容和框架，但主要是，我们建议使用微观模拟模型来预测孩子的长期健康风险，基于他的年龄、种族、性别、体重指数和心血管疾病家族史，以及对提供者和父母的定性访谈。由健康研究人员和家长研究合作伙伴组成的利益相关者小组将用于评估潜在有效和可接受的信息。在目标 2 中，我们将使用国家网络实验评估四种新颖的风险沟通信息对父母行为改变意愿和意图的功效。最后，在目标 3 中，我们将在临床环境中测试新风险沟通信息的可接受性和有效性，并且我们将观察新信息对行为改变活动的影响。一项调查将评估家长感知的风险、感知信息的准确性、对儿童健康的关注，以及该研究计划是 K01 提案的一部分，旨在为 Wright 博士提供学术培训、指导和支持，以获得开展有关改善肥胖相关风险沟通信息如何影响儿童行为改变的研究所需的技能和经验。赖特是一位决策科学家，她的职业目标是成为一名独立调查员，专注于使用决策科学方法来促进儿童肥胖治疗和行为改变。为了实现这一目标，她将接受以下方面的培训：(1) 心理学。医疗决策和儿科风险沟通原则， (2) 定性研究方法，(3) 行为健康干预措施的设计、实施和评估（摘要结束）。