A health-literacy module for overweight adolescents and their parents on canine physical activity, nutrition and behavior: Enhancing DHHS'BodyWorks program at a Federally Qualified Health Center

为超重青少年及其父母提供有关犬类身体活动、营养和行为的健康素养模块：在联邦合格健康中心加强 DHHS 的 BodyWorks 计划

• 批准号: 10579776
• 负责人: Larry Yin
• 金额: $ 20.38万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-01 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10579776
• 关键词: 17 year old; 19 year old; Accelerometer; Address; Administrative Supplement; Adolescent; Adolescent obesity; Affect; Age; Animals; Behavior; Behavior Therapy; Behavioral; COVID-19 pandemic; Canis familiaris; Car Phone; Caring; Child; Clinic; Community Health Networks; Companions; Control Groups; County; Data; Development; Diagnosis; Dog family; Ecological momentary assessment; Educational Curriculum; Enrollment; Family; Federally Qualified Health Center; Funding; Geographic Locations; Goals; Health; Healthcare; Hispanic; Human; Insurance; Intervention; Intervention Studies; Language; Lead; Link; Literacy Programs; Los Angeles; Measurement; Measures; Methodology; National Health and Nutrition Examination Survey; Nutritional; Obesity; Obesity Epidemic; Overweight; Parents; Patients; Pediatric Hospitals; Pediatrics; Persons; Physical activity; Population; Preparation; Prevalence; Privatization; Protocol Compliance; Public Health; Randomized; Randomized Controlled Trials; Research; Salmon; Site; Testing; Theory of Change; acceptability and feasibility; adolescent health; base; community clinic; design; effective intervention; effectiveness testing; experience; feasibility testing; fitbit; fitness; group intervention; health literacy; lifestyle factors; lifestyle intervention; medical specialties; novel strategies; nutrition; pandemic disease; parent grant; programs; recruit; social factors; study population; trend; wireless

ABSTRACT The parent grant’s scope is to establish feasibility and acceptability of a novel approach to increase overweight / obese adolescents’ physical activity by leveraging their attachment to the family dogs; and to collect pilot data to establish the effect size of an empirically validated BodyWorks program (Borden et al., 2012; DHHS, 2013) enhanced with a Canine Health Literacy module that parallels the BodyWorks humans - only curriculum. The theory of change links an increase in the adolescents’ health literacy about both human and canine physical activity and nutritional needs to more positive affect in the presence of the dog during physical activity (Liao et al., 2017), which is expected to lead to an increase in physical activity. The scope of the proposed administrative supplement remains the same as in the parent grant, however, the population will be broadened to include both public and private insurance patients receiving care in specialty clinics at Children’s Hospital Los Angeles (CHLA) and in CHLA-affiliated general pediatrics and specialty community clinics. In the parent grant, only publicly insured patients receiving healthcare at the FQHC AltaMed clinics in the CHLA geographical area have been included in the project, which limited recruitment already disrupted by the COVID-19 pandemic. Specifically, the funding will allow to add 17 additional clinics, extending recruitment beyond the 5 FQHC AltaMed clinics to a total of 22 recruitment sites. The aims of the study are: Specific Aim 1: Test the feasibility and acceptability of a concurrent approach using physical activity trackers and Ecological Momentary Assessment. 2(a): Test the feasibility and acceptability of objective measurement of physical activity using wireless fitness trackers for adolescents (FitBit Ace), their parents (FitBit Flex2), and their dogs (FitBark); 2(b): Test the feasibility and acceptability of using mobile phones for Ecological Momentary Assessment of types and contexts of adolescent's physical activity with dogs. Specific Aim 2: To establish the size of the effect, and the variability associated with the 7 week-long BW + CHL module, as compared with the control group who received the standard BW program in 3(a) adolescents' positive affect during or after physical activity with the dog, as measured by the Ecological Momentary Assessment using prompts on mobile phones; and 3(b) levels of overall physical activity for the adolescents, their parents, and the dogs as measured by the FitBit Ace (adolescents), FitBit Flex2 (parents), and FitBark (dogs). The project will establish feasibility, acceptability, attrition, and protocol compliance, and will collect pilot data needed for power calculations in preparation for an R01 Randomized Controlled Trial as a next step to test the effectiveness of our enhanced BW+CHL program. This project represents a significant methodological and theoretical advancement in the field of Human-Animal Interaction (HAI) and in research on overweight and obesity.

抽象的 母公司资助的范围是确定一种新方法的可行性和可接受性，以增加 超重/肥胖青少年利用对家养狗的依恋进行身体活动； 收集试点数据以确定经过经验验证的 BodyWorks 计划的效果大小（Borden 等人， 2012；DHHS，2013）通过与 BodyWorks 人类平行的犬类健康素养模块进行了增强 - 唯一的课程变化理论将青少年健康素养的提高联系起来。 狗的身体活动和营养需求在狗在场的情况下会产生更积极的影响 体力活动（Liao et al., 2017），预计这会导致体力活动的增加。 拟议行政补助的范围与母补助金的范围相同，但是， 人口范围将扩大到包括在医疗机构接受护理的公共和私人保险患者 洛杉矶儿童医院 (CHLA) 和 CHLA 附属普通儿科的专科诊所以及 在家长补助金中，只有在专科社区诊所接受医疗保健的公共保险患者。 CHLA 地理区域内的 FQHC AltaMed 诊所已纳入该项目，这限制了 具体而言，新冠病毒（COVID-19）大流行已经中断了招聘工作，这笔资金将允许增加人员。 新增 17 家诊所，将招募范围从 5 家 FQHC AltaMed 诊所扩大到 22 家 该研究的目的是： 具体目标 1：测试招聘网站的可行性和可接受性。 使用身体活动追踪器和生态瞬时评估的并行方法 2(a)：测试 使用无线健身追踪器客观测量身体活动的可行性和可接受性 青少年 (FitBit Ace)、他们的父母 (FitBit Flex2) 和他们的狗 (FitBark) 2(b)：测试可行性和 使用移动电话对生态环境的类型和环境进行瞬时评估的可接受性 青少年与狗的体力活动 具体目标 2：确定效果的大小和变异性。 与接受为期 7 周的 BW + CHL 模块相关的对照组相比 标准 BW 计划在 3(a) 青少年与狗进行体育活动期间或之后的积极影响，如 使用手机上的提示进行生态瞬时评估以及 3(b) 级别的测量； 由 FitBit Ace 测量的青少年、他们的父母和狗的整体身体活动 （青少年）、FitBit Flex2（父母）和 FitBark（狗） 该项目将建立可行性、可接受性、 损耗和协议合规性，并将收集功率计算所需的试点数据，为 下一步将进行 R01 随机对照试验，以测试我们增强的 BW+CHL 计划的有效性。 该项目代表了人类与动物领域的重大方法论和理论进步 互动（HAI）以及超重和肥胖的研究。