KAN-DO: A Family-Based Intervention to Prevent Childhood Obesity

KAN-DO：预防儿童肥胖的家庭干预措施

基本信息

批准号：
7884782
负责人：
TRULS OSTBYE
金额：
$ 9.85万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-08-20 至 2011-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7884782
关键词：
5 year old Address Adult Affect Age Area Attitude Behavior Behavior Therapy Behavioral Beverages Birth Body Weight Changes Body Weight decreased Body mass index Cartoons Child Consumption Counseling Development Diet Habits Eating Education Educational process of instructing Equipment and supply inventories Evaluation Exercise Family Family health status Family member Fatty acid glycerol esters Flavoring Food Fruit Goals Group Meetings Hour Housing Incentives Instruction Intake Intervention Life Style Mails Measures Metaphor Mothers Newsletter North Carolina Nursery Schools Obesity Outcome Overweight Parent-Child Relations Parenting behavior Parents Participant Persons Physical activity Postpartum Period Prevention Principal Investigator Psychological reinforcement Questionnaires Randomized Relative (related person)Reporting Research Personnel Risk Self Efficacy Sports Stress Structure Surveys Telephone Time Training Treatment Efficacy Triad Acrylic Resin Upper arm Weight Work base behavior change design drinking family structure fast food follow up assessment follow-up fruits and vegetables group intervention improved indexing intervention effect obesity in children parental role population based prevent programs public health priorities sedentary self esteem skills stress management sugar sweetened beverage weight maintenance

项目摘要

DESCRIPTION (provided by applicant): Prevention of child and adult obesity is a national public health priority. Optimal interventions would target young children and their overweight parents to capitalize on the formation of healthy eating habits and increased physical activity in the child, target weight loss strategies in the parent, and maximize mutual reinforcement of the family members' healthy behaviors. Such interventions would: 1) be population based, 2) target children at risk during a key developmental period, 3) target overweight parents at a time when they are motivated to engage in behavioral change and 4) target healthy eating and physical activity as well as parenting skills necessary to implement such changes. This application addresses these needs by 1) using several, complementary, avenues of participant recruitment, 2) targeting 2-5 year old preschoolers through their mothers who are a) overweight and b) have just delivered a second or subsequent child, 3) capitalizing on the arrival of the new baby as a "teachable moment" to initiate behavioral change, 4) providing a mail and telephone-assisted intervention that addresses both parenting skills and behavioral weight management, and 5) utilizing a housebuilding metaphor with the characters Carl and Carla the Carpenters acting to integrate the intervention and deliver healthy lifestyle messages. In a five-year trial, 400 mother/preschooler dyads in the Triangle and Triad areas of North Carolina will be randomized to: 1) the CONTROL ARM: 12 monthly newsletters with general family health tips, and monetary incentives to complete assessments; and 2) the KAN-DO (Kids & Adults Now-Defeat Obesity) INTERVENTION: the monthly newsletter and assessment incentives, 8 modules of an interactive, mail-based intervention kit supported by telephone counseling and two group meetings. Primary aims are to evaluate whether KAN-DO, through improved parenting skills, can achieve healthy eating and increased physical activity and, ultimately, healthy weight attainment in the preschooler. Secondary aims evaluate KAN-DO's effect on behavior and weight change in the mother. We will also assess whether behavior and weight changes are greater a) where the mother has improved parenting skills, and b) among families for whom the birth of a subsequent child is more of a "teachable moment". Participants will be surveyed at baseline (3 months postpartum), 12 and 24 months post-baseline. Extended follow-up will enable evaluation of long-term benefits, and if effective, the KAN-DO intervention can be disseminated broadly.

描述（由申请人提供）：预防儿童和成人肥胖是国家公共卫生的优先事项。最佳的干预措施将针对幼儿及其超重的父母，利用孩子健康饮食习惯的形成和增加的身体活动，针对父母的减肥策略，并最大限度地相互强化家庭成员的健康行为。此类干预措施将：1）以人口为基础，2）针对关键发育时期面临风险的儿童，3）在超重父母有动力改变行为时针对他们，4）以健康饮食和体育活动为目标作为实施此类变革所需的养育技能。该应用程序通过 1) 使用多种互补的参与者招募途径来满足这些需求，2) 通过其母亲针对 2-5 岁学龄前儿童，这些儿童 a) 超重，b) 刚刚生下第二个或后续孩子，3) 充分利用将新生儿的到来作为启动行为改变的“教育时刻”，4）提供邮件和电话辅助干预，解决育儿技巧和行为体重管理问题，以及 5）利用卡尔角色的房屋建筑隐喻Carla the Carpenters 采取行动整合干预措施并传递健康的生活方式信息。在一项为期五年的试验中，北卡罗来纳州三角地区和三合会地区的 400 名母亲/学龄前儿童将被随机分配到：1) 控制组：12 个月的时事通讯，其中包含一般家庭健康提示，以及完成评估的金钱奖励； 2) KAN-DO（儿童和成人现在战胜肥胖）干预：每月通讯和评估奖励、交互式、基于邮件的干预工具包的 8 个模块，由电话咨询和两次小组会议支持。主要目的是评估 KAN-DO 是否可以通过提高育儿技巧来实现学龄前儿童的健康饮食和增加体力活动，并最终达到健康的体重。次要目标是评估 KAN-DO 对母亲行为和体重变化的影响。我们还将评估行为和体重变化是否更大：a）母亲提高了养育技能的地方；b）对于接下来孩子的出生更多是“受教育时刻”的家庭。参与者将在基线（产后 3 个月）、基线后 12 个月和 24 个月接受调查。延长随访将能够评估长期效益，如果有效，KAN-DO 干预措施可以广泛传播。