在低收入社区测试JOIN for ME计划:罗德岛CORD 3.0
Elissa Jelalian1,2, Jacqueline Hayes1,2, Katherine E Darling1,2
1Weight Control and Diabetes Research Center, The Miriam Hospital, Providence, Rhode Island, USA.
Childhood obesity (Print)
|October 9, 2025
概括
在低收入家庭中,JOIN for ME计划的远程交付改善了儿童体重状况. 在这项密集的健康行为和生活方式治疗研究中,出席和粮食安全与更好的结果有关.
科学领域:
- 公共卫生 公共卫生
- 儿童肥胖症 儿童肥胖症
- 健康 行为干预 干预
背景情况:
- 儿童肥胖干预措施旨在向低收入社区传播基于证据的治疗方法.
- 疾病预防控制中心儿童肥胖研究示范 (CORD) 3.0项目专注于适应和测试密集的健康行为和生活方式治疗 (IHBLTs).
- RI CORD 3.0 特别适应和评估了 JOIN for ME IHBLT. 的远程实现.
研究的目的:
- 调整并测试JOIN for ME IHBLT的有效性,以便远程实现.
- 评估远程向来自低收入社区的家庭提供干预的背景.
- 评估儿童和照顾者的体重状况,营养,体力活动和生活质量的变化.
主要方法:
- 从联邦合格的卫生中心或社区环境中招募了111名儿童 (年龄为6-12岁,BMI>85百分位) 和他们的照顾者.
- 参与者被随机分配到10个月远程交付干预的立即或4个月延迟治疗条件.
- 评估体重状况,家庭营养和体力活动 (FNPA),生活质量,计划可接受性和干预忠实性.
主要成果:
- 活跃治疗组在4个月后,与延迟治疗组相比,FNPA显著改善.
- 在4个月后,儿童或护理人员体重状况在两组之间没有显著差异.
- 在10个月后,儿童的BMI中位数 (2.90%),BMI年龄百分位数 (3.89%) 和zBMI单位 (0.16) 略有下降.
- 较高的会议出席率和基线粮食安全与更大的体重状态变化有关.
结论:
- 调整后的JOIN for ME程序成功地远程实现.
- 该干预表明,儿童体重状况有显著,适度的改善.
- 研究结果支持远程IHBLT在服务不足人群中治疗儿童肥胖的可行性和有效性.
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