Not listed
MATERNAL AND CHILD HEALTH FIELD-INITIATED RESEARCH PROGRAM - PROJECT DIRECTOR: KATHERINE W. BAUER, PHD APPLICANT ORGANIZATION NAME: REGENTS OF THE UNIVERSITY OF MICHIGAN CONTACT PHONE NUMBER: (734)763-2546 EMAIL ADDRESS: KWBAUER@UMICH.EDU PROJECT ABSTRACT NEARLY 1 IN 6 US CHILDREN FROM LOW-INCOME HOUSEHOLDS HAVE OBESITY BY THE TIME THEY ENTER KINDERGARTEN. THREE HOUSEHOLD ROUTINES - CONSISTENT BEDTIMES, LIMITING SCREENTIME, AND HEALTHY FAMILY MEALS - CAN PREVENT EXCESSIVE WEIGHT GAIN AMONG YOUNG CHILDREN. HOWEVER, IMPLEMENTING THESE ROUTINES IS DIFFICULT FOR MANY PARENTS AND REQUIRES STRONG SELF-REGULATION, OR THE ABILITY TO CONTROL THOUGHTS, EMOTIONS, AND BEHAVIOR. A GROWING NUMBER OF WEIGHT MANAGEMENT INTERVENTIONS ARE INCORPORATING STRATEGIES THAT IMPROVE ADULTS' SELF-REGULATION, WITH GREAT SUCCESS. THESE APPROACHES HAVE NOT YET BEEN USED TO PROMOTE PARENT BEHAVIOR CHANGE TO ADDRESS EARLY CHILDHOOD OBESITY. IN RESPONSE TO THIS PROBLEM, OUR RESEARCH TEAM DEVELOPED HEALTHY HABITS PLUS, A FAMILY-BASED, EARLY CHILDHOOD OBESITY INTERVENTION THAT PROMOTES HEALTHY HOUSEHOLD ROUTINES THROUGH STRENGTHENING PARENT SELF-REGULATION. THE GOAL OF THIS APPLICATION IS TO EVALUATE THE IMPACTS OF HEALTHY HABITS PLUS AMONG LOW-INCOME DETROIT FAMILIES WITH YOUNG CHILDREN AT HIGH RISK FOR OBESITY. THE STUDY WILL BE IMPLEMENTED IN COLLABORATION WITH DETROIT CHAMPIONS FOR HOPE, WHICH EMPOWERS PARENTS AND CAREGIVERS TO BE THEIR CHILDREN'S FIRST CHAMPIONS. WE WILL ACHIEVE OUR GOAL THROUGH THE FOLLOWING OBJECTIVES: OBJECTIVE 1. ESTABLISH THE EFFICACY OF HEALTHY HABITS PLUS AMONG CHILDREN AGED 2 THROUGH 5 YEARS AT HIGH RISK FOR OBESITY AND THEIR PARENTS. 1.1. IDENTIFY DIFFERENCES IN AGE- AND SEX-ADJUSTED BODY MASS INDEX AMONG CHILDREN OF PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO CHILDREN OF PARENTS RANDOMIZED TO AN ACTIVE CONTROL CONDITION AFTER 6 MONTHS OF INTERVENTION. 1.2. IDENTIFY DIFFERENCES IN SLEEP DURATION, DAILY SCREENTIME, AND DIETARY INTAKE AMONG CHILDREN OF PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO THOSE RANDOMIZED TO AN ACTIVE CONTROL CONDITION. 1.3 IDENTIFY DIFFERENCES IN WEIGHT-RELATED HOUSEHOLD ROUTINES AMONG PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO THOSE RANDOMIZED TO AN ACTIVE CONTROL CONDITION. OBJECTIVE 2: EVALUATE THE IMPLEMENTATION OF HEALTHY HABITS PLUS INCLUDING UNDERSTANDING THE ACCEPTABILITY OF THE INTERVENTION FOR PARTICIPANTS AND INTERVENTIONISTS, AND IDENTIFYING DIFFERENTIAL IMPACTS OF THE INTERVENTION BY INTERVENTION DOSE. 2.1: QUANTITATIVELY AND QUALITATIVELY ASSESS THE ACCEPTABILITY, RELEVANCE, ENJOYMENT, AND SUSTAINABILITY OF INTERVENTION CONTENT AND DELIVERY METHODS AMONG PARENTS RANDOMIZED TO HEALTHY HABITS PLUS. 2.2: QUALITATIVELY ASSESS PARENT LEADERS' EXPERIENCE IMPLEMENTING HEALTHY HABITS PLUS INCLUDING THE QUALITY OF TRAINING AND ONGOING SUPPORT, FEASIBILITY AND APPLICABILITY OF INTERVENTION ACTIVITIES, AND PERSONAL GROWTH AND EMPOWERMENT. 2.3: EXAMINE ASSOCIATIONS BETWEEN PARENT INTERVENTION ENGAGEMENT (DOSE) AND CHANGES IN HOUSEHOLD ROUTINES (PARENTS), WEIGHT-RELATED BEHAVIORS (CHILDREN), AND BMI (CHILDREN). HEALTHY HABITS PLUS WILL BE EVALUATED THROUGH A RANDOMIZED CONTROLLED TRIAL ENROLLING 150 PARENT/CHILD DYADS. WE ANTICIPATE THAT 90% OF PARENTS WILL IDENTIFY AS BLACK/AFRICAN AMERICAN AND 7% AS HISPANIC/LATINX. DATA WILL BE COLLECTED AT STUDY ENROLLMENT (PRE-RANDOMIZATION) AND AFTER THE 6-MONTH INTERVENTION. STUDY PRODUCTS INCLUDE THREE SCIENTIFIC MANUSCRIPTS; CONFERENCE PRESENTATIONS; AND VIDEOS, SOCIAL MEDIA POSTS, FAQS, AND OTHER COMMUNICATIONS FOR FAMILIES. THIS PROJECT ADDRESSES MCHB'S STRATEGIC RESEARCH ISSUES GOALS 3 (PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN) AND 5 (BUILD THE EVIDENCE BASE FOR MCH PRACTICE AND MEASUREMENT CAPACITY). KEY WORDS. CONTENT TERMS: NUTRITION & DIET, OBESITY & WEIGHT, PARENTING, ILLNESS PREVENTION & HEALTH PROMOTION; UNDERSERVED COMMUNITIES: AFRICAN AMERICAN/BLACK, HISPANIC/LATINO, PERSONS AFFECTED BY POVERTY; AGE RANGES: TODDLERHOOD, EARLY CHIL DHOOD
$300.0k 6/6/25 Not listed
MATERNAL AND CHILD HEALTH FIELD-INITIATED RESEARCH PROGRAM - PROJECT DIRECTOR: KATHERINE W. BAUER, PHD APPLICANT ORGANIZATION NAME: REGENTS OF THE UNIVERSITY OF MICHIGAN CONTACT PHONE NUMBER: (734)763-2546 EMAIL ADDRESS: KWBAUER@UMICH.EDU PROJECT ABSTRACT NEARLY 1 IN 6 US CHILDREN FROM LOW-INCOME HOUSEHOLDS HAVE OBESITY BY THE TIME THEY ENTER KINDERGARTEN. THREE HOUSEHOLD ROUTINES - CONSISTENT BEDTIMES, LIMITING SCREENTIME, AND HEALTHY FAMILY MEALS - CAN PREVENT EXCESSIVE WEIGHT GAIN AMONG YOUNG CHILDREN. HOWEVER, IMPLEMENTING THESE ROUTINES IS DIFFICULT FOR MANY PARENTS AND REQUIRES STRONG SELF-REGULATION, OR THE ABILITY TO CONTROL THOUGHTS, EMOTIONS, AND BEHAVIOR. A GROWING NUMBER OF WEIGHT MANAGEMENT INTERVENTIONS ARE INCORPORATING STRATEGIES THAT IMPROVE ADULTS' SELF-REGULATION, WITH GREAT SUCCESS. THESE APPROACHES HAVE NOT YET BEEN USED TO PROMOTE PARENT BEHAVIOR CHANGE TO ADDRESS EARLY CHILDHOOD OBESITY. IN RESPONSE TO THIS PROBLEM, OUR RESEARCH TEAM DEVELOPED HEALTHY HABITS PLUS, A FAMILY-BASED, EARLY CHILDHOOD OBESITY INTERVENTION THAT PROMOTES HEALTHY HOUSEHOLD ROUTINES THROUGH STRENGTHENING PARENT SELF-REGULATION. THE GOAL OF THIS APPLICATION IS TO EVALUATE THE IMPACTS OF HEALTHY HABITS PLUS AMONG LOW-INCOME DETROIT FAMILIES WITH YOUNG CHILDREN AT HIGH RISK FOR OBESITY. THE STUDY WILL BE IMPLEMENTED IN COLLABORATION WITH DETROIT CHAMPIONS FOR HOPE, WHICH EMPOWERS PARENTS AND CAREGIVERS TO BE THEIR CHILDREN'S FIRST CHAMPIONS. WE WILL ACHIEVE OUR GOAL THROUGH THE FOLLOWING OBJECTIVES: OBJECTIVE 1. ESTABLISH THE EFFICACY OF HEALTHY HABITS PLUS AMONG CHILDREN AGED 2 THROUGH 5 YEARS AT HIGH RISK FOR OBESITY AND THEIR PARENTS. 1.1. IDENTIFY DIFFERENCES IN AGE- AND SEX-ADJUSTED BODY MASS INDEX AMONG CHILDREN OF PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO CHILDREN OF PARENTS RANDOMIZED TO AN ACTIVE CONTROL CONDITION AFTER 6 MONTHS OF INTERVENTION. 1.2. IDENTIFY DIFFERENCES IN SLEEP DURATION, DAILY SCREENTIME, AND DIETARY INTAKE AMONG CHILDREN OF PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO THOSE RANDOMIZED TO AN ACTIVE CONTROL CONDITION. 1.3 IDENTIFY DIFFERENCES IN WEIGHT-RELATED HOUSEHOLD ROUTINES AMONG PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO THOSE RANDOMIZED TO AN ACTIVE CONTROL CONDITION. OBJECTIVE 2: EVALUATE THE IMPLEMENTATION OF HEALTHY HABITS PLUS INCLUDING UNDERSTANDING THE ACCEPTABILITY OF THE INTERVENTION FOR PARTICIPANTS AND INTERVENTIONISTS, AND IDENTIFYING DIFFERENTIAL IMPACTS OF THE INTERVENTION BY INTERVENTION DOSE. 2.1: QUANTITATIVELY AND QUALITATIVELY ASSESS THE ACCEPTABILITY, RELEVANCE, ENJOYMENT, AND SUSTAINABILITY OF INTERVENTION CONTENT AND DELIVERY METHODS AMONG PARENTS RANDOMIZED TO HEALTHY HABITS PLUS. 2.2: QUALITATIVELY ASSESS PARENT LEADERS' EXPERIENCE IMPLEMENTING HEALTHY HABITS PLUS INCLUDING THE QUALITY OF TRAINING AND ONGOING SUPPORT, FEASIBILITY AND APPLICABILITY OF INTERVENTION ACTIVITIES, AND PERSONAL GROWTH AND EMPOWERMENT. 2.3: EXAMINE ASSOCIATIONS BETWEEN PARENT INTERVENTION ENGAGEMENT (DOSE) AND CHANGES IN HOUSEHOLD ROUTINES (PARENTS), WEIGHT-RELATED BEHAVIORS (CHILDREN), AND BMI (CHILDREN). HEALTHY HABITS PLUS WILL BE EVALUATED THROUGH A RANDOMIZED CONTROLLED TRIAL ENROLLING 150 PARENT/CHILD DYADS. WE ANTICIPATE THAT 90% OF PARENTS WILL IDENTIFY AS BLACK/AFRICAN AMERICAN AND 7% AS HISPANIC/LATINX. DATA WILL BE COLLECTED AT STUDY ENROLLMENT (PRE-RANDOMIZATION) AND AFTER THE 6-MONTH INTERVENTION. STUDY PRODUCTS INCLUDE THREE SCIENTIFIC MANUSCRIPTS; CONFERENCE PRESENTATIONS; AND VIDEOS, SOCIAL MEDIA POSTS, FAQS, AND OTHER COMMUNICATIONS FOR FAMILIES. THIS PROJECT ADDRESSES MCHB'S STRATEGIC RESEARCH ISSUES GOALS 3 (PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN) AND 5 (BUILD THE EVIDENCE BASE FOR MCH PRACTICE AND MEASUREMENT CAPACITY). KEY WORDS. CONTENT TERMS: NUTRITION & DIET, OBESITY & WEIGHT, PARENTING, ILLNESS PREVENTION & HEALTH PROMOTION; UNDERSERVED COMMUNITIES: AFRICAN AMERICAN/BLACK, HISPANIC/LATINO, PERSONS AFFECTED BY POVERTY; AGE RANGES: TODDLERHOOD, EARLY CHIL DHOOD
$0 7/8/24 Not listed
MATERNAL AND CHILD HEALTH FIELD-INITIATED RESEARCH PROGRAM - PROJECT DIRECTOR: KATHERINE W. BAUER, PHD APPLICANT ORGANIZATION NAME: REGENTS OF THE UNIVERSITY OF MICHIGAN CONTACT PHONE NUMBER: (734)763-2546 EMAIL ADDRESS: KWBAUER@UMICH.EDU PROJECT ABSTRACT NEARLY 1 IN 6 US CHILDREN FROM LOW-INCOME HOUSEHOLDS HAVE OBESITY BY THE TIME THEY ENTER KINDERGARTEN. THREE HOUSEHOLD ROUTINES - CONSISTENT BEDTIMES, LIMITING SCREENTIME, AND HEALTHY FAMILY MEALS - CAN PREVENT EXCESSIVE WEIGHT GAIN AMONG YOUNG CHILDREN. HOWEVER, IMPLEMENTING THESE ROUTINES IS DIFFICULT FOR MANY PARENTS AND REQUIRES STRONG SELF-REGULATION, OR THE ABILITY TO CONTROL THOUGHTS, EMOTIONS, AND BEHAVIOR. A GROWING NUMBER OF WEIGHT MANAGEMENT INTERVENTIONS ARE INCORPORATING STRATEGIES THAT IMPROVE ADULTS' SELF-REGULATION, WITH GREAT SUCCESS. THESE APPROACHES HAVE NOT YET BEEN USED TO PROMOTE PARENT BEHAVIOR CHANGE TO ADDRESS EARLY CHILDHOOD OBESITY. IN RESPONSE TO THIS PROBLEM, OUR RESEARCH TEAM DEVELOPED HEALTHY HABITS PLUS, A FAMILY-BASED, EARLY CHILDHOOD OBESITY INTERVENTION THAT PROMOTES HEALTHY HOUSEHOLD ROUTINES THROUGH STRENGTHENING PARENT SELF-REGULATION. THE GOAL OF THIS APPLICATION IS TO EVALUATE THE IMPACTS OF HEALTHY HABITS PLUS AMONG LOW-INCOME DETROIT FAMILIES WITH YOUNG CHILDREN AT HIGH RISK FOR OBESITY. THE STUDY WILL BE IMPLEMENTED IN COLLABORATION WITH DETROIT CHAMPIONS FOR HOPE, WHICH EMPOWERS PARENTS AND CAREGIVERS TO BE THEIR CHILDREN'S FIRST CHAMPIONS. WE WILL ACHIEVE OUR GOAL THROUGH THE FOLLOWING OBJECTIVES: OBJECTIVE 1. ESTABLISH THE EFFICACY OF HEALTHY HABITS PLUS AMONG CHILDREN AGED 2 THROUGH 5 YEARS AT HIGH RISK FOR OBESITY AND THEIR PARENTS. 1.1. IDENTIFY DIFFERENCES IN AGE- AND SEX-ADJUSTED BODY MASS INDEX AMONG CHILDREN OF PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO CHILDREN OF PARENTS RANDOMIZED TO AN ACTIVE CONTROL CONDITION AFTER 6 MONTHS OF INTERVENTION. 1.2. IDENTIFY DIFFERENCES IN SLEEP DURATION, DAILY SCREENTIME, AND DIETARY INTAKE AMONG CHILDREN OF PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO THOSE RANDOMIZED TO AN ACTIVE CONTROL CONDITION. 1.3 IDENTIFY DIFFERENCES IN WEIGHT-RELATED HOUSEHOLD ROUTINES AMONG PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO THOSE RANDOMIZED TO AN ACTIVE CONTROL CONDITION. OBJECTIVE 2: EVALUATE THE IMPLEMENTATION OF HEALTHY HABITS PLUS INCLUDING UNDERSTANDING THE ACCEPTABILITY OF THE INTERVENTION FOR PARTICIPANTS AND INTERVENTIONISTS, AND IDENTIFYING DIFFERENTIAL IMPACTS OF THE INTERVENTION BY INTERVENTION DOSE. 2.1: QUANTITATIVELY AND QUALITATIVELY ASSESS THE ACCEPTABILITY, RELEVANCE, ENJOYMENT, AND SUSTAINABILITY OF INTERVENTION CONTENT AND DELIVERY METHODS AMONG PARENTS RANDOMIZED TO HEALTHY HABITS PLUS. 2.2: QUALITATIVELY ASSESS PARENT LEADERS' EXPERIENCE IMPLEMENTING HEALTHY HABITS PLUS INCLUDING THE QUALITY OF TRAINING AND ONGOING SUPPORT, FEASIBILITY AND APPLICABILITY OF INTERVENTION ACTIVITIES, AND PERSONAL GROWTH AND EMPOWERMENT. 2.3: EXAMINE ASSOCIATIONS BETWEEN PARENT INTERVENTION ENGAGEMENT (DOSE) AND CHANGES IN HOUSEHOLD ROUTINES (PARENTS), WEIGHT-RELATED BEHAVIORS (CHILDREN), AND BMI (CHILDREN). HEALTHY HABITS PLUS WILL BE EVALUATED THROUGH A RANDOMIZED CONTROLLED TRIAL ENROLLING 150 PARENT/CHILD DYADS. WE ANTICIPATE THAT 90% OF PARENTS WILL IDENTIFY AS BLACK/AFRICAN AMERICAN AND 7% AS HISPANIC/LATINX. DATA WILL BE COLLECTED AT STUDY ENROLLMENT (PRE-RANDOMIZATION) AND AFTER THE 6-MONTH INTERVENTION. STUDY PRODUCTS INCLUDE THREE SCIENTIFIC MANUSCRIPTS; CONFERENCE PRESENTATIONS; AND VIDEOS, SOCIAL MEDIA POSTS, FAQS, AND OTHER COMMUNICATIONS FOR FAMILIES. THIS PROJECT ADDRESSES MCHB'S STRATEGIC RESEARCH ISSUES GOALS 3 (PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN) AND 5 (BUILD THE EVIDENCE BASE FOR MCH PRACTICE AND MEASUREMENT CAPACITY). KEY WORDS. CONTENT TERMS: NUTRITION & DIET, OBESITY & WEIGHT, PARENTING, ILLNESS PREVENTION & HEALTH PROMOTION; UNDERSERVED COMMUNITIES: AFRICAN AMERICAN/BLACK, HISPANIC/LATINO, PERSONS AFFECTED BY POVERTY; AGE RANGES: TODDLERHOOD, EARLY CHIL DHOOD
$0 7/8/24 Not listed
MATERNAL AND CHILD HEALTH FIELD-INITIATED RESEARCH PROGRAM - PROJECT DIRECTOR: KATHERINE W. BAUER, PHD APPLICANT ORGANIZATION NAME: REGENTS OF THE UNIVERSITY OF MICHIGAN CONTACT PHONE NUMBER: (734)763-2546 EMAIL ADDRESS: KWBAUER@UMICH.EDU PROJECT ABSTRACT NEARLY 1 IN 6 US CHILDREN FROM LOW-INCOME HOUSEHOLDS HAVE OBESITY BY THE TIME THEY ENTER KINDERGARTEN. THREE HOUSEHOLD ROUTINES - CONSISTENT BEDTIMES, LIMITING SCREENTIME, AND HEALTHY FAMILY MEALS - CAN PREVENT EXCESSIVE WEIGHT GAIN AMONG YOUNG CHILDREN. HOWEVER, IMPLEMENTING THESE ROUTINES IS DIFFICULT FOR MANY PARENTS AND REQUIRES STRONG SELF-REGULATION, OR THE ABILITY TO CONTROL THOUGHTS, EMOTIONS, AND BEHAVIOR. A GROWING NUMBER OF WEIGHT MANAGEMENT INTERVENTIONS ARE INCORPORATING STRATEGIES THAT IMPROVE ADULTS' SELF-REGULATION, WITH GREAT SUCCESS. THESE APPROACHES HAVE NOT YET BEEN USED TO PROMOTE PARENT BEHAVIOR CHANGE TO ADDRESS EARLY CHILDHOOD OBESITY. IN RESPONSE TO THIS PROBLEM, OUR RESEARCH TEAM DEVELOPED HEALTHY HABITS PLUS, A FAMILY-BASED, EARLY CHILDHOOD OBESITY INTERVENTION THAT PROMOTES HEALTHY HOUSEHOLD ROUTINES THROUGH STRENGTHENING PARENT SELF-REGULATION. THE GOAL OF THIS APPLICATION IS TO EVALUATE THE IMPACTS OF HEALTHY HABITS PLUS AMONG LOW-INCOME DETROIT FAMILIES WITH YOUNG CHILDREN AT HIGH RISK FOR OBESITY. THE STUDY WILL BE IMPLEMENTED IN COLLABORATION WITH DETROIT CHAMPIONS FOR HOPE, WHICH EMPOWERS PARENTS AND CAREGIVERS TO BE THEIR CHILDREN'S FIRST CHAMPIONS. WE WILL ACHIEVE OUR GOAL THROUGH THE FOLLOWING OBJECTIVES: OBJECTIVE 1. ESTABLISH THE EFFICACY OF HEALTHY HABITS PLUS AMONG CHILDREN AGED 2 THROUGH 5 YEARS AT HIGH RISK FOR OBESITY AND THEIR PARENTS. 1.1. IDENTIFY DIFFERENCES IN AGE- AND SEX-ADJUSTED BODY MASS INDEX AMONG CHILDREN OF PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO CHILDREN OF PARENTS RANDOMIZED TO AN ACTIVE CONTROL CONDITION AFTER 6 MONTHS OF INTERVENTION. 1.2. IDENTIFY DIFFERENCES IN SLEEP DURATION, DAILY SCREENTIME, AND DIETARY INTAKE AMONG CHILDREN OF PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO THOSE RANDOMIZED TO AN ACTIVE CONTROL CONDITION. 1.3 IDENTIFY DIFFERENCES IN WEIGHT-RELATED HOUSEHOLD ROUTINES AMONG PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO THOSE RANDOMIZED TO AN ACTIVE CONTROL CONDITION. OBJECTIVE 2: EVALUATE THE IMPLEMENTATION OF HEALTHY HABITS PLUS INCLUDING UNDERSTANDING THE ACCEPTABILITY OF THE INTERVENTION FOR PARTICIPANTS AND INTERVENTIONISTS, AND IDENTIFYING DIFFERENTIAL IMPACTS OF THE INTERVENTION BY INTERVENTION DOSE. 2.1: QUANTITATIVELY AND QUALITATIVELY ASSESS THE ACCEPTABILITY, RELEVANCE, ENJOYMENT, AND SUSTAINABILITY OF INTERVENTION CONTENT AND DELIVERY METHODS AMONG PARENTS RANDOMIZED TO HEALTHY HABITS PLUS. 2.2: QUALITATIVELY ASSESS PARENT LEADERS' EXPERIENCE IMPLEMENTING HEALTHY HABITS PLUS INCLUDING THE QUALITY OF TRAINING AND ONGOING SUPPORT, FEASIBILITY AND APPLICABILITY OF INTERVENTION ACTIVITIES, AND PERSONAL GROWTH AND EMPOWERMENT. 2.3: EXAMINE ASSOCIATIONS BETWEEN PARENT INTERVENTION ENGAGEMENT (DOSE) AND CHANGES IN HOUSEHOLD ROUTINES (PARENTS), WEIGHT-RELATED BEHAVIORS (CHILDREN), AND BMI (CHILDREN). HEALTHY HABITS PLUS WILL BE EVALUATED THROUGH A RANDOMIZED CONTROLLED TRIAL ENROLLING 150 PARENT/CHILD DYADS. WE ANTICIPATE THAT 90% OF PARENTS WILL IDENTIFY AS BLACK/AFRICAN AMERICAN AND 7% AS HISPANIC/LATINX. DATA WILL BE COLLECTED AT STUDY ENROLLMENT (PRE-RANDOMIZATION) AND AFTER THE 6-MONTH INTERVENTION. STUDY PRODUCTS INCLUDE THREE SCIENTIFIC MANUSCRIPTS; CONFERENCE PRESENTATIONS; AND VIDEOS, SOCIAL MEDIA POSTS, FAQS, AND OTHER COMMUNICATIONS FOR FAMILIES. THIS PROJECT ADDRESSES MCHB'S STRATEGIC RESEARCH ISSUES GOALS 3 (PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN) AND 5 (BUILD THE EVIDENCE BASE FOR MCH PRACTICE AND MEASUREMENT CAPACITY). KEY WORDS. CONTENT TERMS: NUTRITION & DIET, OBESITY & WEIGHT, PARENTING, ILLNESS PREVENTION & HEALTH PROMOTION; UNDERSERVED COMMUNITIES: AFRICAN AMERICAN/BLACK, HISPANIC/LATINO, PERSONS AFFECTED BY POVERTY; AGE RANGES: TODDLERHOOD, EARLY CHIL DHOOD
$300.0k 5/21/24 Not listed
MATERNAL AND CHILD HEALTH FIELD-INITIATED RESEARCH PROGRAM - PROJECT DIRECTOR: KATHERINE W. BAUER, PHD APPLICANT ORGANIZATION NAME: REGENTS OF THE UNIVERSITY OF MICHIGAN CONTACT PHONE NUMBER: (734)763-2546 EMAIL ADDRESS: KWBAUER@UMICH.EDU PROJECT ABSTRACT NEARLY 1 IN 6 US CHILDREN FROM LOW-INCOME HOUSEHOLDS HAVE OBESITY BY THE TIME THEY ENTER KINDERGARTEN. THREE HOUSEHOLD ROUTINES - CONSISTENT BEDTIMES, LIMITING SCREENTIME, AND HEALTHY FAMILY MEALS - CAN PREVENT EXCESSIVE WEIGHT GAIN AMONG YOUNG CHILDREN. HOWEVER, IMPLEMENTING THESE ROUTINES IS DIFFICULT FOR MANY PARENTS AND REQUIRES STRONG SELF-REGULATION, OR THE ABILITY TO CONTROL THOUGHTS, EMOTIONS, AND BEHAVIOR. A GROWING NUMBER OF WEIGHT MANAGEMENT INTERVENTIONS ARE INCORPORATING STRATEGIES THAT IMPROVE ADULTS' SELF-REGULATION, WITH GREAT SUCCESS. THESE APPROACHES HAVE NOT YET BEEN USED TO PROMOTE PARENT BEHAVIOR CHANGE TO ADDRESS EARLY CHILDHOOD OBESITY. IN RESPONSE TO THIS PROBLEM, OUR RESEARCH TEAM DEVELOPED HEALTHY HABITS PLUS, A FAMILY-BASED, EARLY CHILDHOOD OBESITY INTERVENTION THAT PROMOTES HEALTHY HOUSEHOLD ROUTINES THROUGH STRENGTHENING PARENT SELF-REGULATION. THE GOAL OF THIS APPLICATION IS TO EVALUATE THE IMPACTS OF HEALTHY HABITS PLUS AMONG LOW-INCOME DETROIT FAMILIES WITH YOUNG CHILDREN AT HIGH RISK FOR OBESITY. THE STUDY WILL BE IMPLEMENTED IN COLLABORATION WITH DETROIT CHAMPIONS FOR HOPE, WHICH EMPOWERS PARENTS AND CAREGIVERS TO BE THEIR CHILDREN'S FIRST CHAMPIONS. WE WILL ACHIEVE OUR GOAL THROUGH THE FOLLOWING OBJECTIVES: OBJECTIVE 1. ESTABLISH THE EFFICACY OF HEALTHY HABITS PLUS AMONG CHILDREN AGED 2 THROUGH 5 YEARS AT HIGH RISK FOR OBESITY AND THEIR PARENTS. 1.1. IDENTIFY DIFFERENCES IN AGE- AND SEX-ADJUSTED BODY MASS INDEX AMONG CHILDREN OF PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO CHILDREN OF PARENTS RANDOMIZED TO AN ACTIVE CONTROL CONDITION AFTER 6 MONTHS OF INTERVENTION. 1.2. IDENTIFY DIFFERENCES IN SLEEP DURATION, DAILY SCREENTIME, AND DIETARY INTAKE AMONG CHILDREN OF PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO THOSE RANDOMIZED TO AN ACTIVE CONTROL CONDITION. 1.3 IDENTIFY DIFFERENCES IN WEIGHT-RELATED HOUSEHOLD ROUTINES AMONG PARENTS RANDOMIZED TO HEALTHY HABITS PLUS COMPARED TO THOSE RANDOMIZED TO AN ACTIVE CONTROL CONDITION. OBJECTIVE 2: EVALUATE THE IMPLEMENTATION OF HEALTHY HABITS PLUS INCLUDING UNDERSTANDING THE ACCEPTABILITY OF THE INTERVENTION FOR PARTICIPANTS AND INTERVENTIONISTS, AND IDENTIFYING DIFFERENTIAL IMPACTS OF THE INTERVENTION BY INTERVENTION DOSE. 2.1: QUANTITATIVELY AND QUALITATIVELY ASSESS THE ACCEPTABILITY, RELEVANCE, ENJOYMENT, AND SUSTAINABILITY OF INTERVENTION CONTENT AND DELIVERY METHODS AMONG PARENTS RANDOMIZED TO HEALTHY HABITS PLUS. 2.2: QUALITATIVELY ASSESS PARENT LEADERS' EXPERIENCE IMPLEMENTING HEALTHY HABITS PLUS INCLUDING THE QUALITY OF TRAINING AND ONGOING SUPPORT, FEASIBILITY AND APPLICABILITY OF INTERVENTION ACTIVITIES, AND PERSONAL GROWTH AND EMPOWERMENT. 2.3: EXAMINE ASSOCIATIONS BETWEEN PARENT INTERVENTION ENGAGEMENT (DOSE) AND CHANGES IN HOUSEHOLD ROUTINES (PARENTS), WEIGHT-RELATED BEHAVIORS (CHILDREN), AND BMI (CHILDREN). HEALTHY HABITS PLUS WILL BE EVALUATED THROUGH A RANDOMIZED CONTROLLED TRIAL ENROLLING 150 PARENT/CHILD DYADS. WE ANTICIPATE THAT 90% OF PARENTS WILL IDENTIFY AS BLACK/AFRICAN AMERICAN AND 7% AS HISPANIC/LATINX. DATA WILL BE COLLECTED AT STUDY ENROLLMENT (PRE-RANDOMIZATION) AND AFTER THE 6-MONTH INTERVENTION. STUDY PRODUCTS INCLUDE THREE SCIENTIFIC MANUSCRIPTS; CONFERENCE PRESENTATIONS; AND VIDEOS, SOCIAL MEDIA POSTS, FAQS, AND OTHER COMMUNICATIONS FOR FAMILIES. THIS PROJECT ADDRESSES MCHB'S STRATEGIC RESEARCH ISSUES GOALS 3 (PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN) AND 5 (BUILD THE EVIDENCE BASE FOR MCH PRACTICE AND MEASUREMENT CAPACITY). KEY WORDS. CONTENT TERMS: NUTRITION & DIET, OBESITY & WEIGHT, PARENTING, ILLNESS PREVENTION & HEALTH PROMOTION; UNDERSERVED COMMUNITIES: AFRICAN AMERICAN/BLACK, HISPANIC/LATINO, PERSONS AFFECTED BY POVERTY; AGE RANGES: TODDLERHOOD, EARLY CHIL DHOOD
$300.0k 5/21/24