Sussman Andrew L, Montoya Carolyn, Werder Olaf, Davis Sally, Wallerstein Nina, Kong Alberta S
Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM 87131-0001, USA.
J Obes. 2013;2013:978482. doi: 10.1155/2013/978482. Epub 2013 Jul 29.
From our previous clinical work with overweight/obese youth, we identified the need for research to create an effective weight management intervention to address the growing prevalence of adolescent metabolic syndrome. Formative assessment through an adaptive community-based participatory research (CBPR) approach was conducted toward the development of a nutritional and physical activity (DVD) and clinician toolkit for a school-based health center (SBHC) weight management intervention.
We first conducted parent and adolescent interviews on views and experiences about obesity while convening a community advisory council (CAC) recruited from two participating urban New Mexico high schools. Thematic findings from the interviews were analyzed with the CAC to develop culturally and developmentally appropriate intervention materials.
Themes from the parent and adolescent interviews included general barriers/challenges, factors influencing motivation, and change facilitators. The CAC and university-based research team reached consensus on the final content of nutrition and physical activity topics to produce a DVD and clinician toolkit through six monthly sessions. These materials used in the SBHC intervention resulted in a greater reduction of body mass index when compared to adolescents receiving standard care.
Formative assessment using an adaptive CBPR approach resulted in the creation of culturally and age appropriate weight reduction materials that were acceptable to study participants. This trial is registered with ClinicalTrials.gov NCT00841334.
基于我们之前对超重/肥胖青少年的临床工作，我们认识到需要开展研究，以创建一种有效的体重管理干预措施，应对青少年代谢综合征日益增长的患病率。通过适应性社区参与式研究（CBPR）方法进行形成性评估，以开发用于学校健康中心（SBHC）体重管理干预的营养与体育活动（DVD）及临床医生工具包。
我们首先就肥胖相关的观点和经历对家长及青少年进行访谈，同时召集了一个由新墨西哥州两所参与研究的城市高中招募的社区咨询委员会（CAC）。访谈的主题结果与CAC共同分析，以开发符合文化和发育特点的干预材料。
家长和青少年访谈的主题包括一般障碍/挑战、影响动机的因素以及促进改变的因素。CAC和大学研究团队通过六个月的月度会议，就营养与体育活动主题的最终内容达成共识，以制作DVD和临床医生工具包。与接受标准护理的青少年相比，在SBHC干预中使用这些材料可使体重指数有更大幅度的降低。
采用适应性CBPR方法进行的形成性评估，产生了符合文化和年龄特点且为研究参与者所接受的减肥材料。该试验已在ClinicalTrials.gov注册，注册号为NCT00841334。
