携手共进：一项针对农村社区西班牙裔儿童的多层次肥胖干预措施的准实验研究
Together We STRIDE: A quasi-experimental trial testing the effectiveness of a multi-level obesity intervention for Hispanic children in rural communities.
机构信息
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, United States; Department of Health Services, University of Washington School of Public Health, Seattle, WA, United States.
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, United States.
出版信息
Contemp Clin Trials. 2018 Apr;67:81-86. doi: 10.1016/j.cct.2018.02.013. Epub 2018 Mar 5.
BACKGROUND
Hispanic children are disproportionally overweight and obese compared to their non-Hispanic white counterparts in the US. Community-wide, multi-level interventions have been successful to promote healthier nutrition, increased physical activity (PA), and weight loss. Using community-based participatory approach (CBPR) that engages community members in rural Hispanic communities is a promising way to promote behavior change, and ultimately weight loss among Hispanic children.
OBJECTIVES
Led by a community-academic partnership, the Together We STRIDE (Strategizing Together Relevant Interventions for Diet and Exercise) aims to test the effectiveness of a community-wide, multi-level intervention to promote healthier diets, increased PA, and weight loss among Hispanic children.
METHODS
The Together We STRIDE is a parallel quasi-experimental trial with a goal of recruiting 900 children aged 8-12 years nested within two communities (one intervention and one comparison). Children will be recruited from their respective elementary schools. Components of the 2-year multi-level intervention include comic books (individual-level), multi-generational nutrition and PA classes (family-level), teacher-led PA breaks and media literacy education (school-level), family nights, a farmer's market and a community PA event (known as ciclovia) at the community-level. Children from the comparison community will receive two newsletters. Height and weight measures will be collected from children in both communities at three time points (baseline, 6-months, and 18-months).
SUMMARY
The Together We STRIDE study aims to promote healthier diet and increased PA to produce healthy weight among Hispanic children. The use of CBPR approach and the engagement of the community will springboard strategies for intervention' sustainability. Clinical Trials Registration Number: NCT02982759 Retrospectively registered.
背景
与美国的非西班牙裔白种人相比，西班牙裔儿童的超重和肥胖比例不成比例。在社区范围内，多层次的干预措施已经成功地促进了更健康的营养、增加身体活动（PA）和减肥。使用社区参与式方法（CBPR），让社区成员参与到农村西班牙裔社区中，是促进行为改变的一种很有前途的方式，最终可以帮助西班牙裔儿童减肥。
目的
在社区-学术合作的领导下，“一起 STRIDE（策略性地针对饮食和运动的相关干预措施）”旨在测试一种社区范围内、多层次的干预措施的有效性，该措施旨在促进西班牙裔儿童更健康的饮食、增加身体活动和减肥。
方法
“一起 STRIDE”是一项平行的准实验性试验，目标是招募 900 名 8-12 岁的西班牙裔儿童，这些儿童嵌套在两个社区（一个干预社区和一个对照社区）中。儿童将从他们各自的小学招募。为期两年的多层次干预措施的组成部分包括漫画书（个人层面）、多代营养和 PA 课程（家庭层面）、教师主导的 PA 休息和媒体素养教育（学校层面）、家庭之夜、社区内的农贸市场和社区 PA 活动（称为 ciclovia）。对照社区的儿童将收到两期通讯。将在两个社区的儿童中收集三个时间点（基线、6 个月和 18 个月）的身高和体重测量数据。
总结
“一起 STRIDE”研究旨在促进西班牙裔儿童更健康的饮食和增加身体活动，以达到健康体重的目的。使用 CBPR 方法和社区参与将为干预的可持续性奠定策略基础。临床试验注册号：NCT02982759 回顾性注册。
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