Showell Nakiya N, Koebnick Corinna, DeCamp Lisa R, Sidell Margo, Rivera Rodriguez Tatiahna, Jimenez Jennifer J, Young Deborah, Thornton Rachel Lj
Johns Hopkins School of Medicine, Division of General Pediatrics and Adolescent Medicine, Baltimore, MD, United States.
Kaiser Permanente Southern California, Department of Research and Evaluation, Pasadena, CA, United States.
JMIR Res Protoc. 2018 Nov 5;7(11):e182. doi: 10.2196/resprot.9688.
Despite a recent decline in the obesity prevalence among preschool-aged children, obesity remains disproportionately high among children from low-income racial or ethnic minority families. Promoting healthy lifestyles (eg, obesity-preventative behaviors) in primary care settings is particularly important for young children, given the frequency of preventative health visits and parent-provider interactions. Higher adoption of specific health behaviors is correlated with increased patient activation (ie, skill, confidence, and knowledge to manage their health care) among adults. However, no published study, to date, has examined the relationship between parental activation and obesity-related health behaviors among young children.
The goal of this study is to measure parental activation in low-income parents of preschoolers in 2 large health systems and to examine the association with diet, screen-time, and physical activity behaviors.
We will conduct a cross-sectional study of parents of preschool-aged patients (2-5 years) receiving primary care at multiple clinic sites within 2 large health care systems. Study participants, low-income black, Hispanic, and white parents of preschool-aged patients, are being recruited across both health systems to complete orally administered surveys.
Recruitment began in December 2017 and is expected to end in May 2018. A total of 267 low-income parents of preschool-aged children have been enrolled across both clinic sites. We are enrolling an additional 33 parents to reach our goal sample size of 300 across both health systems. The data analysis will be completed in June 2018.
This protocol outlines the first study to fully examine parental activation and its relationship with parent-reported diet, physical activity, and screen-time behaviors among low-income preschool-aged patients. It involves recruitment across 2 geographically distinct areas and resulting from a partnership between researchers at 2 different health systems with multiple clinical sites. This study will provide new knowledge about how parental activation can potentially be incorporated as a strategy to address childhood obesity disparities in primary care settings.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR1-10.2196/9688.
尽管近期学龄前儿童肥胖率有所下降，但在低收入种族或少数族裔家庭的儿童中，肥胖率仍然过高。鉴于预防性健康检查和家长与医疗服务提供者互动的频率，在初级保健机构中推广健康的生活方式（如预防肥胖的行为）对幼儿尤为重要。在成年人中，更高程度地采用特定健康行为与患者激活度（即管理自身医疗保健的技能、信心和知识）的提高相关。然而，迄今为止，尚无已发表的研究探讨父母激活度与幼儿肥胖相关健康行为之间的关系。
本研究的目的是测量两个大型医疗系统中低收入学龄前儿童家长的激活度，并研究其与饮食、屏幕使用时间和身体活动行为之间的关联。
我们将对在两个大型医疗保健系统内多个诊所接受初级保健的学龄前患者（2至5岁）的家长进行横断面研究。研究参与者为低收入的黑人、西班牙裔和白人学龄前患者的家长，正在两个医疗系统中招募他们来完成口头调查。
招募工作于2017年12月开始，预计于2018年5月结束。两个诊所地点共招募了267名低收入学龄前儿童的家长。我们正在额外招募33名家长，以达到两个医疗系统共300名的目标样本量。数据分析将于2018年6月完成。
本方案概述了第一项全面研究父母激活度及其与低收入学龄前患者家长报告的饮食、身体活动和屏幕使用时间行为之间关系的研究。它涉及在两个地理位置不同的地区进行招募，这是由两个不同医疗系统且拥有多个临床地点的研究人员之间的合作促成的。这项研究将提供关于如何将父母激活度作为一种策略纳入初级保健机构以解决儿童肥胖差异问题的新知识。
国际注册报告识别号（IRRID）：RR1-10.2196/9688
