This proposal focuses on interventions to treat obesity and reduce BP in overweight/obese urban youth. Although childhood obesity is multi-factorial in origin with contributors at the child-family, school-community, and policy environments, few studies have targeted multiple environments and examined innovative behavioral interventions that may be beneficial to disadvantaged youth. This proposal addresses these deficits, focusing on lifestyle change through both child-family and school-community environments. It asks two main questions: (1) What is the differential impact on BMI and BP of three distinct psycho-educational interventions targeting the child-family environment? (2) Will an enriched school-community environment (echoing the interventions'messages and providing a venue for their implementation) influence the interventions'impact? Our target population is Cleveland Metropolitan School District students (6th-8th grade;n=450) recruited via an established screening program. Participants will be drawn from two school-community environments (""""""""enriched"""""""" and """"""""non-enriched"""""""");25 CMSD schools each. Enriched schools will participate in an innovative YMCA partnership to increase students'physical activity, and have supplemental nutrition education programs, social marketing, and navigators. Using a 3-group stratified randomized trial design, participants in each enriched and non-enriched school will be randomized into 3 intervention arms: 1) SystemCHANGE, a promising new behavioral approach focusing on system redesign of the family environment and daily routines (based on ecological and personal process improvement theory), 2) HealthyCHANGE, a behavioral approach focusing on building skills and increasing intrinsic motivation (based mainly on cognitive behavioral theory), and 3) education only (attention control). Following 6 months of intensive intervention and 6 months of boosters, subjects will be followed for another year. Primary outcomes will be BMI and BP z scores. Other cardiovascular risk indices, costs, and quality of life will also be assessed, as will potential mediators and moderators of the interventions'effects. This project incorporates several innovations and has the potential to establish a replicable system of aligned programs that have major impact on pediatric obesity.
Childhood obesity, often associated with elevated blood pressure, causes morbidity and may cause early death. Finding ways to effectively treat childhood obesity is therefore a top health priority. This research (a) assesses three behavioral approaches to treating obesity and reducing blood pressure in urban youth, and (b) examines the influence of the school-community environment on the interventions'impact.
|Heerman, William J; Mitchell, Stephanie J; Thompson, Jessica et al. (2016) Parental perception of built environment characteristics and built environment use among Latino families: a cross-sectional study. BMC Public Health 16:1180|
|Moore, Shirley M; Jones, Lenette; Alemi, Farrokh (2016) Family self-tailoring: Applying a systems approach to improving family healthy living behaviors. Nurs Outlook 64:306-11|
|Banda, Jorge A; Haydel, K Farish; Davila, Tania et al. (2016) Effects of Varying Epoch Lengths, Wear Time Algorithms, and Activity Cut-Points on Estimates of Child Sedentary Behavior and Physical Activity from Accelerometer Data. PLoS One 11:e0150534|
|JaKa, M M; Haapala, J L; Trapl, E S et al. (2016) Reporting of treatment fidelity in behavioural paediatric obesity intervention trials: a systematic review. Obes Rev 17:1287-1300|
|Cui, Zhaohui; Seburg, Elisabeth M; Sherwood, Nancy E et al. (2015) Recruitment and retention in obesity prevention and treatment trials targeting minority or low-income children: a review of the clinical trials registration database. Trials 16:564|
|Chang, Marvin G; de Lange, Enno; Calmettes, Guillaume et al. (2013) Pro- and antiarrhythmic effects of ATP-sensitive potassium current activation on reentry during early afterdepolarization-mediated arrhythmias. Heart Rhythm 10:575-82|
|Pratt, Charlotte A; Boyington, Josephine; Esposito, Layla et al. (2013) Childhood Obesity Prevention and Treatment Research (COPTR): interventions addressing multiple influences in childhood and adolescent obesity. Contemp Clin Trials 36:406-13|
|Moore, Shirley M; Borawski, Elaine A; Cuttler, Leona et al. (2013) IMPACT: a multi-level family and school intervention targeting obesity in urban youth. Contemp Clin Trials 36:574-86|
|Qu, Zhilin; Nivala, Michael; Weiss, James N (2013) Calcium alternans in cardiac myocytes: order from disorder. J Mol Cell Cardiol 58:100-9|
|Wells, Ellen M; Jackson, Leila W; Koontz, Michaela B (2013) Decline in urinary bisphenol A concentrations in the United States. Epidemiology 24:167-8|
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