The UCLA/RAND Center for Adolescent Health Promotion's mission is to conduct prevention research that (1) addresses the needs of children, adolescents, young adults, and their families;(2) builds empowering relationships with community partners in Los Angeles and beyond;and (3) directly benefits communities and/or transforms local, state, and national policies. For ten years, our partner community has been LA's large, diverse South Bay region. Our core research project, Parents and Students for Nutrition and eXercise (P-SNaX), is a community-based participatory research (CBPR) project to develop and test a parent-focused intervention to improve childhood nutrition and exercise in homes and neighborhoods. P-SNaX builds on one of our existing successful CBPR projects (SNaX), a child-focused intervention to improve student nutrition and exercise in middle schools. Together, SNaX and P-SNaX may offer a sustainable comprehensive approach to childhood obesity prevention that, although recommended, has been elusive in practice. In Year 1, we will conduct surveys assessing parent needs with respect to their child's nutrition and exercise. We will then work closely with communities, parents, students, and schools to develop P-SNaX to increase parent self-efficacy and to stimulate change in homes and neighborhoods. In Years 2-5, we will test the intervention in four South Bay schools (SNaX + P-SNaX vs. SNaX-only), disseminate preliminary and final results, and prepare for a large-scale cluster-randomized trial.
Our specific aims are: (1) To assess parents'needs, self- efficacy, and behaviors with respect to childhood obesity prevention in their homes, schools, and neighborhoods;(2) To develop a school-based, parent-focused CBPR intervention (P-SNaX), administered in conjunction with SNaX, to increase parent self-efficacy and improve child and parent behaviors with respect to childhood obesity prevention;(3) To conduct a four-school controlled trial (P-SNaX + SNaX vs. SNaX only) to examine the incremental effects of P-SNaX on healthy eating and physical activity among students;and (4) To disseminate results of the combined parent and student-focused intervention to community stakeholders, and to develop plans for broad program dissemination and additional research.

Public Health Relevance

Childhood obesity is a national public health concern. Comprehensive approaches to childhood obesity prevention involving children, parents, schools, and communities are widely recommended, but the ability to deliver and sustain such programs has been lacking. Participatory research among researchers, families, schools, and communities may be able to find new, effective solutions.

Agency
National Institute of Health (NIH)
Institute
National Center for Chronic Disease Prev and Health Promo (NCCDPHP)
Type
Health Promotion and Disease Prevention Research Centers (U48)
Project #
5U48DP001934-02
Application #
7922101
Study Section
Special Emphasis Panel (ZCD1-AWI (09))
Program Officer
Sims, Joyner
Project Start
2009-09-30
Project End
2014-09-29
Budget Start
2010-09-30
Budget End
2011-09-29
Support Year
2
Fiscal Year
2010
Total Cost
$1,090,000
Indirect Cost
Name
University of California Los Angeles
Department
Administration
Type
Schools of Public Health
DUNS #
092530369
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Glenn, Beth A; Hamilton, Ann S; Nonzee, Narissa J et al. (2018) Obesity, physical activity, and dietary behaviors in an ethnically-diverse sample of cancer survivors with early onset disease. J Psychosoc Oncol 36:418-436
Kegler, Michelle C; Liang, Shuting; Weiner, Bryan J et al. (2018) Measuring Constructs of the Consolidated Framework for Implementation Research in the Context of Increasing Colorectal Cancer Screening in Federally Qualified Health Center. Health Serv Res 53:4178-4203
Fernandez, Maria E; Walker, Timothy J; Weiner, Bryan J et al. (2018) Developing measures to assess constructs from the Inner Setting domain of the Consolidated Framework for Implementation Research. Implement Sci 13:52
Ribisl, Kurt M; Fernandez, Maria E; Friedman, Daniela B et al. (2017) Impact of the Cancer Prevention and Control Research Network: Accelerating the Translation of Research Into Practice. Am J Prev Med 52:S233-S240
Leeman, Jennifer; Calancie, Larissa; Kegler, Michelle C et al. (2017) Developing Theory to Guide Building Practitioners' Capacity to Implement Evidence-Based Interventions. Health Educ Behav 44:59-69
Escoffery, Cam; Fernandez, Maria E; Vernon, Sally W et al. (2015) Patient Navigation in a Colorectal Cancer Screening Program. J Public Health Manag Pract 21:433-40
Guerrero, Alma D; Ponce, Ninez A; Chung, Paul J (2015) Obesogenic Dietary Practices of Latino and Asian Subgroups of Children in California: An Analysis of the California Health Interview Survey, 2007-2012. Am J Public Health 105:e105-12
Tu, Shin-Ping; Young, Vicki M; Coombs, Letoynia J et al. (2015) Practice adaptive reserve and colorectal cancer screening best practices at community health center clinics in 7 states. Cancer 121:1241-8
Honeycutt, Sally; Leeman, Jennifer; McCarthy, William J et al. (2015) Evaluating Policy, Systems, and Environmental Change Interventions: Lessons Learned From CDC's Prevention Research Centers. Prev Chronic Dis 12:E174
Leeman, Jennifer; Calancie, Larissa; Hartman, Marieke A et al. (2015) What strategies are used to build practitioners' capacity to implement community-based interventions and are they effective?: a systematic review. Implement Sci 10:80

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