非裔美国青少年女儿及其母亲肥胖预防干预的发展与可行性

M. Reed, J. Wilbur, C. Tangney, M. Schoeny, A. Miller, Kashica Webber Ritchey
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摘要

非裔美国人(AA)女孩和妇女的肥胖率比种族/族裔女孩和妇女高得不成比例。迫切需要通过加强生活方式体育活动(PA)和改善青春期中期饮食行为的预防性干预措施来解决AA女孩的超重和肥胖问题。青春期中期是一个独特而重要的机会,可以加强女儿/母亲的联系,改善健康行为,如PA和饮食摄入。由于青春期的发展和文化复杂性,纳入母亲是至关重要的,然而,这种方法在文献中研究不足。这项试点前研究“黑人女孩运动”采用了为期12周的受试者岗前设计,以评估a)进行研究的可行性b)提供干预的可行性以及c)AA 9年级和10年级女儿及其母亲对项目的满意度。招募了22对二人组,14对二人完成了基线评估,然而,只有8个女儿和她们的母亲参加了第一次会议,并在整个研究中保留下来。所有二人组都有有效的客观和自我报告的PA数据,然而,八个女儿中的两个和一个母亲提供的自我报告的饮食数据被认为是无效的。所有单独的会议都得到了很高的评价。参与者出色的出勤率、记忆力和满意度表明,我们成功地传达了健康PA和饮食行为改变的重要性。这种生活方式干预将通过修改招聘和保留,以及纳入计算机化的饮食评估工具、用于自我监测的定制饮食应用程序,以及增加基于照片的集体作业活动来加强。
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Development and Feasibility of an Obesity Prevention Intervention for Adolescent African American Daughters and Their Mothers
African American (AA) girls and women having disproportionately higher rates of obesity than their racial/ethnic counterparts. There is an urgent need to address overweight and obesity in AA girls through preventive interventions that enhance lifestyle physical activity (PA) and improve dietary behaviors in middle adolescence. Middle adolescence represents a unique and important opportunity to strengthen the daughter/mother bond and improve healthy behaviors such as PA and dietary intake. Because of the developmental and cultural complexities of adolescence, it is essential to include mothers, however, this approach is understudied in the literature. This pre-pilot study--- Black Girls Move was conducted using a 12-week pre-post within-subjects design to assess a) feasibility of conducting the study b) feasibility of delivering the intervention and c) program satisfaction by AA 9th and 10th grade daughters and their mothers.  Twenty-two dyads were recruited, 14 dyads completed baseline assessments, however, only eight daughters and their mothers attended the first session and were retained for the entire study. All dyads had valid objective and self-reported PA data, however, two of eight daughters and one mother provided  self-reported dietary data that were considered invalid. All individual sessions were rated highly.  Excellent attendance, retention, and satisfaction among participants suggest that we succeeded in conveying the importance of healthy PA and dietary behavior change. This lifestyle intervention would be strengthened by modifications to recruitment and retention as well as incorporation of a computerized dietary assessment tool, a tailored dietary app for self-monitoring, and increased photo-based and group homework activities.
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