2076-P: A Home-Learning Program for Improving Diet and Activity in Rural Children: The Kids PowerUP Pilot Study

IF 9.3 1区医学 Q1 ENDOCRINOLOGY & METABOLISM

Diabetes Pub Date : 2026-06-11 DOI:10.2337/db26-2076-p

SHECCID ONTIVEROS, TRACI BEKELMAN, JEANETTE M. STAFFORD, ALAN DELAMATER, KATHERINE SAUDER

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引用次数: 0

Abstract

Introduction and Objective: Rates of childhood obesity and type 2 diabetes are rising in rural communities, yet traditional school-based interventions have had limited success. We utilized a multi-component, family-centered approach to support children through personalized engagement with a home-based learning program. Our objective was to assess reach, feasibility, and acceptability of the intervention and control programs, and of virtual data collection. Methods: We recruited children age 7 to 10 years living in rural Colorado and North Carolina using flyers, community events, social media outreach, and medical record messaging. The intervention provided 16 parent-guided activity kits and 9 virtual support sessions over 6 months. The control program provided 6 monthly STEM activity kits. Participants completed pre- and post-program surveys, self-measured anthropometrics, self-sampling of capillary blood, and accelerometry, and were invited to do a post-program qualitative interview. Results: We received 187 interest surveys; 72 participants consented, and 67 completed baseline data collection and were randomized (35 intervention, 32 control). Eleven intervention and five control participants withdrew during the program, and 44 completed post-program data collection thus far, including 14 qualitative interviews. Intervention participants completed a median of 14 kits (IQR 6-16) and 2 coaching sessions (IQR 1-4) over a median duration of 34 weeks. Qualitative data indicated that emphasizing family involvement would support engagement for both programs, and that reducing study duration and number of kits of intervention kits may further facilitate completion. Conclusion: This pilot study demonstrates that the home-based Kids PowerUP program and STEM control programs are feasible, with successful completion of remote data collection procedures. Disclosure S. Ontiveros: None. T. Bekelman: None. J.M. Stafford: None. A. Delamater: None. K. Sauder: None. Funding American Diabetes Association (7-22-ICTSN-06), The Center for Prevention Science in Child and Family Health at Wake Forest University School of Medicine (600191)

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2076-P：改善农村儿童饮食和活动的家庭学习计划：儿童动力试点研究

前言和目的：农村社区儿童肥胖和2型糖尿病的发病率正在上升，但传统的以学校为基础的干预措施收效甚微。我们采用多组件、以家庭为中心的方法，通过个性化的家庭学习项目来支持孩子。我们的目的是评估干预和控制方案以及虚拟数据收集的可达性、可行性和可接受性。方法：通过传单、社区活动、社交媒体宣传和医疗记录信息，我们招募了生活在科罗拉多州和北卡罗来纳州农村的7至10岁儿童。该干预在6个月内提供了16个家长指导活动工具包和9个虚拟支持会议。对照项目提供6个月的STEM活动工具包。参与者完成了项目前和项目后的调查、自我测量的人体测量、自我采集的毛细血管血液和加速度测量，并被邀请进行项目后的定性访谈。结果：共收到兴趣调查187份；72名参与者同意，67名完成基线数据收集并随机分组（35名干预，32名对照）。11名干预参与者和5名对照参与者在项目期间退出，44名参与者完成了项目后的数据收集，其中包括14次定性访谈。干预参与者在34周的中位数时间内完成了14个工具包（IQR 6-16）和2个辅导课程（IQR 1-4）。定性数据表明，强调家庭参与将支持两个项目的参与，减少研究时间和干预工具包的数量可能进一步促进完成。结论：本试点研究表明，基于家庭的儿童PowerUP计划和STEM控制计划是可行的，并成功完成了远程数据收集程序。S. Ontiveros：没有。T.贝克曼：没有。J.M.斯塔福德：没有。答：没有。索德：没有。资助美国糖尿病协会（7-22-ICTSN-06），维克森林大学医学院儿童和家庭健康预防科学中心（600191）

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来源期刊

Diabetes 医学-内分泌学与代谢

CiteScore

12.50

自引率

2.60%

发文量

1968

审稿时长

1 months

期刊介绍： Diabetes is a scientific journal that publishes original research exploring the physiological and pathophysiological aspects of diabetes mellitus. We encourage submissions of manuscripts pertaining to laboratory, animal, or human research, covering a wide range of topics. Our primary focus is on investigative reports investigating various aspects such as the development and progression of diabetes, along with its associated complications. We also welcome studies delving into normal and pathological pancreatic islet function and intermediary metabolism, as well as exploring the mechanisms of drug and hormone action from a pharmacological perspective. Additionally, we encourage submissions that delve into the biochemical and molecular aspects of both normal and abnormal biological processes. However, it is important to note that we do not publish studies relating to diabetes education or the application of accepted therapeutic and diagnostic approaches to patients with diabetes mellitus. Our aim is to provide a platform for research that contributes to advancing our understanding of the underlying mechanisms and processes of diabetes.