Active and Healthy Families: A Randomized Controlled Trial of a Culturally Tailored Obesity Intervention for Latino Children

Falbe, Jennifer; Cadiz, Annabelle A.; Tantoco, Nicole; Thompson, Hannah; Madsen, Kristine A.

doi:10.1016/j.acap.2015.02.004

Cited by 47 publications

(100 citation statements)

References 28 publications

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“…This information is essential for the development and implementation of interventions that are compatible with parents' and families' perceptions, attitudes and practices of children's eating and PA behaviours (27,28,35,36) . Analyses determined that parents perceived that their children have healthier eating and PA behaviours at FCCH than at home.…”

Section: Discussionmentioning

confidence: 99%

Latino parents’ perceptions of the eating and physical activity experiences of their pre-school children at home and at family child-care homes: a qualitative study

Lindsay

Greaney

Wallington

et al. 2016

Public Health Nutr.

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Objective: Research indicates that healthful eating and physical activity (PA) practices implemented in child-care settings can have a positive effect on children's healthful behaviours in this setting, and this effect on healthful behaviours may possibly transfer to the home environment. While more research is needed to examine whether behaviours learned in family child-care homes (FCCH) transfer, the potential for transferability is especially important given that Latino children's home environment has been characterized by obesogenic parenting practices. We aimed to examine Latino parents' perceptions of their preschool children's eating and PA experiences at home and at FCCH. Design: Qualitative study. Six focus groups were conducted in Spanish (n 36). Transcripts were analysed using thematic analysis to identify key concepts and themes. Results: Analyses revealed that Latino parents perceive their children have healthier eating and PA experiences at FCCH than at home. Parents attributed this to FCCH providers providing an environment conducive to healthful eating and PA due to providers having more knowledge and skills, time and resources, and being required to follow rules and regulations set by the state that promote healthful eating and PA. Conclusions: Understanding parental perceptions, attitudes and practices related to establishing and maintaining an environment conducive to children's healthful eating and PA at home and at the FCCH is essential for the design of successful interventions to promote children's healthful behaviours in these two settings. Given that parents perceive their children as having more healthful behaviours while at FCCH, interventions that address both settings jointly may be most effective than those addressing only one environment by itself.

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Section: Discussionmentioning

confidence: 99%

Latino parents’ perceptions of the eating and physical activity experiences of their pre-school children at home and at family child-care homes: a qualitative study

Lindsay

Greaney

Wallington

et al. 2016

Public Health Nutr.

View full text Add to dashboard Cite

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“…Table visually displays the results of the Risk of Bias assessment for the five randomized controlled trials , assessed with the Cochrane Collaboration Tool for Assessing Risk of Bias . Overall quality was moderate.…”

Section: Resultsmentioning

confidence: 99%

“…Most interventions were delivered in the United States, with the exception of two studies that were based in Auckland, New Zealand and Melbourne, Australia . Three of the American studies were based in California , and three were based in New England ; most American studies were based in urban settings . Sample sizes varied, ranging from 33 to 3,765 (mean 792, SD 72; 9 with samples <1,000).…”

Section: Resultsmentioning

confidence: 99%

“…Sample sizes varied, ranging from 33 to 3,765 (mean 792, SD 72; 9 with samples <1,000). Target ages included children from throughout the developmental spectrum; sample ages ranged from 24 months (mothers recruited during pregnancy) , young children (3–5 years) , school age (5–12 years) , to adolescents . No intervention was gender‐specific.…”

Section: Resultsmentioning

confidence: 99%

“…No intervention was gender‐specific. Other sample characteristics included Latino/Latina , American Indian , African American , from low income households and/or receiving care at Federally Qualified Health Center , or diagnosed with asthma . The intervention based in New Zealand contained approximately 50% children of Maori/Pacific ethnicity .…”

Section: Resultsmentioning

confidence: 99%

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The role and impact of community health workers in childhood obesity interventions: a systematic review and meta‐analysis

et al. 2018

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Childhood obesity increases the risk for poor health during childhood, as well as for adult obesity and its associated comorbidities. Children from racial/ethnic minority groups or who live in poverty experience elevated rates of obesity. One potential method for reducing childhood obesity disparities is to involve community health workers (frontline public health workers who are trusted members of and/or have an unusually close understanding of the community served). The purpose of this systematic review and meta-analysis was to explore the role and effectiveness of community health workers in childhood obesity interventions. Eleven studies met inclusion criteria, of which nine were eligible for inclusion in the meta-analysis. Results demonstrated that community health workers played various roles in childhood obesity interventions in the home, clinic, school, and community setting. Interventions focused primarily on children from underserved populations. Meta-analytic findings demonstrated a small but significant impact on BMIz and BMI percentile (BMIz [7 studies]: -0.08, 95% CI: -0.15, -0.01, p = 0.03, I = 39.4%; BMI percentile [2 studies]: -0.25, 95% CI: -0.38, -0.11, p < 0.01, I = 0%). Findings from this review demonstrate that partnering with community health workers may be an important strategy for reducing childhood obesity disparities and advancing health equity.

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Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years

Mead

Brown

Rees

et al. 2017

Cochrane Database of Systematic Reviews

387

365

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Multi-component behaviour-changing interventions that incorporate diet, physical activity and behaviour change may be beneficial in achieving small, short-term reductions in BMI, BMI z score and weight in children aged 6 to 11 years. The evidence suggests a very low occurrence of adverse events. The quality of the evidence was low or very low. The heterogeneity observed across all outcomes was not explained by subgrouping. Further research is required of behaviour-changing interventions in lower income countries and in children from different ethnic groups; also on the impact of behaviour-changing interventions on health-related quality of life and comorbidities. The sustainability of reduction in BMI/BMI z score and weight is a key consideration and there is a need for longer-term follow-up and further research on the most appropriate forms of post-intervention maintenance in order to ensure intervention benefits are sustained over the longer term.

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Active and Healthy Families: A Randomized Controlled Trial of a Culturally Tailored Obesity Intervention for Latino Children

Cited by 47 publications

References 28 publications

Latino parents’ perceptions of the eating and physical activity experiences of their pre-school children at home and at family child-care homes: a qualitative study

Latino parents’ perceptions of the eating and physical activity experiences of their pre-school children at home and at family child-care homes: a qualitative study

The role and impact of community health workers in childhood obesity interventions: a systematic review and meta‐analysis

Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years

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