Counseling to Prevent Obesity Among Preschool Children: Acceptability of a Pilot Urban Primary Care Intervention

McKee, M. Diane; Maher, Stacia; Deen, Darwin; Blank, Arthur E.

doi:10.1370/afm.1057

Cited by 30 publications

(53 citation statements)

References 11 publications

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“…Unfortunately, parents in the study stated their physicians did not provide them with nutrition information. Other researchers have reported this finding, although parents desire such information from their physicians (12) . Future interventions should consider providing parents with the skills necessary to communicate with physicians regarding questions and concerns related to their children's health and behaviour.…”

Section: Discussionmentioning

confidence: 76%

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Challenges to parent nutrition education: a qualitative study of parents of urban children attending low-income schools

Slusser

Prelip

Kinsler

et al. 2011

Public Health Nutr.

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Objective: The present study was undertaken to learn more about parents' (i) knowledge regarding healthy foods, factors associated with food purchasing and preparation, and current nutrition education resources, (ii) barriers to and promoters for establishing healthy eating habits for children and families, and (iii) interest in participating in nutrition interventions. Design: Focus group interviews were conducted with parents of low-income children from the Los Angeles Unified School District (LAUSD). Setting: LAUSD Title 1 elementary schools where 50 % or more of students are eligible for free/reduced-price meals. Subjects: Sixty-four parents (93 % female; 84 % Hispanic/Latino) of elementaryschool students. Results: The most common barriers to eating healthy foods were cost, difficulty in getting children to eat healthier foods and easy access to fast food. Parents had a basic knowledge about what foods are healthy and received most of their nutrition education through the media. Parents expressed a desire for nutrition classes and almost all of them said they would attend a nutrition programme at their child's school. Topic areas of interest included what to purchase, how to cook healthier foods, how to encourage their children to eat healthier and how to read food labels. Parents also requested classes that engage the whole family, especially fathers. Conclusions: Parents in our study were interested in participating in nutrition education programmes. The information from these focus groups was used to design a parent nutrition education programme especially designed to respond to the needs of the LAUSD parents, the majority of whom are low-income and Hispanic/Latino.

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Section: Discussionmentioning

confidence: 76%

“…In previous qualitative work, parents expressed an interest and desire to learn about nutrition and in addition wanted to know the 'how' for changing unhealthy nutrition behaviours (12) . Nutrition education alone has been found to accomplish limited positive changes in parent nutrition behaviours.…”

mentioning

confidence: 99%

Challenges to parent nutrition education: a qualitative study of parents of urban children attending low-income schools

Slusser

Prelip

Kinsler

et al. 2011

Public Health Nutr.

View full text Add to dashboard Cite

show abstract

“…These include recommendations that healthcare providers follow a patient-centered approach, assess patient readiness to change and incorporate behavioral interventions to engage patients in positive health behaviors according to their level of readiness to change. However, several obstacles to the provision of weight counseling have been identified including lack of office time [19,[23][24][25] and lack of comfort or skill around counseling families [13,10,20,21,26].…”

Section: Future Directions: the Healthyme Toolkitmentioning

confidence: 99%

Provider Attention to Weight of Pediatric Latino Patients: An Opportunity for Communication to Prevent Type 2 Diabetes

Rosado

Johnson

Rafael

et al. 2015

PLAID

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Objective: Diabetes is one of the most common chronic illnesses among pediatric patients, and the number of youth living with this condition is expected to grow-particularly among minority ethnic youth. Type 2 diabetes, historically a disease of older overweight adults, is now being diagnosed in children, along with a rise in childhood obesity. Unfortunately, primary care providers infrequently communicate the weight of pediatric patients. The purpose of this study was to assess communication of weight-related information between providers and Latino children and their parents during well-child office visits. Research Design and Methods:This study utilized chart reviews and structured interviews to assess the level at which weight-related information was communicated to Latino children and their parents during well-child office visits.Results: Results indicated that providers are inconsistent in their provision of weight information and are more likely to include weight-related chart documentation when children are younger and when they have a high body mass index (BMI). Parents' intent to take corrective actions to improve their child's diet and exercise was more likely when the provider documented that weight information was provided in the child's chart. Conclusion:Findings from this study contributed to the development of a toolkit designed to improve primary care providers' behavioral skills for implementation of clinical guidelines, including routine assessment of weight and patient-centered interventions in the treatment of obesity.

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“…9 Focus group findings suggest that Latino parents of preschoolers would like for their child's physician to focus on nutrition and achieving healthy habits. 10 Counseling, education, provision of health education materials and motivational interviewing by physicians have been found to be effective techniques in producing significant intervention effects on behavior change. 11 However, intensity may be a crucial factor, as intensive counseling in combination with behavior change in diet and exercise has been shown to be effective in weight loss, but the evidence of low to moderate intensity counseling remains mixed.…”

Section: Introductionmentioning

confidence: 99%

“…10 Counseling, education, provision of health education materials and motivational interviewing by physicians have been found to be effective techniques in producing significant intervention effects on behavior change.…”

mentioning

confidence: 99%

Interventions for the treatment of obesity among children and adolescents in Latin America: a systematic review

et al. 2013

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Objective. The objective of this systematic literature review was to identify evidence-based strategies associated with effective healthcare interventions for prevention or treatment of childhood obesity in Latin America. Materials and methods. A systematic review of peer-reviewed, obesityrelated interventions implemented in the healthcare setting was conducted. Inclusion criteria included: implementation in Latin America, aimed at overweight or obese children and evaluation of at least one obesity-related outcome (e.g., body mass index (BMI), z-score, weight, and waist circumference, and body fat). Results. Five interventions in the healthcare setting targeting obese children in Latin America were identified. All five studies showed significant changes in BMI, and the majority produced sufficient to large effect sizes through emphasizing physical activity and health eating. Conclusion. Despite the limited number of intervention studies that treat obesity in the healthcare setting, there is evidence that interventions in this setting can be effective in creating positive anthropometric changes in overweight and obese children.Key words: overweight; quality of health care; child; adolescents; intervention studies; review Nagle BJ, Holub CK, Barquera S, Sánchez-Romero LM, Eisenberg CM, Rivera-Dommarco JA, Mehta SM, Lobelo F, Arredondo EM, Elder JP. Intervenciones para el tratamiento de la obesidad en niños y adolescentes en Latinoamérica: una revisión sistemática. Salud Publica Mex 2013;55 supl 3:S434-S440. ResumenObjetivo. El objetivo de esta revisión sistemática de la literatura fue identificar estrategias basadas en evidencia asociadas con intervenciones en salud efectivas para la prevención y el tratamiento de la obesidad infantil en Latinoamérica. Material y métodos. Se realizó una revisión sistemática por pares de intervenciones relacionadas con la obesidad, que fueron llevadas a cabo en clínicas de atención para la salud. Criterios de inclusión: implementadas en Latinoamérica, dirigidas a niños con obesidad y sobrepeso y evaluación de por lo menos un reultado relacionado con obesidad (ej. ín-dice de masa corporal (IMC), puntaje Z, peso, circunferencia de cintura o grasa corporal). Resultados. Se identificaron cinco intervenciones dirigidas a niños obesos en clínicas de salud en Latinoamérica. Todas las intervenciones mostraron cambios significativos en IMC y la mayoría obtuvo un tamaño del efecto grande a través de la promoción de actividad física y alimentación saludable. Conclusión. A pesar del número limitado de estudios de intervención para tratar la obesidad en clínicas de salud, existe evidencia que las intervenciones en estos lugares pueden ser efectivas en alcanzar cambios antropométricos positivos en los niños con obesidad y sobrepeso. In countries where prospective data are available increases in the prevalence of obesity have been found, especially in areas that are more developed.2,7 The increase in obesity prevalence is believed to be related to globalization and progression through the...

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Counseling to Prevent Obesity Among Preschool Children: Acceptability of a Pilot Urban Primary Care Intervention

Cited by 30 publications

References 11 publications

Challenges to parent nutrition education: a qualitative study of parents of urban children attending low-income schools

Challenges to parent nutrition education: a qualitative study of parents of urban children attending low-income schools

Provider Attention to Weight of Pediatric Latino Patients: An Opportunity for Communication to Prevent Type 2 Diabetes

Interventions for the treatment of obesity among children and adolescents in Latin America: a systematic review

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