Developing a Measure of Behavior Change in a Program to Help Low-Income Parents Prevent Unhealthful Weight Gain in Children

Dickin, Katherine L.; Lent, Megan; Lu, Angela; Sequeira, Joran; Dollahite, Jamie

doi:10.1016/j.jneb.2011.02.015

Cited by 22 publications

(15 citation statements)

References 21 publications

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“…To assess frequency of parent and child health behaviors, including dietary and physical activity/screen time behaviors (11 items), and home environment/parenting behaviors (5 items), parents completed the self-reported 16-item HCHF-BC [ 30 ]. Each item was assessed using a 5-point response scale from least to most frequent options in a range of frequencies appropriate to each reported behavior [ 30 ].…”

Section: Methodsmentioning

confidence: 99%

“…Goals of the HCHF curriculum include increasing parent knowledge and skills surrounding implementation of healthy family habits, which ultimately impact child health behaviors [ 26 – 29 ]. Previous studies utilizing the HCHF curriculum reported significant improvements in several parent and child health behaviors using the 16-item HCHF Behavior Checklist (HCHF-BC) [ 26 , 28 – 30 ]. While the checklist was developed specifically for the HCHF intervention, it does not comprehensively measure changes in FPPs using validated tools [ 28 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies utilizing the HCHF curriculum reported significant improvements in several parent and child health behaviors using the 16-item HCHF Behavior Checklist (HCHF-BC) [ 26 , 28 – 30 ]. While the checklist was developed specifically for the HCHF intervention, it does not comprehensively measure changes in FPPs using validated tools [ 28 , 30 ]. Therefore, the goal of this pilot study was to assess if parents from a primarily Hispanic and low-income community, who participated in a childhood obesity intervention (HCHF) improved their responsive FPPs, specifically, 1) modeling healthy eating behaviors to their child, 2) encouraging a balanced and varied diet to their child, 3) involving children in food decisions, and 4) teaching their children about nutrition.…”

Section: Introductionmentioning

confidence: 99%

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Community-based childhood obesity prevention intervention for parents improves health behaviors and food parenting practices among Hispanic, low-income parents

et al. 2018

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BackgroundGiven the current prevalence of childhood obesity among Hispanic populations, and the importance of parental feeding behaviors, we aimed to assess the impact of the evidence-based Healthy Children, Healthy Families (HCHF) intervention on responsive food parenting practices (FPPs) in a low-income Hispanic population.MethodsThis community-based pilot study used a non-experimental pre/post within-subjects design. Parents (n = 94) of children aged 3–11 years old were recruited to participate in an 8-week, weekly group-based intervention. The intervention was delivered to nine groups of parents by trained paraprofessional educators over a two-year period. Children participated in a separate curriculum that covered topics similar to those covered in the parent intervention. Parents completed self-administered pre/post surveys, which included demographic questions, seven subscales from the Comprehensive Feeding Practices Questionnaire, and the 16-item HCHF Behavior Checklist. Descriptive statistics and paired samples t-tests were used to analyze data from parents that completed the intervention.ResultsFifty-two, primarily Hispanic (93%) parents completed the intervention (39% attrition rate). For parents who completed the intervention, there was a significant increase in one of the feeding practice subscales: encouragement of balance and variety (p = 0.01). There were significant improvements in several parent and child diet and activity outcomes (p ≤ 0.01).ConclusionsAlthough attrition rates were high, parents completing the study reported enjoying and being satisfied with the intervention. For parents who completed the intervention, reported ‘encouragement of balance and variety’, in addition to several health behaviors significantly improved. Larger studies utilizing an experimental design, should further explore the impact of the HCHF curriculum on improving certain FPPs and health behaviors that contribute to obesity.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Community-based childhood obesity prevention intervention for parents improves health behaviors and food parenting practices among Hispanic, low-income parents

et al. 2018

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“…Similar to other studies [44-46], a sub-sample ( n = 48, 20% of the total sample) was asked to complete the questionnaire a second time (two weeks later) to estimate the test-retest reliability of the instrument. A second sub-sample of parents ( n = 85, 35%), with some overlap with the first, provided additional consent to have their 3-5 year old child wear data collection monitors, including an accelerometer for a week.…”

Section: Methodsmentioning

confidence: 99%

Psychometrics of the preschooler physical activity parenting practices instrument among a Latino sample

O’Connor

Cerin

Hughes

et al. 2014

Int J Behav Nutr Phys Act

102

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BackgroundLatino preschoolers (3-5 year old children) have among the highest rates of obesity. Low levels of physical activity (PA) are a risk factor for obesity. Characterizing what Latino parents do to encourage or discourage their preschooler to be physically active can help inform interventions to increase their PA. The objective was therefore to develop and assess the psychometrics of a new instrument: the Preschooler Physical Activity Parenting Practices (PPAPP) among a Latino sample, to assess parenting practices used to encourage or discourage PA among preschool-aged children.MethodsCross-sectional study of 240 Latino parents who reported the frequency of using PA parenting practices. 95% of respondents were mothers; 42% had more than a high school education. Child mean age was 4.5 (±0.9) years (52% male). Test-retest reliability was assessed in 20%, 2 weeks later. We assessed the fit of a priori models using Confirmatory factor analyses (CFA). In a separate sub-sample (35%), preschool-aged children wore accelerometers to assess associations with their PA and PPAPP subscales.ResultsThe a-priori models showed poor fit to the data. A modified factor structure for encouraging PPAPP had one multiple-item scale: engagement (15 items), and two single-items (have outdoor toys; not enroll in sport-reverse coded). The final factor structure for discouraging PPAPP had 4 subscales: promote inactive transport (3 items), promote screen time (3 items), psychological control (4 items) and restricting for safety (4 items). Test-retest reliability (ICC) for the two scales ranged from 0.56-0.85. Cronbach’s alphas ranged from 0.5-0.9. Several sub-factors correlated in the expected direction with children’s objectively measured PA.ConclusionThe final models for encouraging and discouraging PPAPP had moderate to good fit, with moderate to excellent test-retest reliabilities. The PPAPP should be further evaluated to better assess its associations with children’s PA and offers a new tool for measuring PPAPP among Latino families with preschool-aged children.

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“…Scores were calculated by summing across the five PHCB items and the four LUCB items. The PHCB and LUCB items were selected following exploratory and confirmatory factor analyses (Speirs, Hayes, Musaad, VanBrackle, & Sigman-Grant, 2016) of a 16-item behavioral checklist (Dickin, Lent, Lu, Sequeira, & Dollahite, 2012). Higher values indicate more frequent use of healthy child behaviors and less frequent use of unhealthy child behaviors, respectively.…”

Section: Dependent Variablesmentioning

confidence: 99%

The impact of environmental, parental and child factors on health-related behaviors among low-income children

et al. 2017

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This was a cross sectional study of caregivers of preschool children (n = 432). Caregivers were interviewed using validated scales. Structural equation modeling was used to examine associations with the outcomes. Adjusting for study region, demographics and caregiver's body mass index, we found significant associations between PHCB and higher mealtime ritualizations (β: 0.21, 95% confidence interval [CI]: 0.11; 0.32, more parental modeling (β: 0.39, 95% CI: 0.27; 0.49) and less parental restrictive behavior (β: -0.19, 95% CI: -0.29; -0.10). More parental covert control (β: 0.44, 95% CI: 0.35; 0.54), more parental overt control (β: 0.14, 95% CI: 0.03; 0.25) and less parental permissive behavior (β: -0.25, 95% CI: -0.34; -0.09) were significantly associated with LUCB. Findings suggest the synergistic effects of mealtime ritualizations and covert control at the environmental-level and parental modeling, overt control, restrictive and permissive behavior at the parent-level on the outcomes. Most factors are modifiable and support multidisciplinary interventions that promote healthy child weight-related behaviors.

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Developing a Measure of Behavior Change in a Program to Help Low-Income Parents Prevent Unhealthful Weight Gain in Children

Cited by 22 publications

References 21 publications

Community-based childhood obesity prevention intervention for parents improves health behaviors and food parenting practices among Hispanic, low-income parents

Community-based childhood obesity prevention intervention for parents improves health behaviors and food parenting practices among Hispanic, low-income parents

Psychometrics of the preschooler physical activity parenting practices instrument among a Latino sample

The impact of environmental, parental and child factors on health-related behaviors among low-income children

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