Engagement, satisfaction, retention and behavioural outcomes of linguistically diverse mothers and infants participating in an Australian early obesity prevention trial

Marshall, Sarah; Xu, Huilan; Taki, Sarah; Laird, Yvonne; Love, Patrick; Wen, Li Ming; Rissel, Chris

doi:10.1002/hpja.521

Cited by 3 publications

(1 citation statement)

References 70 publications

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“…19 Importantly, the concept of health literacy also addresses the capacity of available healthcare services to meet the needs of the populations they serve. With global migration toward high-income countries expanding 20 and evidence to suggest poorer obesity-related outcomes among mothers who spoke a language other than English at home, [21][22][23][24] there is a need to ensure programs supporting healthy growth and development in early childhood that are accessible to families from CALD backgrounds.…”

Section: Introductionmentioning

confidence: 99%

Communication strategies and effectiveness of early childhood obesity‐related prevention programs for linguistically diverse communities: A rapid review

Ahern,

Marshall,

Wallbank

et al. 2023

Obesity Reviews

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SummaryChildren from culturally and linguistically diverse backgrounds experience higher rates of obesity and have poorer outcomes in obesity prevention studies. Interventions tailored to specific cultural groups may be limited within linguistically diverse, multicultural communities, and thus, alternative approaches to childhood obesity prevention in these communities are needed. This study aims to describe communication strategies used in interventions targeting prevention of obesity/obesity‐related behaviors, among children 0–5 years, from linguistically diverse communities, and assess their effectiveness. A rapid review was conducted by systematically searching Medline, Embase, and CINAHL. The inclusion criteria are as follows: Studies reported an intervention tailored to linguistically diverse communities targeting at least one obesity‐related behavior among children 0–5 years. The exclusion criteria are as follows: Interventions used simple language translations, targeted one language group, or treated obesity. A total of 4677 articles were identified with 14 studies meeting inclusion criteria. Key communication strategies included materials in multiple languages, English text written at a set readability level, and multimodal delivery. Six studies reported effectiveness data, of which five had effective primary or secondary outcomes. This is the first rapid review to identify communication strategies used in childhood obesity prevention interventions for linguistically diverse communities, highlighting a need for future research to incorporate and evaluate the communication strategies identified.

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Section: Introductionmentioning

confidence: 99%

Communication strategies and effectiveness of early childhood obesity‐related prevention programs for linguistically diverse communities: A rapid review

Ahern,

Marshall,

Wallbank

et al. 2023

Obesity Reviews

Self Cite

View full text Add to dashboard Cite

show abstract

Understanding the levels of digital inequality within the city: An analysis of a survey

Reddick,

Enriquez,

Harris

et al. 2024

Cities

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Feasibility of a culturally adapted early childhood obesity prevention program among migrant mothers in Australia: a mixed methods evaluation

et al. 2021

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Introduction Healthy Beginnings is an established nurse-led early childhood obesity prevention program that promotes healthy infant feeding practices and active play in the early years of life. To improve engagement with culturally and linguistically diverse populations, the Healthy Beginnings program delivered by telephone was culturally adapted and implemented with Arabic- and Chinese-speaking mothers in Sydney, Australia. The cultural adaptation process has been published separately. In this article, we aimed to evaluate the feasibility of the culturally adapted program. Methods In 2018–2019, the culturally adapted Healthy Beginnings program was implemented with Arabic- and Chinese-speaking women recruited from antenatal clinics in Sydney. At four staged timepoints (from third trimester until 6 months of age), mothers were sent culturally adapted health promotion booklets and text messages and offered four support calls from bi-cultural child and family health nurses in Arabic and Chinese. A mixed methods evaluation included a) baseline and 6-month telephone surveys, followed by b) semi-structured follow-up interviews with a subset of participating mothers and program delivery staff. Main outcomes of this feasibility study were reach (recruitment and retention), intervention dose delivered (number of nurse support calls completed) and acceptability (appropriateness based on cognitive and emotional responses). Results At recruitment, 176 mothers were eligible and consented to participate. Of 163 mothers who completed the baseline survey, 95% completed the program (n = 8 withdrew) and 83% completed the 6-month survey (n = 70 Arabic- and n = 65 Chinese-speaking mothers). Most mothers (n = 127, 78%) completed at least one nurse support call. The qualitative analysis of follow-up interviews with 42 mothers (22 Arabic- and 20 Chinese-speaking mothers) and 10 program delivery staff highlighted the perceived value of the program and the positive role of bi-cultural nurses and in-language resources. Mothers who completed more nurse support calls generally expressed greater acceptability. Conclusions The culturally adapted Healthy Beginnings program was feasible to deliver and acceptable to Arabic- and Chinese-speaking mothers. Our results highlight the importance of in-language resources and individualised bi-cultural nurse support by telephone for supporting culturally and linguistically diverse migrant families with infant feeding and active play. These findings support the potential for program refinements and progression to an effectiveness trial.

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Engagement, satisfaction, retention and behavioural outcomes of linguistically diverse mothers and infants participating in an Australian early obesity prevention trial

Cited by 3 publications

References 70 publications

Communication strategies and effectiveness of early childhood obesity‐related prevention programs for linguistically diverse communities: A rapid review

Communication strategies and effectiveness of early childhood obesity‐related prevention programs for linguistically diverse communities: A rapid review

Understanding the levels of digital inequality within the city: An analysis of a survey

Feasibility of a culturally adapted early childhood obesity prevention program among migrant mothers in Australia: a mixed methods evaluation

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