HomeStyles, A Web-Based Childhood Obesity Prevention Program for Families With Preschool Children: Protocol for a Randomized Controlled Trial

Byrd‐Bredbenner, Carol; Martin‐Biggers, Jennifer; Koenings, Mallory; Quick, Virginia; Hongu, Nobuko; Worobey, John

doi:10.2196/resprot.7544

Cited by 15 publications

(29 citation statements)

References 117 publications

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“…A total of 17%, 58%, and 25% were low, middle, and high family affluence level [33,34], respectively. Annual median household income was based on U.S. Census Bureau zip code data for each participant’s home (mean $63,654.84 ± 24,787.07 SD).…”

Section: Resultsmentioning

confidence: 99%

A Socio-Ecological Examination of Weight-Related Characteristics of the Home Environment and Lifestyles of Households with Young Children

et al. 2017

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Home environment and family lifestyle practices have an influence on child obesity risk, thereby making it critical to systematically examine these factors. Thus, parents (n = 489) of preschool children completed a cross-sectional online survey which was the baseline data collection conducted, before randomization, in the HomeStyles program. The survey comprehensively assessed these factors using a socio-ecological approach, incorporating intrapersonal, interpersonal and environmental measures. Healthy intrapersonal dietary behaviors identified were parent and child intakes of recommended amounts of 100% juice and low intakes of sugar-sweetened beverages. Unhealthy behaviors included low milk intake and high parent fat intake. The home environment’s food supply was found to support healthy intakes of 100% juice and sugar-sweetened beverages, but provided too little milk and ample quantities of salty/fatty snacks. Physical activity levels, sedentary activity and the home’s physical activity and media environment were found to be less than ideal. Environmental supports for active play inside homes were moderate and somewhat better in the area immediately outside homes and in the neighborhood. Family interpersonal interaction measures revealed several positive behaviors, including frequent family meals. Parents had considerable self-efficacy in their ability to perform food- and physical activity-related childhood obesity protective practices. This study identified lifestyle practices and home environment characteristics that health educators could target to help parents promote optimal child development and lower their children’s risk for obesity.

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Section: Resultsmentioning

confidence: 99%

A Socio-Ecological Examination of Weight-Related Characteristics of the Home Environment and Lifestyles of Households with Young Children

et al. 2017

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“…HomeStyles was predicated on the socioecological model because individual and family health are determined by multiple levels of influence, including intrapersonal, interpersonal, and environmental factors [ 127 ]. Thus, the relationships between retention and factors at each of these levels were examined using the RCT baseline data [ 6 , 128 ] analyzed with SPSS version 24.0 software (IBM, Armonk, NY, USA).…”

Section: Resultsmentioning

confidence: 99%

“…Product, the second P, was a major component of this overall project, taking over 2 years to create the core products (i.e., instructional materials). The development of HomeStyles is described in detail elsewhere [ 2 – 6 ]; a brief summary follows to provide context for this paper. HomeStyles is an online program designed to enable and motivate parents of preschool children to make quick, easy, no-cost childhood obesity-preventive changes to their home environments and family lifestyles.…”

Section: Methodsmentioning

confidence: 99%

“…Considerable effort also was spent on creating study surveys that were psychometrically sound as well as accurately understood, enjoyable, and easy to complete by the target population [ 6 , 62 – 64 , 84 – 86 ]. Research shows that participant enjoyment of data collection procedures, especially the first round of data collection, contributes favorably to participating in future data collection [ 41 , 85 , 87 ].…”

Section: Methodsmentioning

confidence: 99%

“…To address this need, the HomeStyles program was developed to help parents shape home environments and lifestyle practices to be more supportive of optimal child health and weights [ 2 – 5 ]. A randomized controlled trial (RCT) of this online, theory-driven, evidence-based intervention was conducted between 2014 and 2016 [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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The marketing plan and outcome indicators for recruiting and retaining parents in the HomeStyles randomized controlled trial

Byrd‐Bredbenner

Delaney

Martin‐Biggers

et al. 2017

Trials

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BackgroundDespite the critical importance of successful recruitment and retention to study integrity, reporting of recruitment and retention strategies along with factors associated with successful recruitment and retention of participants in health-related interventions remain rare, especially for health and obesity prevention programs. Thus, the purpose of this article is to retrospectively examine the recruitment and retention marketing plan used in the online HomeStyles randomized controlled trial (RCT) and discuss outcomes associated with completion of the intervention.MethodsThe HomeStyles RCT is an online intervention developed to motivate parents of young children to gain the skills and self-confidence needed to shape home environments and lifestyles to be protective against childhood obesity. Using the seven Ps of services marketing (i.e., people, place, product, physical evidence, price, promotion, and process), a comprehensive and systematic plan for recruitment and retention was implemented and outcomes assessed.ResultsA total of 489 parents with a young child aged 2 to < 6 years were eligible to participate, a final capture rate of 33%. Only 23% of Hispanic participants chose to use the Spanish-language version of HomeStyles intervention materials, below the demand anticipated. However, Hispanic enrollment overall was substantially higher than the U.S. population proportion (i.e., 17%). The number of participants prematurely leaving the study was similar in both treatment groups, indicating attrition was not differential. Completers reported high satisfaction of HomeStyles, using a 1–5 scale (strongly disagree to strongly agree) on guide attractiveness, interestingness, and usefulness. Despite all the retention efforts, the average monthly recruitment accrual rate of ~ 33 eligible enrolled participants at baseline (i.e., 489 participants/15-month recruitment period), declined to ~ 18, 11, 9, and 8 remaining recruited participants/month at midpoint, post, follow-up, and long-term follow-up surveys, respectively. In general, survey completers were significantly more likely to be female and perceived their child’s health status to be better, and they were significantly less likely to be restrictive of their child’s food intake.ConclusionsThe findings of the present study highlight the need for far-reaching, concentrated, and varied recruitment strategies; sufficient time in the research plan for recruitment and retention activities; and creative, tireless, flexible, persistent project staff for health-related interventions.

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Interventions for preventing obesity in children

Brown

Moore

Hooper

et al. 2019

Cochrane Database of Systematic Reviews

1,231

659

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Background Obesity prevention is an international public health priority. The prevalence of obesity and overweight is increasing in child populations throughout the world, impacting on short and long-term health. Obesity prevention strategies for children can change behaviour but efficacy in terms of preventing obesity remains poorly understood. Objectives To assess the effectiveness of interventions designed to prevent obesity in childhood through diet, physical activity and/or lifestyle and social support. Search strategy MEDLINE, PsycINFO, EMBASE, CINAHL and CENTRAL were searched from 1990 to February 2005. Non-English language papers were included and experts contacted. Selection criteria Randomised controlled trials and controlled clinical trials with minimum duration twelve weeks. Data collection and analysis Two reviewers independently extracted data and assessed study quality. Main results Twenty-two studies were included; ten long-term (at least 12 months) and twelve short-term (12 weeks to 12 months). Nineteen were school/preschool-based interventions, one was a community-based intervention targeting low-income families, and two were familybased interventions targeting non-obese children of obese or overweight parents. Six of the ten long-term studies combined dietary education and physical activity interventions; five resulted in no difference in overweight status between groups and one resulted in improvements for girls receiving the intervention, but not boys. Two studies Interventions for preventing obesity in children (Review)

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HomeStyles, A Web-Based Childhood Obesity Prevention Program for Families With Preschool Children: Protocol for a Randomized Controlled Trial

Cited by 15 publications

References 117 publications

A Socio-Ecological Examination of Weight-Related Characteristics of the Home Environment and Lifestyles of Households with Young Children

A Socio-Ecological Examination of Weight-Related Characteristics of the Home Environment and Lifestyles of Households with Young Children

The marketing plan and outcome indicators for recruiting and retaining parents in the HomeStyles randomized controlled trial

Interventions for preventing obesity in children

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