Project SHINE: effects of a randomized family-based health promotion program on the physical activity of African American parents

Abstract

This study examined the effects of a family-based health promotion intervention on the moderate-to-vigorous physical activity (MVPA), light physical activity, sedentary behavior, and fruit and vegetable intake of African American parents. Eighty-nine African American parents (41.5 ± 8.5 years; 92% females; 74% obese; 64% < $40 K income) and adolescents (12.5 ± 1.4 years; 61% girls; 48% obese) were randomized to a 6-week behavioral skills plus positive parenting and peer monitoring intervention grounded in social cognitive, self-determination, and family systems theories or a general health comparison program. Parents wore accelerometers for 7 days and completed three 24-h dietary recalls at baseline and post-intervention. Multilevel regression models (controlling for baseline variables) demonstrated a significantly greater increase in parent MVPA for those in the intervention versus comparison condition (b = 9.44, SE = 4.26, p < 0.05). There were no other significant effects. Family-based approaches that include African American parents and youth may increase parent MVPA and hold promise for preventing chronic diseases.

Improving children’s fundamental movement skills through a family-based physical activity program: results from the “Active 1 + FUN” randomized controlled trial

“…Specifically, both children’s and parents’ MVPA increased from Times 1 to 2, but they remained the same between Times 1 to 3. However, the hypothesized Time*Group interaction was not found, unlike previous family-based studies [ 31 , 48 ] where intervention effects were found in parents’ MVPA. This difference may be attributed to the baseline activity levels of parents.…”

Results of a Family-Based Intervention Promoting Healthy Weight Strategies in Overweight Hispanic Adolescents and Parents: An RCT

“…Improvements in parent outcomes are consistent with other healthy lifestyle family-based interventions. 47 Further, this study findings suggest that "booster" sessions may be helpful in sustaining the effects of the intervention on longterm physical activity and dietary intake outcomes. Previous studies show that boosters sessions that offer follow-up support can possibly strengthen the habits formed during an intervention.…”

Family systems approaches in pediatric obesity management: a scoping review

“…Mean monthly income: $4072.54 USD USA Hospital (outpatient) 2.5 months Group Family In-person Nutritionists Therapists SHINE [ 70 , 71 ] AD Parent/guardian & adolescent African American families, 60% female adolescents. Yearly family income in USD: 33% < 24K, 44% 25K–54 (44%), > 55K USA Community 1.5 months Group [ 71 ] Group & Individual [ 70 ] Family In-person Trained graduate students (in Psychology or Public Health) Solution-focused family therapy [ 72 ] SA AD Parent/guardian & child/adolescent 40% female children and adolescents Sweden Hospital (outpatient) 15 months Individual Family In-person Dietician Sports Trainer Pediatric nurse Family Therapist Standard Behavioral Treatment + Enhanced Parenting [ 73 , 74 ] AD Parent/guardian & adolescent 76% female adolescents, 67.5% non-Hispanic whites. Parental education: 82% college or more USA Hospital (outpatient) 4 months Group Parent-only & AD-only & Family In-person Psychologists Nutritionists Clinical psychology graduate students Bachelor-level research staffs T.A.F.F.…”