Technology Components as Adjuncts to Family-Based Pediatric Obesity Treatment in Low-Income Minority Youth

Tripicchio, Gina L.; Ammerman, Alice S.; Neshteruk, Cody D.; Faith, Myles S.; Dean, Kelsey; Befort, Christie A.; Ward, Dianne S.; Truesdale, Kimberly P.; Burger, Kyle S.; Davis, Ann M.

doi:10.1089/chi.2017.0021

Cited by 36 publications

(48 citation statements)

References 28 publications

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“…This is consistent with prior studies . Strategies to improve session attendance need to be considered, such as the use of technology and telemedicine . At the same time, our dietary intake findings should be interpreted cautiously, considering the limitations of reporting accuracy .…”

Section: Discussionmentioning

confidence: 99%

Reduced Eating Pace (RePace) Behavioral Intervention for Children Prone to or with Obesity: Does the Turtle Win the Race?

Faith

Diewald

Crabbe

et al. 2018

Obesity

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Objective: Rapid eating is a risk factor for childhood obesity but has not been a focus of intervention with young children. The short-term effects of a novel family-based treatment, "Reduced Eating Pace" (RePace), were tested on child eating speed and secondary outcomes. Methods: Twenty-eight rapid eating children were randomized to RePace (n = 14) or Delayed Usual Care Control (DUC) (n = 14). RePace taught families a slower eating pace using psychoeducational and behavioral techniques, including silent vibrating devices that prompted 30-second "turtle bites." Outcomes included child "slowness in eating" assessed by parent-report questionnaire and observed eating in the laboratory (i.e., mouthfuls/minute and kilocalories/minute). Child BMI and other eating variables were secondary outcomes. Results: Children in RePace compared with DUC showed increased "slowness in eating" (P < 0.001), increased food enjoyment (P = 0.04), and less BMI gain (P = 0.02) after 8 weeks. There was no treatment effect for observed eating speed, although typicality of the laboratory test meal was an effect modifier in exploratory analyses. Specifically, RePace versus DUC showed attenuated increases in mouthfuls per minute over time among youth for whom the laboratory food amount was more typical of amounts served at home. Conclusions: Slower eating may be a novel target for family-based obesity prevention targeting high-risk children.

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Section: Discussionmentioning

confidence: 99%

Reduced Eating Pace (RePace) Behavioral Intervention for Children Prone to or with Obesity: Does the Turtle Win the Race?

Faith

Diewald

Crabbe

et al. 2018

Obesity

Self Cite

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“…In this case, the only tool an app can offer is the cookbook, with two ways to access it: according to the ingredients in your refrigerator or to your preferences. Some apps evaluated in scientific reports [ 15 , 16 , 48 , 49 ] allow self-monitoring of food consumption and weight status, with automatic feedback on correct energy uptake. While providing feedback on daily or weekly diet is still under consideration in the CoSIE app within the gamification and rewarding function (although not considered a high priority by the consulting committee), any direct contact with a health care professional has been expressly ruled out.…”

Section: Discussionmentioning

confidence: 99%

“…In general, stakeholders proposed avoiding any prescriptive approach. The CoSIE app does not propose any diets, physical activity programs, or tutorials, unlike similar apps [ 15 ], because behavioral changes should come about thanks to a favorable environment and attitude.…”

Section: Discussionmentioning

confidence: 99%

“…The efficacy of any health promotion effort depends on its ability to reach and engage the target population. New information technology (IT) tools can help by tailoring the intervention and framing the message according to each family’s needs [ 15 , 16 ]. However, in health promotion and preventive care, the beneficiary’s needs and the health service’s aim often do not correspond.…”

Section: Introductionmentioning

confidence: 99%

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Describing the Process and Tools Adopted to Cocreate a Smartphone App for Obesity Prevention in Childhood: Mixed Method Study

Rossi

Ferrari

Amarri

et al. 2020

JMIR Mhealth Uhealth

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Background Childhood obesity prevention is a public health priority in industrialized countries. The Reggio Emilia Local Health Authority has implemented a program involving primary and secondary prevention as well as the care of obese children. There are many health-promoting mobile apps, but few are targeted to children and very few are sponsored by public health agencies. Objective The goal of the research was to describe the process and tools adopted to cocreate a mobile app sponsored by the Reggio Emilia Local Health Authority to be installed in parents’ phones aimed at promoting child health and preventing obesity. Methods After stakeholder mapping, a consulting committee including relevant actors, stakeholders, and users was formed. Key persons for childhood obesity prevention were interviewed, focus groups with parents and pediatricians were conducted, and community reporting storytelling was collected. The results of these activities were presented to the consulting committee in order to define the functionalities and contents of the mobile app. Results Three key trends emerged from community reporting: being active, playing, and being outdoors; time for oneself, family, and friends; and the pressures of life and work and not having time to be active and socialize. In focus groups, interviews, and labs, mothers showed a positive attitude toward using an app to manage their children's weight, while pediatricians expressed concerns that the app could increase their workload. When these findings were explored by the consulting committee, four key themes were extracted: strong relationships with peers, family members, and the community; access to safe outdoor spaces; children’s need for age-appropriate independence; and professional support should be nonjudgmental and stigma-free. It should be a dialogue that promotes family autonomy. The app functions related to these needs include the following: (1) newsletter with anticipatory guidance, recipes, and vaccination and well-child visit reminders; (2) regional map indicating where physical activity can be done; (3) information on how to manage emergencies (eg, falls, burns, fever); (4) module for reinforcing the counseling intervention conducted by pediatricians for overweight children; and (5) a function to build a balanced daily diet. Conclusions The pilot study we conducted showed that cocreation in health promotion is feasible, with the consulting committee being the key co-governance and cocreation tool. The involvement of stakeholders in this committee made it possible to expand the number of persons and institutions actively contributing to the project.

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“… Examination of the use of fitness applications to encourage people with a specific need due to their socio-demographic profile to follow the minimum physical activity requirements established by the WHO. This includes the specific physical exercise needs that can be implemented through apps for the elderly (Mas, Palou & Conti, 2016), children ( Tripicchio et al 2017 ), or people with disabilities ( Pérez-Cruzado & Cuesta-Vargas, 2013 ). Study of factors affecting user motivation to continue using Fitness Apps.…”

Section: Main Topics Analyzed and Lines Of Researchmentioning

confidence: 99%

Status of the research in fitness apps: A bibliometric analysis

Liu

Avello

2021

Telematics and Informatics

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Technology Components as Adjuncts to Family-Based Pediatric Obesity Treatment in Low-Income Minority Youth

Abstract: Technology adjuncts are feasible, used by hard-to-reach participants, and show promise for improving child weight status in obesity treatment programs.

Cited by 36 publications

References 28 publications

Reduced Eating Pace (RePace) Behavioral Intervention for Children Prone to or with Obesity: Does the Turtle Win the Race?

Reduced Eating Pace (RePace) Behavioral Intervention for Children Prone to or with Obesity: Does the Turtle Win the Race?

Describing the Process and Tools Adopted to Cocreate a Smartphone App for Obesity Prevention in Childhood: Mixed Method Study

Status of the research in fitness apps: A bibliometric analysis

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