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Bryan MA, Evans YN, Gower A, Moreno MA. Does Exposure to Pediatrician or Parent Blog Content Influence Infant Safe Sleep Practices? Matern Child Health J 2023; 27:251-261. [PMID: 36604380 DOI: 10.1007/s10995-022-03579-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/20/2022] [Indexed: 01/07/2023]
Abstract
OBJECTIVE To examine whether exposure to safe sleep recommendations using a blog format changed infant sleep practices. METHODS We conducted a pilot randomized controlled trial via Qualtrics, a web-based platform, with a national sample of parents of children < 1 year old. Survey questions about infant sleep practices included: bed-sharing, location, position and objects present. Safe sleep was defined as not bed-sharing, in a crib, bassinet or playard, back positioning, and no other objects present except pacifiers. Participants were randomized to read one of the following: (1) pediatrician blog post, (2) parent blog post, or (3) no blog post. The blog posts contained the same content about infant sleep but varied by identified authorship. All participants received links to online content about safe sleep. Participants received a follow-up survey 2-4 weeks later with the same questions about infant sleep practices. We compared responses in pre- and post-surveys by type of blog post exposure using multivariable logistic regression models. RESULTS The average infant age (n = 1500) was 6.6 months (Standard Deviation 3.3). Most participants (74%) were female; 77% were married; 65% identified as white Non-Hispanic, 12% were black and 17% were Hispanic. 47% (n = 711) completed both surveys. We identified no differences in the odds of any of the four safe sleep practices after exposure to safe sleep recommendations in blog post format. CONCLUSION Although in-person advice has been associated with improved safe sleep practices, we did not identify changes in infant sleep practices after exposure to safe sleep advice using blog posts.
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Affiliation(s)
- Mersine A Bryan
- Department of Pediatrics, University of Washington, M/S CURE-4, PO Box 5371, Seattle, WA, 98145, USA.
- Seattle Children's Research Institute, Seattle, WA, USA.
| | - Yolanda N Evans
- Department of Pediatrics, University of Washington, M/S CURE-4, PO Box 5371, Seattle, WA, 98145, USA
- Seattle Children's Research Institute, Seattle, WA, USA
| | - Aubrey Gower
- Department of Pediatrics, University of Washington, M/S CURE-4, PO Box 5371, Seattle, WA, 98145, USA
| | - Megan A Moreno
- Department of Pediatrics, University of Wisconsin-Madison, Madison, WI, USA
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Understanding the interaction between human activities and physical health under extreme heat environment in Phoenix, Arizona. Health Place 2023; 79:102691. [PMID: 34656430 DOI: 10.1016/j.healthplace.2021.102691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Revised: 10/01/2021] [Accepted: 10/04/2021] [Indexed: 11/22/2022]
Abstract
Long-term community resilience, which privileges a long view look at chronic issues influencing communities, has begun to draw more attention from city planners, researchers and policymakers. In Phoenix, resilience to heat is both a necessity and a way of life. In this paper, we attempt to understand how residents living in Phoenix experience and behave in an extreme heat environment. To achieve this goal, we introduced a smartphone application (ActivityLog) to study spatio-temporal dynamics of human interaction with urban environments. Compared with traditional paper activity log results we have in this study, the smartphone-based activity log has higher data quality in terms of total number of logs, response rates, accuracy, and connection with GPS and temperature sensors. The research results show that low-income residents in Phoenix mostly stay home during the summer but experience a relatively high indoor temperature due to the lack/low efficiency of air-conditioning (AC) equipment or lack of funds to run AC frequently. Middle-class residents have a better living experience in Phoenix with better mobility with automobiles and good quality of AC. The research results help us better understand user behaviors for daily log activities and how human activities interact with the urban thermal environment, informing further planning policy development. The ActivityLog smartphone application is also presented as an open-source prototype to design a similar urban climate citizen science program in the future.
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Delemere E, Maguire R. Caregivers of children feel confident about using the internet for health information. Health Info Libr J 2022; 40:54-69. [PMID: 35396806 DOI: 10.1111/hir.12430] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Revised: 10/17/2021] [Accepted: 03/18/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND Caregivers of children may rely on internet sources, health care providers, peers or family for health information. OBJECTIVE To examine the impact of sociodemographic factors on the use of the internet for health information by caregivers of children, and the impact on self-efficacy, effort and frustration. METHODS Using data from the 2019 Health Information National Trends Survey, the effects of information source on self-efficacy, effort and frustration was examined using the complex samples module of SPSS. RESULTS The internet was the most common source of health information for caregivers of children (n = 247), with high confidence, low frustration and effort reported. Younger, higher educated and higher income caregivers were significantly more likely to use the internet for health information. Information from Health Care Providers (HCPs) was associated with greater confidence, and information from peers associated with lesser effort and frustration. No significant effects on self-efficacy, effort or frustration for online health information was noted compared to other sources. CONCLUSIONS Efforts to reduce barriers to online health information may be required for some groups of caregivers, and health care providers may have a role to play in this.
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Affiliation(s)
- Emma Delemere
- Department of Psychology, Maynooth University, Maynooth, Ireland
| | - Rebecca Maguire
- Department of Psychology, Maynooth University, Maynooth, Ireland
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4
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Lawton K, Hess L, McCarthy H, Marini M, McNitt K, Savage JS. Feasibility of Using Facebook to Engage SNAP-Ed Eligible Parents and Provide Education on Eating Well on a Budget. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031457. [PMID: 35162478 PMCID: PMC8835558 DOI: 10.3390/ijerph19031457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 01/21/2022] [Accepted: 01/22/2022] [Indexed: 02/05/2023]
Abstract
This study examined the use of Facebook to provide education on food resource management and healthy eating on a budget to parents of preschool aged children participating in Head Start. A convenience sample of 25 parents participated in a Facebook group based on Sesame Street's Food for Thought: Eating Well on a Budget curriculum over a 3-week period. Parent engagement was assessed by examining views, likes, and comments on posts. Qualitative data were used to assess knowledge, attitudes, and barriers experienced related to healthy eating on a budget. The results suggest that parents were engaged throughout the intervention, as evidenced by views, likes, and comments on Facebook posts, as well as by study retention (90%). Interactions with the intervention materials varied by post content, with discussion questions having the highest level of interaction. Facebook was found to be a feasible platform for delivering the intervention, and the Facebook-adapted version of the Sesame Street curriculum was shown to engage Head Start parents living in rural areas. Further research should explore the use of social media platforms for delivering nutrition education interventions to rural populations that are otherwise difficult to reach.
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King G, Bui T, Dedeaux J, Ahlers-Schmidt CR, Harris K. Trends in Internet Safety Education by Healthcare Providers. Kans J Med 2021; 14:273-276. [PMID: 34868468 PMCID: PMC8641439 DOI: 10.17161/kjm.vol14.14805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 07/15/2021] [Indexed: 11/17/2022] Open
Abstract
Introduction The purpose of this study was to explore healthcare provider training, comfort, and provision of internet safety counseling. Prior research has demonstrated increased parental concern regarding the pervasive access to the internet by children, including the potential impacts of risky internet behavior and adverse media exposure. Methods A self-reported survey was provided to a convenience sample of 31 healthcare providers during a mental health training seminar. Responses were analyzed using descriptive statistics. Results Internet safety counseling, especially regarding risky online behavior, was not a focal point of provider-patient interaction in the sample population. This finding was reinforced with more than half of the respondents indicating that they infrequently or never provide internet safety counseling (n = 17, 56%). While research has placed an emphasis on the importance of discussing the risks of exposure to violence, drugs, and sexually explicit media online, this study found that the topics most often discussed were setting time limits (77%), limiting access to media devices (67%), and supervising internet use (50%). This may be due in part to the fact that most respondents (n = 17, 57%) reported never receiving training on internet safety counseling. Conclusions Overall, significant deficits were identified in internet safety counseling training for professionals and provision of education for families. These finding were inconsistent with the American Academy of Pediatrics recommendations around media use counseling and a point of urgent concern given the increasing time spent on media devices, particularly during the COVID pandemic.
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Affiliation(s)
- Gary King
- Department of Pediatrics, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Thuy Bui
- Department of Pediatrics, University of Kansas School of Medicine-Wichita, Wichita, KS
| | - Julian Dedeaux
- Department of Pediatrics, University of Kansas School of Medicine-Wichita, Wichita, KS
| | | | - Kari Harris
- Department of Pediatrics, University of Kansas School of Medicine-Wichita, Wichita, KS
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6
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Hayes B, James A, Barn R, Watling D. "The world we live in now": A qualitative investigation into parents', teachers', and children's perceptions of social networking site use. BRITISH JOURNAL OF EDUCATIONAL PSYCHOLOGY 2021; 92:340-363. [PMID: 34382206 PMCID: PMC9291123 DOI: 10.1111/bjep.12452] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 06/16/2021] [Indexed: 12/02/2022]
Abstract
Background Younger children are increasingly using social networking sites (SNS; Ofcom, Children and Parents: Media Use and Attitudes Report, 2019, https://www.ofcom.org.uk/__data/assets/pdf_file/0020/108182/children‐parents‐media‐use‐attitudes‐2017.pdf). In doing so, they may experience both benefits (e.g., enhanced social capital) and risks (e.g., cyberbullying). Parents and teachers play an important role in shaping children’s perceptions via internet mediation behaviours (Livingstone et al., 2017, J. Commun., 67, 82). Aims An understanding of both children’s and adults’ perceptions of the risks and benefits of SNS use within the home and school contexts is limited within current literature. This study explored parents’, teachers’, and children’s perceptions of the risks and benefits of SNS use and how adults mediate this. Sample(s) A sample of 42 participants, including 13 parents (aged 28–48), 14 teachers (aged 26–54), and 15 children (aged 7–12), participated within this study. Methods Participants took part in one‐to‐one semi‐structured interviews exploring SNS use and risk and benefit perceptions, as well as internet mediation behaviours with adult participants. Results Findings highlight bonding social capital as the main benefit. Children recognize stranger danger as a risk but fail to perceive the wider online risks (e.g., cyberbullying). Parents’ and teachers’ restrictive mediation behaviours are informed by perceptions of stranger danger, safeguarding, and children lacking online responsibility. Conclusions Findings highlight the importance of shifting guidance from stranger danger to discussing the wider SNS risks, as well as the benefits; it is crucial for greater financial investment and policy to overcome barriers to e‐safety education.
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Ezran M, Trude ACB, Hepworth AD, Black MM. Parent Website Engagement and Health Equity Implications in a Child Care-Based Wellness Intervention. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2021; 53:654-662. [PMID: 33947627 PMCID: PMC8355035 DOI: 10.1016/j.jneb.2021.03.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 02/28/2021] [Accepted: 03/07/2021] [Indexed: 06/12/2023]
Abstract
OBJECTIVE To evaluate demographic differences in parent website engagement in a child care-based wellness intervention. DESIGN Parent-reported demographic characteristics and observed website engagement were averaged by child care centers participating in the web-based intervention arm of a cluster randomized controlled trial of wellness interventions. SETTING AND PARTICIPANTS Parents of preschoolers in 17 Maryland child care centers. MAIN OUTCOME MEASURES Website engagement: (1) webpage views, (2) average time on webpage, and (3) intervention activity completion. INTERVENTION Parents received access to a website containing content on wellness-promoting topics (eg, parenting, nutrition, physical activity) and their child care center's activities. ANALYSIS Cross-sectional differences in website engagement by demographic characteristics were assessed using ANOVA. RESULTS Centers with a high proportion of parents who identified as other than non-Hispanic White and had less than a bachelor's degree had significantly fewer webpage views, and completed significantly fewer intervention activities compared with centers with parents who were predominantly non-Hispanic White and had more than a bachelor's degree. CONCLUSIONS AND IMPLICATIONS Demographic differences in parents' child care center website engagement represent disparities that could contribute to health inequities in parents' access to wellness-promoting material. Future efforts could identify factors that eliminate demographic disparities in parent engagement in web-based interventions.
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Affiliation(s)
- Marie Ezran
- Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD
| | - Angela C B Trude
- Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD
| | - Allison D Hepworth
- Department of Nutritional Sciences, Oklahoma State University, Stillwater, OK
| | - Maureen M Black
- Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD; RTI International, Research Triangle Park, NC.
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Laxton D, Cooper L, Younie S. Translational research in action: The use of technology to disseminate information to parents during the COVID-19 pandemic. BRITISH JOURNAL OF EDUCATIONAL TECHNOLOGY : JOURNAL OF THE COUNCIL FOR EDUCATIONAL TECHNOLOGY 2021; 52:1538-1553. [PMID: 34219753 PMCID: PMC8236911 DOI: 10.1111/bjet.13100] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Revised: 02/10/2021] [Accepted: 03/18/2021] [Indexed: 06/01/2023]
Abstract
This paper addresses the research problem of how to reach, engage and support parents in home-educating young children during the first national COVID-19 lockdown in England (March-June 2020), which was addressed through using technology. An internet-mediated research (IMR) approach is used to investigate the effectiveness of using technology and translational research as strategies for disseminating a rapidly produced digital guide, for promoting play-based learning at home, to parents. Lockdown with the closure of early years provision led to parents finding themselves isolated at home with young children. Early years educators were managing a unique set of circumstances where communication with families, including those 'harder-to-reach' was contextually problematic. Qualitative data using IMR captured online interactions by unobtrusive and obtrusive methods; unsolicited emails and social media comments and questionnaire responses. Conventional content analysis identified emerging themes of access, availability, reliability and readability. Analysis showed a combination of factors impacted on the speed and scale of sharing and downloading the digital guide. First, being digitally ready as platforms were already used by early years educators and Local Authorities. Second, the professional drive of Local Authorities and early years educators to support families during the crisis and third, the availability of an easily accessible online resource seen as valuable in improving play-based learning at home.
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Affiliation(s)
- Debra Laxton
- Institute of Education, Health & Social SciencesUniversity of ChichesterChichesterUK
| | - Linda Cooper
- Institute of Education, Health & Social SciencesUniversity of ChichesterChichesterUK
| | - Sarah Younie
- Education InnovationDe Montfort UniversityLeicesterUK
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Vanderlee L, Czoli CD, Pauzé E, Potvin Kent M, White CM, Hammond D. A comparison of self-reported exposure to fast food and sugary drinks marketing among parents of children across five countries. Prev Med 2021; 147:106521. [PMID: 33744330 DOI: 10.1016/j.ypmed.2021.106521] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 01/28/2021] [Accepted: 03/06/2021] [Indexed: 11/29/2022]
Abstract
Exposure to unhealthy food and beverage marketing is an important environmental determinant of dietary intake. The current study examined self-reported exposure to marketing of unhealthy foods and beverages across various media channels and settings among parents of children younger than 18 years in five high and upper-middle income countries. Data from 4827 parents living with their children were analyzed from the International Food Policy Study (2017), a web-based survey of adults aged 18-64 years from Canada, the United States (US), the United Kingdom (UK), Australia, and Mexico. Respondents reported their exposure to marketing of fast food and of sugary drinks across media channels/settings overall and how often they see fast food and sugary drink marketing while viewing media with their children. Regression models examined differences across countries and correlates of marketing exposure. Parents in Mexico and the US reported greater exposure to marketing for fast food and sugary drinks compared to parents in Australia, Canada, and the UK. Patterns of exposure among parents were generally consistent across countries, with TV, digital media, and radio being the most commonly reported media channels for both fast food and sugary drinks. Exposure to marketing of fast food and sugary drinks was associated with a variety of sociodemographic factors, most strongly with ethnicity and education, and sociodemographic trends differed somewhat between countries. The findings demonstrate differences in self-reported parental exposure to marketing of fast food and sugary drinks between countries, and may help to evaluate the impact of marketing restrictions implemented over time.
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Affiliation(s)
- Lana Vanderlee
- École de Nutrition, Centre de nutrition, santé et société (NUTRISS), Université Laval, 2425 rue de L'Agriculture, Québec, Québec G1V 0A6, Canada.
| | - Christine D Czoli
- School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand, Ottawa, Ontario K1G 5Z3, Canada; Heart and Stroke Foundation of Canada, Ottawa, 110-1525 Carling Avenue, Ottawa, Ontario, K1Z 8R9, Canada
| | - Elise Pauzé
- School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand, Ottawa, Ontario K1G 5Z3, Canada.
| | - Monique Potvin Kent
- School of Epidemiology and Public Health, University of Ottawa, 600 Peter Morand, Ottawa, Ontario K1G 5Z3, Canada.
| | - Christine M White
- School of Public Health and Health Systems, University of Waterloo, 200 University Ave W, Waterloo, Ontario N2L 3G1, Canada.
| | - David Hammond
- School of Public Health and Health Systems, University of Waterloo, 200 University Ave W, Waterloo, Ontario N2L 3G1, Canada.
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Bertrand A, Hawkins M, Cotter EW, Banzon D, Snelling A. Interest in Receiving Nutrition Information Through Social Media Among Food-Security Program Participants in Washington, DC. Prev Chronic Dis 2021; 18:E50. [PMID: 34014816 PMCID: PMC8139455 DOI: 10.5888/pcd18.200596] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Introduction Effective communication approaches are necessary to reach food-security program participants. Accessing food-security programs has been especially challenging during the COVID-19 pandemic. Social media can play an important role in reducing some communication barriers. We examined interest in receiving nutrition information via social media among adults participating in food-security programs in Washington, DC. Methods We developed and administered a 22-item survey to adults participating in food-security programs (N = 375). Participants were recruited at Martha’s Table, in Washington, DC, from January through March 2020. We performed bivariate analyses and multinomial logistic regressions to examine predictors of interest in receiving nutrition information via social media. Results Sixty-nine percent of participants reported using social media, and 49% expressed interest in receiving nutrition information via social media. Higher levels of self-efficacy and belief in the value of digital technology were associated with greater likelihood of interest in receiving nutrition information via social media (χ26 = 139.0; Nagelkerke R2 = 0.35; P < .001). We found no differences by sex or digital technology access in interest in receiving nutrition information via social media. Conclusion Social media is a widely used and a feasible method to reach food-security program participants. Understanding program participants’ interest in receiving health information via social media may help food-security programs plan effective communication strategies to improve food security, especially when in-person participation is limited, such as during the COVID-19 pandemic.
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Affiliation(s)
- Adrian Bertrand
- American University, College of Arts and Science, Department of Health Studies, Washington, DC.,5701 Achille Ln, Derwood, MD 20855.
| | - Melissa Hawkins
- American University, College of Arts and Science, Department of Health Studies, Washington, DC
| | - Elizabeth W Cotter
- American University, College of Arts and Science, Department of Health Studies, Washington, DC
| | | | - Anastasia Snelling
- American University, College of Arts and Science, Department of Health Studies, Washington, DC
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Stotz SA, Lee JS, Thompson JJ. "It was an unexpected bond": How an emerging participant-driven online social network may be enhancing an eLearning nutrition education & supplemental produce intervention. Digit Health 2021; 7:20552076211014978. [PMID: 34017608 PMCID: PMC8114744 DOI: 10.1177/20552076211014978] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Accepted: 04/12/2021] [Indexed: 01/03/2023] Open
Abstract
Objective The purpose of this paper is to describe a participant-driven, online text message-based social support network that emerged from an eLearning nutrition education and supplemental produce intervention. Methods Adults (n = 20) who utilized a safety-net clinic for their healthcare participated in a 12-week smartphone-based nutrition education eLearning program using loaned smartphones. Participants also received a box of fresh produce weekly. Participants received weekly text message reminders to collect their produce, and from this researcher-initiated reminder text, a supportive, participant-led, all-group text message thread commenced. Researchers collected all 471 text messages in this all-group thread and included them in the qualitative content analysis of pre and post intervention focus groups. Results The original design of the eLearning nutrition education program was to asynchronously engage learners with nutrition education resources. However, participants themselves initiated a robust group text message support system through which they shared encouragement, recipes, grocery shopping tips, and images of food they prepared with the produce box amongst themselves for the duration of the 12-week intervention. Conclusion The novel nature by which these participants voluntarily engaged in this peer-to-peer nutrition education-focused text message conversation exemplifies participants becoming agents in their own learning experience and will be used to enhance future eLearning nutrition education experiences developed by our team.
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Affiliation(s)
- Sarah A Stotz
- Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, USA
| | - Jung Sun Lee
- Department of Foods and Nutrition, University of Georgia, Athens, USA
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Burgess ER, Walter N, Ball-Rokeach SJ, Murphy ST. Communication Hotspots: How Infrastructure Shapes People's Health. HEALTH COMMUNICATION 2021; 36:361-371. [PMID: 31760807 DOI: 10.1080/10410236.2019.1692490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Informed by communication infrastructure theory (CIT) and the social capital approach to health, this study focused on the role played by communication hotspots: physical places in a community (e.g., parks, churches, or restaurants) where health information is shared between network actors. By analyzing survey data that included information about communication infrastructure, frequency of health conversations, as well as the size and diversity of respondents' social networks, this study illustrates how communication hotspots may reduce perceived barriers to healthcare among Latinas in the greater Los Angeles area (N = 780). The results suggest that communication hotspots can influence people's health by facilitating information-sharing activities. In addition, communication hotspots may reduce perceived barriers to healthcare by bringing together diverse network actors. We conclude by considering future health interventions and policy planning to leverage and enhance community members' interactions at communication hotspots.
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Affiliation(s)
| | | | - Sandra J Ball-Rokeach
- Annenberg School for Communication and Journalism, University of Southern California
| | - Sheila T Murphy
- Annenberg School for Communication and Journalism, University of Southern California
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13
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Cheney AM, Nieri T, Ramirez Zarate A, Garcia G, Vaca L, Valencia E, Versteeg C, Molina A, Castillo M, Tovar A. Grow well/Crecer bien: a protocol for research on infant feeding practices in low-income families. BMC Public Health 2020; 20:1431. [PMID: 32958017 PMCID: PMC7503435 DOI: 10.1186/s12889-020-09471-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Accepted: 08/30/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The prevalence of obesity among children remains high. Given obesity's significant lifelong consequences, there is great interest in preventing obesity early in life. There is a need to better understand the relation of common infant feeding styles and practices to obesity in infants using longitudinal study designs. There is also an urgent need to understand the role of caregivers other than mothers in feeding. A better understanding of variation in feeding styles and practices can inform the identification of risk groups and the tailoring of interventions to them. METHODS In partnership with Early Head Start programs across four counties in southern California, mothers and infants will be enrolled in a two-year longitudinal study collecting survey and anthropometric data. A subsample of mothers and their selected other caregivers will participate in qualitative research involving feeding diaries and dyadic interviews. The results will be used to develop and test an enhanced nutrition education program. DISCUSSION We outline a study methodology to examine feeding styles and practices and their association with early childhood obesity risk and enhance an existing intervention to promote healthy infant feeding and growth among children in low-income families.
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Affiliation(s)
- Ann M Cheney
- Department of Social Medicine Population and Public Health, 900 University Ave, Riverside, 92501, USA.
| | - Tanya Nieri
- Department of Sociology, University of California Riverside, Riverside, USA
| | - Ana Ramirez Zarate
- School of Public Policy, University of California Riverside, Riverside, USA
| | - Gretel Garcia
- Graduate School of Education, University of California Riverside, Riverside, USA
| | - Lucero Vaca
- Department of Social Medicine Population and Public Health, 900 University Ave, Riverside, 92501, USA
| | | | | | - Arlene Molina
- San Bernardino County Preschool Services Department, San Bernardino, USA
| | | | - Alison Tovar
- Department of Nutrition and Food Sciences, University of Rhode Island, Kingston, USA
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Chen YC, Huang YL, Chien YW, Chen MC. The Effect of an Online Sugar Fact Intervention: Change of Mothers with Young Children. Nutrients 2020; 12:E1859. [PMID: 32580451 PMCID: PMC7353269 DOI: 10.3390/nu12061859] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 06/18/2020] [Accepted: 06/19/2020] [Indexed: 02/06/2023] Open
Abstract
Research indicates that high sugar intake in early childhood may increase risks of tooth decay, obesity and chronic disease later in life. In this sugar fact study, we explored whether an online intervention which focused on comprehensive and useful information about nutrition labels impacted mother's choice of low sugar food. The intervention was developed on the basis of the theory of planned behavior. In total, 122 mothers were recruited. Mothers were divided into an online-only group and a plus group. Knowledge of sugar and nutrition labels, behavioral attitudes, perceived behavioral control, behavioral intentions and behavior towards purchasing low-sugar products with nutrition labels were collected. After the intervention, both groups exhibited significantly enhanced sugar and nutrition label knowledge, perceived behavioral control, behavioral intentions and behavior. Compared to the online-only group, knowledge, perceived behavioral control and behavior of the plus group significantly improved. After the intervention, about 40% of the plus group and 80% of the online-only group still did not know the World Health Organization (WHO) sugar recommendations. Understanding sugar recommendations and using nutrition labels are crucial to help people control calorie and sugar intake. Further research with a larger sample is warranted to evaluate the effects of the intervention on long-term changes in shopping behavior. More efficient and convenient nutrition education is required to increase public awareness of sugar recommendations and help people control calorie and sugar intake.
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Affiliation(s)
- Yi-Chun Chen
- School of Nutrition and Health Sciences, Taipei Medical University, Xinyi District, Taipei City 110, Taiwan; (Y.-W.C.); (M.C.C.)
- Research Center of Health Equity, College of Public Health, Taipei Medical University, Xinyi District, Taipei City 110, Taiwan;
| | - Ya-Li Huang
- Research Center of Health Equity, College of Public Health, Taipei Medical University, Xinyi District, Taipei City 110, Taiwan;
- Department of Public Health, School of Medicine, College of Medicine, Taipei Medical University, Xinyi District, Taipei City 110, Taiwan
- School of Public Health, College of Public Health, Taipei Medical University, Xinyi District, Taipei City 110, Taiwan
| | - Yi-Wen Chien
- School of Nutrition and Health Sciences, Taipei Medical University, Xinyi District, Taipei City 110, Taiwan; (Y.-W.C.); (M.C.C.)
- Graduate Institute of Metabolism and Obesity Sciences, College of Nutrition, Taipei Medical University, Xinyi District, Taipei City 110, Taiwan
| | - Mei Chun Chen
- School of Nutrition and Health Sciences, Taipei Medical University, Xinyi District, Taipei City 110, Taiwan; (Y.-W.C.); (M.C.C.)
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15
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Abstract
Introduction: Sudden unexpected infant death is the leading cause of infant mortality with black: white infant mortality remaining at 2:1 for the last decade. Smartphone technology provides a convenient and accessible tool for injury prevention anticipatory guidance among at-risk communities. Materials and Methods: A convenience sample of pregnant teen mothers who own a smartphone. During a 1-month postnatal home visit, a safe sleep environment survey was administered, infant sleep practices were observed, and mothers trained to take and submit standard infants’ sleep environment photographs. Photographs were independently assessed for inter-rater reliability (IRR) across five sleep safety domains (primary outcome): sleep location, surface, position, presence of soft items, and hazards near the sleep area. Expert and novice coders IRR was measured using Cohen’s kappa coefficient (K). Sleep safety correlation between photographs and observation, and parent report and observation was determined. Results: Sixteen (57.1%) mothers completed the home visit. Most parents reported infants sleeping supine (78.5) in parents’ bedroom (85.9%). Photographs demonstrated sleep position, soft items without the baby present, and hanging toys had perfect agreement across all three coder pairs. Safe sleep experts’ IRR demonstrated perfect agreement for sleep location, position, and soft items. While 83.8% of parents were observed putting their infants down to sleep on their back, 78.5% of parents reported doing the same and 82.4% of the photographs demonstrated supine infant sleep position. Conclusion: Using photographs, coders can reliably categorize some key infant sleep safety aspects, and photograph sleep safety is comparable to parent report and direct observation.
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16
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Robinson A, Davis M, Hall J, Lauckner C, Anderson AK. It Takes an E-Village: Supporting African American Mothers in Sustaining Breastfeeding Through Facebook Communities. J Hum Lact 2019; 35:569-582. [PMID: 30889373 DOI: 10.1177/0890334419831652] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
BACKGROUND Lack of breastfeeding support is a common barrier reported by African American mothers, whose breastfeeding rates remain significantly below the national average. Despite mothers' reported use of social network sites to access support on topics relating to child rearing, few studies have examined their use to exchange breastfeeding support. RESEARCH AIMS To describe (1) the experiences of African American mothers who participate in breastfeeding support groups on Facebook and (2) the breastfeeding beliefs, practices, and outcomes for this population of mothers. METHODS This was a prospective, cross-sectional qualitative study with an online focus group design. The study was guided by Black Feminist Thought and an integrated model of behavior prediction. Four online focus groups (N = 22) were conducted using video conferencing during September 2017 with African American mothers who were participating in breastfeeding support groups on Facebook. RESULTS Thematic analysis was used to develop four themes and two subthemes, including creating a community for Black mothers, online interactions and levels of engagement, advantages of participating in online support groups, critiques of online support groups, empowerment of self and others, and shifts in breastfeeding perceptions and decisions. Among participants in this study, positive imagery of African American breastfeeding mothers and ongoing support from women with shared experiences improved confidence with public breastfeeding and prolonged goals for breastfeeding duration. CONCLUSION Receiving peer support within Facebook communities may positively influence breastfeeding norms and confidence in breastfeeding, help mothers to overcome breastfeeding challenges, and ultimately extend intended breastfeeding duration.
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Affiliation(s)
- Ayanna Robinson
- 1 Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA
| | - Marsha Davis
- 1 Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA
| | - Jori Hall
- 2 Department of Lifelong Education, Administration & Policy, University of Georgia, Athens, GA, USA
| | - Carolyn Lauckner
- 1 Department of Health Promotion and Behavior, University of Georgia, Athens, GA, USA
| | - Alex Kojo Anderson
- 3 Department of Foods and Nutrition, University of Georgia, Athens, GA, USA
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17
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An Integrative Review: Understanding Parental Use of Social Media to Influence Infant and Child Health. Matern Child Health J 2019; 23:1360-1370. [DOI: 10.1007/s10995-019-02781-w] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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18
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Swindle T, Curran GM, Johnson SL. Implementation Science and Nutrition Education and Behavior: Opportunities for Integration. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2019; 51:763-774.e1. [PMID: 30982567 PMCID: PMC6904925 DOI: 10.1016/j.jneb.2019.03.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Revised: 02/27/2019] [Accepted: 03/01/2019] [Indexed: 05/05/2023]
Abstract
Implementation science (IS) is the study of approaches designed to increase adoption and sustainability of research evidence into routine practice. This article provides an overview of IS and ideas for its integration with nutrition education and behavior practice and research. Implementation science application in nutrition education and behavior practice can inform real-word implementation efforts. Research opportunities include advancing common approaches to implementation measurement. In addition, the article provides suggestions for future studies (eg, comparative effectiveness trials comparing implementation strategies) to advance the knowledge base of both fields. An example from ongoing research is included to illustrate concepts and methods of IS.
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Affiliation(s)
- Taren Swindle
- Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.
| | - Geoff M Curran
- Department of Pharmacy Practice and Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Susan L Johnson
- Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO
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19
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Kwong AK, Eeles AL, Olsen JE, Cheong JL, Doyle LW, Spittle AJ. The Baby Moves smartphone app for General Movements Assessment: Engagement amongst extremely preterm and term-born infants in a state-wide geographical study. J Paediatr Child Health 2019; 55:548-554. [PMID: 30288823 DOI: 10.1111/jpc.14240] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2018] [Revised: 08/26/2018] [Accepted: 09/02/2018] [Indexed: 11/30/2022]
Abstract
AIM The Baby Moves smartphone application is designed for parents to video their infants' spontaneous movement for remote General Movements Assessment (GMA). We aimed to assess the engagement with Baby Moves amongst high- and low-risk infants' families and the socio-demographic variables related to engagement. METHODS Families of extremely preterm (EP; <28 weeks' gestational age) or extremely low-birthweight (ELBW; <1000 g) infants and term-born controls from a state-wide geographical cohort study were asked to download Baby Moves. Baby Moves provided reminders and instructions to capture videos of their infants' general movements. Parents were surveyed about Baby Moves' usability. RESULTS The parents of 451 infants (226 EP/ELBW; 225 control) were recruited; 416 (204 EP/ELBW; 212 control) downloaded Baby Moves, and 346 (158 EP/ELBW; 188 control) returned at least one scorable video for remote GMA. Fewer EP/ELBW families submitted a scorable video than controls (70 vs. 83%, respectively; odds ratio (OR) 0.48, 95% confidence interval (CI) 0.3-0.79, P = 0.003), but the difference diminished when adjusted for socio-demographic variables (OR 1.09, 95% CI 0.59-2.0, P = 0.79). Families who received government financial support (OR 0.28, 95% CI 0.1-0.78, P = 0.015), who spoke limited English at home (OR 0.39, 95% CI 0.22-0.69, P = 0.001) or with lower maternal education (OR 0.38, 95% CI 0.21-0.68, P = 0.001) were less likely to return a scorable video. Surveyed parents responded mostly positively to Baby Moves' usability. CONCLUSIONS Most parents in this study successfully used Baby Moves to capture infant movements for remote GMA. Families of lower socio-demographic status used Baby Moves less.
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Affiliation(s)
- Amanda Kl Kwong
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia.,Department of Physiotherapy, University of Melbourne, Victoria, Australia.,Newborn Research, Royal Women's Hospital, Melbourne, Victoria, Australia
| | - Abbey L Eeles
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia.,Newborn Research, Royal Women's Hospital, Melbourne, Victoria, Australia
| | - Joy E Olsen
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia.,Newborn Research, Royal Women's Hospital, Melbourne, Victoria, Australia
| | - Jeanie Ly Cheong
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia.,Newborn Research, Royal Women's Hospital, Melbourne, Victoria, Australia.,Department of Obstetrics and Gynaecology, University of Melbourne, Victoria, Australia
| | - Lex W Doyle
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia.,Newborn Research, Royal Women's Hospital, Melbourne, Victoria, Australia.,Department of Obstetrics and Gynaecology, University of Melbourne, Victoria, Australia.,Department of Paediatrics, University of Melbourne, Victoria, Australia
| | - Alicia J Spittle
- Victorian Infant Brain Studies, Murdoch Children's Research Institute, Victoria, Australia.,Department of Physiotherapy, University of Melbourne, Victoria, Australia.,Newborn Research, Royal Women's Hospital, Melbourne, Victoria, Australia
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20
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MacMillan Uribe AL, Olson BH. Exploring Healthy Eating and Exercise Behaviors Among Low-Income Breastfeeding Mothers. J Hum Lact 2019; 35:59-70. [PMID: 29723099 DOI: 10.1177/0890334418768792] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
BACKGROUND: Postpartum weight retention is often a significant contributor to overweight and obesity. Lactation is typically not sufficient for mothers to return to pre-pregnancy weight. Modifiable health behaviors (e.g., healthy eating and exercise) are important for postpartum weight loss; however, engagement among mothers, especially those who are resource-limited, is low. A deeper understanding of low-income breastfeeding mothers' healthy-eating and exercise experience, a population that may have unique motivators for health-behavior change, may facilitate creation of effective intervention strategies for these women. RESEARCH AIM: To describe the healthy-eating and exercise experiences of low-income postpartum women who choose to breastfeed. METHODS: Focus group discussions were conducted with low-income mothers ( N = 21) who breastfed and had a child who was 3 years old or younger. Transcript analysis employed integrated grounded analysis using both a priori codes informed by the theory of planned behavior and grounded codes. RESULTS: Three major themes were identified from five focus groups: (a) Mothers were unable to focus on their own diet and exercise due to preoccupation with infant needs and more perceived barriers than facilitators; (b) mothers became motivated to eat healthfully if it benefited the infant; and (c) mothers did not seek out information on maternal nutrition or exercise but used the Internet for infant-health information and health professionals for breastfeeding information. CONCLUSION: Low-income breastfeeding mothers may be more receptive to nutrition education or interventions that focus on the mother-infant dyad rather than solely on maternal health.
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Affiliation(s)
| | - Beth H Olson
- 1 Department of Nutritional Sciences, University of Wisconsin-Madison, Madison, WI, USA
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21
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Kirkpatrick SI, Guenther PM, Douglass D, Zimmerman T, Kahle LL, Atoloye A, Marcinow M, Savoie-Roskos MR, Dodd KW, Durward C. The Provision of Assistance Does Not Substantially Impact the Accuracy of 24-Hour Dietary Recalls Completed Using the Automated Self-Administered 24-H Dietary Assessment Tool among Women with Low Incomes. J Nutr 2019; 149:114-122. [PMID: 30602015 PMCID: PMC6904414 DOI: 10.1093/jn/nxy207] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Accepted: 08/07/2018] [Indexed: 11/13/2022] Open
Abstract
Background Evidence is lacking informing the use of the Automated Self-Administered 24-h Dietary Assessment Tool (ASA24) with populations characterized by low income. Objective This study was conducted among women with low incomes to evaluate the accuracy of ASA24 recalls completed independently and with assistance. Methods Three hundred and two women, aged ≥18 y and with incomes below the Supplemental Nutrition Assistance Program thresholds, served themselves from a buffet; amounts taken as well as plate waste were unobtrusively weighed to enable calculation of true intake for 3 meals. The following day, women completed ASA24-2016 independently (n = 148) or with assistance from a trained paraprofessional in a small group (n = 154). Regression modeling examined differences by condition in agreement between true and reported foods; energy, nutrient, and food group intakes; and portion sizes. Results Participants who completed ASA24 independently and those who received assistance reported matches for 71.9% and 73.5% (P = 0.56) of items truly consumed, respectively. Exclusions (consumed but not reported) were highest for lunch (at which participants consumed approximately 2 times the number of distinct foods and beverages compared with breakfast and dinner). Commonly excluded foods were additions to main dishes (e.g., tomatoes in salad). On average, excluded foods contributed 43.6 g (46.2 kcal) and 40.1 g (43.2 kcal) among those in the independent and assisted conditions, respectively. Gaps between true and reported intake were different between conditions for folate and iron. Within conditions, significant gaps were observed for protein, vitamin D, and meat (both conditions); vitamin A, iron, and magnesium (independent); and folate, calcium, and vegetables (assisted). For foods and beverages for which matches were reported, no difference in the gap between true and reported portion sizes was observed by condition (P = 0.22). Conclusions ASA24 performed relatively well among women with low incomes; however, accuracy was somewhat lower than previously observed among adults with a range of incomes. The provision of assistance did not significantly impact accuracy.
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Affiliation(s)
- Sharon I Kirkpatrick
- School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada,Address correspondence to SIK (e-mail: )
| | - Patricia M Guenther
- Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT
| | | | | | - Lisa L Kahle
- Information Management Services, Inc., Rockville, MD
| | - Abiodun Atoloye
- Department of Nutrition, Dietetics and Food Sciences, Utah State University, Logan, UT
| | - Michelle Marcinow
- School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada
| | | | - Kevin W Dodd
- Division of Cancer Prevention, National Cancer Institute, Bethesda, MD
| | - Carrie Durward
- Department of Nutrition, Dietetics and Food Sciences, Utah State University, Logan, UT
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22
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McClure C, Cunningham M, Bull S, Berman S, Allison MA. Using Mobile Health to Promote Early Language Development: A Narrative Review. Acad Pediatr 2018; 18:850-854. [PMID: 30098442 DOI: 10.1016/j.acap.2018.07.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Revised: 06/13/2018] [Accepted: 07/23/2018] [Indexed: 12/21/2022]
Abstract
In this narrative review, we first present a brief overview of known disparities in children's language development based on socioeconomic status and efforts in the primary care setting to promote children's language development. Next, we define mobile health (m-health) and review the limited, published literature regarding the effectiveness of m-health interventions in promoting children's health, in general, and language development, in particular. Finally, we discuss the potential role of smartphone applications to increase parental behaviors that promote their children's language development, as well as challenges that should be addressed as the field of m-health continues to grow.
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Affiliation(s)
- Catherine McClure
- Department of Pediatrics , University of Colorado Anschutz Medical Campus, Aurora
| | - Maureen Cunningham
- Department of Pediatrics , University of Colorado Anschutz Medical Campus, Aurora; Center for Global Health , Colorado School of Public Health, Aurora
| | - Sheana Bull
- Department of Community and Behavioral Health , Colorado School of Public Health, Aurora; Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS) (M Allison), University of Colorado School of Medicine and Children's Hospital Colorado, Aurora
| | - Stephen Berman
- Department of Pediatrics , University of Colorado Anschutz Medical Campus, Aurora; Center for Global Health , Colorado School of Public Health, Aurora
| | - Mandy A Allison
- Department of Pediatrics , University of Colorado Anschutz Medical Campus, Aurora.
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23
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Reyes J, Washio Y, Stringer M, Teitelman AM. Usability and Acceptability of Everhealthier Women, a Mobile Application to Enhance Informed Health Choices. J Obstet Gynecol Neonatal Nurs 2018; 47:853-861. [DOI: 10.1016/j.jogn.2018.04.139] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/01/2018] [Indexed: 10/28/2022] Open
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24
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Banker SL, Fenick AM, Qin L, Talwalkar JS. Perceptions of Pediatric Residents Regarding Counseling About Use of Social Networking Sites. Clin Pediatr (Phila) 2018; 57:1275-1280. [PMID: 29717921 DOI: 10.1177/0009922818772806] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Increasing use of social networking sites (SNS) among youth prompted professional organizations to urge pediatricians to promote healthy media use. Electronic questionnaires were distributed to 76 pediatric residents at one academic center measuring attitudes, practices, and familiarity with SNS. Of 43 respondents (response rate = 57%), most reported personal SNS use (98%) and familiarity with SNS used by youth (72%), and 88% agreed that pediatricians should provide counseling on SNS use. Only 5% felt they had adequate training on SNS use in children, and just 26% felt comfortable advising families. Residents were less likely to discuss SNS use than general media use (19% vs 56%, P = .007). Media counseling was correlated with SNS counseling ( r = .38, P = .01). Pediatric residents recognize the importance of guiding families on SNS use, yet do not routinely provide counseling despite high levels of personal SNS use and familiarity. Focused training is necessary for pediatricians to prioritize practical guidance.
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Affiliation(s)
| | | | - Li Qin
- 2 Yale University, New Haven, CT, USA
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25
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Real FJ, DeBlasio D, Rounce C, Henize AW, Beck AF, Klein MD. Opportunities for and Barriers to Using Smartphones for Health Education Among Families at an Urban Primary Care Clinic. Clin Pediatr (Phila) 2018; 57:1281-1285. [PMID: 29681167 DOI: 10.1177/0009922818772157] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Mobile technology is omnipresent in society. Though studies suggest increased rates of smartphone accessibility, current access and barriers to smartphone usage at urban primary care clinics remains unclear. A self-administered survey was distributed to families presenting to an urban, underserved pediatric primary care clinic in spring 2017. Survey questions related to smartphone ownership and barriers to usage. A total of 273 parents completed the survey. Ninety-five percent of participants owned a smartphone. Fifty-eight percent of participants identified no barriers to smartphone usage. Among those who identified one or more barriers (n = 108), difficulties were primarily related to Wi-Fi access (46%), available phone memory (45%), existing phone data (28%), and discomfort with technology (11%). The majority of parents (59%) were interested in using a smartphone to learn about their child's health. In conclusion, there is opportunity to transform health education utilizing mobile devices, though disparities to usage should be considered.
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Affiliation(s)
- Francis J Real
- 1 University of Cincinnati, Cincinnati, OH, USA.,2 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Dominick DeBlasio
- 1 University of Cincinnati, Cincinnati, OH, USA.,2 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Cesarina Rounce
- 2 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Adrienne W Henize
- 1 University of Cincinnati, Cincinnati, OH, USA.,2 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Andrew F Beck
- 1 University of Cincinnati, Cincinnati, OH, USA.,2 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
| | - Melissa D Klein
- 1 University of Cincinnati, Cincinnati, OH, USA.,2 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA
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26
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Pretorius KA, Mackert M, Wilcox GB. Sudden Infant Death Syndrome and Safe Sleep on Twitter: Analysis of Influences and Themes to Guide Health Promotion Efforts. JMIR Pediatr Parent 2018; 1:e10435. [PMID: 31518314 PMCID: PMC6715061 DOI: 10.2196/10435] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Revised: 07/08/2018] [Accepted: 07/10/2018] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND In the United States, sudden infant death syndrome (SIDS) is the leading cause of death in infants aged 1 month to 1 year. Approximately 3500 infants die from SIDS and sleep-related reasons on a yearly basis. Unintentional sleep-related deaths and bed sharing, a known risk factor for SIDS, are on the rise. Furthermore, ethnic disparities exist among those most affected by SIDS. Despite public health campaigns, infant mortality persists. Given the popularity of social media, understanding social media conversations around SIDS and safe sleep may assist the medical and public health communities with information needed to spread, reinforce, or counteract false information regarding SIDS and safe sleep. OBJECTIVE The objective of our study was to investigate the social media conversation around SIDS and safe sleep to understand the possible influences and guide health promotion efforts and public health research as well as enable health professionals to engage in directed communication regarding this topic. METHODS We used textual analytics to identify topics and extract meanings contained in unstructured textual data. Twitter messages were captured during September, October, and November in 2017. Tweets and retweets were collected using NUVI software in conjunction with Twitter's search API using the keywords: "sids," "infant death syndrome," "sudden infant death syndrome," and "safe sleep." This returned a total of 41,358 messages, which were analyzed using text mining and social media monitoring software. RESULTS Multiple themes were identified, including recommendations for safe sleep to prevent SIDS, safe sleep devices, the potential causes of SIDS, and how breastfeeding reduces SIDS. Compared with September and November, more personal and specific stories of infant loss were demonstrated in October (Pregnancy and Infant Loss Awareness Month). The top influencers were news organizations, universities, and health-related organizations. CONCLUSIONS We identified valuable topics discussed and shared on Twitter regarding SIDS and safe sleep. The study results highlight the contradicting information a subset of the population is exposed to regarding SIDS and the continued controversy over vaccines. In addition, this analysis emphasizes the lack of public health organizations' presence on Twitter compared with the influence of universities and news media organizations. The results also demonstrate the prevalence of safe sleep products that are embedded in safe sleep messaging. These findings can assist providers in speaking about relevant topics when engaging in conversations about the prevention of SIDS and the promotion of safe sleep. Furthermore, public health agencies and advocates should utilize social media and Twitter to better communicate accurate health information as well as continue to combat the spread of false information.
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Affiliation(s)
- Kelly A Pretorius
- School of Nursing, The University of Texas at Austin, Austin, TX, United States.,Center for Health Communication, Moody College of Communication and Dell Medical School, The University of Texas at Austin, Austin, TX, United States
| | - Michael Mackert
- Center for Health Communication, Moody College of Communication and Dell Medical School, The University of Texas at Austin, Austin, TX, United States.,Stan Richards School of Advertising and Public Relations, The University of Texas at Austin, Austin, TX, United States.,Department of Population Health, The University of Texas at Austin, Austin, TX, United States
| | - Gary B Wilcox
- Center for Health Communication, Moody College of Communication and Dell Medical School, The University of Texas at Austin, Austin, TX, United States.,Stan Richards School of Advertising and Public Relations, The University of Texas at Austin, Austin, TX, United States.,Department of Statistics and Data Sciences, The University of Texas at Austin, Austin, TX, United States
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27
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Ullmann G, Kedia SK, Homayouni R, Akkus C, Schmidt M, Klesges LM, Ward KD. Memphis FitKids: implementing a mobile-friendly web-based application to enhance parents' participation in improving child health. BMC Public Health 2018; 18:1068. [PMID: 30157819 PMCID: PMC6114180 DOI: 10.1186/s12889-018-5968-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 08/14/2018] [Indexed: 11/10/2022] Open
Abstract
Background Child obesity is a major public health challenge, increasing the risk of chronic medical conditions such as type 2 diabetes, metabolic syndrome, and hypertension. Among U.S. states, Tennessee has one of the highest rates of child obesity. Emerging communication technologies can help to deliver highly disseminable population-level interventions to improve health behavior. The aim of this paper is to report the implementation and the evaluation of the reach of Memphis FitKids, a web-based application, intended to promote healthy behaviors for families and children. Methods A community-level demonstration project, Memphis FitKids, was developed and implemented in Tennessee’s Greater Memphis Area. This application (www.memphisfitkids.org) was designed for parents to assess their children’s obesity risk through determinants such as weight, diet, physical activity, screen time, and sleep adequacy. A built-in “FitCheck” tool used this collected information to create a report with tailored recommendations on how to make healthy changes. A Geographic Information Systems component was implemented to suggest low-cost neighborhood resources that support a healthy lifestyle. A social marketing framework was used to develop and implement FitKids, and a Community Advisory Board with representatives from community partners (e.g., the YMCA of Memphis, the Pink Palace Family of Museums, and the Memphis Public Library) supported the implementation of the project. Five kiosks distributed in the community served as public access points to provide a broad reach across socioeconomic strata. Presentations at community events and the use of Facebook facilitated the promotion of FitKids. Website traffic and Facebook usage were evaluated with Google Analytics and Facebook Insights, respectively. Results In Tennessee, 33,505 users completed 38,429 FitCheck sessions between July 2014 and December 2016. Among these, 6763 sessions were completed at the five kiosks in the community. FitKids was presented at 112 community events and the social media posts reached 23,767 unique Facebook users. Conclusions The Memphis FitKids demonstration project showed that web-based health tools may be a viable strategy to increase access to information about healthy weight and lifestyle options for families. Mobile-friendly web-based applications like Memphis FitKids may also serve health professionals in their efforts to support their clients in adopting healthy behaviors. Electronic supplementary material The online version of this article (10.1186/s12889-018-5968-6) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Gerhild Ullmann
- Social and Behavioral Sciences, School of Public Health, University of Memphis, 3825 Desoto Ave, Memphis, TN, 38152, USA.
| | - Satish K Kedia
- Social and Behavioral Sciences, School of Public Health, University of Memphis, 3825 Desoto Ave, Memphis, TN, 38152, USA
| | - Ramin Homayouni
- Bioinformatics, Biological Sciences, College of Arts and Sciences, University of Memphis, Memphis, TN, USA
| | - Cem Akkus
- Social and Behavioral Sciences, School of Public Health, University of Memphis, 3825 Desoto Ave, Memphis, TN, 38152, USA
| | - Michael Schmidt
- Art, College of Communication and Fine Arts, University of Memphis, Memphis, TN, USA
| | - Lisa M Klesges
- Epidemiology, School of Public Health, University of Memphis, Memphis, TN, USA
| | - Kenneth D Ward
- Social and Behavioral Sciences, School of Public Health, University of Memphis, 3825 Desoto Ave, Memphis, TN, 38152, USA
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28
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A mixed-methods evaluation using low-income adult Georgians' experience with a smartphone-based eLearning nutrition education programme. Public Health Nutr 2018; 21:3271-3280. [PMID: 30101733 DOI: 10.1017/s1368980018001933] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To understand low-income adults' expectations and experiences using an innovative smartphone and theory-based eLearning nutrition education programme, entitled Food eTalk. DESIGN Longitudinal mixed-methods single case study including a series of focus group and individual interviews, demographic and Internet habits surveys, and user-tracking data. Interviews were transcribed verbatim, analysed using the constant comparative method and digitalized using Atlas.ti. Descriptive statistics were analysed for demographics and user-tracking data. SETTING Community-based locations including libraries, public housing complexes, schools, safety-net clinics and food pantries. SUBJECTS Low-income Georgian adults aged ≥18 years (n 64), USA. RESULTS Participants found Food eTalk easy to navigate and better designed than expected. Primary themes were twofold: (i) motivation to engage in eLearning may be a formidable barrier to Food eTalk's success but improved programme content, format and external incentives could mitigate this barrier; and (ii) applying knowledge to change nutrition-related behaviour is challenging. To encourage engagement in eLearning nutrition education, programme format should highlight interactive games, videos, be short in length, and feature content that is relevant and important from the perspective of the priority audience. Examples of these topics include quick and easy recipes, chronic disease-specific diet information and tips to feed 'picky' children. Additionally, external incentives may help mitigate barriers to healthful eating behaviour and increase engagement in the programme. CONCLUSIONS The findings suggest eLearning nutrition education programmes are best designed to match low-income adults' typical smartphone habits, include content considered particularly relevant by the intended audience and highlight solutions to barriers to healthful eating.
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Khajeheian D, Colabi AM, Ahmad Kharman Shah NB, Bt Wan Mohamed Radzi CWJ, Jenatabadi HS. Effect of Social Media on Child Obesity: Application of Structural Equation Modeling with the Taguchi Method. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15071343. [PMID: 29949902 PMCID: PMC6069160 DOI: 10.3390/ijerph15071343] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Revised: 06/14/2018] [Accepted: 06/14/2018] [Indexed: 02/07/2023]
Abstract
Through public health studies, specifically on child obesity modeling, research scholars have been attempting to identify the factors affecting obesity using suitable statistical techniques. In recent years, regression, structural equation modeling (SEM) and partial least squares (PLS) regression have been the most widely employed statistical modeling techniques in public health studies. The main objective of this study to apply the Taguchi method to introduce a new pattern rather than a model for analyzing the body mass index (BMI) of children as a representative of childhood obesity levels mainly related to social media use. The data analysis includes two main parts. The first part entails selecting significant indicators for the proposed framework by applying SEM for primary and high school students separately. The second part introduces the Taguchi method as a realistic and reliable approach to exploring which combination of significant variables leads to high obesity levels in children. AMOS software (IBM, Armonk, NY, USA) was applied in the first part of data analysis and MINITAB software (Minitab Inc., State College, PA, USA) was utilized for the Taguchi experimental analysis (second data analysis part). This study will help research scholars view the data and a pattern rather than a model, as a combination of different factor levels for target factor optimization.
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Affiliation(s)
- Datis Khajeheian
- Department of Media Management, Faculty of Management, University of Tehran, Tehran 141556311, Iran.
| | - Amir Mohammad Colabi
- Department of Business Management, Faculty of Management and Economics, Tarbiat Modares University, Tehran 1439813141, Iran.
| | - Nordiana Binti Ahmad Kharman Shah
- Department of Library and Information Science, Faculty of Computer Science & Information Technology, University of Malaya, Kuala Lumpur 50603, Malaysia.
| | | | - Hashem Salarzadeh Jenatabadi
- Department of Science and Technology Studies, Faculty of Science, University of Malaya, Kuala Lumpur 50603, Malaysia.
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Wu E, Torous J, Liu C. Chinese immigrant use of smartphone apps toward improving child mental health awareness and resource delivery: A pilot study. Asian J Psychiatr 2018; 33:1-6. [PMID: 29289856 PMCID: PMC6619503 DOI: 10.1016/j.ajp.2017.12.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2017] [Revised: 11/28/2017] [Accepted: 12/13/2017] [Indexed: 01/07/2023]
Affiliation(s)
- Emily Wu
- Harvard Longwood Psychiatry Residency Training Program, Boston, MA, United States; Beth Israel Deaconess Medical Center, Boston, MA, United States; Department of Psychiatry, Harvard Medical School, Boston, MA, United States.
| | - John Torous
- Beth Israel Deaconess Medical Center, Boston, MA, United States; Department of Psychiatry, Harvard Medical School, Boston, MA, United States
| | - Cindy Liu
- Beth Israel Deaconess Medical Center, Boston, MA, United States; Department of Psychiatry, Harvard Medical School, Boston, MA, United States
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Loehmer E, Smith S, McCaffrey J, Davis J. Examining Internet Access and Social Media Application Use for Online Nutrition Education in SNAP-Ed Participants in Rural Illinois. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2018; 50:75-82.e1. [PMID: 29325666 DOI: 10.1016/j.jneb.2017.03.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2016] [Revised: 03/08/2017] [Accepted: 03/09/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE To examine Internet access and interest in receiving nutrition education via social media applications among low-income adults participating in the Supplemental Nutrition Assistance Program Education (SNAP-Ed). METHODS A cross-sectional survey was distributed during 25 SNAP-Ed classes throughout the 16 southernmost counties of Illinois. RESULTS From 188 responses, the majority of participants had Internet access (76%). Among participants aged 18-32 years (n = 51), 92% owned a smartphone with Internet access and 57% indicated that they would use online nutrition education, with most interest in e-mail (41%), Facebook (40%), and text messaging (35%). There was little interest in using blogs, Vine, Twitter, Tumblr, and Pinterest. Overall, 49% of middle-aged adults aged 33-64 years and 87% of seniors aged ≥65 years reported they would not use online nutrition education. CONCLUSIONS AND IMPLICATIONS Results indicated similar Internet accessibility in southern Illinois among low-income populations compared with national rural rates. Interest in using online nutrition education varied among SNAP-Ed participants according to age. Young adults appeared to be the most captive audience regarding online nutrition education. Results may be useful to agencies implementing SNAP-Ed to supplement current curriculum with online nutrition education for audiences aged ≤32 years.
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Affiliation(s)
- Emily Loehmer
- Office of Extension and Outreach, College of Agricultural, Consumer and Environmental Sciences, University of Illinois Extension, Urbana, IL.
| | - Sylvia Smith
- Department of Animal Science, Food and Nutrition, College of Agricultural Sciences, Southern Illinois University Carbondale, Carbondale, IL
| | - Jennifer McCaffrey
- Office of Extension and Outreach, College of Agricultural, Consumer and Environmental Sciences, University of Illinois Extension, Urbana, IL
| | - Jeremy Davis
- Department of Animal Science, Food and Nutrition, College of Agricultural Sciences, Southern Illinois University Carbondale, Carbondale, IL
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Swindle TM, Ward WL, Whiteside-Mansell L. Facebook: The Use of Social Media to Engage Parents in a Preschool Obesity Prevention Curriculum. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2018; 50:4-10.e1. [PMID: 29325661 PMCID: PMC5769705 DOI: 10.1016/j.jneb.2017.05.344] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/15/2017] [Revised: 05/04/2017] [Accepted: 05/05/2017] [Indexed: 05/13/2023]
Abstract
OBJECTIVE This study investigated the use of Facebook to deliver health-related education materials to augment a preschool classroom-based obesity prevention curriculum. DESIGN Cross-sectional, mixed methods (descriptive and interviews). SETTING Head Start classrooms administered by 2 large agencies (1 rural and 1 urban). PARTICIPANTS Convenience sample of parents in 13 classrooms (cohort 1, 3 classrooms; cohort 2, 10 classrooms). INTERVENTION Delivery of nutrition education curriculum content using social media (Facebook). VARIABLES MEASURED Qualitative interviews assessed barriers and facilitators to Facebook use. Parent views, likes, and comments were measured to reflect parent engagement with Facebook. ANALYSIS Content analyses (qualitative data) and descriptive statistics (quantitative data). RESULTS Family access (views) and interaction (comments and likes) with the posts varied based on type and content of posts. Rural families were more active. Barriers to parental Facebook engagement included a desire to see more posts from classroom teachers, lack of time, and misunderstanding about privacy protections. Facilitators of parental Facebook engagement included perceived utility of the content and social support. CONCLUSIONS AND IMPLICATIONS Facebook was found to be a feasible platform to provide nutrition education and facilitated varying levels of parental engagement. Lessons learned and implications for prevention and intervention programming are offered.
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Affiliation(s)
- Taren M Swindle
- Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR
| | - Wendy L Ward
- Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR.
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Stotz S, Lee JS. Development of an Online Smartphone-Based eLearning Nutrition Education Program for Low-Income Individuals. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2018; 50:90-95.e1. [PMID: 29325667 DOI: 10.1016/j.jneb.2016.12.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/25/2016] [Revised: 12/13/2016] [Accepted: 12/17/2016] [Indexed: 06/07/2023]
Abstract
The objective of this report was to describe the development process of an innovative smartphone-based electronic learning (eLearning) nutrition education program targeted to Supplemental Nutrition Assistance Program-Education-eligible individuals, entitled Food eTalk. Lessons learned from the Food eTalk development process suggest that it is critical to include all key team members from the program's inception using effective inter-team communication systems, understand the unique resources needed, budget ample time for development, and employ an iterative development and evaluation model. These lessons have implications for researchers and funding agencies in developing an innovative evidence-based eLearning nutrition education program to an increasingly technology-savvy, low-income audience.
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Affiliation(s)
- Sarah Stotz
- Department of Foods and Nutrition, University of Georgia, Athens, GA
| | - Jung Sun Lee
- Department of Foods and Nutrition, University of Georgia, Athens, GA.
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Gurajada N, Reed DB, Taylor AL. Jump2Health Website™ for Head Start parents to promote a healthy home environment: Results from formative research. J Public Health Res 2017; 6:1054. [PMID: 29291193 PMCID: PMC5736994 DOI: 10.4081/jphr.2017.1054] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Revised: 09/26/2017] [Accepted: 09/26/2017] [Indexed: 01/26/2023] Open
Abstract
Background: In US, approximately 23% of children between the ages of 2-5 years are overweight or obese. Parents need access to information to create healthy home environments for obesity prevention, yet participation for in-person education programs is challenging. Web-based interventions are promising educational tools due to 24/7 availability. However, information is limited on their development and evaluation. Design and Methods: This study reports on a rigorous development process that included six focus group discussions (FGD) with stakeholders (three FGD each with parents and teachers) to assess education needs and inform the development of the Jump2Health Website™ by a multidisciplinary team. After development, the Website was evaluated by telephone interviews with stakeholders (five parents and six teachers) and reviewed by an expert panel of five Registered Dietitians. Results: Twenty Head Start parents and 22 Head Start teachers participated in the FGD. To address the needs identified by these stakeholders, the Website was designed to include components that were enabling and motivating, such as descriptions of health benefits by achieving the desired behaviours, short videos on easy meal preparation, and tip sheets on how to achieve healthy behaviours in easy, economical ways. Stakeholder evaluation of the Website indicated that the information was helpful, easy to use, and would be beneficial for parents. Conclusions: The development of Jump2Health Website™ was strengthened by FGD with stakeholders that assessed educational needs. Interviews with stakeholders and an expert panel review showed that the Website may be an effective educational method to teach parents about healthy behaviours related to obesity prevention.
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Nuss H, Skizim M, Afaneh H, Miele L, Sothern M. Farmers' Market Utilization among Supplemental Nutrition Assistance Program Recipients in New Orleans, Louisiana: Preliminary Findings. Ethn Dis 2017; 27:295-302. [PMID: 29158654 PMCID: PMC5684773 DOI: 10.18865/ed.27.s1.295] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Objective Farmers' markets are increasingly being promoted as a means to provide fresh produce to poor and underserved communities. However, farmers' market (FM) use remains low among low-income patrons. The purpose of our study was to examine FM awareness and use, grocery shopping behaviors, and internet use among Supplemental Nutrition Assistance Program (SNAP) recipients. Design A descriptive analysis of preliminary data was performed to evaluate quantitative baseline data among SNAP recipients between June and August 2016 in New Orleans, Louisiana (N=51). Data were collected via a 42-item online survey that included demographics, internet use, FM awareness and use, health information seeking behaviors and fruit and vegetable purchasing behaviors. Results Less than half of the survey respondents (n=24) had ever been to a FM. Local grocery stores and Wal-Mart were most used for purchasing fruits and vegetables (88% and 84%, respectively). The most common sources of healthy eating information were Women, Infants and Children (WIC) and the internet, frequently accessed via smartphones. More than 80% of participants were not aware that local FMs accepted electronic benefit transfer payments as a form of payment. Conclusion These results support the incorporation of promotional methodology that combines internet-based mobile technology and existing services (eg, WIC) as a viable strategy to improve farmers' market use among low-income populations. As most participants were not aware that participating FMs accept electronic benefit transfer payments, this fact should be emphasized in promotional material.
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Affiliation(s)
- Henry Nuss
- Louisiana State University Health, School of Public Health, New Orleans, LA
| | - Meg Skizim
- Louisiana State University Health, School of Public Health, New Orleans, LA
| | - Hasheemah Afaneh
- Louisiana State University Health, School of Public Health, New Orleans, LA
| | - Lucio Miele
- Louisiana State University School of Medicine, New Orleans, LA
| | - Melinda Sothern
- Louisiana State University Health, School of Public Health, New Orleans, LA
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Whiteside-Mansell L, Swindle TM. Together We Inspire Smart Eating: A Preschool Curriculum for Obesity Prevention in Low-Income Families. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2017; 49:789-792.e1. [PMID: 28669691 PMCID: PMC5632587 DOI: 10.1016/j.jneb.2017.05.345] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2017] [Revised: 05/06/2017] [Accepted: 05/09/2017] [Indexed: 05/04/2023]
Affiliation(s)
- Leanne Whiteside-Mansell
- Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR.
| | - Taren M Swindle
- Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR
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DeHoff BA, Staten LK, Rodgers RC, Denne SC. The Role of Online Social Support in Supporting and Educating Parents of Young Children With Special Health Care Needs in the United States: A Scoping Review. J Med Internet Res 2016; 18:e333. [PMID: 28007689 PMCID: PMC5216258 DOI: 10.2196/jmir.6722] [Citation(s) in RCA: 68] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2016] [Revised: 10/27/2016] [Accepted: 11/23/2016] [Indexed: 01/23/2023] Open
Abstract
Background When parents of young children with special health care needs (CSHCN) receive their child’s diagnosis, they encounter information they may not understand, emotions they may not know how to cope with, and questions about their child’s immediate and long-term future that frequently lack answers. The challenge of health care providers is how to prepare parents for caring for their CSHCN, for coping with any resulting challenges, and for accessing the systems and services that can assist them. Objective The purpose of this work was to review evidence of the information and support needs of parents of young CSHCN and to determine whether online social support can serve as an avenue for learning and empowerment for these parents. Methods A scoping review identified the challenges, coping mechanisms, and support needs among parents of CSHCN, and the reach and effectiveness of digital technologies with these families and health care providers. We also conducted interviews with professionals serving parents of CSHCN. Results The literature review and interviews suggested that parents best learn the information they need, and cope with the emotional challenges of raising a CSHCN, with support from other parents of CSHCN, and that young parents in recent years have most often been finding this parent-to-parent support through digital media, particularly social media, consistent with the theory of online social support. Evidence also shows that social media, particularly Facebook, is used by nearly all women aged 18-29 years across racial and socioeconomic lines in the United States. Conclusions Parents of young CSHCN experience significant stress but gain understanding, receive support, and develop the ability to care for and be advocates for their child through parent-to-parent emotional and informational social support. Online social support is most effective with young adults of childbearing age, with social media and apps being the most useful within the theoretical framework of social support. This opens new opportunities to effectively educate and support parents of young CSHCN. Providers seeking to inform, educate, and support families of CSHCN should develop strategies to help parents find and use social support through digital resources to facilitate their emotional adjustment and practical abilities to care for and access services for their child.
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Affiliation(s)
- Beth A DeHoff
- Neonatology, Department of Pediatrics, Indiana University Health Physicians, Indianapolis, IN, United States
| | - Lisa K Staten
- Department of Social and Behavioral Sciences, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN, United States
| | - Rylin Christine Rodgers
- Riley Child Development Center, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, United States
| | - Scott C Denne
- Neonatology, Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, United States
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Stotz S, Lee JS, Rong H, Murray D. The Feasibility of an eLearning Nutrition Education Program for Low-Income Individuals. Health Promot Pract 2016; 18:150-157. [PMID: 27507265 DOI: 10.1177/1524839916661717] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Online eLearning may be an innovative, efficient, and cost-effective method of providing nutrition education to a diverse low-income audience. AIMS The intent of this project is to examine perceptions of nutrition educators regarding the feasibility of an eLearning nutrition education program tailored to low-income Georgians. METHOD Semistructured individual interviews were conducted, guided by the constructivist theory. The interview guide focused on three themes: accessibility, literacy, and content. A prototype of the program also served as a talking point. Interviews were conducted in two urban Georgian counties in a location chosen by each participant. We recruited a convenience sample of Georgian nutrition educators ( n = 10, 100% female, 50% Black). Interviews were transcribed and analyzed using constant comparative method. RESULTS AND DISCUSSION Motivation is considered the primary barrier to program feasibility. Neither access to the Internet nor literacy are considered significant barriers. Inclusion of skill-based, visual education methods such as cooking videos, recipes, and step-by-step teaching tools was highlighted. Nutrition educators perceived this program would be a feasible form of nutrition education for the priority audience. CONCLUSIONS Findings from this study will inform the user-centered development of the program.
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Affiliation(s)
- Sarah Stotz
- 1 The University of Georgia, Athens, GA, USA
| | | | - Hui Rong
- 1 The University of Georgia, Athens, GA, USA
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