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Benitez TJ, Artigas E, Larsen B, Joseph RP, Pekmezi D, Marquez B, Whitworth JW, Marcus BH. Barriers and Facilitators to Muscle-Strengthening Activity Among Latinas in the U.S.: Results From Formative Research Assessments. Int J Behav Med 2024; 31:292-304. [PMID: 37231222 DOI: 10.1007/s12529-023-10183-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/03/2023] [Indexed: 05/27/2023]
Abstract
BACKGROUND Latinas are disproportionately affected by low physical activity (PA) levels and related health conditions (e.g., diabetes, obesity). Few Latinas in the U.S. (17%) meet the National PA Guidelines for both aerobic PA and muscle-strengthening activity (MSA), yet, research to date in this population has focused almost exclusively on aerobic PA. Performing regular MSA is linked with numerous health improvements and reduced mortality; thus, may be key to addressing health disparities in this community. This study examined perspectives on engaging in MSA among Latinas enrolled in two aerobic PA RCTs. METHODS Brief quantitative surveys were conducted to assess interest in MSA among Latinas (N = 81), along with 19 follow-up in-depth semi-structured interviews on knowledge, barriers, and facilitators for engaging in regular MSA. Interview transcripts were analyzed by two independent bilingual researchers using a directed content analysis approach. RESULTS Eighty-one Latinas (18-65 years) completed the survey. Most (91%) expressed interest in learning more about MSA and 60% reported not knowing how to do MSA as a substantial MSA barrier. Interview results indicated Latinas were aware of health benefits of MSA and motivated to engage in MSA but reported barriers (e.g., perception that MSA is for men, a taboo topic, and lack of knowledge on how to do MSA). CONCLUSION This study contributes to a critical gap in PA research among Latinas. Findings will inform future culturally appropriate MSA interventions in this at-risk population. Addressing MSA and aerobic PA together in future interventions will provide a more comprehensive approach to reducing PA-related health disparities in Latinas than aerobic PA alone.
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Affiliation(s)
- Tanya J Benitez
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, USA.
| | - Eileen Artigas
- Center for Health Communication, University of Texas at Austin, Austin, TX, USA
| | - Britta Larsen
- Herbert Wertheim School of Public Health, University of California, San Diego, California, USA
| | - Rodney P Joseph
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ, USA
| | - Dori Pekmezi
- Department of Health Behavior, School of Public Health at, University of Alabama at Birmingham, Birmingham, AL, USA
| | - Becky Marquez
- Herbert Wertheim School of Public Health, University of California, San Diego, California, USA
| | - James W Whitworth
- National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA
- Department of Psychiatry, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA
| | - Bess H Marcus
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, Rhode Island, USA
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Honea KE, Wilson KS, Fisher KL, Rubin DA. Parental and familial factors related to participation in a home-based physical activity intervention in children with obesity or Prader-Willi syndrome. OBESITY PILLARS (ONLINE) 2023; 8:100084. [PMID: 38125663 PMCID: PMC10728700 DOI: 10.1016/j.obpill.2023.100084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 08/11/2023] [Accepted: 08/15/2023] [Indexed: 12/23/2023]
Abstract
Background Increasing physical activity (PA) participation is vital to promote the development of health behaviors in childhood. This study examined which parental and familial factors predicted completion of and compliance with a home-based family PA program in a cohort of families with a child with Prader-Willi syndrome (PWS; a rare disorder with obesity and developmental disability) or with obesity but with neurotypical development. Methods Participants (n = 105) were parents of children with PWS (n = 41) and parents of children with obesity but without PWS (n = 64). Parents completed a series of questionnaires documenting their demographic characteristics, self-efficacy, social support, and family environment (active-recreational orientation and cohesion). Relationships between these factors and intervention completion and compliance were evaluated using bivariate correlations and logistic regression (compliance) and multiple regression (completion) analyses with groups together and then separately if the child group was a significant predictor. Results None of the variables of interest (marital status, employment, employed hours per week, self-efficacy, social support, and family environment) were significant predictors of intervention completion. Intervention compliance was negatively associated with parents working part-time and working full-time and positively associated with family cohesion (Model R2 = 0.107, F(3,100) = 4.011, p = .010). Child group was not a factor. Conclusions Compliance with a 24-week family home-based PA intervention was related to fewer employment hours of the primary caregiver and family environment factors. Future interventions should consider how to reduce the intervention's burden in working parents along with strategies to foster family cohesion.
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Affiliation(s)
- Kryston E. Honea
- Department of Kinesiology, California State University Fullerton, 800 N. State College Blvd., Fullerton, CA, 92834-3599, USA
| | - Kathleen S. Wilson
- Department of Kinesiology, California State University Fullerton, 800 N. State College Blvd., Fullerton, CA, 92834-3599, USA
| | - Koren L. Fisher
- Department of Kinesiology, California State University Fullerton, 800 N. State College Blvd., Fullerton, CA, 92834-3599, USA
| | - Daniela A. Rubin
- Department of Kinesiology, California State University Fullerton, 800 N. State College Blvd., Fullerton, CA, 92834-3599, USA
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Arredondo EM, Schneider J, Torres-Ruiz M, Telles V, Thralls Butte K, West M, Maldonado M, Gallagher K, Roesch S, Ayala GX, Baranowski T. Rationale and design of a pilot randomized controlled trial to increase moderate-to-vigorous physical activity in preadolescent Latina girls and their mothers. Contemp Clin Trials Commun 2023; 33:101137. [PMID: 37215388 PMCID: PMC10192392 DOI: 10.1016/j.conctc.2023.101137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 04/08/2023] [Accepted: 04/11/2023] [Indexed: 05/24/2023] Open
Abstract
Background Hispanic/Latina girls have a low prevalence of moderate-intensity physical activity (PA) compared to their male counterparts and non-Hispanic White girls. Mothers influence their children's activity levels by creating and supporting PA opportunities, modeling PA, and reinforcing children's efforts to be physically active. The Conmigo trial will evaluate a mother-daughter intervention to promote PA and examine potential mechanisms of change including mothers' PA, parenting regarding PA, and mother-daughter communication. Method This randomized controlled trial examines the feasibility, acceptability, and impact of a 12-week intervention promoting PA in preadolescent Latina girls in San Diego County, CA. Participants (n = 90 dyads) are randomized to the Conmigo PA intervention or to a control group that receive an abbreviated version of the intervention. The intervention was informed by Social Cognitive Theory and Family Systems Theory and emphasize family-level factors to promote PA using an actor-partner model. Mothers and daughters attend weekly 90-min sessions in English or in Spanish via Zoom video conferencing, supported by facilitator follow-ups and WhatsApp supportive chat group for mothers. Objective (accelerometer) and self-report measures at baseline, 3 months, and 6 months capture the frequency and intensity of PA and correlates and predictors of PA. We also examine the impact of the intervention on the bidirectional influence of mother-daughter PA. Implications The findings from the Conmigo trial will form the basis of a randomized controlled community trial and will move the field forward in identifying targets of change in preventing chronic disease risk in Hispanic/Latino communities.
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Affiliation(s)
| | | | - Marisa Torres-Ruiz
- Joint Doctoral Program (JDP) in Public Health at San Diego State University (SDSU), The University of California, San Diego, USA
| | - Victoria Telles
- Joint Doctoral Program (JDP) in Public Health at San Diego State University (SDSU), The University of California, San Diego, USA
| | | | - Michelle West
- School of Public Health, San Diego State University, USA
| | | | | | - Scott Roesch
- Psychology Department, San Diego State University, USA
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Brennan C, O'Donoghue G, Hall AM, Keogh A, Matthews J. A systematic review of the intervention characteristics, and behavior change theory and techniques used in mother-daughter interventions targeting physical activity. Prev Med 2021; 153:106764. [PMID: 34411587 DOI: 10.1016/j.ypmed.2021.106764] [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: 04/07/2021] [Revised: 07/28/2021] [Accepted: 08/14/2021] [Indexed: 10/20/2022]
Abstract
Growing gender disparities in levels of physical inactivity put women and female youths at a greater risk of associated health problems. Mother-daughter interventions have been proposed as means to promote physical activity in this at-risk cohort. However, there is a lack of clarity as to if and why these types of interventions might be effective. This systematic review examined the intervention characteristics, and behavior change theory and techniques used in these interventions to promote physical activity for mothers and daughters. PubMed, EMBASE, PsycINfO, CINAHL and Cochrane Library (Wiley) databases were searched for English language studies from inception to 13th May 2020. Interventions of any design that targeted daughters and mothers' physical activity were included. Data was extracted using the Template for Intervention Description and Replication (TIDieR) checklist, and the Behavior Change Technique (BCT) Taxonomy v1. 4962 articles were screened and 11 unique studies met the inclusion criteria. The risk of bias in studies was generally high. Narrative summary highlighted that many studies used social cognitive theory as a theoretical foundation, were based in the community and less than three months in duration with multiple sessions per week. Thirty-seven behavior change techniques were identified across studies. Some techniques were deemed potentially effective including credible source, information on the health consequences of the behavior and the self-regulatory techniques of goal-setting, self-monitoring and problem-solving. Future research should consider the use of the TIDieR guidelines and BCT Taxonomy v1 to improve the quality of information for intervention development, implementation, and reporting phases.
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Affiliation(s)
- Carol Brennan
- School of Public Health, Physiotherapy, and Sports Science, University College Dublin, Dublin, Ireland.
| | - Grainne O'Donoghue
- School of Public Health, Physiotherapy, and Sports Science, University College Dublin, Dublin, Ireland
| | - Amanda M Hall
- Primary Healthcare Research Unit, Faculty of Medicine, Memorial University, St. John's, Newfoundland, Canada
| | - Alison Keogh
- Insight Centre for Data Analytics, University College Dublin, Dublin, Ireland
| | - James Matthews
- School of Public Health, Physiotherapy, and Sports Science, University College Dublin, Dublin, Ireland; Institute of Sport and Health, University College Dublin, Dublin, Ireland
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van Sluijs EMF, Brown HE, Coombes E, Hughes C, Jones AP, Morton KL, Guagliano JM. An online family-based self-monitoring and goal-setting intervention to improve children’s physical activity: the FRESH feasibility trial and three-arm pilot RCT. PUBLIC HEALTH RESEARCH 2021. [DOI: 10.3310/phr09090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Background
Family-based physical activity promotion presents a promising avenue for promoting whole-family physical activity, but high-quality research is lacking.
Objectives
To assess the feasibility, acceptability and preliminary effectiveness of FRESH (Families Reporting Every Step to Health), a child-led online family-based physical activity intervention; and to identify effective and resource-efficient family recruitment strategies.
Design
The project consisted of (1) a randomised feasibility trial, (2) a randomised controlled pilot trial and (3) a systematic review and Delphi study.
Setting
Norfolk/Suffolk counties, UK.
Participants
Families, recruited from schools, workplaces and community settings, were eligible to participate if one child aged 7–11 years and one adult responsible for their care provided written consent; all family members could participate.
Interventions
The FRESH intervention, guided by self-determination theory, targeted whole families and was delivered via an online platform. All family members received pedometers and were given website access to select family step challenges to ‘travel’ to target cities around the world, log steps, and track progress as they virtually globetrotted. Families were randomised to FRESH intervention, pedometer-only or control arm.
Main outcome measures
Physical (e.g. blood pressure), psychosocial (e.g. family functioning) and behavioural (e.g. device-measured family physical activity) measures were collected at baseline and at 8- and 52-week follow-up. A mixed-methods process evaluation assessed the acceptability of the intervention and evaluation.
Data sources review
Systematic search of four databases (Cochrane Library, PubMed, PsycINFO and SCOPUS).
Review methods
Articles were screened in duplicate, and data extraction was fully checked. Academic experts participated in the three-round Delphi study. Data were combined to identify effective and resource-efficient family recruitment strategies.
Inclusion criteria
Included generally healthy school-aged children and at least one adult; intervention attempted to change physical activity, sedentary behaviour, screen use, diet, or prevent overweight/obesity in multiple family members; presented relevant measure of effect in children and adults.
Results
The feasibility study (12 families, 32 participants; 100% retention at 8 weeks) demonstrated the feasibility and acceptability of FRESH, but highlighted that adaptations were required. Of 41 families recruited in the pilot study (149 participants), 98% and 88% were retained at the 8-week and 52-week follow-up, respectively. More children in the FRESH arm self-reported doing more family physical activity, and they thought that FRESH was fun. There were no notable between-group differences in children’s outcomes. Change in moderate to vigorous physical activity at 8 weeks favoured FRESH intervention adults [vs. control: 9.4 minutes/week (95% confidence interval 0.4 to 18.4) vs. pedometer only: 15.3 (95% confidence interval 6.0 to 24.5)], and was stronger in fathers, but this was not maintained. In 49 included studies, apart from recruitment settings and strategies used (reported in 84% and 73% of the studies, respectively), recruitment details were scarce. School-based recruitment was predominant. The Delphi study identified a wide range of recruitment settings and strategies.
Limitations
Recruitment was the main limitation of the FRESH studies; generalisability of the proposed recruitment strategies may be limited.
Conclusions
This study has demonstrated the feasibility and acceptability of the FRESH intervention. However, we failed to recruit the target sample size and were unable to demonstrate a signal of effectiveness. Future research should employ a multifaceted recruitment approach.
Future work
Further refinements to intervention delivery and recruitment methods should be investigated.
Study registration
Current Controlled Trials ISRCTN12789422 and PROSPERO CRD42019140042.
Funding
This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research; Vol. 9, No. 9. See the NIHR Journals Library website for further project information.
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Affiliation(s)
- Esther MF van Sluijs
- Centre for Diet and Activity Research (CEDAR) and MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - Helen E Brown
- Centre for Diet and Activity Research (CEDAR) and MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - Emma Coombes
- Norwich Medical School and Centre for Diet and Activity Research (CEDAR), University of East Anglia, Norwich, UK
| | - Claire Hughes
- Centre for Family Research, University of Cambridge, Cambridge, UK
| | - Andrew P Jones
- Norwich Medical School and Centre for Diet and Activity Research (CEDAR), University of East Anglia, Norwich, UK
| | - Katie L Morton
- Centre for Diet and Activity Research (CEDAR) and MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
| | - Justin M Guagliano
- Centre for Diet and Activity Research (CEDAR) and MRC Epidemiology Unit, University of Cambridge, Cambridge, UK
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Weight Loss Interventions for Hispanic Women in the United States: A Systematic Review. JOURNAL OF ENVIRONMENTAL AND PUBLIC HEALTH 2021; 2021:8714873. [PMID: 34457010 PMCID: PMC8397533 DOI: 10.1155/2021/8714873] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 07/30/2021] [Indexed: 12/17/2022]
Abstract
Background Obesity rates in Hispanic women residing in the United States (U.S.) are disproportionately high, increasing the risk of obesity-related disease and mortality. The effectiveness of interventions targeting weight loss in this population remains largely unknown. Purpose The purpose of this review was to systematically evaluate the evidence related to the effectiveness of weight loss interventions conducted among U.S. Hispanic women and provide guidance for future research. Methods Bibliographic databases (n = 10, from each database's inception to July 2, 2019) were searched using the PRISMA guidelines for systematic reviews. Randomized controlled trials (RCTs) and quasi-experimental studies with weight change outcomes were included. Results were described in a narrative synthesis. Results 5,423 articles were assessed for eligibility based on inclusion criteria; 15 studies were included in the final review. Nine trials were RCTs and six were quasi-experimental studies; all but six were pilot studies. Most studies recruited overweight or obese women with no existing medical conditions and did not follow participants beyond the intervention. All trials were delivered in-person. Intervention strategies and content and weight change outcomes were highly variable. Conclusions RCTs with statistically powered sample sizes are needed to robustly test the effects of weight loss interventions in this population.
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Szeszulski J, Vega-López S, Todd M, Ray F, Behar A, Campbell M, Chavez A, Eckert R, Lorenzo-Quintero A, Hartmann Manrique L, Crespo NC. Athletes for life: Rationale and methodology of a community- and family-based randomized controlled trial to promote cardiovascular fitness among primarily Latino families. Contemp Clin Trials 2020; 91:105956. [PMID: 32061969 PMCID: PMC7294588 DOI: 10.1016/j.cct.2020.105956] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Revised: 01/27/2020] [Accepted: 02/11/2020] [Indexed: 10/25/2022]
Abstract
BACKGROUND Community-based programs have had modest success in combating obesity in Latino populations. Latino families' norms and beliefs about weight often hold larger body sizes to be normal, leading to lower engagement in weight-focused programs. Because improvements in cardiorespiratory fitness confer health benefits, regardless of weight, they offer an alternative to obesity-focused approaches. We describe the rationale and design of Athletes for Life (AFL), a community- and family-based intervention for Latino families. METHODS/DESIGN This two-group randomized controlled trial will test the efficacy of AFL for improving cardiorespiratory fitness and diet in 6- to 11-year-old children (N = 160) and their parents, relative to a wait-list control group. Children will participate in 12 weeks of semiweekly sports skill programing and nutrition sessions. Concurrently, parents will participate in sports-focused activity and behavior change sessions that focus on nutrition, chronic disease prevention, and healthy eating. Cardiovascular fitness will be measured by the 1-mile run and 3-min step-test for both parents and children. Secondary outcomes include changes in objectively measured physical activity, dietary measures, body composition, and cardiometabolic risk (waist circumference, blood pressure, blood lipids, glucose, insulin, and C-reactive protein). DISCUSSION AFL, implemented with a strong community partnership, will provide a test of the efficacy of culturally tailored intervention programming to promote positive health behaviors and improve health outcomes in Latino families. Intervention content, structure, and messaging will provide guidance for future methods to engage Latino families in health promotion programs that highlight their cultural norms, and beliefs. TRIAL REGISTRATION Clinicaltrials.gov Identifier NCT03761589 (12/3/2018).
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Affiliation(s)
- Jacob Szeszulski
- Arizona State University, College of Health Solutions, 550 North 3rd Street, Phoenix, AZ 85004, USA; The University of Texas Health Science Center at Houston, Center for Health Promotion and Prevention Research, 7000 Fannin Street, #1200, Houston, TX 77030, USA; The University of Texas Health Science Center at Houston, Austin Campus, Michael Susan Dell Center for Healthy Living, 1616 Guadalupe Street, Suite 6.300, Austin, TX 78701, USA
| | - Sonia Vega-López
- Arizona State University, College of Health Solutions, 550 North 3rd Street, Phoenix, AZ 85004, USA; Arizona State University, Southwest Interdisciplinary Research Center, School of Social Work, Watts College of Public Service & Community Solutions, 201 North Central Avenue, 33rd Floor, Phoenix, AZ 85004, USA
| | - Michael Todd
- Arizona State University, Edson College of Nursing and Health Innovation, 550 North 3rd Street, Suite 301, Phoenix, AZ 85004, USA
| | - Frank Ray
- City of Phoenix Parks and Recreation, 212 East Alta Vista Rd, Phoenix, AZ 85042, USA
| | - Alma Behar
- San Diego State University, School of Public Health, 5500 Campanile Drive, San Diego, CA 92182, USA
| | - Maria Campbell
- Arizona State University, College of Health Solutions, 550 North 3rd Street, Phoenix, AZ 85004, USA
| | - Adrian Chavez
- Arizona State University, College of Health Solutions, 550 North 3rd Street, Phoenix, AZ 85004, USA
| | - Ryan Eckert
- Arizona State University, College of Health Solutions, 550 North 3rd Street, Phoenix, AZ 85004, USA; Mays Cancer Center at UT Health San Antonio MD Anderson, 7979 Wurzbach Rd, San Antonio, TX 78229, USA
| | - Anabell Lorenzo-Quintero
- Arizona State University, College of Health Solutions, 550 North 3rd Street, Phoenix, AZ 85004, USA
| | | | - Noe C Crespo
- San Diego State University, School of Public Health, 5500 Campanile Drive, San Diego, CA 92182, USA.
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Rubin DA, Wilson KS, Honea KE, Castner DM, McGarrah JG, Rose DJ, Dumont-Driscoll M. An evaluation of the implementation of a parent-led, games-based physical activity intervention: the Active Play at Home quasi-randomized trial. HEALTH EDUCATION RESEARCH 2019; 34:98-112. [PMID: 30346530 DOI: 10.1093/her/cyy035] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/2017] [Accepted: 09/19/2018] [Indexed: 06/08/2023]
Abstract
NCT02058342. Registered 6 February 2014 retrospectively registered.
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Affiliation(s)
- D A Rubin
- Department of Kinesiology, California State University, Fullerton, CA, USA
| | - K S Wilson
- Department of Kinesiology, California State University, Fullerton, CA, USA
| | - K E Honea
- Department of Kinesiology, California State University, Fullerton, CA, USA
| | - D M Castner
- Department of Kinesiology, California State University, Fullerton, CA, USA
| | - J G McGarrah
- Department of Pediatrics, University of Florida, Gainesville, FL, USA
| | - D J Rose
- Department of Kinesiology, California State University, Fullerton, CA, USA
| | - M Dumont-Driscoll
- Department of Pediatrics, University of Florida, Gainesville, FL, USA
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Alhassan S, Nwaokelemeh O, Greever CJ, Burkart S, Ahmadi M, St. Laurent CW, Barr-Anderson DJ. Effect of a culturally-tailored mother-daughter physical activity intervention on pre-adolescent African-American girls' physical activity levels. Prev Med Rep 2018; 11:7-14. [PMID: 30065909 PMCID: PMC6066471 DOI: 10.1016/j.pmedr.2018.05.009] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Revised: 04/24/2018] [Accepted: 05/05/2018] [Indexed: 01/11/2023] Open
Abstract
Positive parent-child attachment can be determined by opportunities for the child to interact with his/her parent and can influence a child's physical activity (PA) behavior. Therefore, an intervention that provides children and their parent more time to interact positively could impact children's PA. We examined the efficacy of a 12-week mother-daughter intervention on African-American girls' PA levels. In Spring of 2013 and 2014, mother-daughter dyads (n = 76) from Springfield, MA, were randomly assigned to one of three groups [child-mother (CH-M, n = 28), child alone (CH, n = 25), or control (CON, n = 23)] that participated in an afterschool culturally-tailored dance intervention (60 min/day, 3 days/week, 12 weeks). Girls in the CH-M group participated in the intervention with their maternal figure, while girls in the CH group participated in the intervention alone. CON group participants received weekly health-related newsletters. PA was assessed with accelerometers for seven days at baseline, 6-weeks, and 12-weeks. Hierarchical linear modeling was used to examine rates of change in PA. During the afterschool intervention time, girls in the CH-M group displayed a significantly steeper rate of increase in their percent time spent in vigorous PA compared to both the CON (γ = 0.80, p < 0.001) and the CH group (χ2 (1)=13.01, p < 0.001). Mothers in the CH-M group displayed a significantly steeper rate of increase in their percent time spent in total daily moderate-to-vigorous PA compared to CH group's mothers (γ = 0.07, p = 0.01). This culturally-tailored mother-daughter afterschool intervention influenced African-American girls' afterschool hour PA levels, but not total daily PA. Trial Registration: Study is registered at www.clinicaltrials.govNCT01588379. A joint mother-daughter dance intervention can improve mothers' activity level. An afterschool dance intervention can improve girls afterschool activity level. A joint afterschool dance intervention can improve mother and daughter relationship. Mothers and daughters enjoy participating in culturally-tailored dance intervention.
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Affiliation(s)
- Sofiya Alhassan
- University of Massachusetts Amherst, Department of Kinesiology, Amherst, MA, United States
- Corresponding author at: University of Massachusetts, Department of Kinesiology, 110 Totman Building, 30 Eastman Lane, Amherst, MA 01003-9258, United States.
| | - Ogechi Nwaokelemeh
- University of Massachusetts Amherst, Department of Kinesiology, Amherst, MA, United States
| | - Cory J. Greever
- University of Massachusetts Amherst, Department of Kinesiology, Amherst, MA, United States
| | - Sarah Burkart
- University of Massachusetts Amherst, Department of Kinesiology, Amherst, MA, United States
| | - Matthew Ahmadi
- University of Massachusetts Amherst, Department of Kinesiology, Amherst, MA, United States
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Black AP, D'Onise K, McDermott R, Vally H, O'Dea K. How effective are family-based and institutional nutrition interventions in improving children's diet and health? A systematic review. BMC Public Health 2017; 17:818. [PMID: 29041899 PMCID: PMC5645887 DOI: 10.1186/s12889-017-4795-5] [Citation(s) in RCA: 53] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2016] [Accepted: 09/21/2017] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Effective strategies to improve dietary intake in young children are a priority to reduce the high prevalence of chronic non-communicable diseases in adulthood. This study aimed to assess the impact of family-based and school/preschool nutrition programs on the health of children aged 12 or younger, including the sustainability of these impacts and the relevance to socio-economic inequalities. METHODS A systematic review of literature published from 1980 to December 2014 was undertaken. Randomised controlled trials involving families with children aged up to 12 years in high income countries were included. The primary outcomes were dietary intake and health status. Results were presented in a narrative synthesis due to the heterogeneity of the interventions and outcomes. RESULTS The systematic search and assessment identified 39 eligible studies. 82% of these studies were set in school/preschools. Only one school study assessed the impact of involving parents systematically. The family-based programs which provided simple positive dietary advice to parents and regular follow-up reduced fat intake significantly. School and family-based studies, if designed and implemented well, increased F&V intake, particularly fruit. Effective school-based programs have incorporated role-models including peers, teachers and heroic figures, rewards and increased access to healthy foods. School nutrition programs in disadvantaged communities were as effective as programs in other communities. CONCLUSIONS Family and school nutrition programs can improve dietary intake, however evidence of the long-term sustainability of these impacts is limited. The modest overall impact of even these successful programs suggest complementary nutrition interventions are needed to build a supportive environment for healthy eating generally.
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Affiliation(s)
- Andrew P Black
- School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
- Bulgarr Ngaru Medical Aboriginal Corporation, PO Box 170, South Grafton, NSW, 2460, Australia.
| | - Katina D'Onise
- School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| | - Robyn McDermott
- School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Cairns, QLD, Australia
| | - Hassan Vally
- School of Psychology & Public Health, La Trobe University, Melbourne, VIC, Australia
| | - Kerin O'Dea
- School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
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Tometich DB, Mosher CE, Winger JG, Badr HJ, Snyder DC, Sloane RJ, Demark-Wahnefried W. Effects of diet and exercise on weight-related outcomes for breast cancer survivors and their adult daughters: an analysis of the DAMES trial. Support Care Cancer 2017; 25:2559-2568. [PMID: 28417203 DOI: 10.1007/s00520-017-3665-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2016] [Accepted: 03/06/2017] [Indexed: 01/21/2023]
Abstract
PURPOSE Few trials have aimed to promote diet and exercise behaviors in both cancer survivors and their family members and examine their associations with weight-related outcomes. We conducted a secondary analysis to examine associations between change in diet and exercise behaviors and weight-related outcomes for overweight breast cancer survivors and their overweight adult daughters in the Daughters And MothErS Against Breast Cancer (DAMES) randomized trial. METHODS The DAMES trial assessed the impact of two iteratively tailored, mailed print diet and exercise interventions against standard brochures over a 12-month period. This analysis examined change in diet and exercise behaviors and weight-related variables from baseline to post-intervention for the 50 breast cancer survivors and their adult daughters randomized to the intervention arms. To reduce the potential for type II error in this pilot, p values <0.10 were considered statistically significant. RESULTS For mothers, change in diet quality was uniquely related to change in BMI (β = -0.12, p = 0.082), weight (β = -0.12, p = 0.060), and waist circumference (β = -0.38, p = 0.001), whereas change in caloric intake was related to waist circumference (β = 0.21, p = 0.002). For daughters, change in caloric intake was related to change in waist circumference (β = 0.12, p = 0.055). However, change in diet quality was not associated with weight-related outcomes in daughters. Additionally, change in exercise was not associated with weight-related outcomes in mothers or daughters. CONCLUSIONS Findings support mail-based and other tailored interventions for weight loss in this population, with an emphasis on diet quality for breast cancer survivors and caloric intake for their adult daughters.
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Affiliation(s)
- Danielle B Tometich
- Department of Psychology, Indiana University-Purdue University Indianapolis, 402 North Blackford Street, LD 133, Indianapolis, IN, 46202, USA.
| | - Catherine E Mosher
- Department of Psychology, Indiana University-Purdue University Indianapolis, 402 North Blackford Street, LD 133, Indianapolis, IN, 46202, USA
| | - Joseph G Winger
- Department of Psychology, Indiana University-Purdue University Indianapolis, 402 North Blackford Street, LD 133, Indianapolis, IN, 46202, USA
| | - Hoda J Badr
- Department of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA
| | - Denise C Snyder
- Duke University School of Medicine, DUMC 2713, Durham, NC, 27710, USA
| | - Richard J Sloane
- Duke Center for the Study of Aging and Human Development, Duke University Medical Center, Duke Box 3003, Durham, NC, 27710, USA
- Duke University School of Nursing, Durham, NC, USA
| | - Wendy Demark-Wahnefried
- Duke University School of Nursing, Durham, NC, USA
- Department of Nutrition Sciences, University of Alabama at Birmingham, 1824 6th Ave. S., WTI 102M, Birmingham, AL, 35294, USA
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Rhodes RE, Lim C. Promoting Parent and Child Physical Activity Together: Elicitation of Potential Intervention Targets and Preferences. HEALTH EDUCATION & BEHAVIOR 2017; 45:112-123. [PMID: 28415853 DOI: 10.1177/1090198117704266] [Citation(s) in RCA: 52] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Promoting physical activities that involve both parents and their children would be very useful to the improved health and well-being of families, yet coactivity interventions have been particularly unsuccessful in past research. The purpose of this study was to elicit the salient parental beliefs about coactivity framed through theory of planned behavior in order to inform future intervention content. A representative sample of Canadian parents ( N = 483) with children aged 6 to 14 years completed belief elicitation measures of theory of planned behavior, as well as coactivity and program preferences. Analyses included content theming by physical activity belief and preference through tallies of the percentages of parents endorsing each belief. Exploratory analyses of differences in endorsed themes were conducted by parent (mother, father), age of child (6-10 years, 11-14 years), and sex of the child. The results showed that behavioral beliefs about health, interpersonal and educational/learning opportunities and control beliefs about lack of time, various incompatible parent/child factors, parental health, and bad weather were dominant themes. Most of these themes did not vary in endorsement by parent and child characteristics. By contrast, preferences for various activities varied by parent and child characteristics, yet parents overwhelmingly desired the activities to be outdoors, close to home, after work, and originally delivered from community health professionals via Internet or face-to face means. Overall, the findings provide several considerations for specific targets to improve future physical activity intervention approaches among parents and their children.
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Affiliation(s)
- Ryan E Rhodes
- 1 University of Victoria, Victoria, British Columbia, Canada
| | - Clarise Lim
- 1 University of Victoria, Victoria, British Columbia, Canada
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13
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Evaluation of physical activity interventions in children via the reach, efficacy/effectiveness, adoption, implementation, and maintenance (RE-AIM) framework: A systematic review of randomized and non-randomized trials. Prev Med 2016; 82:8-19. [PMID: 26582207 DOI: 10.1016/j.ypmed.2015.11.004] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2015] [Revised: 11/01/2015] [Accepted: 11/05/2015] [Indexed: 01/28/2023]
Abstract
CONTEXT Existing reviews of physical activity (PA) interventions designed to increase PA behavior exclusively in children (ages 5 to 11years) focus primarily on the efficacy (e.g., internal validity) of the interventions without addressing the applicability of the results in terms of generalizability and translatability (e.g., external validity). OBJECTIVE This review used the RE-AIM (Reach, Efficacy/Effectiveness, Adoption, Implementation, Maintenance) framework to measure the degree to which randomized and non-randomized PA interventions in children report on internal and external validity factors. METHODS AND RESULTS A systematic search for controlled interventions conducted within the past 12years identified 78 studies that met the inclusion criteria. Based on the RE-AIM criteria, most of the studies focused on elements of internal validity (e.g., sample size, intervention location and efficacy/effectiveness) with minimal reporting of external validity indicators (e.g., representativeness of participants, start-up costs, protocol fidelity and sustainability). CONCLUSIONS Results of this RE-AIM review emphasize the need for future PA interventions in children to report on real-world challenges and limitations, and to highlight considerations for translating evidence-based results into health promotion practice.
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Arredondo EM, Morello M, Holub C, Haughton J. Feasibility and preliminary findings of a church-based mother-daughter pilot study promoting physical activity among young Latinas. FAMILY & COMMUNITY HEALTH 2014; 37:6-18. [PMID: 24297004 DOI: 10.1097/fch.0000000000000015] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Abstract
Physical activity (PA) rates in young Latina girls are low. This study examined acceptability and feasibility of implementing a mother-daughter intervention targeting individual and family-level correlates of PA. Eleven mother-daughter dyads participated in an 8-week intervention promoting PA in preadolescents. Preliminary data suggest increases in self-report PA, reductions in television watching, and improvements in parenting and mother-daughter communication. Focus group data suggest that participants benefited from receiving the intervention in a group format. Findings suggest that mother-daughter interventions promoting PA in young Latinas are feasible. Physical activity may improve family communication and mother-daughter relations.
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Affiliation(s)
- Elva M Arredondo
- Graduate School of Public Health, San Diego State University, Institute for Behavioral and Community Health, San Diego State University, California
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15
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Monteiro SMDR, Jancey J, Howat P. Physical activity and nutrition intervention for mothers of young children: Process evaluation. Health (London) 2014. [DOI: 10.4236/health.2014.63033] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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16
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Larsen BA, Pekmezi D, Marquez B, Benitez TJ, Marcus BH. Physical activity in Latinas: social and environmental influences. ACTA ACUST UNITED AC 2013; 9:201-10. [PMID: 23477325 DOI: 10.2217/whe.13.9] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Latinas are the largest, fastest growing female ethnic minority group in the USA, and also report the lowest levels of physical activity. Following the framework of the social ecological model, this review examines unique social and environmental factors that influence physical activity in Latinas. Research shows that Latinas receive little social support for activity despite having large, close-knit social networks. Interventions incorporating social support components are generally efficacious. Latinas also face many environmental barriers, including crime, heat, traffic, lack of facilities and a fear of immigration enforcement, and there have been few attempts to address environmental barriers in Latino communities. Successful future interventions will need to consider unique social and environmental barriers affecting Latinas, and help Latinas learn to incorporate social networks into physical activity participation.
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Affiliation(s)
- Britta A Larsen
- Department of Family & Preventive Medicine, University of California, San Diego, CA 92093-0628, USA.
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17
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Olvera N, Leung P, Kellam SF, Smith DW, Liu J. Summer and follow-up interventions to affect adiposity with mothers and daughters. Am J Prev Med 2013; 44:S258-66. [PMID: 23415191 DOI: 10.1016/j.amepre.2012.11.018] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/29/2012] [Revised: 11/15/2012] [Accepted: 11/21/2012] [Indexed: 10/27/2022]
Abstract
BACKGROUND The development of effective obesity interventions to reduce adiposity indicators in Latina girls is a public health priority because of their increased risk for becoming overweight. Research indicates that the summer season may be a critical time to intervene because summer exacerbates children's risk for excessive weight gain and increased body fat development. PURPOSE The purpose of this study was twofold: (1) to determine if summer and follow-up interventions reduce adiposity in Latina girls; (2) to assess if such interventions reduce adiposity in Latina girls after controlling for their mothers' adiposity measures. DESIGN This study had a non-experimental (one-group pre- and multiple post-intervention assessment) design. Following a 4-week healthy-lifestyle summer program, each mother-daughter pair participated in 12 weekly follow-up sessions. SETTING/PARTICIPANTS The sample consisted of 61 pairs of Latina girls and their mothers (N=122). Daughters' average age was 10.9 years (± 1.6 years) and mothers' average age was 38.0 years (± 1.6 years). All daughters and 92% of the mothers were categorized as overweight/obese. MAIN OUTCOME MEASURES Percent body fat (%BF), abdominal fat, and height and weight measurements to calculate BMI were conducted at pre-intervention (M1 [baseline]) and three post-intervention time points (M2 [Month 2]; M3 [Month 3]; and M4 [Month 6]). Paired sample t-tests were used to assess the differences in adiposity among the daughters from M1 to M4. Repeated-measures ANCOVA tests were used to control for mother's adiposity. RESULTS Reductions of %BF (p<0.001); abdominal fat (p<0.05); and BMI (p<0.001) at M2 were found for the summer intervention, but no effects were found at M4. Maternal %BF, abdominal fat, and BMI did not have an impact on the daughters' adiposity indicators. CONCLUSIONS Results from this study revealed that a summer intervention appears to be effective in reducing adiposity in Latina girls, but the follow-up sessions did not result in sustaining continued reductions. Maternal measures did not influence their daughters' adiposity measures.
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Affiliation(s)
- Norma Olvera
- Health Program, Educational Psychology Department, University of Houston, Houston, Texas 77204-5029, USA.
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Barr-Anderson DJ, Adams-Wynn AW, DiSantis KI, Kumanyika S. Family-focused physical activity, diet and obesity interventions in African-American girls: a systematic review. Obes Rev 2013; 14:29-51. [PMID: 23057473 PMCID: PMC3524349 DOI: 10.1111/j.1467-789x.2012.01043.x] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/08/2012] [Revised: 08/28/2012] [Accepted: 08/30/2012] [Indexed: 11/30/2022]
Abstract
Obesity interventions that involve family members may be effective with racial/ethnic minority youth. This review assessed the nature and effectiveness of family involvement in obesity interventions among African-American girls aged 5-18 years, a population group with high rates of obesity. Twenty-six databases were searched between January 2011 and March 2012, yielding 27 obesity pilot or full-length prevention or treatment studies with some degree of family involvement and data specific to African-American girls. Interventions varied in type and level of family involvement, cultural adaptation, delivery format and behaviour change intervention strategies; most targeted parent-child dyads. Some similarities in approach based on family involvement were identified. The use of theoretical perspectives specific to African-American family dynamics was absent. Across all studies, effects on weight-related behaviours were generally promising but often non-significant. Similar conclusions were drawn for weight-related outcomes among the full-length randomized controlled trials. Many strategies appeared promising on face value, but available data did not permit inferences about whether or how best to involve family members in obesity prevention and treatment interventions with African-American girls. Study designs that directly compare different types and levels of family involvement and incorporate relevant theoretical elements may be an important next step.
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Affiliation(s)
- D J Barr-Anderson
- Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA.
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Olvera N, Bush JA, Sharma SV, Knox BB, Scherer RL, Butte NF. BOUNCE: a community-based mother-daughter healthy lifestyle intervention for low-income Latino families. Obesity (Silver Spring) 2010; 18 Suppl 1:S102-4. [PMID: 20107454 DOI: 10.1038/oby.2009.439] [Citation(s) in RCA: 64] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The primary purpose of this study was to assess the efficacy of a family-based exploratory community study titled BOUNCE (Behavior Opportunities Uniting Nutrition, Counseling, and Exercise) to increase physical fitness and activity in low-income Latino mothers and daughters. The BOUNCE study consisted of a 12-week exercise (e.g., Latin dance), nutrition education, and counseling intervention. The design included a two-arm parallel group assignment to an experimental group (EG; included 26 mother-daughter dyads) and comparison group (CG; included 20 mother-daughter dyads). Pre- and postintervention 20-Meter Endurance Shuttle Run Test and accelerometry were used to measure children's aerobic capacity and physical activity, respectively. For the mothers, the Rockport Walk test and Non-Exercise Physical Activity Rating test were employed to assess aerobic fitness and physical activity. Anthropometric, demographic, and dietary assessments were also collected pre- and postintervention. Differences in outcome measures between groups were tested using repeated measures analysis of covariance. The BOUNCE intervention had a significant effect on EG Latino daughters' aerobic capacity (P = 0.044). Although not statistically significant, EG daughters reported a higher reduction of high fat food and sweetened beverages and an increase in fruit and vegetable consumption compared to CG daughters. Similarly, EG mothers reported more strategies to increase fruit/vegetable consumption and reduce fat intake compared to CG mothers. No changes in physical activity or BMI were observed between EG and CG mother-daughter dyads.
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Affiliation(s)
- Norma Olvera
- Department of Health and Human Performance, University of Houston, Houston, Texas, USA.
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