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Choque GAH, Rodriguez MR, Soltani D, Baltaci A, Nagao-Sato S, de Davila SA, Monardez J, Peralta Reyes AO, Reicks M. Mixed-Methods Evaluation of Father Participation in an Adolescent Obesity Prevention Program With Multiple Delivery Methods. Health Promot Pract 2023:15248399231177300. [PMID: 37300243 PMCID: PMC10830123 DOI: 10.1177/15248399231177300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Padres Preparados, Jóvenes Saludables was a Latino family-based obesity prevention intervention implemented from 2017 to 2020 across eight programs in-person only, in a blended format (online/in-person), and online only. The intervention aimed to enhance father parenting skills to improve adolescent diet and activity behaviors. Mothers were encouraged to attend. Factors associated with participation were explored using a mixed-methods, qualitative (focus group/individual interviews by Zoom) and quantitative (process evaluation) design. Eleven focus group and 24 individual interviews were completed after participation with 24 fathers, 27 mothers, and 40 adolescents with responses not sorted by delivery method before analysis. Binomial logistic regression models examined associations between fathers' program completion and predictor variables of delivery characteristics, father demographic characteristics, and family attendance patterns. Parents were married (96% fathers, 76% mothers), had low income, a high school education or less (68% fathers, 81% mothers), and had lived in the United States a mean of 19 years. Parents were motivated to participate to improve health, and to be involved with and improve communication with their child. Common barriers to participation were work and life priorities and programmatic factors including scheduling conflicts and technological issues. Participation was greater for fathers attending sessions in-person compared with online only (OR = 11.6). Fathers were more likely to participate if they attended sessions with family members vs. not attending with family members (OR = 7.2). To maximize participation, findings suggest involving multiple parents/caregivers and adolescents, addressing contextual and programmatic barriers, and promoting benefits of better health and relations with family members.
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Affiliation(s)
| | | | | | | | | | - Silvia Alvarez de Davila
- University of Minnesota Extension, St. Paul, MN, USA
- Robert J. Jones Urban Research and Outreach-Engagement Center, Minneapolis, MN, USA
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2
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MacMillan Uribe AL, Duffy EW, Enahora B, Githinji P, McGuirt J, Tripicchio GL. Digital Technology in Nutrition Education and Behavior Change: Opportunities and Challenges. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2023; 55:391-392. [PMID: 37295846 PMCID: PMC11328461 DOI: 10.1016/j.jneb.2023.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Affiliation(s)
| | - Emily Welker Duffy
- University of North Carolina at Chapel Hill, Gillings School of Global Public Health, Department of Nutrition
| | - Basheerah Enahora
- Assistant Professor, Nutrition Education & Behavior Specialist, Department of Agricultural and Human Sciences, North Carolina State University, NC State Extension
| | - Phrashiah Githinji
- Postdoctoral Research Fellow, Texas A&M AgriLife Research, Institute for Advancing Health through Agriculture
| | - Jared McGuirt
- Assistant Professor, Department of Nutrition, University of North Carolina Greensboro
| | - Gina L Tripicchio
- Center for Obesity Research and Education, College of Public Health, Temple University
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3
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Nagao-Sato S, de Davila SA, Baltaci A, Reyes AOP, Reicks M, Linares R, Zhang Y, Choque GAH. Factors Associated with Fathers' Attendance in a Latino Family Obesity Prevention Program. JOURNAL OF HUMAN SCIENCES AND EXTENSION 2023; 11:2. [PMID: 38274858 PMCID: PMC10810162 DOI: 10.55533/2325-5226.1451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2024]
Abstract
Community-based programs may contribute to Latino pediatric obesity prevention; however, attendance remains low. This study aimed to identify factors associated with Latino father/male caregiver attendance in family-based adolescent obesity prevention programs conducted as part of a randomized controlled trial. The study used cross-sectional data from 137 fathers in the program, involving eight weekly sessions to improve their children's energy balance-related behaviors. Evaluation data were collected at baseline and post-intervention. Fathers in a waitlisted control group attended sessions after post-intervention data collection. Attendance patterns were identified using cluster analysis: consistently high attendance (50% of fathers), declining attendance (19%), and non-attendance (31%) clusters. Multinomial logistic regression was used to examine associations between attendance patterns and variables. Compared to consistently high attendance, fathers in the non-attendance cluster were more likely to have been assigned to the control group (odds ratio [OR] = 7.86, p < 0.001), tended to have lower household income (OR = 2.50, p = 0.098), and attended the program at a site where the program occurred weekdays (OR = 0.35, p = 0.094). Maintaining contact during waiting periods and providing sessions online or during weekends could reduce non-attendance by enhancing convenience for low-income fathers working multiple jobs.
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Ramos AK, Su D, Correa A, Trinidad N. A Concurrent Mixed-Methods Study of Midwestern Latino Parents Participation and Preferences for Parenting Education Programs. JOURNAL OF CHILD AND FAMILY STUDIES 2023; 32:530-543. [PMID: 36788948 PMCID: PMC9910248 DOI: 10.1007/s10826-023-02547-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 01/22/2023] [Indexed: 06/18/2023]
Abstract
Parenting programs are an important tool that can provide support for parents and families and improve family functioning. This concurrent nested QUANT + qual mixed methods study sought to better understand parenting education program participation and examine format, delivery, and content preferences for parenting programs among Latino parents in Nebraska. Results from a statewide survey (N = 173) indicated that 31.4% of parents in the sample had participated in a parenting program. Significant predictors of participation in parenting education programs included being unmarried, not working full-time, having a higher income, and having excellent or very good health. Major barriers to participation included lack of information about available programs and logistical concerns. Focus group participants discussed key program design concerns which included: (1) cultural clashes related to acculturation gaps between parents and children; (2) cultural relevance of programming; (3) logistical considerations; and (4) the inclusion of technology to enhance parenting. Overall, participants were particularly interested in group-based learning, flexible scheduling, and improving the cultural relevance of programs. Implications for program design and outreach to improve Latino parents' access and willingness to participate in parenting education programs are presented. Future research should explore the effectiveness of parenting program implementation and dissemination with Latino parents in rural communities, if there are differences in the benefits of parenting programs by Latino subgroup or level of acculturation, and assess the impact of near-peers in the delivery of parenting programs with Latinos.
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Affiliation(s)
- Athena K. Ramos
- University of Nebraska Medical Center, Department of Health Promotion, Center for Reducing Health Disparities, College of Public Health, 984340 Nebraska Medical Center, Omaha, NE 68198-4340 USA
| | - Dejun Su
- University of Nebraska Medical Center, Department of Health Promotion, Center for Reducing Health Disparities, College of Public Health, 984340 Nebraska Medical Center, Omaha, NE 68198-4340 USA
| | - Antonia Correa
- University of Nebraska Medical Center, Center for Reducing Health Disparities, College of Public Health, 984340 Nebraska Medical Center, Omaha, NE 68198-4340 USA
| | - Natalia Trinidad
- University of Nebraska Medical Center, Center for Reducing Health Disparities, College of Public Health, 984340 Nebraska Medical Center, Omaha, NE 68198-4340 USA
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Welshons KF, Johnson NA, Gold AL, Reicks M. Diabetes prevention program outcomes by in-person versus distance delivery mode among ethnically diverse, primarily lower-income adults. Digit Health 2023; 9:20552076231173524. [PMID: 37188080 PMCID: PMC10176546 DOI: 10.1177/20552076231173524] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 04/14/2023] [Indexed: 05/17/2023] Open
Abstract
Objective Physical activity and weight loss outcomes of a diabetes prevention program were compared for ethnically diverse adults, with the majority participating in public assistance programs. Outcomes were compared for those who completed the program in person versus by distance delivery. Methods A two-group, pre-post study design compared National Diabetes Prevention Program outcomes based on in-person delivery (2018-2020 pre-COVID-19 pandemic, n = 47) and distance delivery (after March 2020, n = 31). Outcomes were measured or self-reported depending on the delivery method. Linear mixed models with a random intercept for coach and covariates were used to assess delivery mode group differences in percent weight loss and weekly physical activity minutes. Results Completion rates were similar by in-person versus distance delivery mode (57% vs. 65%). Among those who completed the program, the mean age was 58 years, the mean baseline body mass index was 33, and 39% were Hispanic. The majority were female (87%), participating in a public assistance program (63%), and living in a micropolitan area (61%). Percent weight loss was greater in the distance delivery group (7.7%) compared to the in-person group (4.7%) in the unadjusted analysis (p = 0.009) but not when adjusted for covariates. No differences were observed in adjusted weekly physical activity minutes between the in-person (219 min) versus the distance group (148 min). Conclusions No differences were observed by delivery mode in percent weight loss or weekly physical activity minutes, indicating that distance delivery does not compromise program effectiveness.
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Affiliation(s)
- Kate F Welshons
- University of Minnesota
Extension, Department of Family, Health and Wellbeing, St Paul, MN,
USA
| | - Nikki A Johnson
- University of Minnesota
Extension, Department of Family, Health and Wellbeing, St Paul, MN,
USA
- Department of Health, Nutrition, and
Exercise Science, North Dakota State University Extension, Fargo, ND, USA
| | - Abby L Gold
- Department of Food Science and
Nutrition, University of Minnesota, St Paul, MN, USA
| | - Marla Reicks
- Department of Food Science and
Nutrition, University of Minnesota, St Paul, MN, USA
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6
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Nagao-Sato S, de Davila SA, Monardez Popelka J, Burk G, Soltani D, Baltaci A, Peralta Reyes AO, Rodriguez M, Reicks M, Hurtado Choque GA. Feasibility of a remotely delivered program to prevent Latino adolescent obesity in the Midwestern USA. Health Promot Int 2022; 37:6680032. [PMID: 36047639 PMCID: PMC9452169 DOI: 10.1093/heapro/daac106] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023] Open
Abstract
Adolescent obesity prevention programs focusing on Latino fathers may be useful to address Latino adolescent obesity. Adolescent obesity has become an urgent issue because of the coronavirus disease 2019 pandemic, with limited ability to deliver prevention programs in-person. This study aimed to assess the feasibility of a community-based, adolescent obesity prevention program for Latino father-adolescent dyads delivered remotely, adapted from the in-person Padres Preparados, Jóvenes Saludables program. A quasi-experimental design was used to assess the feasibility of the remotely delivered program based on criteria adapted from other feasibility studies of community-based health promotion programs for Latino families. Father-adolescent dyads were recruited at two sites in a Midwestern state during 2020; mothers were also encouraged to participate. Recruitment met the feasibility criteria (65 families expressed interest between August and October) with 26 families participating in this study. The retention ratio (percentage of participants who completed a post-session survey to those who completed the baseline survey) among fathers was acceptable (77%), while a lower percentage of adolescents were retained (68%). The session attendance ratio (number of sessions attended of the eight total sessions offered) was higher among adolescents (88%) and lower among fathers (68%) compared to the criteria. Satisfaction ratings (≥88%) and completeness of data collection at both baseline and post-session survey (≥76%) were acceptable. Favorable results were obtained for parent outcomes, while adolescent outcomes were not favorably changed. This remotely delivered adolescent obesity prevention program was feasible for Latino fathers; however, additional engagement with adolescents may be needed.
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Affiliation(s)
| | | | | | - Gabriela Burk
- Southeast Minnesota Dodge County Extension Office, University of Minnesota Extension, Mantorville, MN, USA
| | - Darya Soltani
- School of Public Health, University of Maryland, College Park, MD, USA
| | - Aysegul Baltaci
- School of Public Health, University of Minnesota, Minneapolis, MN, USA
| | | | - Matt Rodriguez
- School of Public Health, University of Maryland, College Park, MD, USA
| | - Marla Reicks
- Department of Food Science and Nutrition, University of Minnesota, St. Paul, MN, USA
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7
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Uribe ALM, Rudt HG, Leak TM. Stakeholders' Views on Mobile Applications to Deliver Infant and Toddler Feeding Education to Latina Mothers of Low Socioeconomic Status. Nutrients 2021; 13:2569. [PMID: 34444738 PMCID: PMC8398137 DOI: 10.3390/nu13082569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 07/07/2021] [Accepted: 07/23/2021] [Indexed: 12/02/2022] Open
Abstract
Infant- and toddler-feeding (ITF) practices are critical to long-term health and chronic disease prevention. Using mobile applications (apps) to promote desirable ITF practices shows promise for overcoming challenges of in-person education. However, the viability of ITF apps for Latina mothers of low-socioeconomic status (SES) remains unclear. The objective of this study was to characterize stakeholders' views on Latina mothers' capability, motivation, and barriers to using ITF apps. New York City-based health professionals who frequently engage with Latina mothers of low SES completed in-depth interviews. Directed content analysis was used to identify themes through theoretical and inductive codes. Participants included dietitians, nutrition educators, and physicians (n = 17). The following themes were identified: (1) Most Latina mothers of low-SES are tech-savvy (i.e., high capability and experience using smartphones and apps); (2) Apps are an appealing way to deliver ITF education; (3) There are challenges to using apps that must be carefully considered for ITF education development. Overall, ITF apps are a viable option as skills and use appear high among Latina mothers. Key considerations for app development include targeted app promotion; detailed instructions for obtaining and using app; more visuals, less text for low literacy and multiple dialects; making key features available offline.
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Affiliation(s)
- Alexandra L. MacMillan Uribe
- Division of Nutritional Sciences, Cornell University, 244 Garden Avenue, Ithaca, NY 14853, USA; (H.G.R.); (T.M.L.)
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8
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Parent Support Programmes for Families Who are Immigrants: A Scoping Review. J Immigr Minor Health 2021; 24:506-525. [PMID: 33768483 PMCID: PMC8854318 DOI: 10.1007/s10903-021-01181-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/03/2021] [Indexed: 11/05/2022]
Abstract
Parental support is of paramount importance in the promotion of positive parenting, strengthening parenthood and protecting children from disadvantages due to immigration experiences. The aim was to describe what is known about parent support programmes targeted to families who are immigrants. Electronic databases and the grey literature were systematically and comprehensively searched with no time/language restrictions. JBI approach and PRISMA-ScR were used to guide the review. N = 88 articles were sourced. Interventions were targeted to improve parental practices, skills and family wellbeing, usually through group-based methods. Most interventions included components of positive parenting and family communication. Identifying the needs of the target group and cultural tailoring were reported to be highly important in gaining acceptability, promoting engagement and producing benefits. Parent support programmes for families who are immigrants potentially improve positive parental practices and families’ wellbeing. There are many applicable and effective interventions to be exploited.
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9
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Nagelhout GE, Abidi L, de Vries H. Reasons for (not) participating in a community-based health promotion program for low-income multi-problem households in the Netherlands: A qualitative study. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:241-249. [PMID: 32633021 PMCID: PMC7818491 DOI: 10.1111/hsc.13087] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2019] [Revised: 05/23/2020] [Accepted: 06/12/2020] [Indexed: 06/11/2023]
Abstract
People living in low-income multi-problem households may benefit from participation in a community-based health promotion program. Yet, low participation rates are often a problem. It is important to assess reasons for (not) participating to better tailor programs to the needs of this particular at-risk group. Back2Balance is a health promotion program for low-income multi-problem households from Apeldoorn, the Netherlands. We performed qualitative interviews among participants (n = 16) and non-participants (n = 12) of the program and asked them for their reasons for (not) participating in the program. Interview transcripts were thematically analysed using the Framework method. Participants indicated that reasons for participating encompassed intrapersonal motivators (e.g. to become healthier), interpersonal motivators (e.g. participating to get to know new people) and program level motivators (e.g. learning about a healthy lifestyle, and free or very low cost). Participants and non-participants outlined the importance of intrapersonal barriers (e.g. physical health problems), interpersonal barriers (e.g. family circumstances) and program level barriers (e.g. logistic issues, and not understanding or knowing about some part of the program). Concluding, combining health promotion with social interaction motivated participants to participate in the Back2Balance program. Yet, both participants and non-participants experienced many barriers for participation, some of which were related to their multi-problem situation.
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Affiliation(s)
- Gera E. Nagelhout
- Department of Health PromotionMaastricht University (CAPHRI)Maastrichtthe Netherlands
- IVO Research InstituteThe Haguethe Netherlands
| | - Latifa Abidi
- Department of Health PromotionMaastricht University (CAPHRI)Maastrichtthe Netherlands
| | - Hein de Vries
- Department of Health PromotionMaastricht University (CAPHRI)Maastrichtthe Netherlands
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10
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So M, Rojo ALA, Robinson LR, Hartwig SA, Lee ARH, Beasley LO, Silovsky JF, Morris AS, Titchener KS, Roblyer MZ. Parent engagement in an original and culturally adapted evidence-based parenting program, Legacy for Children™. Infant Ment Health J 2020; 41:356-377. [PMID: 32275084 PMCID: PMC7322668 DOI: 10.1002/imhj.21853] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Legacy for Children™ (Legacy) is an evidence-based program focused on promoting sensitive, responsive parenting for socioeconomically disadvantaged families. Legacy has recently been culturally and linguistically adapted for Spanish-monolingual Latino families and is being piloted in partnership with an early childhood education program. We conducted a mixed methods study to identify barriers and facilitators to engagement, using program monitoring data sources from both participant and group leader perspectives. We conducted qualitative analyses of open-ended data to identify distinct barriers (e.g., employment challenges, health-related challenges and appointments) and facilitators (e.g., other mothers in group, interest in program topics) to engagement that emerged across English and Spanish language curriculum versions; curriculum-specific barriers and facilitators were also documented. We interpret these findings in light of quantitative data on measures of engagement, showing that participants in the Spanish curriculum evidenced comparable levels of parent-group leader relationship quality relative to the English group, and higher levels of parent's group support/connectedness and overall satisfaction. These results offer promising considerations for optimizing families' engagement in parenting programs in the context of early care and education settings.
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Affiliation(s)
- Marvin So
- Child Development Studies Team, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA 30341
- Oak Ridge Institute for Science and Education, 1299 Bethel Valley Rd, Oak Ridge, TN 37830
| | - Ana L. Almeida Rojo
- Child Development Studies Team, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA 30341
- Oak Ridge Institute for Science and Education, 1299 Bethel Valley Rd, Oak Ridge, TN 37830
| | - Lara R. Robinson
- Child Development Studies Team, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA 30341
| | - Sophie A. Hartwig
- Child Development Studies Team, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA 30341
- Oak Ridge Institute for Science and Education, 1299 Bethel Valley Rd, Oak Ridge, TN 37830
| | - Akilah R. Heggs Lee
- Child Development Studies Team, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA 30341
- Oak Ridge Institute for Science and Education, 1299 Bethel Valley Rd, Oak Ridge, TN 37830
| | - Lana O. Beasley
- Oklahoma State University, 700 N. Greenwood Ave., Main Hall 1110, Tulsa, OK 74106
- Oklahoma University Health Sciences Center, 1100 NE 13th St., Oklahoma City, OK 73117
| | - Jane F. Silovsky
- Oklahoma University Health Sciences Center, 1100 NE 13th St., Oklahoma City, OK 73117
| | - Amanda S. Morris
- Oklahoma State University, 700 N. Greenwood Ave., Main Hall 1110, Tulsa, OK 74106
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11
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Hughes SO, Power TG, Baker SS, Barale KV, Lanigan JD, Parker L, Silva Garcia K, Aragon MC, Johnston CA, Micheli N. Pairing Feeding Content With a Nutrition Education Curriculum: A Comparison of Online and In-Class Delivery. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2020; 52:314-325. [PMID: 31866256 DOI: 10.1016/j.jneb.2019.11.004] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 10/22/2019] [Accepted: 11/07/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To develop a childhood obesity prevention program, Food, Feeding and Your Family (FFYF), which encourages eating self-regulation in young children. This article describes the research methods for FFYF. Activities that will be used to guide the development of the program are illustrated in a logic model. DESIGN A randomized control trial will be conducted with participant groups randomized into 1 of 3 conditions: (1) in-class delivery of feeding content and nutrition education, (2) online delivery of feeding content and in-class delivery of nutrition education, and (3) nutrition education only. Assessments will be collected at baseline, program completion, and 6 and 12 months after completion of the program. SETTING Study will be conducted through the Expanded Food and Nutrition Education Program in Colorado and Washington State. PARTICIPANTS Parents with 2- to 8-year-old children will be recruited from affiliated community agencies, 540 participants across both states. INTERVENTIONS FFYF derives content from an empirically validated parental feeding program, Strategies for Effective Eating Development, and will be administered with Eating Smart • Being Active, an evidence-based, nutrition education curriculum. MAIN OUTCOME MEASURES Parents will report on feeding practices, child eating behaviors, feeding styles, and acculturation. ANALYSIS Because of the nested nature of the data, multilevel analyses will be used: time points, within parents, and within groups.
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Affiliation(s)
- Sheryl O Hughes
- US Department of Agriculture, Agricultural Research Service, Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX.
| | - Thomas G Power
- Department of Human Development, Washington State University, Pullman, WA
| | - Susan S Baker
- Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, CO
| | - Karen V Barale
- Washington State University Extension, Pierce County, Tacoma, WA
| | - Jane D Lanigan
- Department of Human Development, Washington State University, Vancouver, WA
| | | | | | | | - Craig A Johnston
- Department of Health and Human Performance, University of Houston, Houston, TX
| | - Nilda Micheli
- US Department of Agriculture, Agricultural Research Service, Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, Houston, TX
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12
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Garcia-Huidobro D, Diaspro-Higuera MO, Palma D, Palma R, Ortega L, Shlafer R, Wieling E, Piehler T, August G, Svetaz MV, Borowsky IW, Allen ML. Adaptive Recruitment and Parenting Interventions for Immigrant Latino Families with Adolescents. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2020; 20:56-67. [PMID: 29644545 DOI: 10.1007/s11121-018-0898-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Parenting programs are an effective strategy to prevent multiple risky outcomes during adolescence. However, these programs usually enroll one caregiver and have low attendance. This study evaluated the preliminary results, cost, and satisfaction of adaptive recruitment and parenting interventions for immigrant Latino families. A mixed methods study was conducted integrating a pre-post design with embedded qualitative and process evaluations. Fifteen immigrant Latino families with an adolescent child aged 10-14 were recruited. Two-caregiver families received a home visit to increase enrollment of both caregivers. All families participated in an adaptive parenting program that included group sessions and a one-to-one component (online videos plus follow-up telephone calls) for those who did not attend the group sessions. The intervention addressed positive parenting practices using a strengths-based framework. Primary outcomes were the proportion of two-parent families recruited and intervention participation. Secondary outcomes were change in parenting self-efficacy, practices, fidelity, costs, and satisfaction. Participants completed questionnaires and interaction tasks before and after participating in the intervention. In addition, participants and program facilitators completed individual interviews to assess satisfaction with the program components. Overall, 23 parents participated in the intervention; 73% of two-parent families enrolled with both parents. Most participants completed 75% or more of the intervention. Fathers were more likely to use the one-to-one component of the intervention than mothers (p = .038). Participants were satisfied with program modifications. In sum, adaptive recruitment and parenting interventions achieved high father enrollment and high participation. These findings warrant further evaluation in randomized trials.
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Affiliation(s)
- Diego Garcia-Huidobro
- Department of Family Medicine, School of Medicine, Pontificia Universidad Católica de Chile, Vicuña Mackenna 4686, Macul, Santiago, Chile. .,Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
| | | | - Dora Palma
- Aqui Para Ti (Here For You) Clinic, Hennepin County Medical Center, Minneapolis, MN, USA
| | - Roberto Palma
- Aqui Para Ti (Here For You) Clinic, Hennepin County Medical Center, Minneapolis, MN, USA
| | - Luis Ortega
- University of Minnesota Medical School, Minneapolis, MN, USA
| | - Rebecca Shlafer
- Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA
| | - Elizabeth Wieling
- Department of Family Social Science, University of Minnesota, Minneapolis, MN, USA
| | - Timothy Piehler
- Department of Family Social Science, University of Minnesota, Minneapolis, MN, USA
| | - Gerald August
- Department of Family Social Science, University of Minnesota, Minneapolis, MN, USA
| | - Maria V Svetaz
- Aqui Para Ti (Here For You) Clinic, Hennepin County Medical Center, Minneapolis, MN, USA
| | - Iris W Borowsky
- Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA
| | - Michele L Allen
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN, USA
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13
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Doty JL, Brady SS, Monardez Popelka J, Rietveld L, Garcia-Huidobro D, Doty MJ, Linares R, Svetaz MV, Allen ML. Designing a Mobile App to Enhance Parenting Skills of Latinx Parents: A Community-Based Participatory Approach. JMIR Form Res 2020; 4:e12618. [PMID: 32012034 PMCID: PMC7007588 DOI: 10.2196/12618] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Revised: 06/25/2019] [Accepted: 10/22/2019] [Indexed: 01/29/2023] Open
Abstract
Background Latinx families are among the highest users of smartphones, yet few health-focused Web programs have been developed for this audience. Parent-based smartphone apps designed for Latinx families may help increase access to evidence-informed parenting programming and ultimately reduce health disparities among children and adolescents. To maximize uptake of such apps, the Center for eHealth Research and Disease Management (CeHRes) Roadmap for electronic health (eHealth) development recommends 5 phases of development: (1) contextual inquiry, (2) value specification, (3) design, (4) operationalization, and (5) evaluation. Objective Guided by the CeHRes Roadmap, our objective was to apply a community-based participatory research (CBPR) approach to mobile app development. We present a formative evaluation to inform the design of an eHealth mobile app for Latinx parents of adolescents based on a face-to-face parenting program, Padres Informados/Jovenes Preparados (PIJP). Methods Community participants in the process included Latinx parents and stakeholders. We conducted a parent survey (N=115) and interviews (N=20) to understand the context and obtain feedback on a mockup and prototype of the app, facilitator workshops to streamline content, and stakeholder interviews (N=4) to discuss values and app requirements. Results We report results from the first 3 phases of the CeHRes Roadmap. In the survey, 96.5% (111/115) of parents reported they had access to a cell phone, 85.6% (89/104) reported they would use a parenting app in the next month if they had access, and 80.2% (89/111) reported intentions to use a stress reduction app. Parents reported that setting goals about parenting and tracking those goals were important potential features of an app. In logistic regression analyses, technology attitudes and barriers were not related to parent’s intentions to use a parenting mobile app (95% CI 0.51-1.17 and 95% CI 0.28-2.12, respectively). Qualitative interviews confirmed Latinx parents’ technology engagement and desire for education and child development information online. Stakeholder interviews identified 3 community values: familism, the promotion of adolescent health, and delivery of economic value. Community stakeholders participated in defining the mobile app requirements. On the basis of community and parent input, the mobile app prototype was designed with 3 sections: (1) 8 modules of video-based parenting skills instruction with content from the face-to-face PIJP program, (2) breath rate information from a wearable device to support awareness of stress levels that could affect parenting, and (3) goal setting and tracking capacities. Conclusions The findings of this study highlight the utility of an iterative, participatory design process. The CBPR approach and community collaboration enhanced the CeHRes Roadmap by promoting power sharing, facilitating recruitment, and building trust among community members. Experiences applying community research to the initial 3 phases of the CeHRes Roadmap in a Latinx community are discussed, along with plans for the 2 final phases.
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Affiliation(s)
- Jennifer L Doty
- Department of Family, Youth and Community Sciences, University of Florida, Gainesville, FL, United States
| | - Sonya S Brady
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, United States
| | | | - Laura Rietveld
- Department of Computer Science and Engineering, University of Minnesota, Minneapolis, MN, United States
| | - Diego Garcia-Huidobro
- Department of Family Medicine, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile
| | | | | | - Maria Veronica Svetaz
- Aquí Para Ti/Here for You Clinic for Latino Youth, Hennepin Healthcare System, Minneapolis, MN, United States.,Department of Family Medicine and Community Health, Medical School, University of Minnesota, Minneapolis, MN, United States
| | - Michele L Allen
- Department of Family Medicine and Community Health, Medical School, University of Minnesota, Minneapolis, MN, United States
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Marin AH, Alvarenga P, Pozzobon M, Lins TCDS, Oliveira JMD. Evasão em Intervenções Psicológicas com Pais de Crianças e Adolescentes: Relato de Experiência. PSICOLOGIA: CIÊNCIA E PROFISSÃO 2019. [DOI: 10.1590/1982-3703003187233] [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
Resumo A evasão de participantes em pesquisas que avaliam efeitos de intervenções com pais de crianças e adolescentes tem sido pouco investigada pelos pesquisadores brasileiros, que enfrentam dificuldades para concluir estudos-piloto, frequentemente realizados com recursos escassos e amostras pequenas. Este estudo propõe uma análise crítica sobre experiências com a evasão de participantes em quatro pesquisas que avaliaram programas de intervenção, conduzidas pelos autores do presente artigo, à luz da literatura recente. A análise das experiências revelou percentuais de 40% a 80% de abandono após o recrutamento ou início da intervenção. Entre os motivos elencados para justificar o abandono estão: o desinteresse, a discordância entre os cônjuges sobre a adesão, a distância entre residência e local da intervenção e a incompatibilidade de horários. Conclui-se que a maior aproximação entre os pesquisadores e a comunidade pode resultar em aumento de confiança e adesão aos estudos, o que pode ampliar o potencial de inserção social e divulgação científica das pesquisas realizadas com essa população.
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15
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Kaiser LL, Sadeghi B, Tseregounis IE, Manzo RD, Martinez L, Rangel MI, Gomez-Camacho R, Schaefer S, de la Torre A. Attitudes and Social Norms Are Related to Attendance at Childhood Obesity Prevention Classes in a Rural Mexican-Heritage Community. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2018; 50:824-828. [PMID: 30005952 DOI: 10.1016/j.jneb.2018.05.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/21/2017] [Revised: 05/06/2018] [Accepted: 05/07/2018] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To examine factors related to attendance of Mexican-heritage parents at community-based nutrition classes to prevent childhood obesity. METHODS Starting in 2011, interviewers collected baseline data from Niños Sanos Familia Sana (Healthy Children, Healthy Families) participants in rural California. Educators maintained attendance logs from 2012 to 2014. Informed by the Theory of Planned Behavior, interviewers administered an exit survey in 2015 to collect data on attitudes, subjective norms, health motivations, and perceived control related to attendance. Multivariable ordinal logistic regression analysis examined the correlates of attendance (n = 194, intervention group only). RESULTS Controlling for mother's age, marital status, acculturation, and employment, attitudes and subjective norms were significantly related to attendance (odds ratio = 1.27; 95% confidence interval [CI], 1.18-1.37; P < .001). CONCLUSIONS AND IMPLICATIONS In these Mexican-heritage participants, attitudes and subjective norms were significant correlates of attendance. The Theory of Planned Behavior may shed light on attendance of high-risk groups but further testing of instruments is needed.
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Affiliation(s)
- Lucia L Kaiser
- Department of Nutrition, University of California at Davis, Davis, CA.
| | - Banafsheh Sadeghi
- Department of Internal Medicine, School of Medicine, University of California at Davis, Davis, CA
| | | | - Rosa D Manzo
- Health Science Research Institute, University of California at Merced, Merced, CA
| | - Lisa Martinez
- Betty Moore School of Nursing, University of California at Davis, Davis, CA
| | - Maria I Rangel
- School of Public Health, University of California at Berkeley, Berkeley, CA
| | - Rosa Gomez-Camacho
- Center for Transnational Health, University of California at Davis, Davis, CA
| | - Sara Schaefer
- Center for Transnational Health, University of California at Davis, Davis, CA
| | - Adela de la Torre
- Center for Transnational Health, University of California at Davis, Davis, CA
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16
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Schmied EA, Chuang E, Madanat H, Moody J, Ibarra L, Ortiz K, Macias K, Ayala GX. A Qualitative Examination of Parent Engagement in a Family-Based Childhood Obesity Program. Health Promot Pract 2018; 19:905-914. [PMID: 29448812 DOI: 10.1177/1524839918757487] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
Low parent engagement is frequently identified as a barrier to effective implementation of family-based childhood obesity prevention and control programs. A more nuanced understanding of factors affecting parent engagement is important for improving implementation and, ultimately, program efficacy. This qualitative study examined factors influencing parent engagement in a family-based childhood obesity prevention and control program. Semistructured interviews informed by the health belief model and the transtheoretical model were conducted with 22 predominantly Latina mothers following the scheduled conclusion of program activities. Spanish- and English-language interviews were transcribed, translated into English (if Spanish), coded, and summarized using established protocols. Differences between parents who attended at least two thirds of program activities and those who did not were examined. There were no significant demographic differences between parents who did and did not complete two thirds of program activities. Findings indicated that differences in parent engagement may be at least partially explained by differences in parental motivations for participating and in barriers and facilitators, such as children's level of support and enthusiasm for the program. Parents were highly satisfied with the program content and the community health workers who delivered the program. This study adds to emergent literature regarding parents' experiences in family-based childhood obesity prevention and control programs. Potential targets for improving program engagement are discussed.
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Affiliation(s)
- Emily A Schmied
- 1 San Diego State University, San Diego, CA, USA.,2 Institute for Behavioral and Community Health, San Diego, CA, USA
| | | | - Hala Madanat
- 1 San Diego State University, San Diego, CA, USA.,2 Institute for Behavioral and Community Health, San Diego, CA, USA
| | - Jamie Moody
- 4 University of California, San Diego, La Jolla, CA, USA
| | | | - Kenia Ortiz
- 2 Institute for Behavioral and Community Health, San Diego, CA, USA
| | - Karla Macias
- 2 Institute for Behavioral and Community Health, San Diego, CA, USA
| | - Guadalupe X Ayala
- 1 San Diego State University, San Diego, CA, USA.,2 Institute for Behavioral and Community Health, San Diego, CA, USA
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Allen ML, Hurtado GA, Garcia-Huidobro D, Davey C, Forster J, Reynoso U, Alvarez de Davila S, Linares R, Gonzales N, Veronica Svetaz M. Cultural Contributors to Smoking Susceptibility Outcomes Among Latino Youth: The Padres Informados/Jovenes Preparados Participatory Trial. FAMILY & COMMUNITY HEALTH 2017; 40:170-179. [PMID: 28207680 PMCID: PMC5412730 DOI: 10.1097/fch.0000000000000147] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Padres Informados/Jovenes Preparados is a community-based participatory, family-focused tobacco prevention intervention for immigrant Latino families of adolescents. We conducted a participatory randomized controlled trial including 352 Latino families. Parents and youth in the intervention condition engaged in eight family skill building sessions. Participants completed baseline and 6-month postintervention surveys assessing smoking susceptibility and contextual factors. While the intervention did not affect smoking susceptibility overall, it resulted in lower smoking susceptibility among youth in families with less adherence to traditional Latino cultural values. This family cultural orientation is a key consideration for tobacco prevention interventions focused on Latino youth.
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Affiliation(s)
- Michele L Allen
- Department of Family Medicine and Community Health, School of Medicine, University of Minnesota, Minneapolis (Drs Allen and Garcia-Huidobro); Center for Family Development, University of Minnesota Extension, St Paul (Drs Hurtado and Alvarez de Davila); Department of Family Social Science, University of Minnesota, St Paul (Dr Garcia-Huidobro); Department of Family Medicine, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile (Dr Garcia-Huidobro); Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota, Minneapolis (Ms Davey); Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis (Dr Forster); Department of Family and Community Medicine, Aquí Para Ti/Here for You Clinic for Latino Youth, Hennepin County Medical Center, Minneapolis, Minnesota (Ms Reynoso and Dr Veronica Svetaz); Centro Tyrone Guzman, Minneapolis, Minnesota (Ms Linares); and Department of Psychology, Arizona State University, Tempe (Dr Gonzales)
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