Outcomes of an early childhood obesity prevention program in a low-income community: a pilot, randomized trial

Background.This study examined the feasibility and acceptability of a home-based early childhood obesity prevention intervention designed to empower low-income racially/ethnically diverse parents to modify their children’s health behaviors.Methods.We used a prospective design with pre-/posttest evaluation of 50 parent-child pairs (children aged 2 to 5 years) to examine potential changes in dietary, physical activity, and sedentary behaviors among children at baseline and four-month follow-up.Results.39 (78%) parent-child pairs completed evaluation data at 4-month follow-up. Vegetable intake among children significantly increased at follow-up (0.54 cups at 4 months compared to 0.28 cups at baseline,P=0.001) and ounces of fruit juice decreased at follow-up (11.9 ounces at 4 months compared to 16.0 ounces at baseline,P=0.036). Sedentary behaviors also improved. Children significantly decreased time spent watching TV on weekdays (P<0.01) and also reduced weekend TV time. In addition, the number of homes with TV sets in the child’s bedroom also decreased (P<0.0013).Conclusions.The findings indicate that a home-based early childhood obesity prevention intervention is feasible, acceptable and demonstrates short-term effects on dietary and sedentary behaviors of low-income racially/ethnically diverse children.

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Healthy Fathers, Healthy Kids: Feasibility of a Father-focused Childhood Obesity Prevention Program for Low-income Families with Preschool Aged Children (OR13-03-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz050.or13-03-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Amy Mobley ◽

Kim Gans ◽

Kari Adamsons ◽

Tania Huedo-Medina

Keyword(s):

Childhood Obesity ◽

Obesity Prevention ◽

Low Income ◽

Prevention Program ◽

Comparison Group ◽

Childhood Obesity Prevention ◽

Recruitment And Retention ◽

The Impact ◽

Obesity Prevention Program ◽

Preschool Aged Children

Abstract Objectives The purpose of this pilot study was to determine feasibility of recruitment and retention of low-income fathers of preschool aged children in a childhood obesity prevention program (Healthy Fathers, Healthy Kids), based on process evaluation data, to improve paternal food-related parenting practices, mealtime behaviors and father and child nutrition and physical activity behaviors. Methods Father and child dyads (n = 45) were enrolled in an 8 session (2 hours/session) community-based intervention including nutrition and parent education with between-session technology enhancements. Dyads were assigned within groups to intervention (n = 31) or a delayed comparison group (n = 14). Assessments were conducted at pre and post including a subset of data from cohabiting mothers (n = 27) to assess moderating influences on outcomes. Results Of the fathers in the intervention group, 87% (27 out of 31) were retained in the program and of those remaining, 93% (25 out of 27) attended at least one session and 63% (17 out of 27) attended the majority of sessions (at least four sessions). The majority of fathers (81%) (22 out of 27) completed at least one post-program assessment. None of the fathers in the comparison group participated in the program intervention because of the 6–8 week planned delay. Retaining fathers in the delayed comparison group for intervention delivery, conducting 24 hour dietary recalls, and implementation of technology enhancements during the program for intervention fathers proved difficult. Conclusions While fathers remain an underserved audience in childhood obesity prevention outreach efforts, some challenges persist in recruiting and retention. A community champion proved to be an invaluable resource. Additional suggestions for recruitment and retention will be discussed. Further research should explore the impact of father-focused programming on parent and child outcomes and determine best practices in using technology enhancements with fathers in a community setting. Funding Sources National Institute of Child Health and Human Development.

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