scholarly journals Parent Perceptions on a Walking School Bus Program Among Low-Income Families: A Qualitative Study

2019 ◽  
Vol 16 (11) ◽  
pp. 1047-1053
Author(s):  
Katie Teller ◽  
Mark Abbey-Lambertz ◽  
Nasira Sharma ◽  
Alan Waite ◽  
Scott Ickes ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Low Income ◽  
Role Models ◽  
Controlled Trial ◽  
Parent Perceptions ◽  
School Age Children ◽  
School Bus ◽  
Recruitment Methods ◽  
Low Income Families ◽  
Walking School Bus

Background: The walking school bus (WSB) is a promising intervention to increase walking to school and physical activity in school-age children. The aim of this qualitative study was to assess parent perceptions of a WSB program that was part of a randomized controlled trial to inform future programs. Methods: The authors interviewed 45 parents whose children had participated in a WSB program in the Seattle area, in which third- and fifth-grade students walked to/from school with adult chaperones along a set route. The authors performed a qualitative analysis of the interview transcripts and coded interview segments into 4 broad categories as follows: facilitators, barriers, general positive sentiments, and proposals. Results: Most parents spoke of the benefits of the WSB program; in particular, parents frequently applauded exercise/physical health benefits. Of the barriers, the most frequently cited was time, with work schedule and commute changes leading some families to walk less frequently. Conclusions: Most parents voiced support for the WSB program as a means to improve child health, to learn pedestrian safety, and to interact with positive adult role models. Parents made several suggestions to improve the program, including better recruitment methods, logistical improvements, and a platform for communicating with other parents.

A Randomized Controlled Trial of Prenatal Pediatric Visits for Urban, Low-income Families

PEDIATRICS ◽  
1996 ◽  
Vol 98 (6) ◽  
pp. 1069-1075
Author(s):  
Janet R. Serwint ◽  
Modena E. H. Wilson ◽  
Judith W. Vogelhut ◽  
John T. Repke ◽  
Henry M. Seidel
Keyword(s):  
Health Care ◽  
Low Income ◽  
Controlled Trial ◽  
Intervention Group ◽  
Care Utilization ◽  
Control Group ◽  
Health Maintenance ◽  
Car Safety ◽  
Low Income Families ◽  
Safety Seat

Background. Prenatal pediatric visits have been recommended by the American Academy of Pediatrics to allow the pediatrician to counsel parents on infant care issues, establish a supportive relationship, and provide pediatric practice information to parents. We hypothesized that prenatal pediatric visits would have an impact on breastfeeding decisions, health care behaviors, health care utilization, and the doctor-patient relationship. Methods. We conducted a randomized controlled trial of prenatal pediatric visits for urban, low-income families to measure the impact on breastfeeding decisions, infant car safety seat use, circumcision, health maintenance, and emergency room visits and the pediatrician's perception that he/she would know the mother better. Pregnant women were recruited prenatally from the obstetrics clinic. Outcomes were measured by maternal interview prenatally and when the infant was 2 months old, in addition to review of the nursery record. Physicians were interviewed after the 2-month visit. Health care utilization was measured by chart review at 7 months. Results. A total of 156 pregnant women were enrolled and randomized, 81 to the intervention group and 75 to the control group. Of mothers who breastfed, 45% in the intervention group changed their mind in favor of breastfeeding after enrollment compared with 14% in the control group. Mothers in the intervention group compared with the control group were more likely to make fewer emergency room visits, 0.58 compared with 1.0. Pediatricians were more likely to think that they knew mothers in the intervention group well, 54% versus 29% in the control group, yet 67% of mothers in both groups agreed their pediatrician knew them well. There were no differences between groups in initiation or duration of breastfeeding at 30 or 60 days, infant car safety seat use, circumcision, or health maintenance visits. Conclusions. Prenatal pediatric visits have potential impact on a variety of health care outcomes. Among urban, low-income mothers, we found beneficial effects on breastfeeding decisions, a decrease in emergency department visits, and an initial impact on the doctor-patient relationship. We suggest urban practices actively promote prenatal pediatric visits.

scholarly journals Pilot evaluation of a walking school bus program in a low-income, urban community

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Jason A Mendoza ◽  
David D Levinger ◽  
Brian D Johnston
Keyword(s):  
Low Income ◽  
Urban Community ◽  
School Bus ◽  
Walking School Bus

scholarly journals Mobile Device Use Among Rural, Low-Income Families and the Feasibility of an App to Encourage Preschoolers’ Physical Activity: Qualitative Study

10.2196/10858 ◽  
2018 ◽  
Vol 1 (2) ◽  
pp. e10858 ◽  
Author(s):  
Morgan L McCloskey ◽  
Darcy A Thompson ◽  
Barbara Chamberlin ◽  
Lauren Clark ◽  
Susan L Johnson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Mobile Device ◽  
Low Income ◽  
Low Income Families ◽  
Device Use

The Sequential Scale-Up of an Evidence-Based Intervention: A Case Study

2018 ◽  
Vol 42 (3) ◽  
pp. 318-357 ◽  
Author(s):  
Jaime Thomas ◽  
Thomas D. Cook ◽  
Alice Klein ◽  
Prentice Starkey ◽  
Lydia DeFlorio
Keyword(s):  
Low Income ◽  
Controlled Trial ◽  
Scale Up ◽  
State Level ◽  
The State ◽  
Effect Sizes ◽  
Sequential Approach ◽  
Positive Effects ◽  
Low Income Families ◽  
Cluster Randomized

Policy makers face dilemmas when choosing a policy, program, or practice to implement. Researchers in education, public health, and other fields have proposed a sequential approach to identifying interventions worthy of broader adoption, involving pilot, efficacy, effectiveness, and scale-up studies. In this article, we examine a scale-up of an early math intervention to the state level, using a cluster randomized controlled trial. The intervention, Pre-K Mathematics, has produced robust positive effects on children’s math ability in prior pilot, efficacy, and effectiveness studies. In the current study, we ask if it remains effective at a larger scale in a heterogeneous collection of pre-K programs that plausibly represent all low-income families with a child of pre-K age who live in California. We find that Pre-K Mathematics remains effective at the state level, with positive and statistically significant effects (effect size on the Early Childhood Longitudinal Study, Birth Cohort Mathematics Assessment = .30, p < .01). In addition, we develop a framework of the dimensions of scale-up to explain why effect sizes might decrease as scale increases. Using this framework, we compare the causal estimates from the present study to those from earlier, smaller studies. Consistent with our framework, we find that effect sizes have decreased over time. We conclude with a discussion of the implications of our study for how we think about the external validity of causal relationships.

Childhood Nutrition: Perceptions of Caretakers in a Low-Income Urban Setting

2006 ◽  
Vol 22 (6) ◽  
pp. 345-351 ◽  
Author(s):  
Lynn E. Kelly ◽  
Barbara J. Patterson
Keyword(s):  
Low Income ◽  
Role Models ◽  
Food Choices ◽  
Urban Setting ◽  
Obese Children ◽  
Childhood Nutrition ◽  
Healthy Nutrition ◽  
Children's Nutrition ◽  
Low Income Families ◽  
The Right

The incidence of overweight and obese children, especially those from low-income and minority backgrounds, continues to rise. Multiple factors contribute to the rising rates. In order to gain an understanding of factors contributing to obesity in low-income families, a qualitative study was conducted with the purpose of gaining knowledge of low-income urban caretakers’ understanding and attitudes regarding children’s nutrition. A focused ethnography was used as a means of understanding behavior within the context of a person’s cultural environment. The sample was 17 caretakers of children in the 1st–3rd grades. Four focus groups were conducted. Two themes emerged from caretakers’ perceptions: knowing the right things children should eat and balancing healthy nutrition with unhealthy choices. Four categories emerged regarding influences on food choices: tradition, finances, time constraints, and role models. Lastly, five barriers and three facilitating factors emerged. Implications of the study findings for school nurses include the need, when implementing healthy eating programs for school children, to gain information from caretakers about their perceptions of childhood nutrition.

School Counselors’ Experiences with a Summer Group Curriculum for High-Potential Children from Low-Income Families: A Qualitative Study

2013 ◽  
Vol 16 (3) ◽  
pp. 2156759X1701600
Author(s):  
Jean Sunde Peterson
Keyword(s):  
Qualitative Study ◽  
School Counselors ◽  
Low Income ◽  
Academic Program ◽  
High Potential ◽  
Gifted Children ◽  
Main Theme ◽  
Low Income Families ◽  
Group Guidance

School counselors facilitated group guidance for children from low-income families and assisted in classrooms with a full economic range during a summer academic program for young gifted children in order to increase knowledge about giftedness. This qualitative study explored how the counselors experienced being immersed with gifted children. The main theme in their language was that they had not expected such differentness. They viewed the children in new ways and considered how school counselors could support them.

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