scholarly journals School-based obesity prevention for busy low-income families—Organisational and personal barriers and facilitators to implementation

PLoS ONE ◽  
2019 ◽  
Vol 14 (11) ◽  
pp. e0224512 ◽  
Author(s):  
Åsa Norman ◽  
Gisela Nyberg ◽  
Anita Berlin
2019 ◽  
Vol 6 ◽  
pp. 2333794X1985529
Author(s):  
Lauren Millen ◽  
Francine Overcash ◽  
Zata Vickers ◽  
Marla Reicks

Purpose. To qualitatively assess barriers and facilitators to implementing specific behavioral strategies to increase child vegetable intake during home dinner meals by low-income parents. Method. Parents (n = 49) of children (9-12 years) were asked to implement 1 behavioral strategy following each of 6 weekly cooking classes at community centers. Example strategies included serving vegetables first, serving 2 vegetables, and using a bigger spoon to serve vegetables. The following week, parents discussed how they used the strategy and barriers and facilitators to its use. Discussions were recorded, transcribed verbatim, and coded separately by strategy using NVivo Pro 11 software. Inductive, comparative thematic analyses were used to identify themes by strategy. Results. Most participants were multiethnic women aged 30 to 39 years with low food security. Time and scheduling conflicts limited involvement of children in vegetable preparation (Child Help strategy). The type of foods served and an unfamiliar serving style inhibited use of the MyPlate and Available/Visible strategies, respectively. Children’s dislike of vegetables limited use of the Serve Vegetables First and Serve 2 Vegetables strategies. Ease of use promoted use of the Bigger Spoon strategy. Conclusion. Educators could tailor application of specific parent strategies for low-income families based on child and environmental characteristics.


2016 ◽  
Vol 26 (4) ◽  
pp. 611-616 ◽  
Author(s):  
Femke van Nassau ◽  
Amika S. Singh ◽  
Doris Broekhuizen ◽  
Willem van Mechelen ◽  
Johannes Brug ◽  
...  

2018 ◽  
Vol 35 (5) ◽  
pp. 325-336 ◽  
Author(s):  
Amie F. Bettencourt ◽  
Deborah Gross ◽  
Susan Breitenstein

Young children first develop the social–behavioral skills needed to succeed in school from parents. However, most school-based interventions designed to bolster children’s social–behavioral skills have focused on strengthening teachers’ skills. This study examined the extent to which a 12-session group-based program for strengthening parenting skills, the Chicago Parent Program (CPP), could be implemented with fidelity in 12 urban schools serving a large population of young children (>95% African American or Latino) living in poverty. Parents of 380 prekindergarten students enrolled in the CPP. Data were collected on child behavior problems; parent satisfaction, attendance, and weekly practice completion; and implementation adherence and competence. Results indicated that CPP group leaders were highly adherent and competent; parents rated groups highly and attended an average of 8 sessions indicating CPP was implemented with high fidelity. Barriers and supports to implementation are reviewed, and implications for long-term sustainability of school-based interventions like CPP are discussed.


2014 ◽  
Vol 9 (2) ◽  
pp. 165-171 ◽  
Author(s):  
Yi-Ling Lin ◽  
Yea-Yin Yen ◽  
Hon-Sen Chen ◽  
Yen-Chun Liu ◽  
Chin-Shun Chang ◽  
...  

2021 ◽  
Vol 27 (3) ◽  
pp. 211-224
Author(s):  
Namhee Park ◽  
Mihae Im

Purpose: Obesity among children from low-income families is becoming a social problem. The aim of this study was to evaluate the effectiveness of an obesity prevention program that included physical activity, nutrition education, behavioral modification, and primary caregiver participation components among children from low-income families.Methods: The study analyzed a nonequivalent control group using a pretest-posttest design. A total of 77 children were recruited from six community childcare centers using purposive sampling. For the intervention group (n=40), the pretest was administered before the combined intervention program involving the participants' primary caregivers was conducted for 8 weeks. The posttest was conducted immediately after the program and again four weeks after the program.Results: Flexibility (F=4.64, p=.020), muscular endurance (F=11.22, p<.001), nutritional knowledge scores (F=4.79, p=.010), body image satisfaction scores (F=4.74, p=.012), and self-esteem scores (F=3.81, p=.029) showed significant differences and interactions between group and time for the intervention and control groups.Conclusion: Strategies to actively engage the primary caregivers of low-income families in children's obesity programs are needed. Obesity prevention programs for children based on the program in this study should be routinely developed, and continuing attention should be given to children from low-income families.


2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Juliana Kain ◽  
Fernando Concha ◽  
Lorena Moreno ◽  
Bárbara Leyton

Objective. To evaluate the effectiveness of a 12-month multicomponent obesity prevention intervention.Setting. 9 elementary schools in Santiago, Chile.Subjects. 6–8 y old low-income children (N=1474).Design. Randomized controlled study; 5 intervention/4 control schools. We trained teachers to deliver nutrition contents and improve the quality of PE classes. We determined % healthy snacks brought from home, children’s nutrition knowledge, nutritional status, duration of PE classes, and % time in moderate/vigorous activity (MVA). Effectiveness was determined by comparingΔBMIZbetween intervention and control children using PROCMIXED.Results. % obesity increased in boys from both types of schools and in girls from control schools, while decreasing in girls from intervention schools (all nonsignificant). % class time in MVA declined (24.5–16.2) while remaining unchanged (24.8–23.7%) in classes conducted by untrained and trained teachers, respectively. In boys, BMIZdeclined (1.33–1.24) and increased (1.22–1.35) in intervention and control schools, respectively. In girls, BMIZremained unchanged in intervention schools, while increasing significantly in control schools (0.91–1.06,P=0.024). Interaction group*time was significant for boys (P<0.0001) and girls (P=0.004).Conclusions. This intervention was effective in controlling obesity, but not preventing it. Even though impact was small, results showed that when no intervention is implemented, obesity increases.


2019 ◽  
Vol 6 ◽  
pp. 2333794X1986981
Author(s):  
Leanne Whiteside-Mansell ◽  
Taren Swindle ◽  
James P. Selig

This study examined the implementation of a school-based, obesity prevention curriculum, Together, We Inspire Smart Eating (WISE), targeting 3- to 7-year-old low-income children. Survey data from a convenience sample were collected from educators and parents (N = 73, N = 188, respectively) at the beginning and end of a school year in which WISE was implemented. Educators also reported on lessons weekly. Measures to evaluate the success of the implementation were conceptually distinct implementation outcomes (Educators: Perceived Barriers, Appropriateness, Acceptability, Feasibility, Fidelity; Parents: Adoption, Appropriateness). WISE was successfully implemented in 33 target classrooms representing 7 preschool centers and 2 elementary schools. Based on educator report, perceived barriers were reduced. Educators rated Appropriateness, Acceptability, and Feasibility high. Evidence of Fidelity was mixed. Parents reported indicators of Adoption and Appropriateness high. The study provided support for WISE in preschools and elementary schools serving young children from low-resource homes.


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