scholarly journals Unmet Social Needs and Adherence to Pediatric Weight Management Interventions: Massachusetts, 2017–2019

2020 ◽  
Vol 110 (S2) ◽  
pp. S251-S257 ◽  
Author(s):  
Micaela Atkins ◽  
Ines Castro ◽  
Mona Sharifi ◽  
Meghan Perkins ◽  
Giselle O’Connor ◽  
...  
Keyword(s):  
Weight Management ◽  
Parental Stress ◽  
Social Needs ◽  
Management Intervention ◽  
Management Interventions ◽  
Contact Hours ◽  
Intervention Adherence ◽  
Pediatric Weight Management ◽  
Weight Management Intervention ◽  
Child Age

Objectives. To examine effects of unmet social needs on adherence to pediatric weight management intervention (PWMI). Methods. We examined individual associations of positive screens for parental stress, parental depression, food insecurity, and housing insecurity with intervention adherence, and associations of 0, 1 or 2, and 3 or 4 unmet social needs with adherence, among children enrolled in a 2017–2019 comparative effectiveness trial for 2 high-intensity PWMIs in Massachusetts. Models were adjusted for child age, body mass index (BMI), parent BMI, and intervention arm. Results. Families with versus without housing insecurity received a mean of 5.3 (SD = 8.0) versus 8.3 (SD = 10.9) contact hours (P < .01). There were no statistically significant differences in adherence for families reporting other unmet social needs. Children with 3 to 4 unmet social needs versus without received a mean of 5.2 (SD = 8.1) versus 9.2 (SD = 11.8) contact hours (P < .01). In fully adjusted models, those with housing insecurity attended a mean difference of −3.14 (95% confidence interval [CI] = −5.41, −0.88) hours versus those without. Those with 3 or 4 unmet social needs attended −3.74 (95% CI = –6.64, −0.84) hours less than those with none. Conclusions. Adherence to PWMIs was lower among children with housing insecurity and in families with 3 or 4 unmet social needs. Addressing social needs should be a priority of PWMIs to improve intervention adherence and reduce disparities in childhood obesity. Trial Registration: ClinicalTrials.gov identifier: NCT03012126.

Effects of a Pediatric Weight Management Intervention on Parental Stress

2021 ◽  
Author(s):  
Desiree Sierra Velez ◽  
Meg Simione ◽  
Ines Castro ◽  
Meghan Perkins ◽  
Man Luo ◽  
...  
Keyword(s):  
Weight Management ◽  
Parental Stress ◽  
Management Intervention ◽  
Pediatric Weight Management ◽  
Weight Management Intervention

Packaging of a Pediatric Weight Management Intervention and Implementation Blueprint for Rural and Micropolitan Communities: The Nebraska CORD 3.0 Project

2021 ◽  
Vol 17 (S1) ◽  
pp. S-62-S-69
Author(s):  
Kate A. Heelan ◽  
Bryce M. Abbey ◽  
Roderick T. Bartee ◽  
Paul A. Estabrooks ◽  
Ali Malmkar ◽  
...  
Keyword(s):  
Weight Management ◽  
Management Intervention ◽  
Pediatric Weight Management ◽  
Weight Management Intervention

Families' Perceptions of and Experiences Related to a Pediatric Weight Management Intervention: A Qualitative Study

2015 ◽  
Vol 47 (5) ◽  
pp. 427-431.e1 ◽  
Author(s):  
Nicholas L. Holt ◽  
Kacey C. Neely ◽  
Amanda S. Newton ◽  
Camilla J. Knight ◽  
Allison Rasquinha ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Weight Management ◽  
Management Intervention ◽  
Pediatric Weight Management ◽  
Weight Management Intervention

scholarly journals A Natural Experiment Comparing the Effectiveness of the “Healthy Eagles” Child Weight Management Intervention in School Versus Community Settings

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 3912
Author(s):  
Melissa Little ◽  
Shirley Serber-Souza ◽  
Maryam Kebbe ◽  
Tanisha Spratt ◽  
Paul N. Aveyard ◽  
...  
Keyword(s):  
Weight Management ◽  
Natural Experiment ◽  
School Setting ◽  
Community Setting ◽  
Healthy Weight ◽  
Z Score ◽  
Community Settings ◽  
Management Intervention ◽  
Management Interventions ◽  
Weight Management Intervention

Behavioural weight management interventions are recommended for the treatment of obesity in children. However, the evidence for these is limited and often generated under trial conditions with White, middle-class populations. Healthy Eagles is a behavioural weight management intervention designed to treat excess weight in children. It ran in the London Borough of Croydon from 2017 to 2020 and was delivered in both school and community settings, providing a natural experiment to compare outcomes. A total of 1560 participants started the Healthy Eagles programme; 347 were in the community setting and 703 in the school setting. Data were analysed for those who completed 70% of the programme. In the school setting, there was a small but significant reduction in BMI z-score (M = −0.04, 95% CI = −0.08, −0.01) for participants above a healthy weight, especially in those with severe obesity (M = −0.09, 95% CI = −0.15, −0.03); there was no significant change in any subgroup in the community setting. Linear regression analysis showed the school setting was associated with a 0.26 (95% CI = 0.13, 0.49) greater reduction in BMI z-score than the community setting after adjusting for ethnicity, deprivation, age and gender. Across both programmes, the effect was somewhat greater in participants from a Black (African/Caribbean/Other) ethnic background (M = −0.06, 95% CI = −0.09, −0.02) and from the two most deprived quintiles (M = −0.06, 95% CI = −0.11, −0.01). Data were limited, but minimal changes were measured in nutrition and physical activity behaviours regardless of setting. This evaluation provides indirect evidence of a small but significant benefit to running weight management interventions in a school versus community setting.

Sign in / Sign up

Export Citation Format

Share Document