scholarly journals Effectiveness of a combined obesity prevention program in South Korea for children from low-income families that included primary caregiver participation

2021 ◽  
Vol 27 (3) ◽  
pp. 211-224
Author(s):  
Namhee Park ◽  
Mihae Im
Keyword(s):  
Obesity Prevention ◽  
Low Income ◽  
Prevention Program ◽  
Intervention Program ◽  
Intervention Group ◽  
Primary Caregivers ◽  
Primary Caregiver ◽  
Control Group ◽  
Low Income Families ◽  
Obesity Prevention Program

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.

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 A randomised safety promotion intervention trial among low-income families with toddlers

2017 ◽  
Vol 24 (1) ◽  
pp. 41-47 ◽  
Author(s):  
Yan Wang ◽  
Andrea C Gielen ◽  
Laurence S Magder ◽  
Erin R Hager ◽  
Maureen M Black
Keyword(s):  
Low Income ◽  
Intervention Group ◽  
Attention Control ◽  
Control Group ◽  
Home Safety ◽  
Safety Promotion ◽  
Low Income Families ◽  
Attention Control Group ◽  
Over Time

BackgroundToddler-aged children are vulnerable to unintentional injuries, especially those in low-income families.ObjectiveTo examine the effectiveness of an intervention grounded in social cognitive theory (SCT) on the reduction of home safety problems among low-income families with toddlers.Methods277 low-income mother–toddler dyads were randomised into a safety promotion intervention (n=91) or an attention-control group (n=186). Mothers in the safety promotion intervention group received an eight-session, group-delivered safety intervention targeting fire prevention, fall prevention, poison control and car seat use, through health education, goal-setting and social support. Data collectors observed participants' homes and completed a nine-item checklist of home safety problems at study enrolment (baseline), 6 and 12 months after baseline. A total score was summed, with high scores indicating more problems. Linear mixed models compared the changes over time in home safety problems between intervention and control groups.ResultsThe intent-to-treat analysis indicated that the safety promotion intervention group significantly reduced safety problems to a greater degree than the attention-control group at the 12-month follow-up (between-group difference in change over time β=−0.54, 95% CI −0.05 to −1.03, p=0.035), with no significant differences at the 6-month follow-up.ConclusionsA safety promotion intervention built on principles of SCT has the potential to promote toddlers' home safety environment. Future studies should examine additional strategies to determine whether better penetration/compliance can produce more clinically important improvement in home safety practices.Trial registration numberNCT02615158; post-results.

Short-Term Effects of an Obesity Prevention Program Among Low-Income Hispanic Families With Preschoolers

2020 ◽  
Vol 52 (3) ◽  
pp. 224-239 ◽  
Author(s):  
Sheryl O. Hughes ◽  
Thomas G. Power ◽  
Ashley Beck ◽  
Drew Betz ◽  
L. Suzanne Goodell ◽  
...  
Keyword(s):  
Obesity Prevention ◽  
Low Income ◽  
Prevention Program ◽  
Short Term ◽  
Hispanic Families ◽  
Obesity Prevention Program ◽  
Short Term Effects

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