scholarly journals Adapting a Parental Support App to Promote Healthy Diet and Physical Activity Behaviors (MINISTOP) for a Multi-Ethnic Setting: A Qualitative Study on the Needs and Preferences of Parents and Nurses within Swedish Child Health Care

Nutrients ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 2190
Author(s):  
Christina Alexandrou ◽  
Ulrika Müssener ◽  
Kristin Thomas ◽  
Hanna Henriksson ◽  
Marie Löf
Keyword(s):  
Physical Activity ◽  
Health Behaviors ◽  
Parental Support ◽  
Overweight And Obesity ◽  
Healthy Diet ◽  
Ethnic Communities ◽  
Individual Interviews ◽  
Diet And Physical Activity ◽  
Nurses Perceptions ◽  
Audio Video

Early efforts for prevention of childhood overweight and obesity are needed. In order to adapt an app promoting healthy diet and physical activity behaviors in children (MINISTOP 1.0) for multi-ethnic communities, we explored: (1) needs and concerns among Somali-, Arabic-, and Swedish-speaking parents in terms of supporting healthy diet and activity behaviors in their children; (2) nurses’ perceptions of parental needs and concerns in relation to diet and physical activity behaviors; and (3) how the features and content of the MINISTOP 1.0 app could be refined to better support health behaviors in children, among both parents and nurses. Focus groups with Somali-, Arabic-, and Swedish-speaking parents (n = 15), and individual interviews with nurses (n = 15) were conducted. Parents expressed several challenges in supporting children’s health behaviors, the need for a tailored app, and alternative ways of accessing the content (audio/video). Nurses emphasized the need of supporting parents early, and the value of a shared platform in different languages, to facilitate communication. This study contributes valuable insights about parental needs and relevant adaptations to a parental support app, such as addition of audio/video files for increased accessibility. This adapted app version—MINISTOP 2.0, can be useful for childhood obesity prevention in multi-ethnic communities.

Adapting a parental support app for preschooler’s health behaviors (MINISTOP) in a multi-ethnic setting: A qualitative study on needs and preferences of Somali, Arabic and Swedish speaking parents and nurses within Swedish child health care (Preprint)

2020 ◽  
Author(s):  
Christina Alexandrou ◽  
Ulrika Müssener ◽  
Kristin Thomas ◽  
Hanna Henriksson ◽  
Marie Löf
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Behaviors ◽  
Parental Support ◽  
Overweight And Obesity ◽  
Preschool Age ◽  
Healthy Diet ◽  
Child Health Care ◽  
Dietary Recommendations ◽  
Clear Information

BACKGROUND Similar to other high-income countries, Sweden has a socioeconomic gradient of obesity, with twice as high prevalence of childhood overweight and obesity in areas were the population is predominantly immigrant and more socioeconomically vulnerable. Preventive efforts in primary child health care to counteract this development already in the preschool age has been called for. Mobile health (mHealth) represents an attractive approach to deliver such obesity interventions as they are highly flexible and adaptable. However, knowledge is limited regarding what adaptations of content and features that are required to also make such interventions accessible and effective for parents with a foreign background. OBJECTIVE This study aimed to explore: (1) needs and concerns among Somali, Arabic and Swedish speaking parents in terms of supporting healthy diet and activity behaviors in their children; (2) nurses’ perceptions of parental needs and concerns, in relation to diet and physical activity behaviors, and (3) how features and content of a parental support app (MINISTOP 1.0) could be refined to better support health behaviors in children, among both parents and nurses. METHODS Three focus group interviews with parents speaking Somali (n=5), Arabic (n=4) and Swedish (n=6), and 15 individual telephone interviews with Swedish primary child health care nurses from different geographic and socioeconomic areas in Sweden were conducted. All interviews were audio-recorded, transcribed verbatim, and analyzed using an inductive thematic approach. RESULTS Two main themes were identified in the data. The first theme, “Parenthood and health behaviors”, highlighted insecurities and concerns among parents relating to a healthy diet in their children. Swedish speaking parents expressed being stressed about trying to adhere to dietary recommendations, while Arabic speaking parents requested clear information on how to adhere to them. Nurses underlined the need of targeting parents early and strengthening them in their parenting role. In the second theme, “Preferences of content and features”, parents and nurses expressed key aspects that needed to be included in an app. For example, parents from all three focus groups suggested inclusion of clear and reassuring information on children’s diet and eating behaviors. Parents also requested inclusion of social and emotional support rather than just recommendations per se. Nurses talked about the value of a shared digital platform with clear information and pictures, available in different languages, to aid their communication with the parents. CONCLUSIONS This study contributes with valuable insights and knowledge about adapting a parental app supporting health behaviors in children in a multi-ethnic setting. Findings include the importance of strengthening parents in their role, as well as translating and making relevant adaptations to the app, for it to be accessible for parents speaking other languages and facilitate parent-nurse communication.

scholarly journals Evaluation of the effectiveness of behavioural economic incentive programmes for the promotion of a healthy diet and physical activity: a protocol for a systematic review and network meta-analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e046035
Author(s):  
Suparee Boonmanunt ◽  
Oraluck Pattanaprateep ◽  
Boonsong Ongphiphadhanakul ◽  
Gareth McKay ◽  
John Attia ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Financial Incentives ◽  
Meta Analysis ◽  
Economic Incentive ◽  
Healthy Diet ◽  
Current Evidence ◽  
Diet And Physical Activity ◽  
Behavioural Economic ◽  
Meta Analyses

IntroductionObesity and being overweight are major risk factors for metabolic syndrome and non-communicable diseases. Despite the recommendation that a healthy diet and physical activity can reduce the severity of these diseases, many fail to adhere to these measures. From a behavioural economic perspective, adherence to such measures can be encouraged through financial incentives. However, additional related behavioural economic approaches may improve the effectiveness of an incentive programme. As such, we have developed a protocol for a systematic review and network meta-analysis to summarise the current evidence from financial incentive programmes with and without behavioural economic insights for promoting healthy diet and physical activity.Methods and analysisPrevious systematic reviews, meta-analyses and individual studies were identified from Medline and Scopus in June 2020 and will be updated until December 2020. Individual studies will be selected and data extracted by two reviewers. Disagreement will be resolved by consensus or adjudicated by a third reviewer. A descriptive analysis will summarise the effectiveness of behavioural economic incentive programmes for promoting healthy diet and physical activity. Moreover, individual studies will be pooled using network meta-analyses where possible. I2 statistics and Cochran’s Q test will be used to assess heterogeneity. Risk of bias and publication bias, if appropriate, will be evaluated, as well as the overall strength of the evidence.Ethics and disseminationEthics approval for a systematic review and meta-analysis is not required. The findings will be published in a peer-reviewed journal.PROSPERO registration numberCRD42020198024.

scholarly journals Diet and physical activity as determinants of weight gain, overweight and obesity: The WCRF/AICR evidence and policy implications

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Isobel Bandurek ◽  
Emily Almond ◽  
Susannah Brown ◽  
Giota Mitrou ◽  
Ifigeneia Bourgiezi ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Health Policy ◽  
Weight Gain ◽  
Public Health Policy ◽  
Screen Time ◽  
Overweight And Obesity ◽  
Evidence Based ◽  
Diet And Physical Activity ◽  
Adults And Children

AbstractIntroductionGlobally, over 1.97 billion adults and 338 million children and adolescents are living with overweight and obesity, increasing the risk of numerous co-morbidities, including at least 12 cancers(1). WCRF/AICR conducted a literature review of diet and physical activity as determinants of weight gain, overweight and obesity in adults and children. We also introduce a novel evidence-based policy framework for promoting physical activity, and linked database, currently in development as part of the EU-funded CO-CREATE project on child and adolescent obesity prevention.Materials and MethodsEvidence on diet and physical activity as determinants and risk of weight gain, overweight and obesity was systematically extracted from existing reviews and a systematic search for recent meta-analyses, then collated and analysed. The WCRF Continuous Update Project Expert Panel drew conclusions about which exposures influence risk of weight gain, overweight and obesity, using pre-defined criteria that included evidence of biological plausibility.ResultsThe Panel identified strong evidence that several diet and physical activity related exposures influence the risk of weight gain, overweight and obesity in adults and children (see table 1). Separate conclusions were drawn for adults and children in relation to screen time, considered a marker of sedentary time.However, the Panel noted that as exposures tend to cluster, physiologically interact and share common biological mechanisms, they should not be regarded as absolutely ‘singular'but an integrated concept of interrelated exposures within a pattern of lifestyle. Table 1.Risk of weight gain, overweight and obesitySTRONG EVIDENCEDECREASES RISKINCREASES RISKCONVINCINGWalkingScreen time (children)Sugar sweetened drinksPROBABLEAerobic physical activityFoods containing dietary fibre‘Mediterranean type’ dietary patternHaving been breastfedScreen time (adults)‘Fast foods’‘Western type’ dietFor full list of footnotes, see Energy Balance and Body Fatness report(1).DiscussionHealthy dietary patterns help prevent excess weight gain. Achieving such patterns requires attention to the broader economic, environmental and social factors that influence and constrain people's behaviour. The findings of this report support the need for evidence-based public health policy to help create health-enabling environments, particularly for children and adolescents. The WCRF International MOVING framework(2) presents a package of policies to promote physical activity, which alongside wider public health policy can help address the multiple drivers of overweight and obesity.

scholarly journals Hispanic Male’s Perspectives of Health Behaviors Related to Weight Management

2015 ◽  
Vol 11 (5) ◽  
pp. 1547-1559 ◽  
Author(s):  
David O. Garcia ◽  
Luis A. Valdez ◽  
Steven P. Hooker
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Health Behaviors ◽  
Weight Management ◽  
Health Beliefs ◽  
The United States ◽  
Overweight And Obesity ◽  
Future Research ◽  
Hispanic Males ◽  
Semistructured Interviews

Hispanic males have the highest prevalence of overweight and obesity among men in the United States; yet are significantly underrepresented in weight loss research. The purpose of the current study was to examine Hispanic male’s perspectives of health behaviors related to weight management to refine the methodologies to deliver a gender-sensitive and culturally sensitive weight loss intervention. From October 2014 to April 2015, semistructured interviews were conducted with 14 overweight Hispanic men of ages 18 to 64 years. The interviews lasted approximately 60 minutes. Participants also completed a brief questionnaire and body weight/height were measured. Grounded in a deductive process, a preliminary codebook was developed based on the topics included in the interview guides. A thematic analysis facilitated the identification of inductive themes and the finalization of the codebook used for transcript analysis. Four overarching themes were identified: (a) general health beliefs of how diet and physical activity behaviors affect health outcomes, (b) barriers to healthy eating and physical activity, (c) motivators for change, and (d) viable recruitment and intervention approaches. Future research should examine feasible and appropriate recruitment and intervention strategies identified by Hispanic males to improve weight management in this vulnerable group.

scholarly journals Behaviour change initiatives to promote a healthy diet and physical activity in European countries

2013 ◽  
Vol 38 (1) ◽  
pp. 85-99 ◽  
Author(s):  
E. Weichselbaum ◽  
B. Hooper ◽  
J. Buttriss ◽  
C. Theobald ◽  
V. Sgarabottolo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Behaviour Change ◽  
Healthy Diet ◽  
European Countries ◽  
Change Initiatives ◽  
Diet And Physical Activity

scholarly journals Adverse Neighborhood Environments and Health Behaviors among Older Americans

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1031-1032
Author(s):  
Yeon Jin Choi
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Diet Quality ◽  
Physical Inactivity ◽  
Healthy Diet ◽  
Neighborhood Disorder ◽  
Older Americans ◽  
Poor Diet ◽  
Diet And Physical Activity ◽  
Neighborhood Environments

Abstract Maintaining healthy lifestyle, including healthy diet and physical activity, in adverse neighborhood environments may be more difficult for older adults because of changes linked to aging, which make them more vulnerable to their environments. This study aims to investigate the association of neighborhood disorder with diet quality and physical activity in a national sample of older Americans. For this study, we used data from the Health and Retirement Study. Neighborhood disorders include vandalism, boarded houses, abandoned cars, demolished houses, trash, litter, or junk, poorly kept communal areas, homeless people, prostitution, winos or junkies, and drug use or drug dealing near residents’ housing unit (range: 0-11). Diet quality and physical activity were assessed using the Healthy Eating Index 2015 (HEI-2015; range:0-100) and the metabolic (MET) equivalent activity points (range: 0-31 in this sample). Ordinary least squares regression models were estimated to examine an association between neighborhood disorder, diet quality, and physical activity. Neighborhood disorder was associated with poor diet and physical inactivity. For one additional negative neighborhood feature, HEI-2015 scores and MET-equivalent activity points decreased by 0.55 (95% CI: -1.09. -0.01) and 0.69 (95% CI: -1.05, -0.33). Findings of this study suggest that older adults living in adverse neighborhoods are at a greater risk of poor diet and physical inactivity, which are important risk factors for poor health and chronic diseases. Promoting neighborhood environments and perceived neighborhood safety would increase access to health food, encourage healthy diet and physical activity, and support healthy aging.

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