scholarly journals Community Stakeholders’ Perceptions of Barriers to Childhood Obesity Prevention in Low-Income Families, Massachusetts 2012–2013

2015 ◽  
Vol 12 ◽  
Author(s):  
Claudia Ganter ◽  
Emmeline Chuang ◽  
Alyssa Aftosmes-Tobio ◽  
Rachel E. Blaine ◽  
Mary Giannetti ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Obesity Prevention ◽  
Low Income ◽  
Childhood Obesity Prevention ◽  
Community Stakeholders ◽  
Low Income Families

scholarly journals Early Childhood Obesity Prevention in Low-Income, Urban Communities

2014 ◽  
Vol 42 (2) ◽  
pp. 152-166 ◽  
Author(s):  
Spring Dawson-McClure ◽  
Laurie Miller Brotman ◽  
Rachelle Theise ◽  
Joseph J. Palamar ◽  
Dimitra Kamboukos ◽  
...  
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Urban Communities ◽  
Obesity Prevention ◽  
Low Income ◽  
Childhood Obesity Prevention ◽  
Early Childhood Obesity

scholarly journals Feasibility and Acceptability of an Early Childhood Obesity Prevention Intervention: Results from the Healthy Homes, Healthy Families Pilot Study

2014 ◽  
Vol 2014 ◽  
pp. 1-16 ◽  
Author(s):  
Akilah Dulin Keita ◽  
Patricia M. Risica ◽  
Kelli L. Drenner ◽  
Ingrid Adams ◽  
Gemma Gorham ◽  
...  
Keyword(s):  
Early Childhood ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Low Income ◽  
Sedentary Behaviors ◽  
Childhood Obesity Prevention ◽  
Prevention Intervention ◽  
Home Based ◽  
Early Childhood Obesity

Background.This study examined the feasibility and acceptability of a home-based early childhood obesity prevention intervention designed to empower low-income racially/ethnically diverse parents to modify their children’s health behaviors.Methods.We used a prospective design with pre-/posttest evaluation of 50 parent-child pairs (children aged 2 to 5 years) to examine potential changes in dietary, physical activity, and sedentary behaviors among children at baseline and four-month follow-up.Results.39 (78%) parent-child pairs completed evaluation data at 4-month follow-up. Vegetable intake among children significantly increased at follow-up (0.54 cups at 4 months compared to 0.28 cups at baseline,P=0.001) and ounces of fruit juice decreased at follow-up (11.9 ounces at 4 months compared to 16.0 ounces at baseline,P=0.036). Sedentary behaviors also improved. Children significantly decreased time spent watching TV on weekdays (P<0.01) and also reduced weekend TV time. In addition, the number of homes with TV sets in the child’s bedroom also decreased (P<0.0013).Conclusions.The findings indicate that a home-based early childhood obesity prevention intervention is feasible, acceptable and demonstrates short-term effects on dietary and sedentary behaviors of low-income racially/ethnically diverse children.

Increasing Community Readiness for Childhood Obesity Prevention: A Case Study of Four Communities in Georgia

2020 ◽  
pp. 152483992091712
Author(s):  
Erica Heath ◽  
Victoria Sanon ◽  
Dana Keener Mast ◽  
Debra Kibbe ◽  
Rodney Lyn
Keyword(s):  
Childhood Obesity ◽  
Obesity Prevention ◽  
Technical Assistance ◽  
Community Readiness ◽  
Childhood Obesity Prevention ◽  
Community Knowledge ◽  
Community Readiness Model ◽  
Community Stakeholders ◽  
Community Climate

The community readiness model (CRM) was used to assess changes in community readiness across four counties in Georgia that were targeted as part of a 3-year Childhood Obesity Prevention Program. Key respondent interviews were conducted with community stakeholders in 2012 (n = 20) and 2017 (n = 18) using a semistructured questionnaire assessing six dimensions of community readiness (i.e., community efforts, community knowledge of efforts, leadership, community climate, community knowledge about the issue, and resources available to support efforts). Interviews were analyzed using the CRM scoring protocol and qualitative methods. Paired t tests were used to compare mean score differences between baseline and follow-up assessments. At baseline, overall mean readiness scores for the four counties ranged from 4.52 to 5.05 on the CRM 9-point scale. At follow-up, overall readiness scores ranged from 6.01 to 6.97 out of 9.00. Data revealed a statistically significant improvement in scores across all communities (+1.70, p = .007; 95% confidence interval [0.87, 2.51]). Data also revealed statistically significant improvements in every dimension of readiness, except community knowledge of the issue. Information gleaned from interviews suggested that investing in staff to support efforts, building awareness to shift the community climate, and cross sector collaboration contributed to improved community readiness among the study communities. The provision of technical assistance, peer learning opportunities, and financial support as part of a cooperative grant initiative holds promise for increasing the capacity of community coalitions to advance childhood obesity prevention efforts in their local communities.

scholarly journals Implementation of Text-Messaging and Social Media Strategies in a Multilevel Childhood Obesity Prevention Intervention: Process Evaluation Results

2018 ◽  
Vol 55 ◽  
pp. 004695801877918 ◽  
Author(s):  
Ivory H. Loh ◽  
Teresa Schwendler ◽  
Angela C.B. Trude ◽  
Elizabeth T. Anderson Steeves ◽  
Lawrence J. Cheskin ◽  
...  
Keyword(s):  
Social Media ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Low Income ◽  
Text Messaging ◽  
A Priori ◽  
High Standard ◽  
Childhood Obesity Prevention ◽  
Food Stores ◽  
Social Media Platforms

Social media and text messaging show promise as public health interventions, but little evaluation of implementation exists. The B’more Healthy Communities for Kids (BHCK) was a multilevel, multicomponent (wholesalers, food stores, recreation centers) childhood obesity prevention trial that included social media and text-messaging components. The BHCK was implemented in 28 low-income areas of Baltimore City, Maryland, in 2 waves. The texting intervention targeted 241 low-income African American caregivers (of 283), who received 3 texts/week reinforcing key messages, providing nutrition information, and weekly goals. Regular posting on social media platforms (Facebook, Instagram, Twitter) targeted community members and local stakeholders. High implementation standards were set a priori (57 for social media, 11 for texting), with low implementation defined as <50%, medium as 50% to 99%, high as ≥100% of the high standard for each measure. Reach, dose delivered, and fidelity were assessed via web-based analytic tools. Between waves, social media implementation improved from low-moderate to high reach, dose delivered, and fidelity. Text messaging increased from moderate to high in reach and dose delivered, fidelity decreased from high to moderate. Data were used to monitor and revise the BHCK intervention throughout implementation. Our model for evaluating text messaging–based and social media–based interventions may be applicable to other settings.

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