Abstract
Background: Latino children in the US experience high rates of obesity, increasing their risk of subsequent diabetes. There are few clinical trials among low-income, Latino families to test interventions that account for and address their unique situation. Methods/design: This trial, conducted in a Head Start (early childhood education) setting, randomly assigns children 2-5 years of age who have obesity by CDC (Centers for Disease Control and Prevention) guidelines (at least 95th percentile body mass index) and their parents to one of three conditions: (1) control, (2) parent mentor with an experimental curriculum, or (3) parent mentor with a standard curriculum (active control). We designed the experimental arm (2) using data from positive deviants: low-income, Latino families who had been successful in moving their child toward a healthy weight. Parent mentors are recruited and trained from the Head Start centers. Parent mentors then facilitate the teaching and coaching of parent-child dyads with weekly interactions over the course of a 6-month period. The primary outcome is change in adjusted body mass index z-score at the end of intervention and at 6 months post-intervention. Secondary outcomes include generalized self-efficacy, dietary intake, the home food environment, and reported physical activity. Discussion: This clinical trial contributes to the field by evaluating parent mentoring interventions that are potentially scalable for a population at high risk for continued obesity and subsequent morbidity and mortality. Trial registration: This trial was registered on October 31, 2017 (ClinicalTrials.gov identifier: NCT03330743).
| Original language | English (US) |
|---|---|
| Article number | 235 |
| Journal | Trials |
| Volume | 20 |
| Issue number | 1 |
| DOIs | |
| State | Published - Apr 25 2019 |
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Keywords
- Behavioral intervention mapping
- Latino
- Low-income population
- Mentors
- Obesity
- Positive deviance
- Preschool children
- Randomized controlled trial
ASJC Scopus subject areas
- Medicine (miscellaneous)
- Pharmacology (medical)
Cite this
Growing Healthy Together : Protocol for a randomized clinical trial using parent mentors for early childhood obesity intervention in a Latino community. / Foster, Byron (Alex); Weinstein, Kelsey; Shannon, Jackilen (Jackie).
In: Trials, Vol. 20, No. 1, 235, 25.04.2019.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Growing Healthy Together
T2 - Protocol for a randomized clinical trial using parent mentors for early childhood obesity intervention in a Latino community
AU - Foster, Byron (Alex)
AU - Weinstein, Kelsey
AU - Shannon, Jackilen (Jackie)
PY - 2019/4/25
Y1 - 2019/4/25
N2 - Background: Latino children in the US experience high rates of obesity, increasing their risk of subsequent diabetes. There are few clinical trials among low-income, Latino families to test interventions that account for and address their unique situation. Methods/design: This trial, conducted in a Head Start (early childhood education) setting, randomly assigns children 2-5 years of age who have obesity by CDC (Centers for Disease Control and Prevention) guidelines (at least 95th percentile body mass index) and their parents to one of three conditions: (1) control, (2) parent mentor with an experimental curriculum, or (3) parent mentor with a standard curriculum (active control). We designed the experimental arm (2) using data from positive deviants: low-income, Latino families who had been successful in moving their child toward a healthy weight. Parent mentors are recruited and trained from the Head Start centers. Parent mentors then facilitate the teaching and coaching of parent-child dyads with weekly interactions over the course of a 6-month period. The primary outcome is change in adjusted body mass index z-score at the end of intervention and at 6 months post-intervention. Secondary outcomes include generalized self-efficacy, dietary intake, the home food environment, and reported physical activity. Discussion: This clinical trial contributes to the field by evaluating parent mentoring interventions that are potentially scalable for a population at high risk for continued obesity and subsequent morbidity and mortality. Trial registration: This trial was registered on October 31, 2017 (ClinicalTrials.gov identifier: NCT03330743).
AB - Background: Latino children in the US experience high rates of obesity, increasing their risk of subsequent diabetes. There are few clinical trials among low-income, Latino families to test interventions that account for and address their unique situation. Methods/design: This trial, conducted in a Head Start (early childhood education) setting, randomly assigns children 2-5 years of age who have obesity by CDC (Centers for Disease Control and Prevention) guidelines (at least 95th percentile body mass index) and their parents to one of three conditions: (1) control, (2) parent mentor with an experimental curriculum, or (3) parent mentor with a standard curriculum (active control). We designed the experimental arm (2) using data from positive deviants: low-income, Latino families who had been successful in moving their child toward a healthy weight. Parent mentors are recruited and trained from the Head Start centers. Parent mentors then facilitate the teaching and coaching of parent-child dyads with weekly interactions over the course of a 6-month period. The primary outcome is change in adjusted body mass index z-score at the end of intervention and at 6 months post-intervention. Secondary outcomes include generalized self-efficacy, dietary intake, the home food environment, and reported physical activity. Discussion: This clinical trial contributes to the field by evaluating parent mentoring interventions that are potentially scalable for a population at high risk for continued obesity and subsequent morbidity and mortality. Trial registration: This trial was registered on October 31, 2017 (ClinicalTrials.gov identifier: NCT03330743).
KW - Behavioral intervention mapping
KW - Latino
KW - Low-income population
KW - Mentors
KW - Obesity
KW - Positive deviance
KW - Preschool children
KW - Randomized controlled trial
UR - http://www.scopus.com/inward/record.url?scp=85064986260&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85064986260&partnerID=8YFLogxK
U2 - 10.1186/s13063-019-3342-3
DO - 10.1186/s13063-019-3342-3
M3 - Article
C2 - 31023345
AN - SCOPUS:85064986260
VL - 20
JO - Trials
JF - Trials
SN - 1745-6215
IS - 1
M1 - 235
ER -