Growing Healthy Together: Protocol for a randomized clinical trial using parent mentors for early childhood obesity intervention in a Latino community

Byron (Alex) Foster, Kelsey Weinstein, Jackilen (Jackie) Shannon

Research output: Contribution to journalArticle

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 languageEnglish (US)
Article number235
JournalTrials
Volume20
Issue number1
DOIs
StatePublished - Apr 25 2019

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Mentors
Pediatric Obesity
Hispanic Americans
Randomized Controlled Trials
Obesity
Centers for Disease Control and Prevention (U.S.)
Curriculum
Body Mass Index
Clinical Trials
Self Efficacy
Teaching
Eating
Parents
Guidelines
Exercise
Morbidity
Education
Weights and Measures
Mortality
Mentoring

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 journalArticle

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