A Mediation Analysis of Mothers’ Dietary Intake: The<i>Entre Familia: Reflejos de Salud</i>Randomized Controlled Trial

Horton, Lucy A.; Ayala, Guadalupe X.; Slymen, Donald J.; Ibarra, Leticia; Hernández, Erika; Parada, Humberto; Rock, Cheryl L.; Arredondo, Elva M.; Elder, John P.

doi:10.1177/1090198117742439

Cited by 10 publications

(13 citation statements)

References 29 publications

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“…Two reviewers evaluated 7485 citations and 411 full-text articles against inclusion criteria, and 113 RCTs (204 articles) met inclusion criteria (Figure 2). A full list of the included studies, including ancillary publications, can be found in the full evidence report…”

Section: Resultsmentioning

confidence: 99%

Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors

Patnode

Redmond

Iacocca

et al. 2022

JAMA

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IMPORTANCE Unhealthful dietary patterns, low levels of physical activity, and high sedentary time increase the risk of cardiovascular disease.OBJECTIVE To synthesize the evidence on benefits and harms of behavioral counseling interventions to promote a healthy diet and physical activity in adults without known cardiovascular disease (CVD) risk factors to inform a US Preventive Services Task Force recommendation.

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Section: Resultsmentioning

confidence: 99%

Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors

Patnode

Redmond

Iacocca

et al. 2022

JAMA

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“… Means were adjusted for baseline. Analyses controlled for mother’s race, WIC status, and marital status a Significant group differences observed immediately after intervention (4 months) Note: All other potential mediators (changes in mother’s intake and mother-reported family home environment variables) were analyzed as part of Horton et al, paper [ 43 ] …”

Section: Resultsmentioning

confidence: 99%

“…Note: All other potential mediators (changes in mother’s intake and mother-reported family home environment variables) were analyzed as part of Horton et al, paper [ 43 ]…”

Section: Resultsmentioning

confidence: 99%

“…Possible mediators and child outcomes were selected for mediation analyses (Table 4 ). based on the results shown in Table 3 and the mother’s 10-month outcome paper [ 43 ], indicating that the intervention improved mothers’ daily servings of fruits ( p < .05), mothers’ percent energy from fat ( p < .01), behavioral strategies to increase fiber ( p < .001) and behavioral strategies to lower fat (p < .001). Behavioral strategies to increase fiber and to lower fat both mediated the effects of the intervention and children’s monthly varieties of vegetables.…”

Section: Resultsmentioning

confidence: 99%

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Latina mothers as agents of change in children’s eating habits: findings from the randomized controlled trial Entre Familia: Reflejos de Salud

Arredondo

Ayala

Soto

et al. 2018

Int J Behav Nutr Phys Act

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BackgroundFew children consume sufficient servings of fruits and vegetables. Interventions aiming to improve children’s dietary intake often target parent level factors, but limited research has examined the mediating role of parental factors on children’s dietary intake. This study examined 10-month follow up data from the Entre Familia: Reflejos de Salud (Within the Family: Reflections of Health) trial to investigate (1) intervention effects on children’s dietary intake, both sustained and new changes, and (2) whether changes in mothers’ dietary intake, her parenting strategies, and behavioral strategies to promoting healthy eating in the home mediated changes in children’s dietary intake.MethodsParticipants were 361 Mexican-origin families living in Imperial County, California. Families were randomly assigned to a 4-month dietary intervention or a delayed treatment control group. The intervention was delivered by promotoras (community health workers) via home visits and telephone calls. Assessments occurred at baseline, and 4- and 10-months post-baseline.ResultsAt 10-months post-baseline, sustained intervention effects were observed on children’s reported intake of varieties of vegetables, with differences getting larger over time. However, differential intervention effects on fast food were not sustained due to significant reductions in the control group compared with smaller changes in the intervention group. New intervention effects were observed on servings of sugar-sweetened beverages. However, the intervention continued to have no effect on children’s reported fruit and vegetable servings, and varieties of fruits consumed. Mother-reported behavioral strategies to increase fiber and lower fat mediated the relationship between the intervention and children’s intake of varieties of vegetables. Mothers’ percent energy from fat and behavioral strategies to lower fat were mediators of children’s daily servings of sugar-sweetened beverages.ConclusionsThis study suggests that a promotora-led family based intervention can provide mothers with skills to promote modest changes in children’s diet. Examining the parent related mechanisms of change will inform future interventions on important targets for improving children’s diet.Trial registrationhttps://clinicaltrials.gov/. NCT02441049. Retrospectively registered 05.06.2015.

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“…Another successful program that harnessed family relationships was Entre Familia [58]. This intervention was delivered by promotoras (community health workers) via home visits and telephone calls and was successful in increasing children's reported intake of a variety of vegetables and mothers' diet quality [58,59]. Finding common ground through communication and shared experiences to engage family members in healthy practices may ultimately lead to increased familial bonds promoting family health.…”

Section: Collectivismmentioning

confidence: 99%

A Strength-Based Approach to Cancer Prevention in Latinxs

Torrez-Ruiz

Soto

Lopez

et al. 2022

Advancing the Science of Cancer in Latinos

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As Latinxs become exposed to US culture, their risk for many chronic diseases increases, including the risk of cancer. On average, less acculturated Latinxs consume more nutrient-dense foods including fruits, vegetables, and whole grains; they are also more active than their US counterparts because they use active transportation. Cultural and behavioral patterns of recent immigrants may prove to be protective; these patterns are based on the Latinx values of collectivism, familismo, and personalismo. As generational status in the United States increases, positive health behaviors related to dietary intake and activity diminish. Interventions that reinforce these practices may mitigate the negative effects of the acculturation process by capitalizing on behaviors that are protective against the risk of cancer. Traditional Latinx cultural values can be integrated into public health practice and intervention, preserving traditional Latinx practices that are protective and promote positive health outcomes. The integration of cultural beliefs and values into research studies will increase relevancy for Latinx participants and contribute to compliance and long-term participation for improved population health.

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A Mediation Analysis of Mothers’ Dietary Intake: TheEntre Familia: Reflejos de SaludRandomized Controlled Trial

Abstract: Family-based behavioral interventions are effective for changing the skills and family system needed to improve diet among Latina mothers. Health care providers and other practitioners are encouraged to target skill development and fostering a socially supportive environment.

Cited by 10 publications

References 29 publications

Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors

Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors

Latina mothers as agents of change in children’s eating habits: findings from the randomized controlled trial Entre Familia: Reflejos de Salud

A Strength-Based Approach to Cancer Prevention in Latinxs

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