Abstract:The obesity epidemic disproportionately affects African American children ages 2 to 18 years of age. The author performed an integrative review of the literature pertaining to African American childhood obesity prevention. The 28 research articles that met the inclusion criteria for this integrative review were primarily comprised of descriptive studies, targeted primarily middle-school children and only six were intervention studies. Most intervention studies were pilot studies, had insufficient power related… Show more
“…While behavioural obesity prevention programs are an important part of this solution, the effect of existing programs has been modest and most have failed to actively engage parents [7], who have a fundamental role in modelling and establishing healthy lifestyle behaviours in their children. As such, researchers have called for more studies to actively involve parents in future programs [10,13,14,56,57]. …”
Internationally, childhood obesity is a major public health concern. Given the established difficulties in treating obesity, designing and evaluating effective obesity prevention interventions are research priorities. As parents play a crucial role in establishing positive health behaviours in children, they are a key target for child obesity prevention programs. However, recruiting and engaging parents in such interventions can be a considerable challenge for researchers and practitioners. Members of the ‘Parenting, Child Behaviour and Well-being’ stream of the Australasian Child and Adolescent Obesity Research Network (ACAORN) have considerable and varied expertise in conducting such interventions and can provide insights into addressing these challenges. This paper aims to highlight considerations regarding the design, implementation, and evaluation of obesity prevention interventions with families and provide practical insights and recommendations for researchers and practitioners conducting family-based research in this area. Case studies of three family-based interventions conducted by ACAORN members are highlighted to provide examples and contextualise the recommendations proposed.
“…While behavioural obesity prevention programs are an important part of this solution, the effect of existing programs has been modest and most have failed to actively engage parents [7], who have a fundamental role in modelling and establishing healthy lifestyle behaviours in their children. As such, researchers have called for more studies to actively involve parents in future programs [10,13,14,56,57]. …”
Internationally, childhood obesity is a major public health concern. Given the established difficulties in treating obesity, designing and evaluating effective obesity prevention interventions are research priorities. As parents play a crucial role in establishing positive health behaviours in children, they are a key target for child obesity prevention programs. However, recruiting and engaging parents in such interventions can be a considerable challenge for researchers and practitioners. Members of the ‘Parenting, Child Behaviour and Well-being’ stream of the Australasian Child and Adolescent Obesity Research Network (ACAORN) have considerable and varied expertise in conducting such interventions and can provide insights into addressing these challenges. This paper aims to highlight considerations regarding the design, implementation, and evaluation of obesity prevention interventions with families and provide practical insights and recommendations for researchers and practitioners conducting family-based research in this area. Case studies of three family-based interventions conducted by ACAORN members are highlighted to provide examples and contextualise the recommendations proposed.
“…In the past few decades, several systematic reviews on paediatric obesity prevention programmes have been published . Interventions focused on altering physical activity and physical activity‐related factors, diet, and nutrition knowledge, and varied in types, duration and outcome measures.…”
SummaryThis review assessed the effectiveness of pre-school-and school-based obesity prevention and/or treatment interventions targeting healthy eating, physical activity or obesity in African American children and adolescents. Systematic searches were conducted for English-printed research articles published between January 1980 and March 2013. Retained articles included experimental studies conducted in the United States that targeted ≥80% African American/black children and adolescents and/or studies whose results were stratified by race/ethnicity, and that were conducted in pre-schools/head start or schools (excluding after-school programmes). Of the 12,270 articles identified, 17 met the inclusion criteria (preschool, n = 2; elementary school, n = 7; middle and secondary schools, n = 8). Thirteen studies found significant improvements in nutrition (pre-school, n = 1; elementary, n = 7; secondary, n = 5) and three found significant improvements in physical activity (pre-school, n = 1; elementary, n = 2) variables of interest. Two studies (pre-school, n = 1; secondary, n = 1) reported significant reductions in obesity in African American children. The evidence available suggests schoolbased interventions are effective in promoting healthy nutrition behaviours in African American children. Conclusions overall and, particularly, about effects on physical activity and obesity are limited due to the small number of studies, differences in assessment approaches and a lack of follow-up assessments.
“…In lower SES children and adolescents, the combined use of both psychosocial (e.g., awareness raising through PA monitoring) and environmental strategies (e.g., low cost PA programs in or near the school premises) seems promising (De Bourdeaudhuij et al, 2011;Harrison, Burns, McGuinness, Heslin, & Murphy, 2006;Jurg, Kremers, Candel, Van der Wal, & De Meij, 2006;Van Sluijs et al, 2008). For ethnic minority young people, these strategies are preferably integrated into culturally appropriate programs that are adapted to different beliefs about overweight, to concerns about neighborhood safety, and to parents' native language (Hudson, 2008;Netto, Bhopal, Lederle, Khatoon, & Jackson, 2010;Stevens, 2010).…”
Section: Composition Of the Framework: Five Componentsmentioning
School-community partnerships have shown their potential as incubators for innovations and for contributing to comprehensive physical activity (PA) programs. However, implementation frameworks for school-community partnerships that allow local tailoring of PA programs remain scarce. The present paper aims at documenting the composition of a framework for PA programs within schoolcommunity partnerships. The framework addresses socioecological strategies to promote extracurricular PA opportunities for pupils, which are integrated into five complementary components. To implement and reinforce the five components of the framework, involvement of schools, pupils, family, and community is facilitated by sustainable partnerships between these stakeholders. Partnerships are not only recommended on the school and community level, but also on a broader regional level that covers multiple communities. The development of the framework was an effort to integrate school-community partnerships into a flexible implementation framework for PA promotion. Implications of the framework for research agendas, professional education, and policy are formulated.
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