Design and rationale for ADAPT+: Optimizing an intervention to promote healthy behaviors in rural, Latino youth with obesity and their parents, using mindfulness strategies

Stern, Marilyn; Redwine, Laura; Lozano, Sandra Soca; Rancourt, Diana; Rodrı́guez, Carmen; Gray, Heewon L.; Lock, S. E.; Bailey, Rocio

doi:10.1016/j.cct.2020.106243

Cited by 3 publications

(1 citation statement)

References 57 publications

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“…We will assess the implementation feasibility and acceptability of a mindful parenting intervention called Calma, Conversa, y Cría (CCC, which translates to “Relax, Chat, and Parent”). Fifty Latina mothers of a child between the ages of 3 and 11 years will participate in a pilot randomized controlled trial (RCT) consisting of two arms: 1) CCC, the mindfulness program for Latina mothers (n = 25); and 2) an enhanced usual care control condition consisting of publicly available information from the NHLBI-created ¡Podemos!® [ 29 ] that has been used successfully with Latinx families [ 30 ] (n = 25; see Fig. 1 for study protocol).…”

Section: Design and Methodsmentioning

confidence: 99%

Rationale, formative research, and protocol for Calma, Conversa, y Cría: A pilot mindful parenting intervention with Latina women

Cotter,

Sibinga,

Bean

et al. 2023

Contemporary Clinical Trials Communications

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Section: Design and Methodsmentioning

confidence: 99%

Rationale, formative research, and protocol for Calma, Conversa, y Cría: A pilot mindful parenting intervention with Latina women

Cotter,

Sibinga,

Bean

et al. 2023

Contemporary Clinical Trials Communications

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Training Promotoras to Implement a Mindfulness-Based Healthy Lifestyle Program in Rural Communities

Soca Lozano,

Buro,

Gonzalez-Videla

et al. 2024

Journal of Nutrition Education and Behavior

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Delivering ADAPT+ to Latino Families Living in Rural Communities: Feasibility and Acceptability of Implementing a Health Promotion Program Including Mindfulness

Stern

Rancourt

Lozano

et al. 2023

Journal of Pediatric Psychology

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Background Obesity is a major public health crisis in Latino youth. Mounting evidence implicates stress in the development and maintenance of obesity. This study examined the feasibility and acceptability of having community health workers, i.e., promotoras, deliver Adaptando Dieta y Acción Para Todos (ADAPT)+, a family-based health promotion program integrating mindfulness strategies for stress reduction to underserved Latino families in rural communities. Methods In an ORBIT model Phase IIb longitudinal quasi-cluster feasibility study, promotoras delivered the 6-session ADAPT+ intervention and 1-session Enhanced Usual Care (EUC) in rural Florida. Feasibility was assessed via sample size and recruitment, randomization by community, data collection completion, and intervention fidelity. Acceptability was assessed via participant retention and program satisfaction. Effect sizes of differences in parent stress and mindful eating between conditions at baseline, end of treatment, and 3-month follow-up were calculated. Results Feasibility and acceptability were demonstrated. The recruitment target was 99% met (n = 95 recruited). Randomization was limited to site level due to coronavirus disease 2019-related challenges. Data collection procedures were feasible (100% completion). Retention was 86% at post-assessment and 82.6% at 3-month follow-up. All sessions were completed (100% fidelity). Mean program satisfaction was 3.91/4.00. ADAPT+ parents reported lower stress (difference = −3.04, medium-to-large effect, d = .70) and more mindful eating (difference = 2.00, medium effect, d = .44) than EUC parents at 3-month follow-up. Conclusion Study implementation and intervention delivery to rural Latino families using promotoras were feasible and acceptable. Promising findings regarding parent stress and mindful eating support a larger (ORBIT Phase III) efficacy trial. Clinical Trial Registration This trial was registered with ClinicalTrials.gov under identifier NCT04800432.

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Design and rationale for ADAPT+: Optimizing an intervention to promote healthy behaviors in rural, Latino youth with obesity and their parents, using mindfulness strategies

Cited by 3 publications

References 57 publications

Rationale, formative research, and protocol for Calma, Conversa, y Cría: A pilot mindful parenting intervention with Latina women

Rationale, formative research, and protocol for Calma, Conversa, y Cría: A pilot mindful parenting intervention with Latina women

Training Promotoras to Implement a Mindfulness-Based Healthy Lifestyle Program in Rural Communities

Delivering ADAPT+ to Latino Families Living in Rural Communities: Feasibility and Acceptability of Implementing a Health Promotion Program Including Mindfulness

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