Family Home Food Environment and Nutrition-Related Parent and Child Personal and Behavioral Outcomes of the Healthy Home Offerings via the Mealtime Environment (HOME) Plus Program: A Randomized Controlled Trial

Fulkerson, Jayne A.; Friend, Sarah; Horning, Melissa L.; Flattum, Colleen; Draxten, Michelle; Neumark‐Sztainer, Dianne; Gurvich, Olga V; Garwick, Ann E; Story, Mary; Kubik, Martha

doi:10.1016/j.jand.2017.04.006

Cited by 97 publications

(89 citation statements)

References 71 publications

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“…This is particularly true for interventions that target the home rather than school environment [ 71 ]. Interventions aimed at teaching parents of school-aged children to set goals for making health-related behavior changes for their families can be effective at reducing children’s SSB consumption [ 72 ]. The success of these interventions is congruent with some recommendations in Table 1 , including facilitating behavior change by adjusting the home environment and building parent self-efficacy for making behavior changes.…”

Section: Discussionmentioning

confidence: 99%

“Your Body Feels Better When You Drink Water”: Parent and School-Age Children’s Sugar-Sweetened Beverage Cognitions

et al. 2018

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Sugar-sweetened beverages (SSBs) are a leading source of added sugar in the American diet. Further, ingestion of added sugars from SSBs exceeds recommendations. Thus, interventions that effectively reduce SSB consumption are needed. Focus group discussions with parents (n = 37) and school-aged children between the ages of 6 and 11 years (n = 41) from Florida, New Jersey, and West Virginia were led by trained moderators using Social Cognitive Theory as a guide. Trends and themes that emerged from the content analysis of the focus group data indicated that both parents and children felt that limiting SSBs was important to health and weight control. However, parents and children reported consuming an average of 1.85 ± 2.38 SD and 2.13 ± 2.52 SD SSB servings/week, respectively. Parents and children were aware that parent behaviors influenced kids, but parents reported modeling healthy SSB behaviors was difficult. Busy schedules, including more frequent parties and events as children get older, were another barrier to limiting SSBs. Parents were most successful at limiting SSBs when they were not in the house. This qualitative research provides novel insights into parents’ and children’s cognitions (e.g., beliefs, attitudes), barriers, and facilitators related to SSB ingestion. Consideration of these insights during nutrition intervention development has the potential to improve intervention effectiveness in reducing SSB intake.

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Section: Discussionmentioning

confidence: 99%

“Your Body Feels Better When You Drink Water”: Parent and School-Age Children’s Sugar-Sweetened Beverage Cognitions

et al. 2018

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“…The models for maternal dietary intake predictors were adjusted for maternal child feeding and nutrition knowledge and maternal education [ 41 ]. The models for home food availability predictors were adjusted for maternal child feeding and nutrition knowledge and maternal education [ 42 ]. The model for predictor maternal education had no additional adjustments; 3 all bolded results show significant associations ( p ≤ 0.05).…”

Section: Tablementioning

confidence: 99%

Predictors of Dietary Energy Density among Preschool Aged Children

et al. 2018

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Childhood obesity is a global problem with many contributing factors including dietary energy density (DED). This paper aims to investigate potential predictors of DED among preschool aged children in Victoria, Australia. Secondary analysis of longitudinal data for 209 mother–child pairs from the Melbourne Infant Feeding, Activity and Nutrition Trial was conducted. Data for predictors (maternal child feeding and nutrition knowledge, maternal dietary intake, home food availability, socioeconomic status) were obtained through questionnaires completed by first-time mothers when children were aged 4 or 18 months. Three 24-h dietary recalls were completed when children were aged ~3.5 years. DED was calculated utilizing three methods: “food only”, “food and dairy beverages”, and “food and all beverages”. Linear regression analyses were conducted to identify associations between predictors and these three measures of children’s DED. Home availability of fruits (β: −0.82; 95% CI: −1.35, −0.29, p = 0.002 for DEDfood; β: −0.42; 95% CI: −0.82, −0.02, p = 0.041 for DEDfood+dairy beverages) and non-core snacks (β: 0.11; 95% CI: 0.02, 0.20, p = 0.016 for DEDfood; β: 0.09; 95% CI: 0.02, 0.15, p = 0.010 for DEDfood+dairy beverages) were significantly associated with two of the three DED measures. Providing fruit at home early in a child’s life may encourage the establishment of healthful eating behaviors that could promote a diet that is lower in energy density later in life. Home availability of non-core snacks is likely to increase the energy density of preschool children’s diets, supporting the proposition that non-core snack availability at home should be limited.

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“…Other intervention studies have targeted changes to the home environment as a way to promote behavior change ( 14 , 45 ). Gorin et al ( 14 ) found that an intervention which included a behavioral component as well as a home environment focused intervention had benefits on the home environment as well as a stronger impact on weight loss at 6 months compared with a group that received only the behavioral component.…”

Section: Discussionmentioning

confidence: 99%

“…While only one home environment factor was significantly impacted by the intervention, qualitative research has indicated even small changes can be challenging to implement ( 46 ). Further, other intervention trials have been efficacious in terms of modifying some home environment characteristics but not others ( 44 , 45 ).…”

Section: Discussionmentioning

confidence: 99%

Impact of a Healthy Weight Intervention Embedded Within a National Home Visiting Program on the Home Food Environment

Tabak

Morshed

Schwarz

et al. 2018

Front. Public Health

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Purpose: To determine whether a lifestyle intervention embedded within Parents as Teachers (PAT), a national child development and parenting home visiting program, helped families make food-related home environment changes.Design: Secondary data analysis of a stratified randomized pragmatic trial. (Trial Registration: This study is registered at www.clinicaltrials.gov NCT01567033).Setting: Participant homes in St. Louis, Missouri.Subjects: Women (n = 179 with pre-post data, of 230 with baseline) participating in standard PAT, with overweight or obesity, and at least one preschool child with BMI percentile ≥60%.Intervention: PAT + Healthy Eating and Active Living Taught at Home (HEALTH), embedded elements of the Diabetes Prevention Program within the standard PAT curriculum. PAT + HEALTH addressed specific behaviors that impact caloric intake (e.g., sugar-sweetened beverages), focusing on behavioral and environmental strategies. Consistent with PAT practice, the frequency, number, and focus (i.e., time spent on intervention components) of home visits were determined by the family's needs; dose structure was flexible [on average intervention: 23 (SD = 9), usual care: 13 (SD = 6) visits].Measures: Food availability/accessibility and distractions in the home were assessed with items drawn largely from the HomeSTEAD Survey.Analysis: Generalized estimating equations (GEEs) were used to test equality of changes between baseline and 24 months in the intervention and usual care groups.Results: The only significant difference in the pattern of change between usual care and intervention was soda availability/accessibility (p = 0.013).Conclusion: This embedded intervention successfully reduced availability/accessibility of sugar-sweetened beverages in the home. However, given the limited impact on other food-related home environment factors, future interventions could seek to more effectively intervene on all aspects of the home environment.

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Family Home Food Environment and Nutrition-Related Parent and Child Personal and Behavioral Outcomes of the Healthy Home Offerings via the Mealtime Environment (HOME) Plus Program: A Randomized Controlled Trial

Cited by 97 publications

References 71 publications

“Your Body Feels Better When You Drink Water”: Parent and School-Age Children’s Sugar-Sweetened Beverage Cognitions

“Your Body Feels Better When You Drink Water”: Parent and School-Age Children’s Sugar-Sweetened Beverage Cognitions

Predictors of Dietary Energy Density among Preschool Aged Children

Impact of a Healthy Weight Intervention Embedded Within a National Home Visiting Program on the Home Food Environment

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