Feasibility of a Multidisciplinary and Culturally Adapted Pediatric Weight Management Program for Latino Families: Results From the Vidas Activas y Familias Saludables Pilot Study

Gallo, Sina; Jones, Margaret; Doig, Amara Channell; Kogan, Kelly; Fields, Jennifer B.; Wonderlich, Joseph; Hansen, Amysue; LaCharite, Kerri; Mehlenbeck, Robyn

doi:10.1016/j.jneb.2019.10.002

Cited by 12 publications

(6 citation statements)

References 42 publications

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“…Across the included studies, we noticed that although some recruited ethnoracially diverse participants, the interventions delivered were, for the most part, not correspondingly adapted to their cultural backgrounds. To date, many studies incorporating culturally-adapted interventions for OW/OB and depressive symptoms separately have shown promising results [61][62][63]. Altogether, we suggest that the complexity of youth OW/OB demands that psychotherapy and interventions must include culturally adapted services delivered by a culturally competent interdisciplinary team for the greatest success.…”

Section: Discussionmentioning

confidence: 83%

The Effectiveness of Integrating Psychotherapy Into Overweight/Obesity Interventions on Youth’s Weight Status and Depressive Symptoms: A Narrative Review

Kumar,

Ramnarine

2023

URNCST Journal

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Introduction: Childhood obesity and youth depression are serious ongoing global crises of the 21st century. Many researchers have often attributed this to the well-established association between them. Consequently, psychotherapies are increasingly being integrated into interventions to improve weight status and depression outcomes for individuals with overweight and/or obesity (OW/OB). However, the effectiveness of these interventions has not yet been reviewed for youth with OW/OB. Such youth tend to be at a higher risk of developing comorbid depressive symptoms, which can likely persist into adulthood. Therefore, this narrative review explored the effectiveness of psychotherapy integrations within OW/OB interventions on youth’s weight statuses and their depressive symptoms contemporaneously. Methods: Medline, Embase, PsycInfo, PubMed, and Scopus were accessed. English peer-reviewed empirical articles, reviews, meta-analyses, clinical trials, and pilot studies from the last ten years and those that investigated the effectiveness of OW/OB interventions integrated with psychotherapy among youth (5-18 years) were included. Keywords related to diet, psychotherapy, OW/OB, youth, and depression were used. Non-peer-reviewed sources, reviews lacking sufficient transparency in their methodology, editorials, letters, study protocols, commentaries, preprints, and dissertations were excluded. Results: Four studies, including two pilot studies, were included. Overall, we found high heterogeneity in their intervention components and conditions, study designs, participants, and results. Among youth, all studies found no significant improvements in weight status as per the authors’ set significance thresholds. Mixed results were obtained for the effect on youth’s depressive symptoms. Discussion: There is an alarming lack of recent literature investigating the impact of integrated evidence-based psychotherapies within OW/OB interventions on youth’s weight statuses and depressive symptoms. It is important to investigate their effectiveness in equipping youth with OW/OB with skills to make sustained lifestyle changes and cope with weight discrimination and depressive symptoms. We attributed the weak success of these interventions to the lack of cultural adaptations and standardization of study types, intervention structures, components, and conditions. Conclusion: It is important for researchers to continue investigating the success of such interventions on youth with OW/OB’s physical and mental outcomes simultaneously. This will further inform the interdisciplinary approach needed to deliver appropriate care to these youth.

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Section: Discussionmentioning

confidence: 83%

The Effectiveness of Integrating Psychotherapy Into Overweight/Obesity Interventions on Youth’s Weight Status and Depressive Symptoms: A Narrative Review

Kumar,

Ramnarine

2023

URNCST Journal

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“…Third, the retention at post-test assessment was relatively high (83%) compared to similar programs for Latino families with retention between 46% and 75% [ 9 , 10 , 11 , 52 , 54 , 55 ]. The design and implementation of the HEPP pilot program involved extensive engagement with promotoras [ 12 , 30 , 31 ], which promoted retention [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

An Evaluation of ¡Haz Espacio Para Papi!, a Culturally Tailored Nutrition and Physical Activity Pilot Program for Mexican-Heritage Fathers

Vahk,

Monsivais,

Johnson

et al. 2024

Nutrients

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Fathers are potential leaders of healthy behavior changes in their families. Culturally tailored programs are needed to support behavior changes within families, including Latino families; however, there have been few father-focused nutrition programs for Latino families. This study evaluated the immediate effects of ¡Haz Espacio Para Papi! (Make Room for Daddy!; HEPP), a six-week, father-focused, family-centered program focused on nutrition and physical activity near the Texas–Mexico border. A modified stepped-wedge study design included a treatment group for the HEPP pilot and a wait-listed control group. Pre/post-tests included instant skin carotenoid scores, the self-reported dietary intake of fruits and vegetables (FV), and healthy dietary behavior scores (HDBSs). A 2 × 2 mixed analysis of variance evaluated changes in outcomes across time and between groups for 42 fathers with pre/post-test measures. There were no statistically significant changes in fathers’ VM scores and FV intake across time or between groups. Fathers’ HDBSs increased across time (p ≤ 0.01, 95% CI [0.23, 1.38]). Age, educational attainment, and the number of children living in the household did not have a significant effect on the program outcomes (p > 0.05). The HEPP program may guide the design of future father-focused nutrition interventions aimed at dietary behavior changes.

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“…There may have been other factors affecting children’s BMI, which were unmeasured and not considered in analyses. In addition, while some programs have reported similar effects among Latino/a children, successful programs had longer durations or samples from varied racial and ethnic backgrounds, which could lead to different results [ 52 , 53 ]. For example, Gallo et al examined the 10-week program Vidas Activas y Familas Saludables (VALE) and found statistically significant decreases in child BMI for age z-scores, waist circumference, and percent body fat [ 52 ].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, while some programs have reported similar effects among Latino/a children, successful programs had longer durations or samples from varied racial and ethnic backgrounds, which could lead to different results [ 52 , 53 ]. For example, Gallo et al examined the 10-week program Vidas Activas y Familas Saludables (VALE) and found statistically significant decreases in child BMI for age z-scores, waist circumference, and percent body fat [ 52 ]. Robinson et al evaluated a three-year intervention program in Latino/a children and found children gained an average ~0.25 kg·m 2 less than those in control group over the three-year period [ 53 ].…”

Section: Discussionmentioning

confidence: 99%

Nutrition Effects of a Family-Centered Health Promotion Program for Mexican-Heritage Children in the Lower Rio Grande Valley of Texas

et al. 2023

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Systemic and social factors, like poverty and food insecurity, negatively influence fruit and vegetable (FV) intake and body mass index (BMI) among Latino/a children. Behavioral programs are needed to support children’s nutrition. This study examined program effects on FV intake and BMI outcomes for Mexican-heritage children (9–11 years). The program used a modified stepped-wedge design in the Lower Rio Grande Valley of Texas (2019 and 2020). Promotoras led experiential nutrition education sessions and collected height, weight, and instant skin carotenoid scores (biomarker for FV intake) at pre-test (baseline), post-test (6 weeks), and maintenance (3–4 months after post-test). Mean changes and group differences in skin carotenoid scores, BMI z-scores and percentiles were obtained from analyses of variance. Linear mixed-effects models were used to determine overall program effects. Mexican-heritage children were enrolled (n = 57 and 52.6% female). An overall decrease in skin carotenoid scores was observed at post-test (−15.1; 95% CI: −24.95, −5.33). While scores varied widely (range: 17–498), an increase of 14.8 ± 23.8 points occurred in one intervention group. Compared to the control period, greater reductions in BMI outcomes occurred during the program. These findings provide evidence for the use of strengths-based approaches in behavioral nutrition programs.

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Feasibility of a Multidisciplinary and Culturally Adapted Pediatric Weight Management Program for Latino Families: Results From the Vidas Activas y Familias Saludables Pilot Study

Cited by 12 publications

References 42 publications

The Effectiveness of Integrating Psychotherapy Into Overweight/Obesity Interventions on Youth’s Weight Status and Depressive Symptoms: A Narrative Review

The Effectiveness of Integrating Psychotherapy Into Overweight/Obesity Interventions on Youth’s Weight Status and Depressive Symptoms: A Narrative Review

An Evaluation of ¡Haz Espacio Para Papi!, a Culturally Tailored Nutrition and Physical Activity Pilot Program for Mexican-Heritage Fathers

Nutrition Effects of a Family-Centered Health Promotion Program for Mexican-Heritage Children in the Lower Rio Grande Valley of Texas

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