New Perspectives on Health Disparities and Obesity Interventions in Youth

Wilson, Dawn K.

doi:10.1093/jpepsy/jsn137

Cited by 109 publications

(117 citation statements)

References 46 publications

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“…Tailored interventions have the potential to provide specific behavioral feedback based on individuals' response and can be culturally tailored for ethnic minority populations. [29][30][31] This preliminary study suggests that parents found enjoyment in using the tailored website for increasing F&V intake in their African American youth. More largescale efficacy trials are needed, however, to determine whether this parental tailoring approach can improve health behavior outcomes over a longer follow-up.…”

Section: Discussionmentioning

confidence: 75%

A Pilot Study of the Effects of a Tailored Web-Based Intervention on Promoting Fruit and Vegetable Intake in African American Families

et al. 2014

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Background: The current study examined the effects of a Web-based tailored parenting intervention on increasing fruit and vegetable intake in African American families.Methods: Forty-seven African American parents (mean age, 41.32 -7.30; 93.6% female) with an adolescent (mean age, 13.32 -1.46; 59.6% female) participated in a Web-based autonomy-support parenting tailored intervention session to increase both parent and youth fruit and vegetable (F&V) intake. The session lasted 45-60 minutes and included three phases: a feedback phase; a Web-based information phase, and a goal-setting and action plan phase. Self-reported measures of parenting skills [based on autonomy (choice), support, and communication] and F&V intake (assessed as average daily intake) were assessed at baseline and at a 1-week follow-up session.Results: There was a significant increase in parents' self-reports of daily fruit intake from pretest to the 1-week follow-up. Parent and adolescent combined F&V intake also significantly increased from pretest to 1-week follow-up. Overall, parents reported that the program was easy to navigate and that they enjoyed participating in the Web-based online program.Conclusions: Current findings provide preliminary support for an autonomy-support parent tailored Web-based program for improving dietary intake in African American families.

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Section: Discussionmentioning

confidence: 75%

A Pilot Study of the Effects of a Tailored Web-Based Intervention on Promoting Fruit and Vegetable Intake in African American Families

et al. 2014

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“…3 Meanwhile, multilevel, multicomponent interventions have tended to be more successful. [29][30][31][32] For example, multicomponent interventions that included culturally targeted and tailored components (e.g., health education, diet, physical activity, reduced screen time, behavioral skills, and motivation groups) have shown a greater impact on health behaviors associated with obesity in minority youth than the individual components in isolation. 31 …”

Section: No Single Solutionmentioning

confidence: 99%

A systems approach to obesity

Lee¹,

Bartsch²,

Mui³

et al. 2017

Nutr Rev

132

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Obesity has become a truly global epidemic, affecting all age groups, all populations, and countries of all income levels. To date, existing policies and interventions have not reversed these trends, suggesting that innovative approaches are needed to transform obesity prevention and control. There are a number of indications that the obesity epidemic is a systems problem, as opposed to a simple problem with a linear cause-and-effect relationship. What may be needed to successfully address obesity is an approach that considers the entire system when making any important decision, observation, or change. A systems approach to obesity prevention and control has many benefits, including the potential to further understand indirect effects or to test policies virtually before implementing them in the real world. Discussed here are 5 key efforts to implement a systems approach for obesity prevention: 1) utilize more global approaches; 2) bring new experts from disciplines that do not traditionally work with obesity to share experiences and ideas with obesity experts; 3) utilize systems methods, such as systems mapping and modeling; 4) modify and combine traditional approaches to achieve a stronger systems orientation; and 5) bridge existing gaps between research, education, policy, and action. This article also provides an example of how a systems approach has been used to convene a multidisciplinary team and conduct systems mapping and modeling as part of an obesity prevention program in Baltimore, Maryland.

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“…[4][5][6] Lower recruitment and enrollment rates in health promotion trials among African Americans may, in part, result from the lack of integrating sociocultural values into recruitment strategies. 7,8 Consideration of sociocultural values provides understanding of social, environmental and historical contexts experienced by a group 9,10 and can be used to identify recruitment mediums that are more culturally relevant. Sociocultural values identified as important for African Americans include: religiosity/spirituality, collectivism or family, and a connection with history or ancestors.…”

Section: Introductionmentioning

confidence: 99%

Associations between Culturally Relevant Recruitment Strategies and Participant Interest, Enrollment and Generalizability in a Weight-loss Intervention for African American Families

et al. 2016

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Objective: Culturally relevant recruitment strategies may be an important approach for recruiting ethnic minorities for interventions. Previous research has examined associations between recruitment strategies and enrollment of African Americans (AA), but has not explored more deeply the role of incorporating sociocultural values into recruitment strategies. Our current study explores whether sociocultural recruitment mediums were associated with demographics, interest and enrollment in a weight-loss intervention.Method: Sociocultural mediums included community partnerships, culturally relevant ads, sociocultural events, or word-of-mouth. Non-sociocultural mediums included community/school events that did not specifically target AAs. Analyses examined whether demographics of enrolled families differed by recruitment strategy and if recruitment strategy predicted scheduling a baseline visit, enrolling in a run-in phase, and enrolling in the intervention program.Results: Families recruited from culturally relevant ads, sociocultural events, or wordof-mouth were 1.96 times more likely to schedule a baseline visit (OR=1.96, 95% CI=1.05, 3.68) than families recruited from non-sociocultural mediums. No differences were found for sociocultural mediums on enrolling in the run-in phase or the intervention. However, among enrolled families, those recruited from sociocultural mediums were less likely to be employed (X 2 [1, N=142] =5.53, P<.05) and more likely to have lower income (X 2 [1, N=142] =13.57, P<.05). Conclusion:Sociocultural mediums were associated with scheduling a baseline visit, but not enrollment. They were, however, effective in recruiting a more generalizable sample among enrolled participants based on demographic characteristics. Integrating sociocultural values into recruitment methods may be a valuable strategy for increasing interest in participation among underrepresented AA families. Ethn Dis.

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New Perspectives on Health Disparities and Obesity Interventions in Youth

Cited by 109 publications

References 46 publications

A Pilot Study of the Effects of a Tailored Web-Based Intervention on Promoting Fruit and Vegetable Intake in African American Families

A Pilot Study of the Effects of a Tailored Web-Based Intervention on Promoting Fruit and Vegetable Intake in African American Families

A systems approach to obesity

Associations between Culturally Relevant Recruitment Strategies and Participant Interest, Enrollment and Generalizability in a Weight-loss Intervention for African American Families

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