Pediatric Obesity Prevention and Treatment Among Hispanics: A Systematic Review and Meta-Analysis

George, Sara M. St.; Kobayashi, Marissa A; Esquives, Blanca S. Noriega; Ocasio, Manuel A.; Wagstaff, Rachel; Dorcius, David

doi:10.1016/j.amepre.2021.10.003

Cited by 4 publications

(4 citation statements)

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“…Latino youth have the highest prevalence of obesity (26%) relative to all other racial/ethnic groups (Fryar et al, 2020). Our team conducted a systematic review and metaanalysis of obesity prevention and treatment interventions among Latino youth aged 0-18 years old and found that few interventions targeting adolescents were primarily familybased despite the cultural relevance of familism (St. George et al, 2021). We also noted that only 4% of the >100 studies leveraged some form of technology (e.g., Internet, texts).…”

Section: Case Example 3: Technology Development (Sms Vp)mentioning

confidence: 99%

Applying Rapid Qualitative Analysis for Health Equity: Lessons Learned Using “EARS” With Latino Communities

George

Harkness

Rodríguez-Díaz

et al. 2023

International Journal of Qualitative Methods

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Qualitative research amplifies the voices of marginalized communities and thus plays a critical role in shaping our understanding of health inequities and their social determinants. Traditional qualitative approaches, such as grounded theory or thematic analysis, require extensive training and are time- and labor-intensive; as such, they may not be adequately suited to address healthy equity issues that require a swift response. Rapid qualitative analysis (RQA) is an action-oriented approach to qualitative data analysis that may be used when findings are needed to quickly inform practice. RQA capitalizes on using a team to summarize key points from qualitative data into matrices to explore relevant themes efficiently and systematically. In this paper, we provide case examples from our work applying RQA to health equity research with Latino communities to address community needs, such as responses to public health emergencies and the development of service delivery and technology interventions for infectious and chronic diseases. We draw from our collective experiences to share lessons learned and provide the following specific recommendations (“EARS”) to researchers interested in applying RQA for health equity research: (1) Employ RQA to address rapidly evolving, urgent, health equity challenges; (2) Assure quality and rigor throughout the RQA process; (3) Respond to barriers and problem-solve as needed; and (4) Strengthen community relationships before, during, and after using RQA. Overall, we advocate for the use of RQA to promote health equity due to its ability to integrate the vital perspectives of marginalized communities and efficiently respond to their needs.

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Section: Case Example 3: Technology Development (Sms Vp)mentioning

confidence: 99%

Applying Rapid Qualitative Analysis for Health Equity: Lessons Learned Using “EARS” With Latino Communities

George

Harkness

Rodríguez-Díaz

et al. 2023

International Journal of Qualitative Methods

Self Cite

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“…In two reviews of technology-based nutrition education (Gomes et al, 2021 ; Zarnowiecki et al, 2020 ), only one study of families with low incomes was cited. Similarly, in a meta-analysis of obesity programs for Hispanic youth (including both family- and youth-based programs), St. George et al ( 2022 ) found that only 4% of programs employed technology for content delivery.…”

Section: Introductionmentioning

confidence: 99%

Using Mobile Technology for Family-Based Prevention in Families with Low Incomes: Lessons from a Randomized Controlled Trial of a Childhood Obesity Prevention Program

Power,

Baker,

Barale

et al. 2024

Prev Sci

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Researchers are increasingly using web-based technologies to deliver family-based, prevention programming. Few studies have examined the success of such approaches for families with low incomes. The purpose of this study was to describe the level of in-class and online engagement in a childhood obesity prevention program for parents with low incomes, to examine the demographic correlates of parent engagement, and to examine dosage effects on parental feeding outcomes as a function of online exposure. All participants attended in-class nutrition education classes (Eating Smart · Being Active) as part of the Expanded Food and Nutrition Education Program (EFNEP) in Colorado and Washington State (classes were offered in English and Spanish). Participants in this analysis were 168 parents from a larger cluster randomized controlled trial who had been randomly assigned to also receive a newly developed, mobile-based version of an efficacious, feeding-focused, childhood obesity prevention program. Results showed that despite high levels of in-person attendance (70%), participants only accessed 47% of the videos (online content). Older parents and parents of girls showed higher levels of in-person attendance; currently employed parents showed lower levels. Online engagement varied as a function of ethnicity and acculturation: non-Hispanic parents accessed the most videos, low-acculturated Hispanic parents accessed the second most, and highly acculturated Hispanic parents accessed the least. In contrast, low-acculturated Hispanic parents showed the highest in-person attendance. For all but one outcome, significant online program effects were found only for parents who accessed at least half of the videos. Implications for mobile-based, family-based prevention programs for parents with low incomes are considered.ClinicalTrials.gov Identifier: NCT03170700; Registration Date: March 08, 2017.

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“…Given the widespread availability and accessibility of SMS text message communication, strategies that leverage this method of communication are promising for reaching and engaging adolescents at high risk. For example, Hispanic youths are disproportionately burdened by high rates of obesity (27% vs 21.5% of the general population) and subsequent T2D compared with other pediatric subgroups [4,5]. SMS text message-based interventions may be ideal for this population, as 95% of Hispanic youths report owning their own mobile phone [6], and adolescents are the highest users of SMS text message communication compared with other age groups [3,[7][8][9].…”

Section: Introductionmentioning

confidence: 99%

An SMS Text Message–Based Type 2 Diabetes Prevention Program for Hispanic Adolescents With Obesity: Qualitative Co-Design Process (Preprint)

Soltero,

Lopez,

Mihail

et al. 2023

Preprint

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BACKGROUND SMS text message–based interventions are a promising approach for reaching and engaging high-risk youths, such as Hispanic adolescents with obesity, in health promotion and disease prevention opportunities. This is particularly relevant, given that SMS text messaging is widely accessible and available and that adolescents are frequent texters. Including youths in the development of SMS text message content can lead to more acceptable and relevant messaging; however, few studies include this group as cocollaborators. OBJECTIVE This study aimed to use a co-design process to inform the development of SMS text messages that promote healthy physical activity (PA) and sleep behaviors among Hispanic adolescents with obesity. METHODS The co-design framework uses multiple methods across several phases. Self-determination theory and a literature review of SMS text message–based interventions guided the background and research phases. In the co-design phase, Hispanic adolescents (n=20) completed in-depth interviews to identify barriers and facilitators of PA and sleep, preferences for ways to emphasize key self-determination theory constructs (autonomy, competence, and relatedness), and suggestions for making SMS text message content engaging. In the design and content phase, interview findings were used to develop initial SMS text messages, which were then evaluated in the early evaluation phase by experts (n=6) and adolescents (n=6). Feedback from these panels was integrated into the SMS text message content during refinement. RESULTS The background phase revealed that few SMS text message–based interventions have included Hispanic adolescents. Common barriers and facilitators of activity and sleep as well as preferences for ways in which SMS text messages could provide autonomy, competence, and relatedness support were identified in the co-design phase. The youths also wanted feedback about goal attainment. Suggestions to make SMS text messages more engaging included using emojis, GIFs, and media. This information informed an initial bank of SMS text messages (N=116). Expert review indicated that all (116/116, 100%) SMS text messages were age and culturally appropriate; however, some (21/116, 18.1%) did not adequately address youth-identified barriers and facilitators of PA and sleep, whereas others (30/116, 25.9%) were not theoretically adherent. Adolescents reported that SMS text messages were easy to understand (116/116, 100%), provided the support needed for behavior change (103/116, 88.8%), and used mostly acceptable language (84/116, 72.4%). Feedback was used to refine and develop the final bank of 125 unique text messages. CONCLUSIONS Using a co-design process, a theoretically grounded, appealing, and relevant bank of SMS text messages promoting healthy PA and sleep behaviors to adolescents was developed. The SMS text messages will be further evaluated in a pilot study to assess feasibility, acceptability, and preliminary efficacy. The co-design process used in this study provides a framework for future studies aimed at developing SMS text message–based strategies among high-risk adolescents. INTERNATIONAL REGISTERED REPORT RR2-10.1016/j.cct.2023.107117

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Pediatric Obesity Prevention and Treatment Among Hispanics: A Systematic Review and Meta-Analysis

Cited by 4 publications

References 50 publications

Applying Rapid Qualitative Analysis for Health Equity: Lessons Learned Using “EARS” With Latino Communities

Applying Rapid Qualitative Analysis for Health Equity: Lessons Learned Using “EARS” With Latino Communities

Using Mobile Technology for Family-Based Prevention in Families with Low Incomes: Lessons from a Randomized Controlled Trial of a Childhood Obesity Prevention Program

An SMS Text Message–Based Type 2 Diabetes Prevention Program for Hispanic Adolescents With Obesity: Qualitative Co-Design Process (Preprint)

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