Taking Steps Together

Anderson, John; Newby, Rachel; Kehm, Rebecca D.; Barland, Patricia; Hearst, Mary O.

doi:10.1177/1090198114547813

Cited by 30 publications

(16 citation statements)

References 34 publications

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“…Another novel feature of the current study was the delivery setting – i.e., faith-based community center – as few childhood obesity interventions have occurred in this space [25, 71]. Among the limited number of studies, results demonstrate that faith-based community centers are highly effective in engaging families in programming [71, 72], particularly for the African American community in which currently and historically the church is viewed as central to a community and daily living [73]. This may at least partially explain the strong feasibility (70% attendance), acceptability (100% satisfaction), and retention (87.5%) results.…”

Section: Discussionmentioning

confidence: 99%

Child diet and health outcomes of the simple suppers program: a 10-week, 2-group quasi-experimental family meals trial

et al. 2019

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BackgroundRacial minority children, particularly from low-income households, are at risk for obesity. Family meals have a protective effect on child nutritional health. However, the current evidence is limited in racial and socioeconomic diversity. The objective of this study was to evaluate the impact of a family meals intervention, Simple Suppers, on improvements in diet and health outcomes from baseline (T0) to post-intervention (T1) in intervention compared to waitlist control participants, and determine retention of change in outcomes among intervention participants at 10-week follow-up (T2).MethodsSimple Suppers was a 10-week family meals intervention implemented as a 2-group quasi-experimental trial. Ten 90-min lessons were delivered weekly. Data were collected at T0 and T1, and from intervention participants at T2. Participants were racially diverse 4–10 year-old children from low-income households. Setting was a faith-based community center. Main outcomes were daily servings of fruit, vegetables, and sugar-sweetened beverages and diet quality; z-scores for body mass index (BMI), waist circumference, systolic and diastolic blood pressure (BP); weight status categories; food preparation skills; and family meals (frequency of dinner, breakfast, TV viewing during meals, meals in dining area). Generalized linear mixed models (GLMMs) and mixed-effects ordinal regression models were used to assess intervention impact (T0:T1). Paired t-tests examined retention of change among intervention participants (T1:T2).ResultsOne hundred forty children enrolled and 126 completed T1 (90% retention); 71 of 87 intervention participants completed T2(79% retention). Mean (SD) age was 6.9(1.9) yr, 62% female, 60% Black, and 42% low-income. Intervention vs waitlist controls had higher food preparation skills (p < 0.001) and lower TV viewing during meals (p = 0.04) at T1.There were no group differences in dietary intake or quality or z-scores for BMI, waist circumference, or BP, however intervention versus waitlist controls experienced a greater change toward healthy weight (p = 0.04) At T2, intervention participants demonstrated a retention of improved food preparation skills.ConclusionsSimple Suppers led to improvements in children’s weight status, food preparation skills, and TV viewing during meals, but not diet or z-scores for BMI, waist circumference, or BP. Future research should examine the preventive effects of healthy family mealtime routines in children at greatest risk for obesity.Trial registrationNCT02923050; Simple Suppers Scale-up (S3); Retrospectively registered on Oct 2016; First participant enrolled on Jan 2015.

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Section: Discussionmentioning

confidence: 99%

Child diet and health outcomes of the simple suppers program: a 10-week, 2-group quasi-experimental family meals trial

et al. 2019

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“…Recent research demonstrates only marginal effect for these interventions with respect to body mass index (BMI) reduction or a positive change in healthy behaviors, articulating the need for renewed, more novel approaches to pediatric weight management (10). Some of the more effective studies include family-based pediatric lifestyle modification interventions focused on reducing BMI and improving healthy behaviors, (11)(12)(13). Lifestyle programs that use a multidisciplinary team approach have also been found to be beneficial (14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

Feedback Following a Family-Focused Pediatric Weight Management Intervention: Experiences From the New Impact Program

Sease

Rolke

Forrester

et al. 2021

Journal of Patient Experience

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Weight management interventions have the potential to reduce body mass index and help families adopt healthier behaviors. This study examined feedback from families to identify central aspects of various intervention strategies based on self-determination theory constructs that have the strongest influence on patient success, with the aim of understanding how best to approach weight management in a clinical pediatric setting. Telephone interviews were conducted with 22 individuals (20 parents/guardians and 2 teenagers) who participated in a multidisciplinary weight management program and data was analyzed using inductive and deductive thematic analysis processes. Participants identified motivational interviewing strategies that were most influential to their success. Parents and patient’s identified barriers and facilitators to success included patient readiness to change, personal logistics, family engagement, and establishing long- and short-term goals. Successful pediatric obesity management requires consideration to both the patient and family’s readiness, structured implementation adaptations to address barriers, intentional efforts to move from external reward to internal motivation, and strategies to ensure families develop self-efficacy toward achievable healthy behaviors.

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“…Focus group interviews for a YMCA family weight management program for elementary school age children, as well as for weight management programs in other settings, show that families prefer interactive sessions including exercise and cooking demonstrations [9,27,28]. Most YMCAs in the United States, including the Rochester Area Family YMCA in Rochester, MN, have adopted a set of Healthy Eating and Physical Activity (HEPA) standards [29].…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of a Family-Centered Childhood Obesity Intervention at the YMCA: A Pilot Study

Gentile¹,

Kaufman²,

Maxson³

et al. 2018

J Community Med Health Educ

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Objective Community-based, family-centered obesity prevention/treatment initiatives have been shown to be effective in reducing body mass index (BMI) and improving healthy habits in children if implemented with high intensity and sufficient duration. Let’s Go! 5-2-1-0 Program (5-2-1-0) was incorporated into family-centered, monthly physical activity classes and cooking classes over six months delivered by Young Men’s Christian Association (YMCA) staff. We hypothesized that implementation of this intervention would improve 5-2-1-0 knowledge attainment, increase healthy behavior (based on 5- 2-1-0 curriculum), and improve BMI and waist circumference measurements in children. Methods Children attending YMCA summer camps in Rochester, MN, during 2016 were recruited via study packets mailed to their families. Height, weight, and waist circumference measurements as well as the results of the Modified Healthy Habits Survey and the 5-2-1-0 Knowledge Acquisition Survey were recorded for each participating child at baseline and 6-month follow-up. The intervention group received monthly healthy habit reminder emails, and was invited to monthly evening cooking and physical activity classes for 7 sessions over a 6-month period. Results Fifteen families in the intervention group attended classes. Of those, 13 families regularly participated in (attended at least 5 out of 7) both the monthly physical activity and cooking classes. The children in the intervention group had a significant improvement in the number of Knowledge Acquisition Survey questions answered correctly (p<0.001), while there was no improvement in the control group. As compared to children in the control group, there was no significant change in BMI or waist circumference or healthy habits in the intervention group. Conclusion Our study findings indicate that our intervention resulted in improved knowledge about healthy habits, but did not significantly impact healthy habits or BMI. Potential reasons for this were the small sample size and the attenuated length and/or intensity of the intervention.

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Taking Steps Together

Abstract: This family-focused childhood obesity intervention integrated evidence-based principles with a nonprescriptive approach and produced significant improvements in key healthy behaviors for both adults and children.

Cited by 30 publications

References 34 publications

Child diet and health outcomes of the simple suppers program: a 10-week, 2-group quasi-experimental family meals trial

Child diet and health outcomes of the simple suppers program: a 10-week, 2-group quasi-experimental family meals trial

Feedback Following a Family-Focused Pediatric Weight Management Intervention: Experiences From the New Impact Program

The Effectiveness of a Family-Centered Childhood Obesity Intervention at the YMCA: A Pilot Study

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