BACKGROUND: Community-based interventions are needed to reduce the burden of childhood obesity. PURPOSE: To evaluate the impact of a multi-level promotora-based (Community Health Advisor) intervention to promote healthy eating and physical activity and prevent excess weight gain among Latino children. METHODS:Thirteen elementary schools were randomized to one of four intervention conditions: individual/family level (Family-only), school/community level (Community-only), combined (Family + Community), or a measurement-only condition. Participants were 808 Latino parents and their children enrolled in kindergarten through 2(nd) grade. Measures included parent and child body mass index (BMI) and a self-administered parent survey that assessed several parent and child behaviors. RESULTS: There were no significant intervention effects on children's BMI z-score. The family intervention changed several obesity-related child behaviors (e.g., fruit/vegetable consumption) and these were mediated by changes in parenting variables (e.g., parent monitoring). CONCLUSION: A promotora-based behavioral intervention was efficacious at changing parental factors and child obesity-related health behaviors.
RCT Entities:
BACKGROUND: Community-based interventions are needed to reduce the burden of childhood obesity. PURPOSE: To evaluate the impact of a multi-level promotora-based (Community Health Advisor) intervention to promote healthy eating and physical activity and prevent excess weight gain among Latino children. METHODS: Thirteen elementary schools were randomized to one of four intervention conditions: individual/family level (Family-only), school/community level (Community-only), combined (Family + Community), or a measurement-only condition. Participants were 808 Latino parents and their children enrolled in kindergarten through 2(nd) grade. Measures included parent and child body mass index (BMI) and a self-administered parent survey that assessed several parent and child behaviors. RESULTS: There were no significant intervention effects on children's BMI z-score. The family intervention changed several obesity-related child behaviors (e.g., fruit/vegetable consumption) and these were mediated by changes in parenting variables (e.g., parent monitoring). CONCLUSION: A promotora-based behavioral intervention was efficacious at changing parental factors and childobesity-related health behaviors.
Authors: Christina D Economos; Raymond R Hyatt; Jeanne P Goldberg; Aviva Must; Elena N Naumova; Jessica J Collins; Miriam E Nelson Journal: Obesity (Silver Spring) Date: 2007-05 Impact factor: 5.002
Authors: Richard P Troiano; David Berrigan; Kevin W Dodd; Louise C Mâsse; Timothy Tilert; Margaret McDowell Journal: Med Sci Sports Exerc Date: 2008-01 Impact factor: 5.411
Authors: Beth A Conlon; Aileen P McGinn; David W Lounsbury; Pamela M Diamantis; Adriana E Groisman-Perelstein; Judith Wylie-Rosett; Carmen R Isasi Journal: Child Obes Date: 2015-08 Impact factor: 2.992
Authors: Sharon E Taverno Ross; Patricia I Documet; Russell R Pate; Ivonne Smith-Tapia; Lisa M Wisniewski; Bethany B Gibbs Journal: Transl J Am Coll Sports Med Date: 2017-07-15
Authors: Melawhy L Garcia; Noe C Crespo; Alma I Behar; Gregory A Talavera; Nadia Campbell; Lisa M Shadron; John P Elder Journal: Child Obes Date: 2019-09-26 Impact factor: 2.992
Authors: Guadalupe X Ayala; Leticia Ibarra; Amy Binggeli-Vallarta; Jamie Moody; Thomas L McKenzie; Janette Angulo; Helina Hoyt; Emmeline Chuang; Theodore G Ganiats; Sheila Gahagan; Ming Ji; Michelle Zive; Emily Schmied; Elva M Arredondo; John P Elder Journal: Child Obes Date: 2015-01-13 Impact factor: 2.992
Authors: Roger Zoorob; Maciej S Buchowski; Bettina M Beech; Juan R Canedo; Rameela Chandrasekhar; Sylvie Akohoue; Pamela C Hull Journal: Contemp Clin Trials Date: 2013-04-26 Impact factor: 2.226
Authors: Y Wang; L Cai; Y Wu; R F Wilson; C Weston; O Fawole; S N Bleich; L J Cheskin; N N Showell; B D Lau; D T Chiu; A Zhang; J Segal Journal: Obes Rev Date: 2015-04-20 Impact factor: 9.213
Authors: Jacob Szeszulski; Sonia Vega-López; Michael Todd; Frank Ray; Alma Behar; Maria Campbell; Adrian Chavez; Ryan Eckert; Anabell Lorenzo-Quintero; Leopoldo Hartmann Manrique; Noe C Crespo Journal: Contemp Clin Trials Date: 2020-02-13 Impact factor: 2.226