Suzanne E Mazzeo1, Nichole R Kelly2, Marilyn Stern3, Rachel W Gow2, Elizabeth W Cotter2, Laura M Thornton4, Ronald K Evans5, Cynthia M Bulik4. 1. Department of Pediatrics and Psychology, Virginia Commonwealth University, Richmond, VA, United States. Electronic address: semazzeo@vcu.edu. 2. Department of Psychology, Virginia Commonwealth University, Richmond, VA, United States. 3. Department of Pediatrics and Psychology, Virginia Commonwealth University, Richmond, VA, United States. 4. Department of Psychiatry, University of North Carolina at Chapel Hill, CB 7160, Chapel Hill, NC 27599, United States. 5. Department of Health and Human Performance, Virginia Commonwealth University, Richmond, VA, United States.
Abstract
OBJECTIVE: Although there is general agreement that parents should be involved in pediatric obesity treatment, few studies have investigated the effectiveness of interventions that target parents exclusively. Moreover, the effectiveness of this approach has not been adequately assessed with racially diverse families, particularly African Americans(AA), a group at high risk for elevated Body Mass Index (BMI). METHODS: NOURISH (Nourishing Our Understanding of Role modeling to Improve Support and Health) is a culturally-sensitive parenting intervention targeting overweight (AA) children (ages 6-11; MBMI = 98.0%ile). Families (N = 84; 61% AA, 37% White) were randomly assigned to NOURISH or a control group. RESULTS: NOURISH families significantly improved on child BMI from pre- to post-testing after adjustment for random effects, baseline BMI, and child race. NOURISH parents were very satisfied with the intervention and would recommend it to other parents; 91% strongly or moderately agreed that NOURISH helped them eat in a healthier manner. CONCLUSIONS: These pilot data suggest that NOURISH is acceptable and, with refinement, offers promise for reducing pediatric BMI. Outcomes, lessons learned, and parent feedback will inform a larger randomized controlled trial.
RCT Entities:
OBJECTIVE: Although there is general agreement that parents should be involved in pediatric obesity treatment, few studies have investigated the effectiveness of interventions that target parents exclusively. Moreover, the effectiveness of this approach has not been adequately assessed with racially diverse families, particularly African Americans(AA), a group at high risk for elevated Body Mass Index (BMI). METHODS: NOURISH (Nourishing Our Understanding of Role modeling to Improve Support and Health) is a culturally-sensitive parenting intervention targeting overweight (AA) children (ages 6-11; MBMI = 98.0%ile). Families (N = 84; 61% AA, 37% White) were randomly assigned to NOURISH or a control group. RESULTS: NOURISH families significantly improved on child BMI from pre- to post-testing after adjustment for random effects, baseline BMI, and child race. NOURISH parents were very satisfied with the intervention and would recommend it to other parents; 91% strongly or moderately agreed that NOURISH helped them eat in a healthier manner. CONCLUSIONS: These pilot data suggest that NOURISH is acceptable and, with refinement, offers promise for reducing pediatric BMI. Outcomes, lessons learned, and parent feedback will inform a larger randomized controlled trial.
Authors: Suzanne E Mazzeo; Nichole R Kelly; Marilyn Stern; Rachel W Gow; Kasey Serdar; Ronald K Evans; Resa M Jones; Cynthia M Bulik Journal: Contemp Clin Trials Date: 2012-01-18 Impact factor: 2.226
Authors: David M Janicke; Bethany J Sallinen; Michael G Perri; Lesley D Lutes; Milagros Huerta; Janet H Silverstein; Babette Brumback Journal: Arch Pediatr Adolesc Med Date: 2008-12
Authors: David M Janicke; Bethany J Sallinen; Michael G Perri; Lesley D Lutes; Janet H Silverstein; Babette Brumback Journal: J Rural Health Date: 2009 Impact factor: 4.333
Authors: Kerri N Boutelle; Abby Braden; Jennifer M Douglas; Kyung E Rhee; David Strong; Cheryl L Rock; Denise E Wilfley; Leonard Epstein; Scott Crow Journal: Contemp Clin Trials Date: 2015-09-08 Impact factor: 2.226
Authors: Melanie K Bean; Amy J Jeffers; Carrie B Tully; Laura M Thornton; Suzanne E Mazzeo Journal: Contemp Clin Trials Date: 2014-02-12 Impact factor: 2.226
Authors: Anna Ek; Kathryn Lewis Chamberlain; Kimmo Sorjonen; Ulf Hammar; Mahnoush Etminan Malek; Pernilla Sandvik; Maria Somaraki; Jonna Nyman; Louise Lindberg; Karin Nordin; Jan Ejderhamn; Philip A Fisher; Patricia Chamberlain; Claude Marcus; Paulina Nowicka Journal: Pediatrics Date: 2019-07-12 Impact factor: 7.124
Authors: Emma Loveman; Lena Al-Khudairy; Rebecca E Johnson; Wendy Robertson; Jill L Colquitt; Emma L Mead; Louisa J Ells; Maria-Inti Metzendorf; Karen Rees Journal: Cochrane Database Syst Rev Date: 2015-12-21
Authors: Emma Mead; Tamara Brown; Karen Rees; Liane B Azevedo; Victoria Whittaker; Dan Jones; Joan Olajide; Giulia M Mainardi; Eva Corpeleijn; Claire O'Malley; Elizabeth Beardsmore; Lena Al-Khudairy; Louise Baur; Maria-Inti Metzendorf; Alessandro Demaio; Louisa J Ells Journal: Cochrane Database Syst Rev Date: 2017-06-22