Robert L Nix1, Lori A Francis2,3, Mark E Feinberg4,3, Sukhdeep Gill5, Damon E Jones4,3, Michelle L Hostetler4,3, Cynthia A Stifter3. 1. Department of Human Development and Family Studies, University of Wisconsin-Madison, Madison, Wisconsin; robert.nix@wisc.edu. 2. Departments of Biobehavioral Health, and. 3. Human Development and Family Studies, Pennsylvania State University, University Park, Pennsylvania; and. 4. Edna Bennett Pierce Prevention Research Center. 5. Department of Human Development and Family Studies, Pennsylvania State University York, York, Pennsylvania.
Abstract
OBJECTIVES: In this study, we tested whether Recipe 4 Success, a preventive intervention featuring structured food preparation lessons, was successful in improving the following 4 protective factors related to overweight and obesity among families living in poverty: toddlers' healthy eating habits, toddlers' self-regulation, parents' responsive feeding practices, and parents' sensitive scaffolding. METHODS: This randomized controlled trial was open to families enrolled in Early Head Start home visits and included 73 parents and their toddlers aged 18 to 36 months. Multimethod assessments were conducted at baseline and posttreatment. RESULTS: Compared with toddlers in usual practice Early Head Start, toddlers in Recipe 4 Success consumed healthier meals and snacks (d = 0.57; P < .03; 95% confidence interval [CI]: 0.08-1.06) and displayed better self-regulation (d = 0.95; P < .001; 95% CI: 0.43-1.45). Compared with parents in usual practice Early Head Start, parents in Recipe 4 Success engaged in more responsive feeding practices (d = 0.87; P < .002; 95% CI: 0.34-1.40) and were better able to sensitively scaffold their toddlers' learning and development (d = 0.58; P < .04; 95% CI: 0.07-1.09). CONCLUSIONS: This randomized controlled trial revealed medium to large intervention effects on 4 important protective factors that are related to overweight and obesity but are often compromised by living in poverty.
OBJECTIVES: In this study, we tested whether Recipe 4 Success, a preventive intervention featuring structured food preparation lessons, was successful in improving the following 4 protective factors related to overweight and obesity among families living in poverty: toddlers' healthy eating habits, toddlers' self-regulation, parents' responsive feeding practices, and parents' sensitive scaffolding. METHODS: This randomized controlled trial was open to families enrolled in Early Head Start home visits and included 73 parents and their toddlers aged 18 to 36 months. Multimethod assessments were conducted at baseline and posttreatment. RESULTS: Compared with toddlers in usual practice Early Head Start, toddlers in Recipe 4 Success consumed healthier meals and snacks (d = 0.57; P < .03; 95% confidence interval [CI]: 0.08-1.06) and displayed better self-regulation (d = 0.95; P < .001; 95% CI: 0.43-1.45). Compared with parents in usual practice Early Head Start, parents in Recipe 4 Success engaged in more responsive feeding practices (d = 0.87; P < .002; 95% CI: 0.34-1.40) and were better able to sensitively scaffold their toddlers' learning and development (d = 0.58; P < .04; 95% CI: 0.07-1.09). CONCLUSIONS: This randomized controlled trial revealed medium to large intervention effects on 4 important protective factors that are related to overweight and obesity but are often compromised by living in poverty.
Authors: Terrie E Moffitt; Louise Arseneault; Daniel Belsky; Nigel Dickson; Robert J Hancox; Honalee Harrington; Renate Houts; Richie Poulton; Brent W Roberts; Stephen Ross; Malcolm R Sears; W Murray Thomson; Avshalom Caspi Journal: Proc Natl Acad Sci U S A Date: 2011-01-24 Impact factor: 11.205
Authors: Kimberley A Baxter; Smita Nambiar; Tsz Hei Jeffrey So; Danielle Gallegos; Rebecca Byrne Journal: Int J Environ Res Public Health Date: 2022-05-05 Impact factor: 4.614