The Healthy Children, Strong Families intervention promotes improvements in nutrition, activity and body weight in American Indian families with young children

Bibliographic Data

ID15090155
AuthorsEmily J Tomayko (0000-0002-9074-0875, University of Wisconsin System), Ronald J Prince (0000-0002-9653-8184, University of Wisconsin–Madison), Kate Cronin (0000-0002-3539-2855, University of Wisconsin–Madison), Kate A Cronin, Alexandra K Adams, Alexandra Adams (0000-0002-2469-3310, University of Wisconsin–Madison, corresponding author)
Year2016
Volume19
Issue15
Pages2850-2859
Publication date2016-10-01
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980016001014
PMID27211525
OpenAlexW2404674820
LanguageEN
Citations received8
References cited29

Objective American Indian children of pre-school age have disproportionally high obesity rates and consequent risk for related diseases. Healthy Children, Strong Families was a family-based randomized trial assessing the efficacy of an obesity prevention toolkit delivered by a mentor v . mailed delivery that was designed and administered using community-based participatory research approaches. Design During Year 1, twelve healthy behaviour toolkit lessons were delivered by either a community-based home mentor or monthly mailings. Primary outcomes were child BMI percentile, child BMI Z -score and adult BMI. Secondary outcomes included fruit/vegetable consumption, sugar consumption, television watching, physical activity, adult health-related self-efficacy and perceived health status. During a maintenance year, home-mentored families had access to monthly support groups and all families received monthly newsletters. Setting Family homes in four tribal communities, Wisconsin, USA. Subjects Adult and child (2–5-year-olds) dyads ( n 150). Results No significant effect of the mentored v . mailed intervention delivery was found; however, significant improvements were noted in both groups exposed to the toolkit. Obese child participants showed a reduction in BMI percentile at Year 1 that continued through Year 2 ( P P =0·006) and mean television watching decreased for children ( P =0·05) and adults ( P =0·002). Reported adult self-efficacy for health-related behaviour changes ( P =0·006) and quality of life increased ( P =0·02). Conclusions Although no effect of delivery method was demonstrated, toolkit exposure positively affected adult and child health. The intervention was well received by community partners; a more comprehensive intervention is currently underway based on these findings

Developmental psychology · Environmental health · Intervention (counseling · Psychiatry · Sociology · Child Nutrition and Water Access · Demography · Health and Lifestyle Studies · Medicine · Obesity, Physical Activity, Diet · Psychology · Gerontology · Pediatrics

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