|Title||The Healthy Children, Strong Families intervention promotes improvements in nutrition, activity and body weight in American Indian families with young children.|
|Publication Type||Journal Article|
|Year of Publication||2016|
|Authors||Tomayko, EJ, Prince, RJ, Cronin, KA, Adams, AK|
|Journal||Public Health Nutr|
|Date Published||2016 Oct|
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<0·05); no change in adult BMI was observed. Child fruit/vegetable consumption increased (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.
|Alternate Journal||Public Health Nutr|
|PubMed Central ID||PMC5039403|
|Grant List||P60 MD003428 / MD / NIMHD NIH HHS / United States |
T32 DK007665 / DK / NIDDK NIH HHS / United States
U01 HL087381 / HL / NHLBI NIH HHS / United States