Table of Contents Author Guidelines Submit a Manuscript
Journal of Obesity
Volume 2014, Article ID 378501, 16 pages
http://dx.doi.org/10.1155/2014/378501
Research Article

Feasibility and Acceptability of an Early Childhood Obesity Prevention Intervention: Results from the Healthy Homes, Healthy Families Pilot Study

1Institute for Community Health Promotion, Department of Behavioral and Social Sciences, Brown University, P.O. Box G-S121-8, Providence, RI 02908, USA
2Kinesiology & Health Science, Stephen F. Austin State University, P.O. Box 13015 SFA Station, Nacogdoches, TX 75962, USA
3School of Human Environmental Sciences, University of Kentucky, Lexington, KY 40506, USA
4Center for Health, Intervention, and Prevention, Department of Human Development and Family Studies, University of Connecticut, 348 Mansfield Road, Unit 1058, Room 320, Storrs, CT 06269, USA

Received 25 July 2014; Accepted 1 October 2014; Published 27 October 2014

Academic Editor: Chris Rissel

Copyright © 2014 Akilah Dulin Keita et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. C. L. Ogden, M. D. Carroll, B. K. Kit, and K. M. Flegal, “Prevalence of childhood and adult obesity in the United States, 2011-2012,” The Journal of the American Medical Association, vol. 311, no. 8, pp. 806–814, 2014. View at Publisher · View at Google Scholar · View at Scopus
  2. A. L. May, L. Pan, S. Bettylou et al., “Vital signs: obesity among low-income, preschool-aged children—United States, 2008–2011,” Morbidity & Mortality Weekly Report, vol. 62, no. 31, p. 629, 2013. View at Google Scholar
  3. A. C. Skinner and J. A. Skelton, “Prevalence and trends in obesity and severe obesity among children in the United States, 1999–2012,” JAMA Pediatrics, vol. 168, no. 6, pp. 561–566, 1999. View at Google Scholar
  4. E. A. Finkelstein, W. C. K. Graham, and R. Malhotra, “Lifetime direct medical costs of childhood obesity,” Pediatrics, vol. 133, no. 5, pp. 854–862, 2014. View at Publisher · View at Google Scholar · View at Scopus
  5. S. K. Kumanyika, E. Obarzanek, N. Stettler et al., “Population-based prevention of obesity: the need for comprehensive promotion of healthful eating, physical activity, and energy balance: a scientific statement from American Heart Association Council on Epidemiology and Prevention, Interdisciplinary Committee for prevention (formerly the expert panel on population and prevention science),” Circulation, vol. 118, no. 4, pp. 428–464, 2008. View at Publisher · View at Google Scholar · View at Scopus
  6. S. Kumanyika, W. C. Taylor, S. A. Grier et al., “Community energy balance: a framework for contextualizing cultural influences on high risk of obesity in ethnic minority populations,” Preventive Medicine, vol. 55, no. 5, pp. 371–381, 2012. View at Publisher · View at Google Scholar · View at Scopus
  7. S. Kumanyika and S. Grier, “Targeting interventions for ethnic minority and low-income populations,” Future of Children, vol. 16, no. 1, pp. 187–207, 2006. View at Publisher · View at Google Scholar · View at Scopus
  8. L. M. Brotman, S. Dawson-McClure, K.-Y. Huang et al., “Early childhood family intervention and long-term obesity prevention among high-risk minority youth,” Pediatrics, vol. 129, no. 3, pp. e621–e628, 2012. View at Publisher · View at Google Scholar · View at Scopus
  9. M. O. Hearst, L. Martin, B. H. Rafdal, R. Robinson, and S. R. McConnell, “Early childhood development and obesity risk-factors in a multi-ethnic, low-income community: feasibility of the 'Five Hundred under Five' social determinants of health pilot study,” Health Education Journal, vol. 72, no. 2, pp. 203–215, 2013. View at Publisher · View at Google Scholar · View at Scopus
  10. J. Koplan, C. T. Liverman, and I. V. Kraak, Preventing Childhood Obesity: Health in the Balance, National Academies Press, 2005.
  11. M. C. Mullen and J. E. Shield, Childhood and Adolescent Overweight: The Health Professional's Guide to Identification, Treatment, and Prevention, American Dietetic Association, 2004.
  12. M. Golan and S. Crow, “Parents are key players in the prevention and treatment of weight-related problems,” Nutrition Reviews, vol. 62, no. 1, pp. 39–50, 2004. View at Publisher · View at Google Scholar · View at Scopus
  13. S. D. Stovitz, J. M. Berge, R. J. Wetzsteon, N. E. Sherwood, P. J. Hannan, and J. H. Himes, “Stage 1 treatment of pediatric overweight and obesity: a pilot and feasibility randomized controlled trial,” Childhood Obesity, vol. 10, no. 1, pp. 50–57, 2014. View at Publisher · View at Google Scholar · View at Scopus
  14. Institue of Medicine, Early Childhood Obesity Prevention Policies, 2011, http://www.iom.edu/Reports/2011/%20Early-Childhood-Obesity-Prevention-Policies.aspx.
  15. A. D. Salbe, C. Weyer, I. Harper, R. S. Lindsay, E. Ravussin, and P. A. Tataranni, “Assessing risk factors for obesity between childhood and adolescence: II. Energy metabolism and physical activity,” Pediatrics, vol. 110, no. 2, part 1, pp. 307–314, 2002. View at Publisher · View at Google Scholar · View at Scopus
  16. A. D. Salbe, C. Weyer, R. S. Lindsay, E. Ravussin, and P. Antonio Tataranni, “Assessing risk factors for obesity between childhood and adolescence: I. Birth weight, childhood adiposity, parental obesity, insulin, and leptin,” Pediatrics, vol. 110, no. 2, part 1, pp. 299–306, 2002. View at Publisher · View at Google Scholar · View at Scopus
  17. R. C. Whitaker, M. S. Pepe, J. A. Wright, K. D. Seidel, and W. H. Dietz, “Early adiposity rebound and the risk of adult obesity,” Pediatrics, vol. 101, no. 3, p. E5, 1998. View at Google Scholar · View at Scopus
  18. J. D. Skinner, W. Bounds, B. R. Carruth, M. Morris, and P. Ziegler, “Predictors of children's body mass index: a longitudinal study of diet and growth in children aged 2–8 y,” International Journal of Obesity, vol. 28, no. 4, pp. 476–482, 2004. View at Publisher · View at Google Scholar · View at Scopus
  19. E. Reifsnider, D. P. McCormick, K. W. Cullen et al., “A randomized controlled trial to prevent childhood obesity through early childhood feeding and parenting guidance: rationale and design of study,” BMC Public Health, vol. 13, no. 1, article 880, 2013. View at Publisher · View at Google Scholar · View at Scopus
  20. S. E. Barber, C. Jackson, S. Akhtar et al., ““Pre-schoolers in the playground” an outdoor physical activity intervention for children aged 18 months to 4 years old: study protocol for a pilot cluster randomised controlled trial,” Trials, vol. 14, no. 1, article 326, 2013. View at Publisher · View at Google Scholar · View at Scopus
  21. A. M. de Silva-Sanigorski, A. C. Bell, P. Kremer et al., “Reducing obesity in early childhood: results from Romp & Chomp, an Australian community-wide intervention program,” The American Journal of Clinical Nutrition, vol. 91, no. 4, pp. 831–840, 2010. View at Publisher · View at Google Scholar · View at Scopus
  22. White House Task Force on Childhood Obesity, Report to the President, 2010.
  23. K. D. Hesketh and K. J. Campbell, “Interventions to prevent obesity in 0–5 year olds: an updated systematic review of the literature,” Obesity, vol. 18, no. S1, pp. S27–S35, 2010. View at Publisher · View at Google Scholar · View at Scopus
  24. L. L. Birch and K. K. Davison, “Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight,” Pediatric Clinics of North America, vol. 48, no. 4, pp. 893–907, 2001. View at Publisher · View at Google Scholar · View at Scopus
  25. M. S. Faith, L. van Horn, L. J. Appel et al., “Evaluating parents and adult caregivers as “agents of change” for treating obese children: evidence for parent behavior change strategies and research gaps: a scientific statement from the American heart association,” Circulation, vol. 125, no. 9, pp. 1186–1207, 2012. View at Publisher · View at Google Scholar · View at Scopus
  26. H. Skouteris, M. McCabe, B. Swinburn, V. Newgreen, P. Sacher, and P. Chadwick, “Parental influence and obesity prevention in pre-schoolers: a systematic review of interventions,” Obesity Reviews, vol. 12, no. 5, pp. 315–328, 2011. View at Publisher · View at Google Scholar · View at Scopus
  27. J. Harvey-Berino and J. Rourke, “Obesity prevention in preschool Native-American children: a pilot study using home visiting,” Obesity Research, vol. 11, no. 5, pp. 606–611, 2003. View at Publisher · View at Google Scholar · View at Scopus
  28. R. K. Golley, G. A. Hendrie, A. Slater, and N. Corsini, “Interventions that involve parents to improve children's weight-related nutrition intake and activity patterns—what nutrition and activity targets and behaviour change techniques are associated with intervention effectiveness?” Obesity Reviews, vol. 12, no. 2, pp. 114–130, 2011. View at Publisher · View at Google Scholar · View at Scopus
  29. M. V. O'Dwyer, S. J. Fairclough, Z. Knowles, and G. Stratton, “Effect of a family focused active play intervention on sedentary time and physical activity in preschool children,” International Journal of Behavioral Nutrition and Physical Activity, vol. 9, article 117, 2012. View at Publisher · View at Google Scholar · View at Scopus
  30. N. N. Showell, O. Fawole, J. Segal et al., “A systematic review of home-based childhood obesity prevention studies,” Pediatrics, vol. 132, no. 1, pp. e193–e200, 2013. View at Publisher · View at Google Scholar · View at Scopus
  31. P. B. Crawford, W. Gosliner, P. Strode et al., “Walking the talk: fit WIC wellness programs improve self-efficacy in pediatric obesity prevention counseling,” The American Journal of Public Health, vol. 94, no. 9, pp. 1480–1485, 2004. View at Publisher · View at Google Scholar · View at Scopus
  32. E. McGarvey, A. Keller, M. Forrester, E. Williams, D. Seward, and D. E. Suttle, “Feasibility and benefits of a parent-focused preschool child obesity intervention,” American Journal of Public Health, vol. 94, no. 9, pp. 1490–1495, 2004. View at Publisher · View at Google Scholar · View at Scopus
  33. K. K. Davison, L. S. Edmunds, B. A. Wyker, L. M. Young, V. S. Sarfoh, and J. P. Sekhobo, “Feasibility of increasing childhood outdoor play and decreasing television viewing through a family-based intervention in WIC, New York State, 2007-2008,” Preventing Chronic Disease, vol. 8, no. 3, article A54, 2011. View at Google Scholar · View at Scopus
  34. L. J. Stark, S. Spear, R. Boles et al., “A pilot randomized controlled trial of a clinic and home-based behavioral intervention to decrease obesity in preschoolers,” Obesity, vol. 19, no. 1, pp. 134–141, 2011. View at Publisher · View at Google Scholar · View at Scopus
  35. D. Haire-Joshu, M. B. Elliott, N. M. Caito et al., “High 5 for Kids: the impact of a home visiting program on fruit and vegetable intake of parents and their preschool children,” Preventive Medicine, vol. 47, no. 1, pp. 77–82, 2008. View at Publisher · View at Google Scholar · View at Scopus
  36. A. Bandura, Social Foundations of Thought and Action, Prentice Hall, Englewood Cliffs, NJ, USA, 1986.
  37. A. Bandura, Social Learning Theory, Prentice Hall, Englewood Cliffs, NJ, USA, 1977.
  38. A. Bandura, “Human agency in social cognitive theory,” American Psychologist, vol. 44, no. 9, pp. 1175–1184, 1989. View at Publisher · View at Google Scholar · View at Scopus
  39. M. Golan and A. Weizman, “Familial approach to the treatment of childhood obesity: conceptual model,” Journal of Nutrition Education and Behavior, vol. 33, no. 2, pp. 102–107, 2001. View at Publisher · View at Google Scholar · View at Scopus
  40. S. E. Barlow and W. H. Dietz, “Obesity evaluation and treatment: expert Committee recommendations,” Pediatrics, vol. 102, no. 3, article e29, 1998. View at Publisher · View at Google Scholar · View at Scopus
  41. W. Miller and S. Rollnick, Motivational Interviewing: Preparing People for Change, Guilford Publications, New York, NY, USA, 2002.
  42. S. Rollnick, W. R. Miller, and C. Butler, Motivational Interviewing in Health Care: Helping Patients Change Behavior, Guilford Press, 2008.
  43. T. B. Moyers, T. Martin, J. K. Manuel, S. M. L. Hendrickson, and W. R. Miller, “Assessing competence in the use of motivational interviewing,” Journal of Substance Abuse Treatment, vol. 28, no. 1, pp. 19–26, 2005. View at Publisher · View at Google Scholar · View at Scopus
  44. F. E. Thompson, A. F. Subar, A. F. Smith et al., “Fruit and vegetable assessment: performance of 2 new short instruments and a food frequency questionnaire,” Journal of the American Dietetic Association, vol. 102, no. 12, pp. 1764–1772, 2002. View at Publisher · View at Google Scholar · View at Scopus
  45. United States Department of Agriculture, Choosemyplate.gov, 2014, http://www.choosemyplate.gov/food-groups/fruits-amount.html.
  46. Academy of Nutrition and Dietetics, Eat Right, 2014, http://www.eatright.org/Public/content.aspx?id=8055.
  47. V. M. Flood, K. Webb, and A. Rangan, “Recommendations for short questions to assess food consumption in children for the NSW Health Surveys,” 2005.
  48. H. L. Burdette, R. C. Whitaker, and S. R. Daniels, “Parental report of outdoor playtime as a measure of physical activity in preschool-aged children,” Archives of Pediatrics and Adolescent Medicine, vol. 158, no. 4, pp. 353–357, 2004. View at Publisher · View at Google Scholar · View at Scopus
  49. B. A. Dennison, T. J. Russo, P. A. Burdick, and P. L. Jenkins, “An intervention to reduce television viewing by preschool children,” Archives of Pediatrics and Adolescent Medicine, vol. 158, no. 2, pp. 170–176, 2004. View at Publisher · View at Google Scholar · View at Scopus
  50. T. N. Robinson and J. D. Killen, “Ethnic and gender differences in the relationships between television viewing and obesity, physical activity, and dietary fat intake,” Journal of Health Education, vol. 26, supplement 2, pp. S91–S98, 1995. View at Google Scholar
  51. B. A. Dennison, T. A. Erb, and P. L. Jenkins, “Television viewing and television in bedroom associated with overweight risk among low-income preschool children,” Pediatrics, vol. 109, no. 6, pp. 1028–1035, 2002. View at Publisher · View at Google Scholar · View at Scopus
  52. M. L. Gattshall, J. A. Shoup, J. A. Marshall, L. A. Crane, and P. A. Estabrooks, “Validation of a survey instrument to assess home environments for physical activity and healthy eating in overweight children,” International Journal of Behavioral Nutrition and Physical Activity, vol. 5, no. 1, article 3, 2008. View at Publisher · View at Google Scholar · View at Scopus
  53. G. X. Ayala, J. P. Elder, N. R. Campbell et al., “Longitudinal intervention effects on parenting of the aventuras para Niños study,” American Journal of Preventive Medicine, vol. 38, no. 2, pp. 154–162, 2010. View at Publisher · View at Google Scholar · View at Scopus
  54. S. E. Larios, G. X. Ayala, E. M. Arredondo, B. Baquero, and J. P. Elder, “Development and validation of a scale to measure Latino parenting strategies related to children's obesigenic behaviors. The parenting strategies for eating and activity scale (PEAS),” Appetite, vol. 52, no. 1, pp. 166–172, 2009. View at Publisher · View at Google Scholar · View at Scopus
  55. O. Bayer, R. von Kries, A. Strauss et al., “Short- and mid-term effects of a setting based prevention program to reduce obesity risk factors in children: a cluster-randomized trial,” Clinical Nutrition, vol. 28, no. 2, pp. 122–128, 2009. View at Publisher · View at Google Scholar · View at Scopus
  56. M. L. Fitzgibbon, M. R. Stolley, L. Schiffer et al., “Family-based hip-hop to health: outcome results,” Obesity, vol. 21, no. 2, pp. 274–283, 2013. View at Publisher · View at Google Scholar · View at Scopus
  57. K. Alaimo, E. Packnett, R. A. Miles, and D. J. Kruger, “Fruit and vegetable intake among urban community gardeners,” Journal of Nutrition Education and Behavior, vol. 40, no. 2, pp. 94–101, 2008. View at Publisher · View at Google Scholar · View at Scopus
  58. C. R. Young, J. L. Aquilante, S. Solomon et al., “Improving fruit and vegetable consumption among low-income customers at farmers markets: Philly food bucks, Philadelphia, Pennsylvania, 2011,” Preventing Chronic Disease, vol. 10, article E166, 2013. View at Publisher · View at Google Scholar · View at Scopus
  59. National Association for Sport and Physical Education (NASPE), Active Start: A Statement of Physical Activity Guidelines for Children from Birth to Age 5, American Alliance for Health, Physical Education, Recreation and Dance, Sewickley, Pa, USA, 2nd edition, 2009.
  60. M. W. Beets, D. Bornstein, M. Dowda, and R. R. Pate, “Compliance with national guidelines for physical activity in U.S. preschoolers: measurement and interpretation,” Pediatrics, vol. 127, no. 4, pp. 658–664, 2011. View at Publisher · View at Google Scholar · View at Scopus
  61. P. Tucker, “The physical activity levels of preschool-aged children: a systematic review,” Early Childhood Research Quarterly, vol. 23, no. 4, pp. 547–558, 2008. View at Publisher · View at Google Scholar · View at Scopus
  62. A. D. Okely, S. G. Trost, J. R. Steele, D. P. Cliff, and K. Mickle, “Adherence to physical activity and electronic media guidelines in Australian pre-school children,” Journal of Paediatrics and Child Health, vol. 45, no. 1-2, pp. 5–8, 2009. View at Publisher · View at Google Scholar · View at Scopus
  63. K. Corder, N. C. Crespo, E. M. F. van Sluijs, N. V. Lopez, and J. P. Elder, “Parent awareness of young children's physical activity,” Preventive Medicine, vol. 55, no. 3, pp. 201–205, 2012. View at Publisher · View at Google Scholar · View at Scopus
  64. K. Corder, E. M. F. van Sluijs, A. M. McMinn, U. Ekelund, A. Cassidy, and S. J. Griffin, “Perception Versus Reality. Awareness of physical activity levels of british children,” The American Journal of Preventive Medicine, vol. 38, no. 1, pp. 1–8, 2010. View at Publisher · View at Google Scholar · View at Scopus
  65. American Academy of Pediatrics, “American Academy of Pediatrics: children, adolescents, and television,” Pediatrics, vol. 107, no. 2, article 423, 2001. View at Google Scholar
  66. T. N. Robinson, “Reducing children's television viewing to prevent obesity: a randomized controlled trial,” The Journal of the American Medical Association, vol. 282, no. 16, pp. 1561–1567, 1999. View at Publisher · View at Google Scholar · View at Scopus
  67. L. H. Epstein, J. N. Roemmich, J. L. Robinson et al., “A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children,” Archives of Pediatrics and Adolescent Medicine, vol. 162, no. 3, pp. 239–245, 2008. View at Publisher · View at Google Scholar · View at Scopus
  68. V. Carson and I. Janssen, “Associations between factors within the home setting and screen time among children aged 0–5 years: a cross-sectional study,” BMC Public Health, vol. 12, no. 1, article 539, 2012. View at Publisher · View at Google Scholar · View at Scopus
  69. W. Walker, “The strengths and weaknesses of research designs involving quantitative measures,” Journal of Research in Nursing, vol. 10, no. 5, pp. 571–582, 2005. View at Google Scholar