Bridging the Gap Between Primary and Tertiary Care: The Role of Community-based Healthy Weight Programs in Childhood Obesity Prevention and Control

Author(s):  
Brook Belay ◽  
Hatidza Zaganjor
2018 ◽  
Vol 19 (6) ◽  
pp. 905-914
Author(s):  
Emily A. Schmied ◽  
Emmeline Chuang ◽  
Hala Madanat ◽  
Jamie Moody ◽  
Leticia Ibarra ◽  
...  

Low parent engagement is frequently identified as a barrier to effective implementation of family-based childhood obesity prevention and control programs. A more nuanced understanding of factors affecting parent engagement is important for improving implementation and, ultimately, program efficacy. This qualitative study examined factors influencing parent engagement in a family-based childhood obesity prevention and control program. Semistructured interviews informed by the health belief model and the transtheoretical model were conducted with 22 predominantly Latina mothers following the scheduled conclusion of program activities. Spanish- and English-language interviews were transcribed, translated into English (if Spanish), coded, and summarized using established protocols. Differences between parents who attended at least two thirds of program activities and those who did not were examined. There were no significant demographic differences between parents who did and did not complete two thirds of program activities. Findings indicated that differences in parent engagement may be at least partially explained by differences in parental motivations for participating and in barriers and facilitators, such as children’s level of support and enthusiasm for the program. Parents were highly satisfied with the program content and the community health workers who delivered the program. This study adds to emergent literature regarding parents’ experiences in family-based childhood obesity prevention and control programs. Potential targets for improving program engagement are discussed.


2013 ◽  
Vol 9 (3) ◽  
pp. 218-231 ◽  
Author(s):  
J. P. Elder ◽  
N. C. Crespo ◽  
K. Corder ◽  
G. X. Ayala ◽  
D. J. Slymen ◽  
...  

2019 ◽  
Vol 56 (1) ◽  
pp. 147-158 ◽  
Author(s):  
Carolyn T. Bramante ◽  
Rachel L.J. Thornton ◽  
Wendy L. Bennett ◽  
Allen Zhang ◽  
Renee F. Wilson ◽  
...  

2004 ◽  
Vol 28 (S3) ◽  
pp. S104-S108 ◽  
Author(s):  
M Caroli ◽  
L Argentieri ◽  
M Cardone ◽  
A Masi

2009 ◽  
Vol 13 (8) ◽  
pp. 1262-1270 ◽  
Author(s):  
Annabelle M Wilson ◽  
Anthea M Magarey ◽  
James Dollman ◽  
Michelle Jones ◽  
Nadia Mastersson

AbstractObjectiveTo describe the rationale, development and implementation of the quantitative component of evaluation of a multi-setting, multi-strategy, community-based childhood obesity prevention project (the eat well be active (ewba) Community Programs) and the challenges associated with this process and some potential solutions.Designewba has a quasi-experimental design with intervention and comparison communities. Baseline data were collected in 2006 and post-intervention measures will be taken from a non-matched cohort in 2009. Schoolchildren aged 10–12 years were chosen as one litmus group for evaluation purposes.SettingThirty-nine primary schools in two metropolitan and two rural communities in South Australia.SubjectsA total of 1732 10–12-year-old school students completed a nutrition and/or a physical activity questionnaire and 1637 had anthropometric measures taken; 983 parents, 286 teachers, thirty-six principals, twenty-six canteen and thirteen out-of-school-hours care (OSHC) workers completed Program-specific questionnaires developed for each of these target groups.ResultsThe overall child response rate for the study was 49 %. Sixty-five per cent, 43 %, 90 %, 90 % and 68 % of parent, teachers, principals, canteen and OSHC workers respectively, completed and returned questionnaires. A number of practical, logistical and methodological challenges were experienced when undertaking this data collection.ConclusionsLearnings from the process of quantitative baseline data collection for the ewba Community Programs can provide insights for other researchers planning similar studies with similar methods, particularly those evaluating multi-strategy programmes across multiple settings.


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