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Book Associations Between Household Food Insecurity  Parental Self efficacy and Fruit and Vegetable Parenting Practices Among Parents of 5 8 Year Old Overweight Children

Download or read book Associations Between Household Food Insecurity Parental Self efficacy and Fruit and Vegetable Parenting Practices Among Parents of 5 8 Year Old Overweight Children written by Angela Hilmers and published by . This book was released on 2011 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Parenting Matters

    Book Details:
  • Author : National Academies of Sciences, Engineering, and Medicine
  • Publisher : National Academies Press
  • Release : 2016-11-21
  • ISBN : 0309388570
  • Pages : 525 pages

Download or read book Parenting Matters written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-11-21 with total page 525 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€"which includes all primary caregiversâ€"are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States.

Book Families  Food  and Parenting

Download or read book Families Food and Parenting written by Lori A. Francis and published by Springer Nature. This book was released on 2021-03-01 with total page 192 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the many roles of families in their members’ food access, preferences, and consumption. It provides an overview of factors – from micro- to macro-levels – that have been linked to food insecurity and discusses policy approaches to reducing food insecurity and hunger. In addition, it addresses the links between food insecurity and overweight and obesity. The book describes changes in the U.S. food environment that may explain increases in obesity during recent decades. It explores relationships between parenting practices and the development of eating behaviors in children, highlighting the importance of family mealtimes in healthful eating. The volume provides an overview of efforts to prevent or reduce obesity in children, with attention to minority populations and discusses research findings on targets for obesity prevention, including a focus on fathers as change agents who play a crucial, yet understudied, role in food parenting. The book acknowledges that with the current obesigenic environment in the United States and elsewhere around the world, additional and innovative efforts are needed to foster healthful eating behavior and orientations toward food in childhood and in families. This book is a must-have resource for researchers, professors, clinicians, professionals, and graduate students in developmental psychology, family studies, public health as well as numerous interrelated disciplines, including sociology, demography, social work, prevention science, educational policy, political science, and economics.

Book Dietary Risk Assessment in the WIC Program

Download or read book Dietary Risk Assessment in the WIC Program written by Institute of Medicine and published by National Academies Press. This book was released on 2002-05-10 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dietary Risk Assessment in the WIC Program reviews methods used to determine dietary risk based on failure to meet Dietary Guidelines for applicants to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Applicants to the WIC program must be at nutritional risk to be eligible for program benefits. Although "dietary risk" is only one of five nutrition risk categories, it is the category most commonly reported among WIC applicants. This book documents that nearly all low-income women in the childbearing years and children 2 years and over are at risk because their diets fail to meet the recommended numbers of servings of the food guide pyramid. The committee recommends that all women and children (ages 2-4 years) who meet the eligibility requirements based on income, categorical and residency status also be presumed to meet the requirement of nutrition risk. By presuming that all who meet the categorical and income eligibility requirements are at dietary risk, WIC retains its potential for preventing and correcting nutrition-related problems while avoiding serious misclassification errors that could lead to denial of services for eligible individuals.

Book An Evaluation of the Obesity Prevention Series Provided by the Women  Infants  and Children  WIC  Federally Funded Feeding Program

Download or read book An Evaluation of the Obesity Prevention Series Provided by the Women Infants and Children WIC Federally Funded Feeding Program written by Cynthia M. Barrar and published by . This book was released on 2009 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt: Data from the National Health and Nutrition Examination Survey (NHANES) shows that the prevalence of childhood overweight has almost tripled in the past three decades. In 2006, data from the Pediatric Nutrition Surveillance System (PedNSS) showed the prevalence of overweight among low-income children aged 2 - 5 years was 14.8%, compared with 13.9% for all U.S. children of a similar age. The Pennsylvania WIC Program set the long-term objective of reducing the incidence of childhood obesity among participants enrolled in the WIC Program. By January 2001, the Pennsylvania WIC Program implemented the Obesity Prevention Series, an on-going nutrition education plan for parents and caregivers of children over the age of two. Key educational components of the series include: physical activity promotion, parenting skills related to child feeding, choosing lower fat fast foods and convenience foods, role modeling, limiting sweetened beverages and snack foods and increasing the consumption of water, fruits and vegetables. The purpose of this study was to evaluate the effectiveness of the Obesity Prevention Series Module "Increasing Fruits and Vegetables" at promoting knowledge of the health benefits of and positive attitude towards consumption of fruits and vegetables, as measured by a change in parental knowledge and beliefs, and their intention to change behavior. The study was conducted at three Pennsylvania WIC sites located in Delaware County, Pennsylvania. Parents or guardians of children two to five years of age were asked to complete a survey to measure knowledge, attitudes and self-efficacy prior to participating in a brief nutrition education session using the Obesity Prevention Services Module "Increasing Fruits and Vegetables". The nutrition education session is designed to encourage families to eat more fruits and vegetables and manage barriers. Following the brief nutrition education session, parents and caregivers were asked to complete a survey similar to the survey they had completed previously. The post survey provided a space for parents and caregivers to write in goals related to increasing the fruit and vegetable consumption of their child or themselves as a means to measure intention to change behavior. Twenty-nine paired pre and post surveys were collected. The Obesity Prevention Series Module "Increasing Fruits and Vegetables" was effective in positively changing knowledge, attitudes and self-efficacy as measured by change in mean response pre to post survey. Interestingly, 14%(4) of participants in this study did not agree that their consumption of fruits and vegetables could influence their child's consumption of fruits and vegetables, at both pre-survey and post survey. Fifty-two percent of parents and caregivers intended to change behavior following the intervention by setting fruit and vegetable related goals. The most popular goals set by parents and caregivers included serving fruits and vegetables with every meal, hiding vegetables in foods, trying new fruits and vegetables and serving more fruit salad, mixed vegetables, frozen fruit bars, or stir fries. Childhood overweight and obesity is a complex issue with many related causes such as genetics, environment, diet and level of activity. There is some research that shows an inverse association between the consumption of fruits and vegetables and the incidence of childhood overweight and obesity. A key educational message for parents and caregivers moving forward would be to eat and serve more fruits and vegetables as part of a low-fat diet. Nutrition education needs to address attitudes related to modeling behaviors, parent/child feeding roles, the use of food as a reward and increase knowledge regarding the purchase, storage, and preparing of fruits and vegetable. WIC Nutritionists can work with parents and caregivers to explore their perceptions of fruits and vegetables, to reduce barriers and to increase their children's access to fruits and.

Book Formative Research in Social Marketing

Download or read book Formative Research in Social Marketing written by Krzysztof Kubacki and published by Springer. This book was released on 2016-10-07 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book brings together the state of the art and current debates in the field of formative research, and examines many of the innovative methods largely overlooked in the available literature. This book will help social marketing to move beyond surveys and focus groups. The book addresses the needs of social marketing academics and practitioners alike by providing a robust and critical academic discussion of cutting-edge research methods, while demonstrating at the same time how each respective method can help us arrive at a deeper understanding of the issues that social marketing interventions are seeking to remedy. Each chapter includes a scholarly discussion of key formative research methods, a list of relevant internet resources, and three key readings for those interested in extending their understanding of the method. Most chapters also feature a short case study demonstrating how the methods are used.

Book Childhood and Adolescent Overweight

Download or read book Childhood and Adolescent Overweight written by Mary Catherine Mullen and published by American Dietetic Associati. This book was released on 2004 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt: This brand-new professional publication provides in-depth and comprehensive coverage of issues surrounding obesity, such as genetics, and environmental, cultural and socioeconomic conditions. The various methods of diagnosis, prevention and treatment of this epidemic are covered using case studies, growth charts and various assessment tools. Strategies for family involvement and listings of current resources such as school, government and community-based programs help to make this a desirable resource to a wide spectrum of health-care professionals.

Book Pediatric Food Preferences and Eating Behaviors

Download or read book Pediatric Food Preferences and Eating Behaviors written by Julie C. Lumeng and published by Academic Press. This book was released on 2018-07-09 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pediatric Food Preferences and Eating Behaviors reviews scientific works that investigate why children eat the way they do and whether eating behaviors are modifiable. The book begins with an introduction and historical perspective, and then delves into the development of flavor preferences, the role of repeated exposure and other types of learning, the effects of modeling eating behavior, picky eating, food neophobia, and food selectivity. Other sections discuss appetite regulation, the role of reward pathways, genetic contributions to eating behaviors, environmental influences, cognitive aspects, the development of loss of control eating, and food cognitions and nutrition knowledge. Written by leading researchers in the field, each chapter presents basic concepts and definitions, methodological issues pertaining to measurement, and the current state of scientific knowledge as well as directions for future research.

Book Associations Between Food Parenting Practices and Dietary Intake Among Children and Adolescents

Download or read book Associations Between Food Parenting Practices and Dietary Intake Among Children and Adolescents written by Kathryn Walton and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Food parenting practices influence child and adolescent nutrition. However, existing research has produced equivocal results, likely due to two key limitations: reliance on parent-report and failing to consider the context within which feeding occurs. Parental report data is subject to error and bias, and family functioning may influence how feeding is experienced by the child/adolescent. Further, there is little understanding of how family meal routines are established and why some families eat together while others do not. This thesis includes four papers that aim to address these limitations. Paper one explores cross-sectional associations between family dinner frequency, a structured food parenting practice, and dietary intake (n = 2 728 youth), while exploring whether family functioning moderates or confounds the association. Regardless of level of family functioning, more frequent family dinners were associated with improved diet quality for youth. Paper two explores the role of family functioning in the association between observed mothers' and fathers' food parenting practices and children's nutrition risk (n=73 families with preschoolers). Mothers', but not fathers', food parenting practices were associated with their children's nutrition risk. Family functioning did not moderate or confound these associations. Paper three qualitatively explores how family meal routines are established (n=20 families with preschoolers). Families approach family meals from one of three overarching orientations: meals for togetherness, nutrition messaging, or necessity. These orientations were influenced by parents' early life experiences and major life transitions. Differences in the messages parents share about food and eating and challenges they experience with mealtimes were observed across the orientations. Paper four comments on the future of research exploring food parenting practices. We argue that the current conceptualization of picky eating defines acts of resistance or expressions of preference by a child as deviant behaviour. A reconceptualization of picky eating is presented with suggestions for future research methods to explore food parenting and child eating habits bi-directionally. Findings from this thesis increase our understanding of the impact of food parenting practices on child and adolescent dietary intake and how family meal routines are established. Results will help improve family-based nutrition interventions and pediatric/adolescent nutrition care in Canada.

Book The Complete Guide to Nutrition in Primary Care

Download or read book The Complete Guide to Nutrition in Primary Care written by Darwin Deen and published by John Wiley & Sons. This book was released on 2008-04-15 with total page 464 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Complete Guide to Nutrition in Primary Care Edited by Darwin Deen, MD, MS Lisa Hark, PhD, RD Clinicians and patients agree that primary care office visits should include routine nutrition assessment and counseling. But how do you fit it into an already crowded consultation? And what is the most up-to-date advice? With The Complete Guide to Nutrition in Primary Care, Drs. Deen and Hark provide the necessary tools. This comprehensive overview of nutrition answers your questions on: • Nutrition as Preventive Medicine • Nutrition through the Lifecycle • Improving Health by Changing Diet and Lifestyle Behaviors • Vitamins, Minerals, Dietary Supplements, and the Alternative • Successful Changes to the Environment This timely paperback contains everything the primary care clinician needs to counsel patients on diet and lifestyle issues. Keep it close at hand for the frequent consultation it is sure to receive. Dr. Darwin Deen is one of the nation’s foremost authorities on nutrition. Currently Professor of Clinical, Family and Social Medicine and Director of Medical Student Education at the Albert Einstein College of Medicine in New York, he has trained a generation of physicians on the connection between nutrition and health. He has played a leading role in revising medical school curricula to incorporate nutrition training. An award-winning teacher and noted author, he serves as Chair of the Task Force on Medical Nutrition Education of the American College of Nutrition and co-chairs the Group on Nutrition of the Society of Teachers of Family Medicine. His years of experience as a family physician make him perfectly suited to advise clinicians on counseling their patients on diet and lifestyle. Dr. Lisa Hark is a renowned family nutrition expert, with more than 20 years of experience in nutrition counseling and promoting the benefits of healthy eating in children and adults. As Director of the Nutrition Education Program at the University of Pennsylvania School of Medicine in Philadelphia, she developed a model medical school curriculum and textbook, Medical Nutrition and Disease, which has become one of the most widely used texts in nutrition education. She was given the Excellence in Medical/Dental Nutrition Education award from the American Society for Nutrition. Dr. Hark was also the host of the TV show, “Honey, We’re Killing the Kids,” which airs on TLC, and is a widely sought after speaker who communicates nutrition concepts effectively to health professionals, patients, and the media. www.blackwellmedicine.com

Book Early Childhood Obesity Prevention Policies

Download or read book Early Childhood Obesity Prevention Policies written by Institute of Medicine and published by National Academies Press. This book was released on 2011-10-31 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood obesity is a serious health problem that has adverse and long-lasting consequences for individuals, families, and communities. The magnitude of the problem has increased dramatically during the last three decades and, despite some indications of a plateau in this growth, the numbers remain stubbornly high. Efforts to prevent childhood obesity to date have focused largely on school-aged children, with relatively little attention to children under age 5. However, there is a growing awareness that efforts to prevent childhood obesity must begin before children ever enter the school system. Early Childhood Obesity Prevention Policies reviews factors related to overweight and obese children from birth to age 5, with a focus on nutrition, physical activity, and sedentary behavior, and recommends policies that can alter children's environments to promote the maintenance of healthy weight. Because the first years of life are important to health and well-being throughout the life span, preventing obesity in infants and young children can contribute to reversing the epidemic of obesity in children and adults. The book recommends that health care providers make parents aware of their child's excess weight early. It also suggests that parents and child care providers keep children active throughout the day, provide them with healthy diets, limit screen time, and ensure children get adequate sleep. In addition to providing comprehensive solutions to tackle the problem of obesity in infants and young children, Early Childhood Obesity Prevention Policies identifies potential actions that could be taken to implement those recommendations. The recommendations can inform the decisions of state and local child care regulators, child care providers, health care providers, directors of federal and local child care and nutrition programs, and government officials at all levels.

Book The Associations Between Cooking and Gardening Behaviors and Determinants of Behavior with Dietary Intake and Obesity in Low income  Hispanic Youth

Download or read book The Associations Between Cooking and Gardening Behaviors and Determinants of Behavior with Dietary Intake and Obesity in Low income Hispanic Youth written by Annie Katherine Markowitz and published by . This book was released on 2018 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood obesity and obesity-related diseases are major problems in the United States and disproportionately affect Hispanic youth and children from low socioeconomic status households. This population has limited access to fresh fruits and vegetables, and consumption of fruits and vegetables have been shown to prevent weight gain and may reduce the risk of obesity. Current literature shows that cooking and gardening are associated with increased fruit and vegetable preferences and intake. School cooking and gardening programs show promise in improving dietary intake in children. The purpose of this cross-sectional research was to identify associations between cooking and gardening behaviors and determinants of behavior (attitudes, self-efficacy, and motivation) and subsequent fruit and vegetable intake in low-income, minority youth who participated in school-based cooking and gardening interventions. The first aim was to examine the association between changes in cooking and gardening behaviors and determinants of behavior with changes in dietary fiber intake, vegetable intake, body mass index (BMI), and waist circumference in participants of the LA Sprouts randomized controlled intervention. The second aim was to examine the baseline relationship between child cooking involvement and parental support in food preparation with vegetable exposure, vegetable preference, vegetable intake, and BMI from participants of the Texas! Grow! Eat! Go! group-randomized controlled intervention. The third aim was to examine the baseline relationship between cooking and gardening behaviors and determinants of behavior (attitudes and self-efficacy) with fruit and vegetable intake in participants of the TX Sprouts randomized controlled intervention. All analyses were conducted using data from primarily low-income and Hispanic youth. The results of this research demonstrated that cooking and gardening behaviors and determinants of behavior are positively associated with fruit and vegetable intake in this population, suggesting that improving cooking and gardening skills and determinants of behavior in children through school cooking and gardening programs may be an effective means to improve their dietary intake.

Book Parent and Other Adult Practices to Promote Healthy Eating and Physical Activity in Children

Download or read book Parent and Other Adult Practices to Promote Healthy Eating and Physical Activity in Children written by Tanis Joy Hastmann and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Insufficient physical activity, excessive sedentary behavior and insufficient fruit and vegetable consumption may contribute to childhood obesity. Parents and other adults provide social and physical environments, and build childrenʹs skills for these healthful behaviors. The purpose of this dissertation was to examine parent and adult practices that contribute to the prevention of obesity in children. Chapter one reviewed the literature examining the influence of parent and adult practices on the development of young childrenʹs eating and activity self-regulation skills. Recently, studies have provided evidence that children who lack self-regulation skills are more likely to be overweight. However, there is a gap in the literature addressing practices necessary to foster young childrenʹs self-regulation. Thus, a need exists to identify parent and adult practices that foster the development of childrenʹs eating and activity self-regulation skills. Chapter two described the development, validity and reliability of a self-report measure of parenting practices that may foster childrenʹs self-regulation skills. Parents of overweight/obese children use less parenting practices that foster self-reflection of screen time than parents of normal weight children. Chapter three described the development and evaluation of an intervention designed to develop childrenʹs self-regulation skills to ask parents for healthful home environments. The 12-week intervention was delivered to children and their parents through training child care providers. Childrenʹs self-regulation for asking for healthy foods and activities increased after intervention, as well as increases in child eating and physical activity behaviors. In addition to parents, other adults can impact childrenʹs environments to increase energy expenditure. Chapter four examined the influence of adult leader participation compared to no leader participation among children participating in active games. Results showed no effect of leader participation on childrenʹs physical activity. It may be that adult participation could not increase physical activity because the children were already exhibiting high levels of moderate-to-vigorous physical activity. This dissertation provides preliminary evidence that parent/adult practices play a key role in the development of healthy eating and physical activity in children. Future research is necessary to identify the most important parent/adult practices that can be targeted by interventions to provide healthful options and build childrenʹs skills to promote healthful behavior to prevent obesity.

Book The Association of Parent Acculturation with Childhood Obesity and Dietary Behaviors Among a Predominately Mexican American Sample

Download or read book The Association of Parent Acculturation with Childhood Obesity and Dietary Behaviors Among a Predominately Mexican American Sample written by Monica Iolanda Morello and published by . This book was released on 2011 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: The objective of this study was to investigate the effects of parent acculturation on child fruit and vegetable consumption and obesity, as measured by BMI, among Mexican American and other Hispanic families. Mexican Americans make up the largest sub-group of Hispanics in the U.S. and account for a large proportion of the prevalence of overweight and obesity. There is a need to understand the influences of acculturation among Mexican American and other Hispanic families in order to reduce and prevent childhood obesity among this population in the U.S. Secondary baseline data from a randomized controlled trial was analyzed for this study. The study took place in San Diego County, California. Participants consisted of a total of 541 families with a child between the ages of 5 and 8 years old who spoke English or Spanish and lived within up to three miles from a local community recreation center. Only Mexican American or other Hispanic individuals were included in the present study, yielding a final sample size of 250 participants. Height and weight measurements were collected to calculate the age- and sex-specific BMI for each child and parent. Self-administered surveys were given to parents and included questions on basic demographics, acculturation, and child fruit and vegetable consumption. Over half (56.4%) of the parents were born in Mexico; 86.8% of the children were born in the U.S. Parent acculturation scores ranged from 4 to 32 with a mean of 16.41 (SD=9.25); child acculturation scores ranged from 1 to 5 with a mean of 3.53 (SD=0.81). The bivariate results indicated that the outcome variable of child BMI z score was related to the main predictor variable of parent acculturation at the 0.20 significance level. At the same significance level, the outcome variable of child fruit consumption was associated with parent acculturation (p=0.01). After controlling for parent acculturation and parent birth place, child BMI z score remained significantly related to parent BMI (p

Book Longitudinal Associations Between Home Food Environment and Diet Quality in Children

Download or read book Longitudinal Associations Between Home Food Environment and Diet Quality in Children written by Jonae B. Perez and published by . This book was released on 2014 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt: Child and adolescent diets in the United States are high in fat and sodium and low in vegetables, fruits, whole grains, and dairy foods. Parental practices and foods provided in the home greatly influence children's food related behaviors. This impact may change as children progress through adolescence and other factors begin to play a role, such as peers, media, and convenience of food. This study aimed to investigate longitudinal relationships between parenting around food/eating, foods available in the home, and future child diet quality in younger versus older children. The National Impact on Kids (NIK) Study was a prospective cohort study with two time points, baseline and 2-year follow-up. Parental surveys were used to collect data on home food environment and 24-hour food recalls were used to collect child dietary intake. Child diet quality indicators include DASH score, fruit and vegetable intake, and high-energy beverage intake. In this secondary data analysis, participants were dichotomized in to two groups: younger (ages 6-8.99) versus older (ages 9-12.5) at study initiation. Hierarchical linear regression models were used to assess the association between initial parenting around food/eating and foods available in the home and future child diet quality indicators. Participants were 50.7% female and predominantly Non-Hispanic White (70.2%). A significant overall change in DASH scores (p=.053), total fruit and vegetable intake (p=.017), and high-energy beverage consumption (p

Book Perspectives on Childhood

Download or read book Perspectives on Childhood written by Aisling Leavy and published by Cambridge Scholars Publishing. This book was released on 2021-07-27 with total page 430 pages. Available in PDF, EPUB and Kindle. Book excerpt: This collection brings together various cutting-edge and accessible perspectives and insights into the rich, complex and intriguing stage of life that is childhood. Contributions here relate specifically to the Irish context, with many seamless connections also made to the universal themes of childhood and their relevance within the international context. The chapters are organised into four themes: (1) Children and families in education and special education settings; (2) Children’s environment and play spaces; (3) Children’s voice in research, classrooms and non-traditional settings; and (4) Children’s experiences in STEM education. Across the chapters, the authors identify current best practices and place them within the overall context of current trends in research into childhood. There is a complementary balance of theoretical and practical knowledge presented throughout the volume. Given the variety of perspectives and contributions presented here, it will be of interest to those working in professional practice, such as educators, psychologists, sociologists, and the more general public, including parents and policymakers.

Book A Quasi experimental Trial Addressing Family Eating Practices Using an Interactive Family based Healthy Weights Intervention

Download or read book A Quasi experimental Trial Addressing Family Eating Practices Using an Interactive Family based Healthy Weights Intervention written by Megan Perdew and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: Evidence-based blended family interventions, those that incorporate both in-person group sessions and on-line sessions, remain understudied; specifically, there is insufficient research that investigates psychosocial and behavioural nutrition outcomes. Thus, researchers and stakeholders across BC worked together to develop the Family Healthy Living Program (FHLP), an evidence-informed blended family-based intervention that addressed parent feeding practices through parent and child behavioural and psycho-social factors (e.g. attitudes, self-efficacy) associated with HE using the Multi-Process Action Control (M-PAC) framework and behaviour change techniques. Objective: To evaluate the efficacy of the FHLP in improving secondary nutrition outcomes, which include self-reported behavioural and psycho-social measures for parent feeding practices and child dietary behaviours. Methods: Municipalities across BC participated in this 10-week quasi-experimental wait-list control trial. Participants were parents (n=59) and their children (n=64) aged 8-12 years who had a BMI ≥ 85th percentile for age and sex. Families were allocated to the intervention or a wait-list control group. The FHLP provided a blended intervention consisting of 10 weekly sessions, 4 community activities (14 in-person opportunities) and an online platform with interactive activities. Furthermore, behaviour change techniques introduced during program sessions matched the proposed target constructs of M-PAC. Secondary parent and child nutrition outcomes were evaluated using validated self-report questionnaires to measure: parent feeding practices, the home food environment, parental attitudes and perceived control for supporting child's HE, parent/family healthy eating (HE) habits and identity, regulation of child's HE behaviours, and parents' cooking self-efficacy, as well as children's dietary behaviours, attitudes, outcome expectations and self-efficacy related to HE. Researchers followed an intention-to-treat protocol for participants who did not complete follow-up measures. Repeated measures analysis of variance (ANOVA) (2x2) was used to compare pre and post measures between intervention and waitlist control participants. Results: Fifty families completed the study. Relative to wait-list controls, regulation of child's HE approached significance (mean= 13.88, SD= 3.66, d= 0.549, p= 0.051) and medium effects sizes were detected for parental attitudes for supporting child's HE (mean= 5.97, SD= 0.957, d= 0.514, p= 0.064) and total parent support of child's HE (mean= 10.55, SD= 1.26, d= 0.510, p= 0.066) among parents in the intervention group at follow up. No significant between group changes in child nutrition outcomes were identified; however, over 50% of children in the intervention group either improved or maintained their fruit and vegetable intake over time. Conclusions: Blended family-based interventions developed and evaluated according to behavioural theory and corresponding behaviour change techniques can improve parents' regulation of their child's HE and psycho-social determinants of total parent support of child's HE. Future research should investigate how theory-based, evidence-informed blended interventions can further influence family improvements in dietary behaviours and facilitate a home environment that supports children's HE behaviours.