The Impact of a Multilevel Childhood Obesity Prevention Intervention on Healthful Food Acquisition, Preparation, and Fruit and Vegetable Consumption on African American Adult Caregivers

Details

• Alternative Title:
  Public Health Nutr
• Personal Author:
  Trude, Angela C. B. ; Surkan, Pamela J. ; Steeves, Elizabeth Anderson ; Porter, Keshia Pollack ; Gittelsohn, Joel
• Description:
  Objectives:
  
  To evaluate the secondary impact of a multilevel, child-focused, obesity intervention on food-related behaviors (acquisition, preparation, and fruit and vegetable (FV) consumption) on youths’ primary caregivers.
  
  Design:
  
  B’more Healthy Communities for Kids (BHCK), group-randomized, controlled trial, promoted access to healthy food and food-related behaviors through wholesaler and small store strategies, peer-mentor led nutrition education aimed at youth, and social media and text messaging targeting their adult caregivers. Measures included caregivers’ (n=516) self-reported household food acquisition frequency for FV, snacks, and grocery items over 30 days, and usual consumption of FV in a sub-sample of 226 caregivers via the NCI FV Screener. Hierarchical models assessed average-treatment-effects (ATE). Treatment-on-the-treated-effect (TTE) analyses evaluated the correlation between behavioral change and exposure to BHCK. Exposure scores at post-assessment were based on self-reported viewing of BHCK materials and participating in activities.
  
  Setting:
  
  30 Baltimore City low-income neighborhoods
  
  Subjects:
  
  Adult caregivers of youth ages 9–15 years.
  
  Results:
  
  90.89% of caregivers were female, average 39.31(± 9.31) years. Baseline mean fruit intake (servings/day) was 1.30(± 1.69) and vegetable was 1.35(± 1.05). In ATE, no significant effect of the intervention was found on caregiver food-related behaviors. In TTE, for each point increase in the BHCK exposure score (range 0–6.9), caregivers increased daily consumption of fruits by 0.2 servings (0.24± 0.11; 95%CI 0.04; 0.47). Caregivers reporting greater exposure to social media tripled their daily fruit intake (3.16± 0.92; 95%CI 1.33; 4.99) and increased frequency of unhealthy food purchasing, compared to baseline.
  
  Conclusions:
  
  Child-focused community-based nutrition interventions may also benefit family members’ fruit intake. Child-focused interventions should involve adult caregivers and intervention effects on family members should be assessed. Future multilevel studies should consider using social media to improve reach and engage caregiver participants.
  
  
• Subjects:
  Adolescent Black Or African American/psychology Caregivers/psychology Child Consumer Behavior Female Fruit Health Education Humans Male Pediatric Obesity/ethnology Pediatric Obesity/prevention & Control Poverty Social Environment Social Media Text Messaging Vegetables

  More +
• Source:
  Public Health Nutr. 22(7):1300-1315
• Pubmed ID:
  30463637
• Pubmed Central ID:
  PMC6486455
• Document Type:
  Journal Article
• Funding:
  U48 DP000040/DP/NCCDPHP CDC HHS/United States ; U54 HD070725/HD/NICHD NIH HHS/United States
• Place as Subject:
  Baltimore, MD
• Volume:
  22
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:bb255ef2db710eaaddb5c74d598b27687983240b2c059cd22f8a726311b84f42
• Download URL:
  https://stacks.cdc.gov/view/cdc/77868/cdc_77868_DS1.pdf
• File Type:
  [PDF - 671.99 KB ]