Competency-Based Approaches to Community Health: A Randomized Controlled Trial to Reduce Childhood Obesity among Latino Preschool-Aged Children

Childhood Obesity
William J HeermanMarcy Singer-Gabella

Abstract

Background: Health behavior change interventions that target childhood obesity in minority populations have led to inconsistent and short-lived results. The purpose of this study was to test a novel intervention that was personalized and family-based in a Latino population to reduce childhood obesity. Methods: Competency-Based Approaches to Community Health (COACH) was a randomized controlled trial. Latino parent-child pairs were recruited from community settings in Nashville, TN. Child eligibility criteria included age 3-5 years and a BMI ≥50th percentile. The intervention included 15 weekly, 90-minute sessions followed by 3 months of twice-monthly health coaching calls. The control group was a twice-monthly school readiness curriculum for 3 months. Sessions were conducted by a health coach in local community centers, with groups of 8-11 parent-child pairs. The primary outcome was child BMI trajectory across 12 months, measured at four times. The intervention's effect was assessed by using a longitudinal, linear mixed-effects growth model, adjusting for child gender, baseline child and parent age, and baseline parent BMI and education. Results: Of the 305 parent-child pairs assessed for eligibility, 117 were randomized (5...Continue Reading

Associated Clinical Trials

May 4, 2017·Bill HeermanBill Heerman

References

Dec 24, 2005·Critical Reviews in Food Science and Nutrition·Caitlin S Boon, Fergus M Clydesdale
Dec 27, 2005·Journal of the American Dietetic Association·Paula ZieglerBarbara Devaney
Oct 31, 2006·Clinical Psychology Review·Kathleen M YoungWilliam H O'Brien
Mar 24, 2010·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Dong-Chul Seo, Jaesin Sa
Oct 28, 2010·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·P Branscum, M Sharma
Nov 17, 2011·The New England Journal of Medicine·Lawrence J AppelFrederick L Brancati
Feb 19, 2013·Prevention Science : the Official Journal of the Society for Prevention Research·Gordon T HaroldLeslie D Leve
Apr 18, 2013·BMC Medical Research Methodology·Brennan C Kahan, Tim P Morris
Jun 12, 2013·Pediatrics·Sara N BleichYoufa Wang
Sep 5, 2013·Patient Education and Counseling·Richard O WhiteShari L Barkin
Jan 17, 2014·The International Journal of Behavioral Nutrition and Physical Activity·Teresia M O'ConnorRebecca E Lee
Apr 23, 2014·The International Journal of Behavioral Nutrition and Physical Activity·Julie A WrightRobert H Friedman
Aug 12, 2014·Hispanic Journal of Behavioral Sciences·Sarah D MillsGeorgia Robins Sadler
Feb 26, 2015·Pediatrics·Willliam J HeermanShari L Barkin
Jun 1, 2006·Perspectives on Psychological Science : a Journal of the Association for Psychological Science·Albert Bandura
Oct 21, 2015·Pediatric Research·M Karen Campbell
Sep 11, 2016·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·M M JaKaN E Sherwood
Apr 2, 2017·Journal of Nutrition Education and Behavior·William J HeermanRussell L Rothman
Jun 1, 2017·Data in Brief·Guoqiang LiuMing Sun
Jul 15, 2017·Journal of Public Health Dentistry·Clemencia M VargasHerta S Granado
Aug 25, 2017·The International Journal of Behavioral Nutrition and Physical Activity·Tayla AshKirsten K Davison
Nov 17, 2017·The International Journal of Behavioral Nutrition and Physical Activity·William J HeermanShari L Barkin
Jan 20, 2018·Translational Behavioral Medicine·Marissa BurgermasterLena Mamykina
Mar 24, 2018·JAMA : the Journal of the American Medical Association·Craig M HalesCynthia L Ogden
Jun 17, 2018·International Journal of Obesity : Journal of the International Association for the Study of Obesity·Jungwon MinYoufa Wang
Aug 9, 2018·JAMA : the Journal of the American Medical Association·Shari L BarkinJune Stevens

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