Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study
Background. Childhood obesity is a complex public health challenge that requires innovative, sustainable solutions. Positive deviance, inspired by the science of complexity, is an approach that examines what allows certain individuals to succeed despite being predicted to fail. This study is aimed a...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2018/9285164 |
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| author | Byron A. Foster Christian A. Aquino Sharol Mejia Barbara J. Turner Arvind Singhal |
| author_facet | Byron A. Foster Christian A. Aquino Sharol Mejia Barbara J. Turner Arvind Singhal |
| author_sort | Byron A. Foster |
| collection | DOAJ |
| description | Background. Childhood obesity is a complex public health challenge that requires innovative, sustainable solutions. Positive deviance, inspired by the science of complexity, is an approach that examines what allows certain individuals to succeed despite being predicted to fail. This study is aimed at identifying and defining positive deviants for early childhood obesity. Methods. This case-control study used medical record data to identify Latino children aged 2–5 and classify them using their longitudinal weight change. Parents of children with trajectories toward a healthy weight from an obese weight (cases) and parents of children with stable obese weight trajectories over time (controls) were recruited. Mixed-methods analyses were used including a semistructured interview and quantitative surveys evaluating diet, physical activity, sleep, feeding practices, and self-efficacy. Qualitative description was applied to the qualitative data; quantitative data were analyzed using descriptive statistics and logistic regression modeling. Results. Of eligible Latino children identified from the overall data set (n=1,621), 257 (16%) had trajectories toward a healthy weight, and among these, 21 positively deviant cases completed the study with 23 matched controls. Positive deviant families were characterized by lower education, higher self-efficacy, and a more Mexican cultural orientation. Findings suggest that effective engagement of other caregivers and creating healthy food environments were important determinants of healthy weight outcomes. Conclusions. Positive deviants (cases) were distinct from controls in several parenting strategies such as creating healthy food environments and engaging caregivers. They had higher self-efficacy despite lower education. There were fewer differences in diet and physical activity than expected. |
| format | Article |
| id | doaj-art-16adea6eaad84e44ab0517957591dc97 |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-16adea6eaad84e44ab0517957591dc972025-02-03T01:22:05ZengWileyJournal of Obesity2090-07082090-07162018-01-01201810.1155/2018/92851649285164Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control StudyByron A. Foster0Christian A. Aquino1Sharol Mejia2Barbara J. Turner3Arvind Singhal4Departments of Dermatology and Pediatrics, Oregon Health & Science University, Portland, OR, USASchool of Medicine, University of Texas Health San Antonio, San Antonio, TX, USASchool of Medicine, University of Texas Health San Antonio, San Antonio, TX, USACenter for Research to Advance Community Health, University of Texas Health San Antonio, San Antonio, TX, USADepartment of Communication, The University of Texas at El Paso, El Paso, TX, USABackground. Childhood obesity is a complex public health challenge that requires innovative, sustainable solutions. Positive deviance, inspired by the science of complexity, is an approach that examines what allows certain individuals to succeed despite being predicted to fail. This study is aimed at identifying and defining positive deviants for early childhood obesity. Methods. This case-control study used medical record data to identify Latino children aged 2–5 and classify them using their longitudinal weight change. Parents of children with trajectories toward a healthy weight from an obese weight (cases) and parents of children with stable obese weight trajectories over time (controls) were recruited. Mixed-methods analyses were used including a semistructured interview and quantitative surveys evaluating diet, physical activity, sleep, feeding practices, and self-efficacy. Qualitative description was applied to the qualitative data; quantitative data were analyzed using descriptive statistics and logistic regression modeling. Results. Of eligible Latino children identified from the overall data set (n=1,621), 257 (16%) had trajectories toward a healthy weight, and among these, 21 positively deviant cases completed the study with 23 matched controls. Positive deviant families were characterized by lower education, higher self-efficacy, and a more Mexican cultural orientation. Findings suggest that effective engagement of other caregivers and creating healthy food environments were important determinants of healthy weight outcomes. Conclusions. Positive deviants (cases) were distinct from controls in several parenting strategies such as creating healthy food environments and engaging caregivers. They had higher self-efficacy despite lower education. There were fewer differences in diet and physical activity than expected.http://dx.doi.org/10.1155/2018/9285164 |
| spellingShingle | Byron A. Foster Christian A. Aquino Sharol Mejia Barbara J. Turner Arvind Singhal Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study Journal of Obesity |
| title | Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study |
| title_full | Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study |
| title_fullStr | Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study |
| title_full_unstemmed | Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study |
| title_short | Identification and Characterization of Families That Are Positively Deviant for Childhood Obesity in a Latino Population: A Case-Control Study |
| title_sort | identification and characterization of families that are positively deviant for childhood obesity in a latino population a case control study |
| url | http://dx.doi.org/10.1155/2018/9285164 |
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