A Pilot Study of Parent Mentors for Early Childhood Obesity
Objective. To assess the feasibility of a parent mentor model of intervention for early childhood obesity using positive deviance-based methods to inform the intervention. Methods. In this pilot, randomized clinical trial, parent-child dyads (age: 2–5) with children whose body mass index (BMI) was ≥...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2016/2609504 |
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| _version_ | 1832550504497938432 |
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| author | Byron A. Foster Christian A. Aquino Mario Gil Jonathan A. L. Gelfond Daniel E. Hale |
| author_facet | Byron A. Foster Christian A. Aquino Mario Gil Jonathan A. L. Gelfond Daniel E. Hale |
| author_sort | Byron A. Foster |
| collection | DOAJ |
| description | Objective. To assess the feasibility of a parent mentor model of intervention for early childhood obesity using positive deviance-based methods to inform the intervention. Methods. In this pilot, randomized clinical trial, parent-child dyads (age: 2–5) with children whose body mass index (BMI) was ≥95th percentile were randomized to parent mentor intervention or community health worker comparison. The child’s height and weight were measured at baseline, after the six-month intervention, and six months after the intervention. Feasibility outcomes were recruitment, participation, and retention. The primary clinical outcome was BMI z-score change. Results. Sixty participants were enrolled, and forty-eight completed the six-month intervention. At baseline, the BMI z-score in the parent mentor group was 2.63 (SD = 0.65) and in the community health worker group it was 2.61 (SD = 0.89). For change in BMI z-score over time, there was no difference by randomization group at the end of the intervention: −0.02 (95% CI: −0.26, 0.22). At the end of the intervention, the BMI z-score for the parent mentor group was 2.48 (SD = 0.58) and for the community health worker group it was 2.45 (SD = 0.91), both reduced from baseline, p<0.001. Conclusion. The model of a parent mentor clinical trial is feasible, and both randomized groups experienced small, sustained effects on adiposity in an obese, Hispanic population. |
| format | Article |
| id | doaj-art-93163c018fd145c98f0e73a1743c63cc |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-93163c018fd145c98f0e73a1743c63cc2025-02-03T06:06:35ZengWileyJournal of Obesity2090-07082090-07162016-01-01201610.1155/2016/26095042609504A Pilot Study of Parent Mentors for Early Childhood ObesityByron A. Foster0Christian A. Aquino1Mario Gil2Jonathan A. L. Gelfond3Daniel E. Hale4Division of Inpatient Pediatrics, Department of Pediatrics, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7803, San Antonio, TX 78229, USADivision of Inpatient Pediatrics, Department of Pediatrics, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7803, San Antonio, TX 78229, USARegional Academic Health Center Clinical Research Unit, University of Texas Rio Grande Valley, 2102 Treasure Hills Boulevard, Harlingen, TX 78550, USADepartment of Epidemiology & Biostatistics (DEB), University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7933, San Antonio, TX 78229, USADivision of Endocrinology, Department of Pediatrics, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7806, San Antonio, TX 78229, USAObjective. To assess the feasibility of a parent mentor model of intervention for early childhood obesity using positive deviance-based methods to inform the intervention. Methods. In this pilot, randomized clinical trial, parent-child dyads (age: 2–5) with children whose body mass index (BMI) was ≥95th percentile were randomized to parent mentor intervention or community health worker comparison. The child’s height and weight were measured at baseline, after the six-month intervention, and six months after the intervention. Feasibility outcomes were recruitment, participation, and retention. The primary clinical outcome was BMI z-score change. Results. Sixty participants were enrolled, and forty-eight completed the six-month intervention. At baseline, the BMI z-score in the parent mentor group was 2.63 (SD = 0.65) and in the community health worker group it was 2.61 (SD = 0.89). For change in BMI z-score over time, there was no difference by randomization group at the end of the intervention: −0.02 (95% CI: −0.26, 0.22). At the end of the intervention, the BMI z-score for the parent mentor group was 2.48 (SD = 0.58) and for the community health worker group it was 2.45 (SD = 0.91), both reduced from baseline, p<0.001. Conclusion. The model of a parent mentor clinical trial is feasible, and both randomized groups experienced small, sustained effects on adiposity in an obese, Hispanic population.http://dx.doi.org/10.1155/2016/2609504 |
| spellingShingle | Byron A. Foster Christian A. Aquino Mario Gil Jonathan A. L. Gelfond Daniel E. Hale A Pilot Study of Parent Mentors for Early Childhood Obesity Journal of Obesity |
| title | A Pilot Study of Parent Mentors for Early Childhood Obesity |
| title_full | A Pilot Study of Parent Mentors for Early Childhood Obesity |
| title_fullStr | A Pilot Study of Parent Mentors for Early Childhood Obesity |
| title_full_unstemmed | A Pilot Study of Parent Mentors for Early Childhood Obesity |
| title_short | A Pilot Study of Parent Mentors for Early Childhood Obesity |
| title_sort | pilot study of parent mentors for early childhood obesity |
| url | http://dx.doi.org/10.1155/2016/2609504 |
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