TY - JOUR
T1 - Parent adoption and implementation of obesity prevention practices through building children's asking skills at family child care homes
AU - Walch, Tanis J.
AU - Rosenkranz, Richard R.
AU - Schenkelberg, Michaela A.
AU - Fees, Bronwyn S.
AU - Dzewaltowski, David A.
N1 - Funding Information:
This project was supported by the United Methodist Health Ministry Fund , Hutchinson , KS United States.
Publisher Copyright:
© 2020 Elsevier Ltd
PY - 2020/6
Y1 - 2020/6
N2 - Background: Early childhood education programs provide a setting to reach children and parents to modify home environments to prevent obesity. The Healthy Opportunities for Physical Activity and Nutrition Home (HOP'N) Home project was a novel approach that linked Family Child Care Homes (FCCH) to home environments by developing children's asking skills for healthful home environmental change through curricular activities. Objective: To evaluate the feasibility of engaging parents in obesity prevention practices through building children's asking skills at FCCH. Methods: FCCHs (n = 5 settings) and children (n = 25; aged 3−5 years; female = 36 %; non-Hispanic white = 91 %; low socioeconomic status = 28 %; overweight/obese = 52 %) and parents (n = 25) participated in a pre-post cohort design. We assessed children's body mass index and self-report variables at three time points. HOP'N Home included continuous staff training, group time, dramatic play, meal prompts, songs, and home activities. Results: FCCH providers implemented 83%–100% of intervention activities. All parents (100 %) adopted the program, most (87 %) returned completed homework activities to FCCHs, and over 90 % implemented changes in the home. Percent of overweight/obese children decreased from pre-intervention (50 %) to post-intervention (29 %,p = 0.06) and follow-up (38 %,p = 0.06). Conclusions: It is feasible to build children's asking skills and pair this strategy with home activities to engage parents to prevent obesity.
AB - Background: Early childhood education programs provide a setting to reach children and parents to modify home environments to prevent obesity. The Healthy Opportunities for Physical Activity and Nutrition Home (HOP'N) Home project was a novel approach that linked Family Child Care Homes (FCCH) to home environments by developing children's asking skills for healthful home environmental change through curricular activities. Objective: To evaluate the feasibility of engaging parents in obesity prevention practices through building children's asking skills at FCCH. Methods: FCCHs (n = 5 settings) and children (n = 25; aged 3−5 years; female = 36 %; non-Hispanic white = 91 %; low socioeconomic status = 28 %; overweight/obese = 52 %) and parents (n = 25) participated in a pre-post cohort design. We assessed children's body mass index and self-report variables at three time points. HOP'N Home included continuous staff training, group time, dramatic play, meal prompts, songs, and home activities. Results: FCCH providers implemented 83%–100% of intervention activities. All parents (100 %) adopted the program, most (87 %) returned completed homework activities to FCCHs, and over 90 % implemented changes in the home. Percent of overweight/obese children decreased from pre-intervention (50 %) to post-intervention (29 %,p = 0.06) and follow-up (38 %,p = 0.06). Conclusions: It is feasible to build children's asking skills and pair this strategy with home activities to engage parents to prevent obesity.
KW - Child
KW - Intervention studies
KW - Obesity
KW - Parenting
KW - Preschool
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U2 - 10.1016/j.evalprogplan.2020.101810
DO - 10.1016/j.evalprogplan.2020.101810
M3 - Article
C2 - 32126415
AN - SCOPUS:85080041523
VL - 80
JO - Evaluation and Program Planning
JF - Evaluation and Program Planning
SN - 0149-7189
M1 - 101810
ER -