The Influence of Parental Health Literacy Status on Reach, Attendance, Retention, and Outcomes in a Family-Based Childhood Obesity Treatment Program, Virginia, 2013-2015.
The Influence of Parental Health Literacy Status on Reach, Attendance, Retention, and Outcomes in a Family-Based Childhood Obesity Treatment Program, Virginia, 2013-2015.
复制标题
DOI：
10.5888/pcd14.160421
复制
发表时间：
2017-09-28
影响因子：
5.5
通讯作者：
Estabrooks PA
中科院分区：
文献类型：
--
作者：
Zoellner JM;Hill J;You W;Brock D;Frisard M;Alexander R;Silva F;Price B;Marshall R;Estabrooks PA
很少有干预措施评估了父母健康素养（HL）状况对体重相关儿童结局的影响。本研究探讨了父母HL如何影响3个月的多组分家庭为基础的计划，以治疗儿童肥胖症（iChoose）的范围，出勤率和保留和结果。这项事前事后的准实验性试验发生在丹河地区，这是一个联邦指定的医疗服务不足的地区。iChoose研究方案和干预策略采用HL通用预防措施方法设计。我们使用验证的措施，标准化的数据收集技术，和广义线性混合效应参数模型，以确定父母HL对结果的调节作用。在HL分数没有显着差异，发现父母谁登记他们的孩子在研究中，那些谁没有。在94名登记的父母中，34%为低HL，49%的家庭年收入低于25，000美元，39%具有高中或以下教育程度。在101名登记的儿童中，60%为黑人，平均年龄为9.8（标准差，1.3）岁。低和高HL父母的孩子参加，并保留在类似的速度。同样，父母HL状态对有效性结局（例如，儿童体重指数[BMI] z评分、父母BMI、饮食和体力活动行为、生活质量）的改善没有显著影响，但儿童视频游戏/电脑屏幕时间除外;低HL减少，高HL增加屏幕时间（系数= 0.52，标准误0.11，P <0.001）。通过纳入设计功能，参加父母的HL需求，儿童的父母低HL从事并受益于以家庭为基础的儿童肥胖治疗计划类似于儿童的父母高HL。
Few interventions have evaluated the influence of parent health literacy (HL) status on weight-related child outcomes. This study explores how parent HL affects the reach, attendance, and retention of and outcomes in a 3-month multicomponent family-based program to treat childhood obesity (iChoose). This pre–post, quasiexperimental trial occurred in the Dan River Region, a federally designated medically underserved area. iChoose research protocol and intervention strategies were designed using an HL universal precautions approach. We used validated measures, standardized data collection techniques, and generalized linear mixed-effect parametric models to determine the moderation effect of parent HL on outcomes. No significant difference in HL scores were found between parents who enrolled their child in the study and those who did not. Of 94 enrolled parents, 34% were low HL, 49% had an annual household income of less than $25,000, and 39% had a high school education or less. Of 101 enrolled children, 60% were black, and the mean age was 9.8 (standard deviation, 1.3) years. Children of parents with both low and high HL attended and were retained at similar rates. Likewise, parent HL status did not significantly influence improvements in effectiveness outcomes (eg, child body mass index [BMI] z scores, parent BMI, diet and physical activity behaviors, quality of life), with the exception of child video game/computer screen time; low HL decreased and high HL increased screen time (coefficient = 0.52, standard error, 0.11, P < .001). By incorporating design features that attended to the HL needs of parents, children of parents with low HL engaged in and benefited from a family-based childhood obesity treatment program similar to children of parents with high HL.
登录
查看更多内容
DOI：
10.1001/jama.2014.732
发表时间：
2014-02-26
期刊：
JAMA
影响因子：
--
作者：
Ogden CL;Carroll MD;Kit BK;Flegal KM
通讯作者：
Flegal KM
影响因子：
3
作者：
Varni, JW;Seid, M;Kurtin, PS
通讯作者：
Kurtin, PS
影响因子：
4.4
作者：
Weiss, BD;Mays, MZ;Hale, FA
通讯作者：
Hale, FA
影响因子：
3.5
作者：
Sharif, Iman;Blank, Arthur E.
通讯作者：
Blank, Arthur E.
影响因子：
4.4
作者：
Jeppesen, Kelly Marvin;Coyle, James D.;Miser, William F.
通讯作者：
Miser, William F.