Evaluation of an After-School Obesity Prevention Program for Children

Authors

  • Laura Nabors University of Cincinnati, Cincinnati, Ohio, 45221
  • Kristen Welker University of Cincinnati, Cincinnati, Ohio, 45221
  • Brandon Pavilack The Ohio State University, Columbus, Ohio, 43210
  • Myia Lang University of Cincinnati, Cincinnati, Ohio, 45221
  • Renee Hawkins University of Cincinnati, Cincinnati, Ohio, 45221
  • Anne Bauer University of Cincinnati, Cincinnati, Ohio, 45221

DOI:

https://doi.org/10.6000/1929-4247.2018.07.01.1

Keywords:

Prevention, children, obesity, after-school program, motivational interviewing.

Abstract

Dissemination of obesity prevention programs in different settings is needed. Moreover, new outreach tools to teach parents healthy eating and exercise lessons provided in these programs are important to develop. The pilot studies presented in this paper examined the implementation of the Children's Healthy Eating and Exercise Program in two different after school programs in 2015 and 2016. Participants were elementary school-age children and their parents. Eight lessons were presented at each school. Child perceptions of healthy eating and exercise goals were examined as well as child knowledge retention and perceptions of behavior change. Parent perceptions of the program were analyzed. Results indicated that children reported improved knowledge and behaviors. Parents reported satisfaction with the program, but remained hard to reach. Children recalled key components of the healthy eating lessons at long-term follow-up assessments. In the second pilot study, children served as health coaches for teaching parents about family goals. Children believed they were successful at coaching parents, but they requested help in developing family eating and exercise goals. Improving outreach to parents and involving siblings remains a goal for future studies as does beginning to examine changes in eating and physical activity using food diaries and accelerometry.

References

[1] Ogden CL, Carroll MD, Lawman, HG, Fryar CD, Kruszon-Moran D, Kit BK, Flegal KM. Trends in obesity prevalence

among children and adolescents in the United States, 1988-1994 through 2013-2014. JAMA 2016; 315: 2292-9.
https://doi.org/10.1001/jama.2016.6361
[2] Mann T, Tomiyama AJ, Ward A. Promoting public health in the context of the “Obesity Epidemic” false starts and promising new directions. Perspect Psychol Sci 2015; 10: 706-10.
https://doi.org/10.1177/1745691615586401
[3] Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA 2014; 311: 806-14.
https://doi.org/10.1001/jama.2014.732
[4] Morgan PJ, Young MD, Smith JJ, Lubans DR. Targeted health behavior interventions promoting physical activity: a conceptual model. Exerc Sport Sci Rev 2016; 44: 71-80.
https://doi.org/10.1249/JES.0000000000000075
[5] Ige TJ, DeLeon P, Nabors LA. Motivational interviewing in an obesity prevention program for children. Health Promot Pract 2017; 18: 253-74.
https://doi.org/10.1177/1524839916647330
[6] Sallis JF, Cutter CL, Lou D, et al. Active living research: creating and using evidence to support childhood obesity prevention. Am J Prev Med 2014; 46: 195-207.
https://doi.org/10.1016/j.amepre.2013.10.019
[7] Dzewaltowski DA, Rosenkranz RR, Geller KS, et al. HOP’N after-school project: an obesity prevention randomized controlled trial. Int J Behav Nutr Phys Act 2010; 7: 90-101.
https://doi.org/10.1186/1479-5868-7-90
[8] Engelen L, Bundy AC, Naughton G, et al. Increasing physical activity in young primary school children-it's child's play: a cluster randomized controlled trial. Prev Med 2013; 56: 319-25.
https://doi.org/10.1016/j.ypmed.2013.02.007
[9] Kastorini CM, Lykou A, Yannakoulia M, et al. The influence of a school-based intervention programme regarding adherence to a healthy diet in children and adolescents from disadvantaged areas in Greece: the DIATROFI study. J Epidemiol Community Health 2016; 70: 671-7.
https://doi.org/10.1136/jech-2015-205680
[10] Nabors L, Burbage M, Pangallo J, et al. Delivery and evaluation of a pilot obesity prevention project for urban Appalachian children. Open J Pediatr 2013; 3: 300-5.
https://doi.org/10.4236/ojped.2013.34054
[11] Nabors L, Burbage M, Woodson K, Swoboda C. Implementation of an after-school obesity prevention program: helping young children toward improved health. Issues Compr Pediatr Nurs 2015; 38: 22-38.
https://doi.org/10.3109/01460862.2014.973081
[12] Campbell MK. Biological, environmental, and social influences on childhood obesity. Pediatr Res 2016; 79: 205-11.
https://doi.org/10.1038/pr.2015.208
[13] Epstein LH. The Traffic Light Childhood Weight Control Program: Traffic Light: Kid’s Program, University of Buffalo, NY: Author, 2005.
[14] Kelder SH, Mitchell PD, McKenzie TL, et al. Long-term implementation of the CATCH physical education program. Health Educ Behav 2003; 30: 463-75.
https://doi.org/10.1177/1090198103253538
[15] Dai C-L, Nabors LA, King KA, et al. Evaluation of an afterschool children’s healthy eating and exercise program. Int J Child Health Nutr 2014; 3: 156-62.
https://doi.org/10.6000/1929-4247.2014.03.04.1
[16] Resnicow K, Davis R, Rollnick S. Motivational interviewing for pediatric obesity: conceptual issues and evidence review. J Am Diet Assoc 2006; 106: 2024-33.
https://doi.org/10.1016/j.jada.2006.09.015
[17] Walpole B, Dettmer E, Morrongiello B, McCrindle B, Hamilton J. Motivational interviewing as an intervention to increase adolescent self-efficacy and promote weight loss: methodology and design. BMC Public Health 2011; 11: 459-68.
https://doi.org/10.1186/1471-2458-11-459
[18] Bandura A. Social cognitive theory: an agentic perspective. Annu Rev Psychol 2001; 52: 1-26.
https://doi.org/10.1146/annurev.psych.52.1.1
[19] Flores G, Lesley B. Special communication: children and US federal policy on health and health care: seen but not heard. JAMA-Pediatr 2014; 168: 1155-63.
https://doi.org/10.1001/jamapediatrics.2014.1701
[20] James A, Prout A, Eds. Constructing and reconstructing childhood: contemporary issues in sociological study of childhood. 2nd ed. London, UK: Falmer Press, 1997.

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Published

2018-03-01

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General Articles