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Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H

iCook 4-H is a lifestyle intervention to improve diet, physical activity and mealtime behavior. Control and treatment dyads (adult primary meal preparer and a 9–10-year-old youth) completed surveys at baseline and 4, 12, and 24 months. A Health Disparity (HD) score composite was developed utilizing...

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Autores principales: Olfert, Melissa D., Barr, Makenzie L., Hagedorn, Rebecca L., Franzen-Castle, Lisa, Colby, Sarah E., Kattelmann, Kendra K., White, Adrienne A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023393/
https://www.ncbi.nlm.nih.gov/pubmed/29786647
http://dx.doi.org/10.3390/healthcare6020051
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author Olfert, Melissa D.
Barr, Makenzie L.
Hagedorn, Rebecca L.
Franzen-Castle, Lisa
Colby, Sarah E.
Kattelmann, Kendra K.
White, Adrienne A.
author_facet Olfert, Melissa D.
Barr, Makenzie L.
Hagedorn, Rebecca L.
Franzen-Castle, Lisa
Colby, Sarah E.
Kattelmann, Kendra K.
White, Adrienne A.
author_sort Olfert, Melissa D.
collection PubMed
description iCook 4-H is a lifestyle intervention to improve diet, physical activity and mealtime behavior. Control and treatment dyads (adult primary meal preparer and a 9–10-year-old youth) completed surveys at baseline and 4, 12, and 24 months. A Health Disparity (HD) score composite was developed utilizing a series of 12 questions (maximum score = 12 with a higher score indicating a more severe health disparity). Questions came from the USDA short form U.S. Household Food Security Survey (5), participation in food assistance programs (1), food behavior (2), level of adult education completed (1), marital status (1), and race (1 adult and 1 child). There were 228 dyads (control n = 77; treatment n = 151) enrolled in the iCook 4-H study. Baseline HD scores were 3.00 ± 2.56 among control dyads and 2.97 ± 2.91 among treatment dyads, p = 0.6632. There was a significant decline in the HD score of the treatment group from baseline to 12 months (p = 0.0047) and baseline to 24 months (p = 0.0354). A treatment by 12-month time interaction was found (baseline mean 2.97 ± 2.91 vs. 12-month mean 1.78 ± 2.31; p = 0.0406). This study shows that behavioral change interventions for youth and adults can help improve factors that impact health equity; although, further research is needed to validate this HD score as a measure of health disparities across time.
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spelling pubmed-60233932018-07-03 Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H Olfert, Melissa D. Barr, Makenzie L. Hagedorn, Rebecca L. Franzen-Castle, Lisa Colby, Sarah E. Kattelmann, Kendra K. White, Adrienne A. Healthcare (Basel) Article iCook 4-H is a lifestyle intervention to improve diet, physical activity and mealtime behavior. Control and treatment dyads (adult primary meal preparer and a 9–10-year-old youth) completed surveys at baseline and 4, 12, and 24 months. A Health Disparity (HD) score composite was developed utilizing a series of 12 questions (maximum score = 12 with a higher score indicating a more severe health disparity). Questions came from the USDA short form U.S. Household Food Security Survey (5), participation in food assistance programs (1), food behavior (2), level of adult education completed (1), marital status (1), and race (1 adult and 1 child). There were 228 dyads (control n = 77; treatment n = 151) enrolled in the iCook 4-H study. Baseline HD scores were 3.00 ± 2.56 among control dyads and 2.97 ± 2.91 among treatment dyads, p = 0.6632. There was a significant decline in the HD score of the treatment group from baseline to 12 months (p = 0.0047) and baseline to 24 months (p = 0.0354). A treatment by 12-month time interaction was found (baseline mean 2.97 ± 2.91 vs. 12-month mean 1.78 ± 2.31; p = 0.0406). This study shows that behavioral change interventions for youth and adults can help improve factors that impact health equity; although, further research is needed to validate this HD score as a measure of health disparities across time. MDPI 2018-05-22 /pmc/articles/PMC6023393/ /pubmed/29786647 http://dx.doi.org/10.3390/healthcare6020051 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Olfert, Melissa D.
Barr, Makenzie L.
Hagedorn, Rebecca L.
Franzen-Castle, Lisa
Colby, Sarah E.
Kattelmann, Kendra K.
White, Adrienne A.
Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H
title Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H
title_full Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H
title_fullStr Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H
title_full_unstemmed Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H
title_short Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H
title_sort health disparities score composite of youth and parent dyads from an obesity prevention intervention: icook 4-h
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6023393/
https://www.ncbi.nlm.nih.gov/pubmed/29786647
http://dx.doi.org/10.3390/healthcare6020051
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