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Family-focused obesity prevention program implementation in urban versus rural communities: a case study

PURPOSE: Despite public health efforts to reduce childhood obesity, there remains an unequal distribution of obesity among rural and urban children, with higher rates in rural areas. However, few studies have compared differences in program delivery. This paper aims to describe differences between a...

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Autores principales: Flattum, Colleen, Friend, Sarah, Horning, Melissa, Lindberg, Rebecca, Beaudette, Jennifer, Fulkerson, Jayne A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8532281/
https://www.ncbi.nlm.nih.gov/pubmed/34674674
http://dx.doi.org/10.1186/s12889-021-11967-3
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author Flattum, Colleen
Friend, Sarah
Horning, Melissa
Lindberg, Rebecca
Beaudette, Jennifer
Fulkerson, Jayne A.
author_facet Flattum, Colleen
Friend, Sarah
Horning, Melissa
Lindberg, Rebecca
Beaudette, Jennifer
Fulkerson, Jayne A.
author_sort Flattum, Colleen
collection PubMed
description PURPOSE: Despite public health efforts to reduce childhood obesity, there remains an unequal distribution of obesity among rural and urban children, with higher rates in rural areas. However, few studies have compared differences in program delivery. This paper aims to describe differences between an urban and rural program delivery of a family-focused, community-based intervention program to prevent and reduce obesity among children. METHODS: This paper uses a case study format to provide a descriptive analysis of similar obesity prevention programs, designed by the same research team, implemented in Minnesota in different settings (i.e., an urban and rural setting) with significant community engagement in the adaptation process. The rural NU-HOME program is compared to HOME-Plus, an urban family-based obesity prevention program for school-aged children. RESULTS: Community engagement in the adaptation process of an urban program to a rural program confirmed some anticipated program content and delivery similarities while identifying key differences that were necessary for adaptation related to engagement with the community, recruitment and data collection, and intervention delivery. DISCUSSION: When adapting research-tested programs from urban to rural areas, it is important to identify the modifiable behavioral, social, and environmental factors associated with obesity to ensure the content of effective childhood obesity prevention programs is relevant. Customizing a program to meet the needs of the community may increase reach, engagement, and sustainability. In addition, long-term dissemination of a tailored program may significantly reduce childhood obesity in rural communities and be implemented in other rural settings nationally.
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spelling pubmed-85322812021-10-25 Family-focused obesity prevention program implementation in urban versus rural communities: a case study Flattum, Colleen Friend, Sarah Horning, Melissa Lindberg, Rebecca Beaudette, Jennifer Fulkerson, Jayne A. BMC Public Health Research PURPOSE: Despite public health efforts to reduce childhood obesity, there remains an unequal distribution of obesity among rural and urban children, with higher rates in rural areas. However, few studies have compared differences in program delivery. This paper aims to describe differences between an urban and rural program delivery of a family-focused, community-based intervention program to prevent and reduce obesity among children. METHODS: This paper uses a case study format to provide a descriptive analysis of similar obesity prevention programs, designed by the same research team, implemented in Minnesota in different settings (i.e., an urban and rural setting) with significant community engagement in the adaptation process. The rural NU-HOME program is compared to HOME-Plus, an urban family-based obesity prevention program for school-aged children. RESULTS: Community engagement in the adaptation process of an urban program to a rural program confirmed some anticipated program content and delivery similarities while identifying key differences that were necessary for adaptation related to engagement with the community, recruitment and data collection, and intervention delivery. DISCUSSION: When adapting research-tested programs from urban to rural areas, it is important to identify the modifiable behavioral, social, and environmental factors associated with obesity to ensure the content of effective childhood obesity prevention programs is relevant. Customizing a program to meet the needs of the community may increase reach, engagement, and sustainability. In addition, long-term dissemination of a tailored program may significantly reduce childhood obesity in rural communities and be implemented in other rural settings nationally. BioMed Central 2021-10-22 /pmc/articles/PMC8532281/ /pubmed/34674674 http://dx.doi.org/10.1186/s12889-021-11967-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Flattum, Colleen
Friend, Sarah
Horning, Melissa
Lindberg, Rebecca
Beaudette, Jennifer
Fulkerson, Jayne A.
Family-focused obesity prevention program implementation in urban versus rural communities: a case study
title Family-focused obesity prevention program implementation in urban versus rural communities: a case study
title_full Family-focused obesity prevention program implementation in urban versus rural communities: a case study
title_fullStr Family-focused obesity prevention program implementation in urban versus rural communities: a case study
title_full_unstemmed Family-focused obesity prevention program implementation in urban versus rural communities: a case study
title_short Family-focused obesity prevention program implementation in urban versus rural communities: a case study
title_sort family-focused obesity prevention program implementation in urban versus rural communities: a case study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8532281/
https://www.ncbi.nlm.nih.gov/pubmed/34674674
http://dx.doi.org/10.1186/s12889-021-11967-3
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