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Factors predicting parent engagement in a family-based childhood obesity prevention and control program

BACKGROUND: Family-based interventions are efficacious at preventing and controlling childhood overweight and obesity; however, implementation is often hindered by low parent engagement. The purpose of this study was to evaluate predictors of parent engagement in a family-based childhood obesity pre...

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Detalles Bibliográficos
Autores principales: Schmied, Emily A., Madanat, Hala, Chuang, Emmeline, Moody, Jamie, Ibarra, Leticia, Cervantes, Griselda, Strong, David, Boutelle, Kerri, Ayala, Guadalupe X.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9996842/
https://www.ncbi.nlm.nih.gov/pubmed/36890461
http://dx.doi.org/10.1186/s12889-023-15359-7
Descripción
Sumario:BACKGROUND: Family-based interventions are efficacious at preventing and controlling childhood overweight and obesity; however, implementation is often hindered by low parent engagement. The purpose of this study was to evaluate predictors of parent engagement in a family-based childhood obesity prevention and control intervention. METHODS: Predictors were assessed in a clinic-based community health worker (CHW)-led Family Wellness Program consisting of in-person educational workshops attended by parents and children. This program was part of a larger effort known as the Childhood Obesity Research Demonstration projects. Participants included 128 adult caretakers of children ages 2–11 (98% female). Predictors of parent engagement (e.g., anthropometric, sociodemographic, psychosocial variables) were assessed prior to the intervention. Attendance at intervention activities was recorded by the CHW. Zero-inflated Poisson regression was used to determine predictors of non-attendance and degree of attendance. RESULTS: Parents’ lower readiness to make behavioral and parenting changes related to their child’s health was the sole predictor of non-attendance at planned intervention activities in adjusted models (OR = 0.41, p < .05). Higher levels of family functioning predicted degree of attendance (RR = 1.25, p < .01). CONCLUSIONS: To improve engagement in family-based childhood obesity prevention interventions, researchers should consider assessing and tailoring intervention strategies to align with the family’s readiness to change and promote family functioning. TRIAL REGISTRATION: NCT02197390, 22/07/2014.