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Latina mothers as agents of change in children's eating habits: findings from the randomized controlled trial Entre Familia: Reflejos de Salud.
Int J Behav Nutr Phys Act. 2018 10 01; 15(1):95.IJ

Abstract

BACKGROUND

Few children consume sufficient servings of fruits and vegetables. Interventions aiming to improve children's dietary intake often target parent level factors, but limited research has examined the mediating role of parental factors on children's dietary intake. This study examined 10-month follow up data from the Entre Familia: Reflejos de Salud (Within the Family: Reflections of Health) trial to investigate (1) intervention effects on children's dietary intake, both sustained and new changes, and (2) whether changes in mothers' dietary intake, her parenting strategies, and behavioral strategies to promoting healthy eating in the home mediated changes in children's dietary intake.

METHODS

Participants were 361 Mexican-origin families living in Imperial County, California. Families were randomly assigned to a 4-month dietary intervention or a delayed treatment control group. The intervention was delivered by promotoras (community health workers) via home visits and telephone calls. Assessments occurred at baseline, and 4- and 10-months post-baseline.

RESULTS

At 10-months post-baseline, sustained intervention effects were observed on children's reported intake of varieties of vegetables, with differences getting larger over time. However, differential intervention effects on fast food were not sustained due to significant reductions in the control group compared with smaller changes in the intervention group. New intervention effects were observed on servings of sugar-sweetened beverages. However, the intervention continued to have no effect on children's reported fruit and vegetable servings, and varieties of fruits consumed. Mother-reported behavioral strategies to increase fiber and lower fat mediated the relationship between the intervention and children's intake of varieties of vegetables. Mothers' percent energy from fat and behavioral strategies to lower fat were mediators of children's daily servings of sugar-sweetened beverages.

CONCLUSIONS

This study suggests that a promotora-led family based intervention can provide mothers with skills to promote modest changes in children's diet. Examining the parent related mechanisms of change will inform future interventions on important targets for improving children's diet.

TRIAL REGISTRATION

https://clinicaltrials.gov/ . NCT02441049 . Retrospectively registered 05.06.2015.

Authors+Show Affiliations

Institute for Behavioral and Community Health, School of Public Health, San Diego State University, 9245 Sky Park Ct., Suite 221, San Diego, CA, 92123, USA. earredon@sdsu.edu.Institute for Behavioral and Community Health, School of Public Health, San Diego State University, 9245 Sky Park Ct., Suite 221, San Diego, CA, 92123, USA.School of Nursing, University of North Carolina, Carrington Hall, Campus Box #7460, Chapel Hill, NC, 97599, USA.Institute for Behavioral and Community Health, School of Public Health, San Diego State University, 9245 Sky Park Ct., Suite 221, San Diego, CA, 92123, USA.Institute for Behavioral and Community Health, 9245 Sky Park Ct, Suite 221, San Diego, CA, 92123, USA.School of Public Health, San Diego State University, 5500 Campanile Drive, San Diego, CA, 92182, USA.Institute for Behavioral and Community Health, 9245 Sky Park Ct, Suite 221, San Diego, CA, 92123, USA.Clínicas de Salud del Pueblo, Inc., 1166 K Street, Brawley, CA, 92227, USA.Research Works, 12396 World Trade Dr #313, San Diego, CA, 92128, USA.Institute for Behavioral and Community Health, School of Public Health, San Diego State University, 9245 Sky Park Ct., Suite 221, San Diego, CA, 92123, USA.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30285755

Citation

Arredondo, Elva M., et al. "Latina Mothers as Agents of Change in Children's Eating Habits: Findings From the Randomized Controlled Trial Entre Familia: Reflejos De Salud." The International Journal of Behavioral Nutrition and Physical Activity, vol. 15, no. 1, 2018, p. 95.
Arredondo EM, Ayala GX, Soto S, et al. Latina mothers as agents of change in children's eating habits: findings from the randomized controlled trial Entre Familia: Reflejos de Salud. Int J Behav Nutr Phys Act. 2018;15(1):95.
Arredondo, E. M., Ayala, G. X., Soto, S., Slymen, D. J., Horton, L. A., Parada, H., Campbell, N., Ibarra, L., Engelberg, M., & Elder, J. P. (2018). Latina mothers as agents of change in children's eating habits: findings from the randomized controlled trial Entre Familia: Reflejos de Salud. The International Journal of Behavioral Nutrition and Physical Activity, 15(1), 95. https://doi.org/10.1186/s12966-018-0714-0
Arredondo EM, et al. Latina Mothers as Agents of Change in Children's Eating Habits: Findings From the Randomized Controlled Trial Entre Familia: Reflejos De Salud. Int J Behav Nutr Phys Act. 2018 10 1;15(1):95. PubMed PMID: 30285755.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Latina mothers as agents of change in children's eating habits: findings from the randomized controlled trial Entre Familia: Reflejos de Salud. AU - Arredondo,Elva M, AU - Ayala,Guadalupe X, AU - Soto,Sandra, AU - Slymen,Donald J, AU - Horton,Lucy A, AU - Parada,Humberto, AU - Campbell,Nadia, AU - Ibarra,Leticia, AU - Engelberg,Moshe, AU - Elder,John P, Y1 - 2018/10/01/ PY - 2018/01/09/received PY - 2018/08/15/accepted PY - 2018/10/5/entrez PY - 2018/10/5/pubmed PY - 2019/1/17/medline KW - Diet KW - Family health KW - Family intervention KW - Health behavior KW - Latino KW - Nutrition SP - 95 EP - 95 JF - The international journal of behavioral nutrition and physical activity JO - Int J Behav Nutr Phys Act VL - 15 IS - 1 N2 - BACKGROUND: Few children consume sufficient servings of fruits and vegetables. Interventions aiming to improve children's dietary intake often target parent level factors, but limited research has examined the mediating role of parental factors on children's dietary intake. This study examined 10-month follow up data from the Entre Familia: Reflejos de Salud (Within the Family: Reflections of Health) trial to investigate (1) intervention effects on children's dietary intake, both sustained and new changes, and (2) whether changes in mothers' dietary intake, her parenting strategies, and behavioral strategies to promoting healthy eating in the home mediated changes in children's dietary intake. METHODS: Participants were 361 Mexican-origin families living in Imperial County, California. Families were randomly assigned to a 4-month dietary intervention or a delayed treatment control group. The intervention was delivered by promotoras (community health workers) via home visits and telephone calls. Assessments occurred at baseline, and 4- and 10-months post-baseline. RESULTS: At 10-months post-baseline, sustained intervention effects were observed on children's reported intake of varieties of vegetables, with differences getting larger over time. However, differential intervention effects on fast food were not sustained due to significant reductions in the control group compared with smaller changes in the intervention group. New intervention effects were observed on servings of sugar-sweetened beverages. However, the intervention continued to have no effect on children's reported fruit and vegetable servings, and varieties of fruits consumed. Mother-reported behavioral strategies to increase fiber and lower fat mediated the relationship between the intervention and children's intake of varieties of vegetables. Mothers' percent energy from fat and behavioral strategies to lower fat were mediators of children's daily servings of sugar-sweetened beverages. CONCLUSIONS: This study suggests that a promotora-led family based intervention can provide mothers with skills to promote modest changes in children's diet. Examining the parent related mechanisms of change will inform future interventions on important targets for improving children's diet. TRIAL REGISTRATION: https://clinicaltrials.gov/ . NCT02441049 . Retrospectively registered 05.06.2015. SN - 1479-5868 UR - https://www.unboundmedicine.com/medline/citation/30285755/Latina_mothers_as_agents_of_change_in_children's_eating_habits:_findings_from_the_randomized_controlled_trial_Entre_Familia:_Reflejos_de_Salud_ L2 - https://ijbnpa.biomedcentral.com/articles/10.1186/s12966-018-0714-0 DB - PRIME DP - Unbound Medicine ER -