Study protocol: intervention in maternal perception of preschoolers’ weight among Mexican and Mexican-American mothers

Abstract Background: Childhood obesity is a public health issue negatively affecting children’s physical and psychosocial health. Mothers are children’s primary caregivers, thus key players in childhood obesity prevention. Studies have indicated that mothers underestimate their children’s weight....

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Autores principales: Flores Peña, Yolanda, He, Meizi, Sosa, Erica T., Avila Alpirez, Hermelinda, Trejo Ortíz, Perla María
Formato: Artículo
Lenguaje:inglés
Publicado: BioMed Central 2018
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Acceso en línea:http://eprints.uanl.mx/16226/1/136.pdf
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author Flores Peña, Yolanda
He, Meizi
Sosa, Erica T.
Avila Alpirez, Hermelinda
Trejo Ortíz, Perla María
author_facet Flores Peña, Yolanda
He, Meizi
Sosa, Erica T.
Avila Alpirez, Hermelinda
Trejo Ortíz, Perla María
author_sort Flores Peña, Yolanda
collection Repositorio Institucional
description Abstract Background: Childhood obesity is a public health issue negatively affecting children’s physical and psychosocial health. Mothers are children’s primary caregivers, thus key players in childhood obesity prevention. Studies have indicated that mothers underestimate their children’s weight. If mothers are unaware of their children’s weight problem, they are less likely to participate in activities preventing and treating excess weight. The “Healthy Change” intervention is designed to change maternal perception of child’s weight (MPCW) through peer-led group health education in childcare settings. Methods/Design: The “Healthy Change” is a multicenter two-arm randomized trial in four centers. Three centers are in Mexican States (Nuevo Leon, Tamaulipas, and Zacatecas). The fourth center is in San Antonio, Texas, USA. A total of 360 mother-child pairs (90 pairs per center) are to be randomly and evenly allocated to either the intervention or the control group. Intervention group will receive four-session group obesity prevention education. Control group will receive a four-session personal and food hygiene education. The education is delivered by trained peer-mother promotoras. Data will be collected using questionnaires and focus groups. The primary outcome is a change in proportion of mothers with accurate MPCW. Secondary outcomes include change in maternal feeding styles and practices, maternal selfefficacy and actions for managing child excessive weight gain. McNemar’s Test will be used to test the primary outcome. The GLM Univariate procedure will be used to determine intervention effects on secondary outcomes. The models will include the secondary outcome measures as the dependent variables, treatment condition (intervention/control) as the fixed factor, and confounding factors (e.g., mother’s education, children’s gender and age) as covariates. Sub-analyses will be performed to compare intervention effects on primary and secondary outcomes between the samples from Mexico and Texas, USA. Qualitative data will be analyzed through analysis of inductive content. A combined coding model will be developed and used to code transcripts using the NVivo software. Discussion: Healthy Change intervention could help change MPCW, an initial step for obesity prevention among preschoolers. This study presents a first of its kind intervention available in Spanish and English targeting Mexican and Mexican-American mothers in Mexico and USA. Trial registration: ISRCTN12281648 Keywords: Multicenter study, Health behavior, Maternal perception, Body weight, Pediatric obesity, Mother-child relations, Parenting
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spelling eprints-162262021-07-29T14:56:58Z http://eprints.uanl.mx/16226/ Study protocol: intervention in maternal perception of preschoolers’ weight among Mexican and Mexican-American mothers Flores Peña, Yolanda He, Meizi Sosa, Erica T. Avila Alpirez, Hermelinda Trejo Ortíz, Perla María RA Aspectos Públicos de la Medicina Abstract Background: Childhood obesity is a public health issue negatively affecting children’s physical and psychosocial health. Mothers are children’s primary caregivers, thus key players in childhood obesity prevention. Studies have indicated that mothers underestimate their children’s weight. If mothers are unaware of their children’s weight problem, they are less likely to participate in activities preventing and treating excess weight. The “Healthy Change” intervention is designed to change maternal perception of child’s weight (MPCW) through peer-led group health education in childcare settings. Methods/Design: The “Healthy Change” is a multicenter two-arm randomized trial in four centers. Three centers are in Mexican States (Nuevo Leon, Tamaulipas, and Zacatecas). The fourth center is in San Antonio, Texas, USA. A total of 360 mother-child pairs (90 pairs per center) are to be randomly and evenly allocated to either the intervention or the control group. Intervention group will receive four-session group obesity prevention education. Control group will receive a four-session personal and food hygiene education. The education is delivered by trained peer-mother promotoras. Data will be collected using questionnaires and focus groups. The primary outcome is a change in proportion of mothers with accurate MPCW. Secondary outcomes include change in maternal feeding styles and practices, maternal selfefficacy and actions for managing child excessive weight gain. McNemar’s Test will be used to test the primary outcome. The GLM Univariate procedure will be used to determine intervention effects on secondary outcomes. The models will include the secondary outcome measures as the dependent variables, treatment condition (intervention/control) as the fixed factor, and confounding factors (e.g., mother’s education, children’s gender and age) as covariates. Sub-analyses will be performed to compare intervention effects on primary and secondary outcomes between the samples from Mexico and Texas, USA. Qualitative data will be analyzed through analysis of inductive content. A combined coding model will be developed and used to code transcripts using the NVivo software. Discussion: Healthy Change intervention could help change MPCW, an initial step for obesity prevention among preschoolers. This study presents a first of its kind intervention available in Spanish and English targeting Mexican and Mexican-American mothers in Mexico and USA. Trial registration: ISRCTN12281648 Keywords: Multicenter study, Health behavior, Maternal perception, Body weight, Pediatric obesity, Mother-child relations, Parenting BioMed Central 2018 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/16226/1/136.pdf http://eprints.uanl.mx/16226/1.haspreviewThumbnailVersion/136.pdf Flores Peña, Yolanda y He, Meizi y Sosa, Erica T. y Avila Alpirez, Hermelinda y Trejo Ortíz, Perla María (2018) Study protocol: intervention in maternal perception of preschoolers’ weight among Mexican and Mexican-American mothers. BMC Public Health, 18 (1). pp. 1-7. ISSN 1471-2458 http://doi.org/10.1186/s12889-018-5536-0 doi:10.1186/s12889-018-5536-0
spellingShingle RA Aspectos Públicos de la Medicina
Flores Peña, Yolanda
He, Meizi
Sosa, Erica T.
Avila Alpirez, Hermelinda
Trejo Ortíz, Perla María
Study protocol: intervention in maternal perception of preschoolers’ weight among Mexican and Mexican-American mothers
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Study protocol: intervention in maternal perception of preschoolers’ weight among Mexican and Mexican-American mothers
title_full Study protocol: intervention in maternal perception of preschoolers’ weight among Mexican and Mexican-American mothers
title_fullStr Study protocol: intervention in maternal perception of preschoolers’ weight among Mexican and Mexican-American mothers
title_full_unstemmed Study protocol: intervention in maternal perception of preschoolers’ weight among Mexican and Mexican-American mothers
title_short Study protocol: intervention in maternal perception of preschoolers’ weight among Mexican and Mexican-American mothers
title_sort study protocol intervention in maternal perception of preschoolers weight among mexican and mexican american mothers
topic RA Aspectos Públicos de la Medicina
url http://eprints.uanl.mx/16226/1/136.pdf
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