Implementation and Evaluation of the Abriendo Caminos Program: A Randomized Control Trial Intervention for Hispanic Children and Families.

Bridget A Hannon, Margarita Teran-Garcia, Sharon M Nickols-Richardson, Salma M A Musaad, Elizabeth M Villegas, Amber Hammons, Angela Wiley, Barbara H Fiese

Journal: Journal of nutrition education and behavior 2020;51(10):1211-1219

PMID: 31706460

Full Text on Elsevier Science View on PubMed

Abstract

OBJECTIVE

To describe the methodology of a family-focused, culturally tailored program, Abriendo Caminos, for the prevention of excess weight gain in children.

DESIGN

Randomized control trial with outcome assessment at pretest, posttest, and 6 months after intervention or abbreviated-attention control group.

SETTING

Community setting across 5 sites (Illinois, California, Iowa, Texas, and Puerto Rico).

PARTICIPANTS

Mexican American and Puerto Rican families (parent and 1 child aged 6-18 years). A sample size of 100 families (50 intervention and 50 control) per site (n = 500) will provide adequate power to detect intervention effects.

INTERVENTION

Families will participate in 6 weekly, 2-hour group workshops on nutrition education through combined presentations and activities, family wellness, and physical activity.

MAIN OUTCOME MEASURES

The primary outcome is prevention of excess weight gain in children; secondary outcomes include changes in child diet, specifically fruit, vegetable, and sugar-sweetened beverage consumption, and changes in parents' diets and improvement of family routines. Measures will be collected at baseline, postintervention, and 6 months after.

ANALYSIS

Modeling to assess changes within and between experimental groups will be checked using standard methods including assessment of model fit, influence diagnostics, adjusted R, and multicollinearity. Significance of effects will be examined using Type III tests.

Address: Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL.; Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL; Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL; University of Illinois Extension, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL; Family Resiliency Center, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL. Electronic address: [email protected].; Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL; University of Illinois Extension, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL; Department of Food Science and Human Nutrition, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL.; Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL; Family Resiliency Center, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL.; Department of Human Development and Family Studies, University of Illinois at Urbana-Champaign, Urbana-Champaign, IL.; Child and Family Science, California State University, Fresno, CA.; Department of Human Development and Family Studies, Auburn University, Auburn, AL; Child and Family Science, California State University, Fresno, CA.

DOI: 10.1016/j.jneb.2019.08.011

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MeSH Terms: Adolescent, Child, Curriculum, Diet, Exercise, Female, Health Promotion, Hispanic or Latino, Humans, Male, Pediatric Obesity, Puerto Rico, United States, Weight Gain