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J Obes. 2016;2016:2609504. doi: 10.1155/2016/2609504. Epub 2016 Jun 9.

A Pilot Study of Parent Mentors for Early Childhood Obesity.

Author information

1
Division of Inpatient Pediatrics, Department of Pediatrics, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7803, San Antonio, TX 78229, USA.
2
Regional Academic Health Center Clinical Research Unit, University of Texas Rio Grande Valley, 2102 Treasure Hills Boulevard, Harlingen, TX 78550, USA.
3
Department of Epidemiology & Biostatistics (DEB), University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7933, San Antonio, TX 78229, USA.
4
Division of Endocrinology, Department of Pediatrics, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, MC 7806, San Antonio, TX 78229, USA.

Abstract

Objective. To assess the feasibility of a parent mentor model of intervention for early childhood obesity using positive deviance-based methods to inform the intervention. Methods. In this pilot, randomized clinical trial, parent-child dyads (age: 2-5) with children whose body mass index (BMI) was ≥95th percentile were randomized to parent mentor intervention or community health worker comparison. The child's height and weight were measured at baseline, after the six-month intervention, and six months after the intervention. Feasibility outcomes were recruitment, participation, and retention. The primary clinical outcome was BMI z-score change. Results. Sixty participants were enrolled, and forty-eight completed the six-month intervention. At baseline, the BMI z-score in the parent mentor group was 2.63 (SD = 0.65) and in the community health worker group it was 2.61 (SD = 0.89). For change in BMI z-score over time, there was no difference by randomization group at the end of the intervention: -0.02 (95% CI: -0.26, 0.22). At the end of the intervention, the BMI z-score for the parent mentor group was 2.48 (SD = 0.58) and for the community health worker group it was 2.45 (SD = 0.91), both reduced from baseline, p < 0.001. Conclusion. The model of a parent mentor clinical trial is feasible, and both randomized groups experienced small, sustained effects on adiposity in an obese, Hispanic population.

PMID:
27379182
PMCID:
PMC4917692
DOI:
10.1155/2016/2609504
[Indexed for MEDLINE]
Free PMC Article
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