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Community-based Healthy Eating Intervention for Parents in Low Socio-economic Status Groups

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Yasmine Leggett

on 4 April 2014

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Transcript of Community-based Healthy Eating Intervention for Parents in Low Socio-economic Status Groups

Community-based Healthy Eating Intervention for
Parents in Low Socio-economic Status Groups

Healthy Eating is common in Low Socio-Economic Status Families (Wright and Ncho, 2013).

Importance of education affects healthy eating in families (Ross and Wu, 1995; Wright and Ncho, 2013).

Attorp et al (2014) found that irrespective of the SES status, 85.8 % of children were not meeting the required guidelines of fruit and vegetables.

Self Belief Model- Verstraeten et al, (2014)- Self Belief Model using 11-15 to increase healthy eating behaviours. The availability of healthy eating options were dependant on the socio-economic status at home.

Health Belief Model
of the risk effecting the individual
how ‘bad’ is the threat in question
perceived benefit of new behaviour
perceived barriers of new behaviour
perceived self efficacy to change behaviour
Cues to action
behaviour charge is not spontaneous but instead is influence is initiated by..
media, personal influence, reminders

Evaluation and Implementation Issues
Parents and families are highly influential, but not when children reach adolescents
Issues with gaining participants in low SES (Bernal & Sharron-del Rio, 2001)
Self report measure – Social Desirability and possible short-term effect (Gorber, Tremblay, Moher & Gorber, 2007).
Further research to possibly carry out a wide range of behaviour techniques, in order to detect the most effective within wide ranges of SES and possibly children
Secondary purpose of this study – Childhood obesity

So hopefully our intervention will do…

More of this....
Instead of this...
Between subjects group design
IV – Group meetings, education programme and behaviour change techniques
DV- Change of cognition on healthy eating, progressing to behaviour change

Parents within low social economic status, preferably parents of children between the ages of 4-11.
Based within low SES communities in separate towns

Method Continued...
EFNEP Behaviour Checklist
Diet quality
Food choices
Food resource management
Food security

Group 1 – Receives the intervention for 5 weeks
Group 2 – Nothing (Delayed education)
Self report questionnaire is given before and after the intervention (education programme, group meetings and behaviour change techniques).

Introduction Continued...
Social Cognitive Theory(Lepeleere et al, 2013) mothers and fathers carried out the principle of social cognitive theory on children. Explained to their children why they should eat healthy. ensuring consistency, being empathetic to children, motivating and using the timeout procedure. Anger was ineffective.

Neymark and Wagner (2006) Health Belief model on school nurses perception of 11-16 year old school children and found that the intervention was very pressurising because parents were too busy and unsupportive causing conflict.

Based on Dollahite et al (2014) study using EFNEP (Expanded Food and Nutrition Education Programme).
To implement behaviour change techniques in parents of a low SES
Promoting self efficacy and healthy eating behaviours

Introduction Continued...
Many children know what healthy eating (Mckinley et al 2005).

Childhood obesity, Cardiovascular Disease and Childs quality of life(McGinnis et al, 2006;Dias and Agante, 2011).

Dias and Agante, (2011) advertising and healthy eating can improve eating behaviours in children between 5-9.

Mothers play a crucial role on the child's healthy diet depending on the environment at home, also.
Hendy and Raudenbush (2010) stated that teachers and luncthime staff play a positive role of encouraging children to eat healthy by enforcing praises and encouragement (South, Taylor, Darby, Upton and Upton, 2012) .

McFadden et al (2014) The Healthy Eating vouchers.

Rosa Atampugre,
Philip Jarrett and Yasmine Leggett

Statistics of obese children worldwide and Socio-Economic Status
Social Cognitive Theory
Situation Outcome Expectations
What is gained by the new behaviour
Action Outcome Expectations
That the new behaviour will affect risk
Self Efficacy
Levels predict health related behaviour

The Intervention
5 weeks of implementation for Group 1

The Education Programme includes:
Improving knowledge
Facilitating the behaviour change process
Dialogue based activities – Cooking, preparation etc.
Feeding children
Meal planning and shopping
Reviewing food groups
(Dollahite et al, 2014)

The Intervention Continued…
Behaviour Change Techniques include:

The use of goal setting (Heneman et al, 2005)

Providing information on consequences (Auslander, 2000)

Barrier identification
(Bemelmans, 2005)

Forming and discussing intentions
(Steptoe et al, 2003)

Does Anyone Have
any Questions?

Ross, C.E. & Wu, C., (1995) The links between education and health’, American Sociological Review 60(5), 719–745.
Ncho, C., D and Wright, D., C., S (2013) Health maintenance and low socio-economic status: A family perspective. Curationis. 36 (1) 1-7.
Attorp et al
WHO (2010)Population Based Prevention Strategies for Childhood Obesity. Report of a WHO Forum and Technical MeetingGeneva. 15–17
McGinnis, J., M, Gooman, J., A, Kraak, V., I (2006) Food Marketing to Children and Youth. Threat or Opportunity? The National Academies Press: Institute of Medicine. Washington, D.C.
Dias, M and Agante, L (2011) Can advergames boost children’s healthier eating habits? A comparison between healthy and non-healthy food. Journal of Consumer Behaviour. 10 (3) 152-160.
South, F., Taylor, C., Darby, H., Upton, P. And Upton, D. (2012) What do lunchtime staff think about childrens habits following a healthy eating intervention? Education and Health.30 (4) 108-112.
Hendy, H.M. & Raudenbush, B. (2000). Effectiveness of teacher modelling to encourage food acceptance in preschool children. Appetite. 34(1).61-79.
McKinley, M.C., Lowis, C., Robson, P.J., Wallace, J.M., Morrissey, M., Moran, A., & Livingstone, M.B. (2005). It's good to talk: children's views on food and nutrition. European Journal of Clinical Nutrition. 59(4). 542-51.
Mcfadden, A., Green, J., M Williams, V., McLeish, J., McCormic, F., Fox-Rushby, J and Renfrew, J., M (2014) Can food vouchers improve nutrition and reduce health inequalities in low-income mothers and young children: a multi-method evaluation of the experiences of beneficiaries and practitioners of the healthy start programme in England? BMC Public Health.14 (1) 1-24.
Lepeere-De, S., Smet-De, A., Verloigne, M., Cardon, G., and Bourdeaudhuij-De, I. (2013) What practices do parents perceive as effective or ineffective in promoting a healthy diet, physical activity, and less sitting in children: parent focus groups. BMC Public Health. 13 (1) 1-23.
Attorp, A., Scott, J., E, Yew, A., C, Rhodes, R., E, Barr, S., I., Naylor, P., J (2014) Associations between socioeconomic, parental and home environment factors and fruit and vegetable consumption of children in grades five and six in British Columbia, Canada. BMC Public Health. 14 (1) 1-19.
Verstraten, R., Royen-Van, K., Ochoa-Aviles, A., Penafiel, A., Holdsworth, M., Donoso, S., Maes, L. And Kolsteren, P. (2014) A Conceptual Framework for Healthy Eating Behavior in Ecuadorian Adolescents: A Qualitative Study. PLoS ONE. 9 (1) 1-7.
Dollahite, S., J, Pijai, E, L., Scott-Pierce, M., Parker, C. And Trochim, W., Trochim, W. (2014) A Randomized Controlled Trial of a Community-Based Nutrition Education Program for Low-Income Parents. Journal of Education and Behaviour. 46 (2) 102-108
Auslander, W., Haire-Joshu, D., Houston, C., Williams, J., & Krebill, H. (2000). The Short-Term Impact of a Health Promotion Program For Low-Income African American Women.
Bemelmans, W., Meyboom-De Jong, B., Broer, J., De Vries, J., Karin Hulshof, F., & May, J. (2000). Impact of Mediterranean diet education versus posted leaflet on dietary habits and serum cholesterol in a high risk population for cardiovascular disease. Public Health Nutrition, 3(3), 273-283.
Bernal, G., & Scharró-del-Río, M. R. (2001). Are empirically supported treatments valid for ethnic minorities? Toward an alternative approach for treatment research. Cultural Diversity And Ethnic Minority Psychology, 7(4), 328-342. doi:10.1037/1099-9809.7.4.328
Gorber, S. C., Tremblay, M., Moher, D., & Gorber, B. (2007). A comparison of direct vs. self‐report measures for assessing height, weight and body mass index: a systematic review. Obesity reviews, 8(4), 307-326.
Heneman, K., Block-Joy, A., Zidenberg-Cherr, S., Steinberg, F., Donohue, S., Garcia, L., & ... West, E. (2005). A "contract for change" increases produce consumption in low-income women: A pilot study. Journal Of The American Dietetic Association, 105(11), 1793-1796. doi:10.1016/j.jada.2005.08.015
Steptoe, A. A., Perkins-Porras, L. L., McKay, C. C., Rink, E. E., Hilton, S. S., & Cappuccio, F. P. (2003). Behavioural counselling to increase consumption of fruit and vegetables in low income adults: randomised trial. British Medical Journal (Clinical Research Edition), 326(7394), 855-858. doi:10.1136/bmj.326.7394.855

Applied Health Psychology


Group 4
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