Reframing family-centred obesity prevention using the Family Ecological Model.
Public Health Nutr
; 16(10): 1861-9, 2013 Oct.
Article
em En
| MEDLINE
| ID: mdl-23089267
ABSTRACT
OBJECTIVE:
According to the Family Ecological Model (FEM), parenting behaviours are shaped by the contexts in which families are embedded. In the present study, we utilize the FEM to guide a mixed-methods community assessment and summarize the results. Additionally, we discuss the utility of the FEM and outline possible improvements.DESIGN:
Using a cross-sectional design, qualitative and quantitative methods were used to examine the ecologies of parents' cognitions and behaviours specific to children's diet, physical activity and screen-based behaviours. Results were mapped onto constructs outlined in the FEM.SETTING:
The study took place in five Head Start centres in a small north-eastern city. The community assessment was part of a larger study to develop and evaluate a family-centred obesity prevention programme for low-income families.SUBJECTS:
Participants included eighty-nine low-income parents/caregivers of children enrolled in Head Start.RESULTS:
Parents reported a broad range of factors affecting their parenting cognitions and behaviours. Intrafamilial factors included educational and cultural backgrounds, family size and a lack of social support from partners. Organizational factors included staff stability at key organizations, a lack of service integration and differing school routines. Community factors included social connectedness to neighbours/friends, shared norms around parenting and the availability of safe public housing and play spaces. Policy- and media-related factors included requirements of public assistance programmes, back-to-work policies and children's exposure to food advertisements.CONCLUSIONS:
Based on these findings, the FEM was refined to create an evidence-based,temporally structured logic model to support and guide family-centred research in childhood obesity prevention.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Família
/
Comportamento Alimentar
/
Obesidade
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
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Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
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Risk_factors_studies
Limite:
Child
/
Female
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Humans
/
Male
Idioma:
En
Revista:
Public Health Nutr
Assunto da revista:
CIENCIAS DA NUTRICAO
/
SAUDE PUBLICA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Estados Unidos