Dataset Information

Qualitative analysis of COACH: A community-based behavioral intervention to reduce obesity health disparities within a marginalized community.

ABSTRACT:

Background

The purpose of this study was to conduct a qualitative evaluation of a behavioral intervention to prevent and treat childhood obesity in minority children. Using qualitative methods to augment understanding of intervention success may be one way to gain insight into the types of behavior change strategies that are most effective in childhood obesity interventions.

Methods

COACH was a randomized controlled trial of 117 Latino parent-child (ages 3-5) pairs in Nashville, TN that resulted in improved child BMI in intervention vs. control families at 1-year follow-up. All participant parents were invited to focus groups after the trial. Discussions were audiotaped, transcribed, and translated into English. A hierarchical coding scheme was generated, and qualitative analysis done using an inductive/deductive approach. Both theme saturation and consensus between the coders were achieved. Responses were compared between intervention and control groups.

Results

We conducted seven focus groups with 43 participants. 4 themes emerged from the intervention group: 1) perceived barriers to health behavior change; 2) strategies learned to overcome perceived barriers; 3) behavioral changes made in response to the program; and 4) knowledge, skills, and agency for family health behaviors. 4 themes emerged from the control group: 1) a desire to engage in health behaviors without specific strategies; 2) common set of barriers to health behavior change; 3) engagement in literacy activities, including creative problem-solving strategies; and 4) changes made in response to study visits. Analysis of coded data showed the intervention increased healthy behaviors (e.g., fruit/vegetable consumption) despite barriers (e.g., time, cost, culture, family dynamics). Intervention participants described using specific behavior change strategies promoted by the intervention including: substituting ingredients in culturally-normative recipes; avoiding grocery shopping when hungry; and coping with inability to meet goals with acceptance and problem-solving. Control participants reported little success in achieving healthy changes for their family. Intervention participants described successful health behavior changes that were shared across generations and were maintained after the program. Intervention participants reported increased awareness of their own agency in promoting their health.

Conclusions

Qualitative evaluation of COACH provides a more detailed understanding of the intervention's quantitative effectiveness: child and adult health behaviors and personal agency were improved.

SUBMITTER: Heerman WJ

PROVIDER: S-EPMC6804499 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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Publications

Qualitative analysis of COACH: A community-based behavioral intervention to reduce obesity health disparities within a marginalized community.

Heerman William J WJ Cole Jesse J Teeters Leah L Lane Tara T Burgess Laura E LE Escarfuller Juan J Bonnet Kemberlee K Barkin Shari L SL Schlundt David G DG

Contemporary clinical trials communications 20190925

<h4>Background</h4>The purpose of this study was to conduct a qualitative evaluation of a behavioral intervention to prevent and treat childhood obesity in minority children. Using qualitative methods to augment understanding of intervention success may be one way to gain insight into the types of behavior change strategies that are most effective in childhood obesity interventions.<h4>Methods</h4>COACH was a randomized controlled trial of 117 Latino parent-child (ages 3-5) pairs in Nashville, T ...[more]

PMID: 31650072

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Dataset Information

Qualitative analysis of COACH: A community-based behavioral intervention to reduce obesity health disparities within a marginalized community.

Background

Methods

Results

Conclusions

Publications

Qualitative analysis of COACH: A community-based behavioral intervention to reduce obesity health disparities within a marginalized community.

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