Butterfly Girls; promoting healthy diet and physical activity to young African American girls online: rationale and design

BMC Public Health

Richard Buday²  Celeste Walker³  Yan Liu¹  Tom Baranowski¹  Karen Cullen¹  Chishinga Callender¹  Isabel Vazquez¹  Dora Cantu¹  Cynthia Boutte¹  Riddhi Bhatt⁴  Rory Mahabir¹  Debbe Thompson¹ 

[1] USDA/ARS Children’s Nutrition Research Center, Baylor College of Medicine, 1100 Bates Street, Houston TX 77030, USA;Archimage, 4203 Montrose Boulevard., Suite 390, Houston, TX 77004, USA;Playwright, Houston, TX, USA;Department of Family and Community Medicine, Baylor College of Medicine, 3701 Kirby Dr., Suite 600, Houston TX 77098, USA

关键词: Culture;    Diet;    African American;    Child;    Physical activity;    Obesity prevention;    Intervention;    Internet;   

Others  :  1161973
DOI  :  10.1186/1471-2458-13-709

 received in 2013-05-18, accepted in 2013-05-22,  发布年份 2013

【 摘 要 】

Background

Young African American girls have a high risk of obesity. Online behavior change programs promoting healthy diet and physical activity are convenient and may be effective for reducing disparities related to obesity. This report presents the protocol guiding the design and evaluation of a culturally and developmental appropriate online obesity prevention program for young African American girls.

Methods/Design

The Butterfly Girls and the Quest for Founder’s Rock is an 8-episode online program delivered as an animated, interactive comic. The program promotes healthy diet and physical activity and is specifically designed for 8–10 year old African American girls. Girls, parents, and community representatives provided formative feedback on cultural relevance and developmental appropriateness. A three-group (treatment, comparison, wait-list control) randomized design (n = 390 parent/child dyads) is employed, with child as the unit of assignment. Change in body mass index is the primary outcome; change in fruit and vegetable consumption, water, and physical activity are secondary outcomes. Data collection occurs at baseline, approximately 3 months after baseline (i.e., completion of the online program), and approximately three months later (i.e., maintenance assessment). Two dietary recalls are collected at each data collection period by trained interviewers using the Nutrient Data System for Research (NDSR 2012) system. Physical activity is objectively measured by seven days of accelerometry. Psychosocial and process data are also collected. Girls in the treatment and comparison groups will be interviewed at post 1 to obtain information on personal reactions to the program.

Discussion

This research will develop and evaluate the efficacy of an online program for reducing obesity risk among girls at risk of obesity and related diseases. Online programs offer the potential for wide dissemination, thus reducing disparities related to obesity.

Trial Registration

NCT01481948

【 授权许可】

   
2013 Thompson et al.; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]Health & Human Services Fact Sheet; Minority Health Disparities At A Glance. http://www.hhs.gov webcite
• [2]Bray GA: Medical consequences of obesity. J Clin Endocrinol Metab 2004, 89:2583-2589.
• [3]US Department of Health and Human Services (Eds): In Healthy People 2010 (second edition): With Understanding and Improving Health and Objectives for Improving Health. 2 vols. 2000.
• [4]Engeland A, Bjorge T, Tverdal A, Sogaard A: Obesity in adolescence and adult and the risk of adult mortality. Epidemiology 2004, 15:79-85.
• [5]Ogden C, Carroll M, Kit B, Flegal K: Prevalence of obesity and trends in body mass index among US children and adolescents, 1999–2010. J Am Med Assoc 2012, 307:483-490.
• [6]Klesges RC, Obarzanek E, Klesges LM, Stockton MB, Beech BM, Murray DM, Lanctot JQ, Sherrill-Mittleman DA: Memphis Girls health Enrichment Multi-site Studies (GEMS) Phase 2: Design and baseline. Contemp Clin Trials 2008, 29:42-55.
• [7]Robinson TN, Kraemer HC, Matheson DM, Obarzanek E, Wilson DM, Haskell WL, Pruitt LA, Thompson NS, Haydel KF, Fujimoto M, et al.: Stanford GEMS phase 2 obesity prevention trial for low-income African-American girls: Design and sample baseline characteristics. Contemp Clin Trials 2008, 29:56-69.
• [8]Ritchie LD, Spector P, Stevens MJ, Schmidt MM, Schreiber GB, Striegel-Moore RH, Wang MC, Crawford PB: Dietary patterns in adolescence are related to adiposity in young adulthood in black and white females. J Nutr 2007, 137:399-406.
• [9]Kumanyika S, Gary T, Lancaster K, Samuel-Hodge C, Banks-Wallace J, Beech B, Hughes-Halbert C, Karanja N, Odoms-Young A, Prewitt E, Whitt-Glover M: Achieving healthy weight in African-American communities: research perspectives and priorities. Obes Res 2005, 13:2037-2047.
• [10]Resnicow K, Baranowski T, Ahluwalia J, Braithwaite R: Cultural sensitivity in public health: defined and demystified. Ethn Dis 1999, 9:10-21.
• [11]Elkind D: Developmentally appropriate practice: philosophical and practical implications. Phi Delta Kappan 1989, 71:113-117.
• [12]Subdei B: Emerging trends of research on transfer of learning. International Education Journal 2004, 5:591-599.
• [13]Baranowski T, Buday R, Thompson D, Baranowski J: Playing for Real: Videogames and stories for health-related behavior change. Am J Prev Med 2008, 34:74-82.
• [14]Lu A, Baranowski T, Thompson D, Buday R: Story immersion of video games for youth health promotion: A review of literature. Games for Health 2012, 1:199-204.
• [15]Bandura A: Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall; 1986.
• [16]Foster G, Makris A, Bailer B: Behavioral treatment of obesity. Am J Clin Nutr 2005, 82(supplement):230S-235S.
• [17]Robinson T: Behavioural treatment of childhood and adolescent obesity. Int J Obes Relat Metab Disord 1999, 23:S52-57.
• [18]Lu A, Thompson D, Baranowski J, Buday R, Baranowski T: Story immersion in a health videogame for childhood obesity prevention. Games for Health 2012, 1:37-44.
• [19]Halle M, Lewis CB, Seshamani M: Health Disparities: A Case For Closing the Gap. In U.S. Department of Health and Human Services. HealthReform. Government; 2009.
• [20]US Department of Health and Human Services: Healthy People 2010: Understanding and Improving Health. 2nd ed. Washington, DC. Government Printing Office, November, 2000. In Book US Department of Health and Human Services. Healthy People 2010: Understanding and Improving Health. 2nd edition. Washington, DC: Government Printing Office, November; 2000. (Editor ed.^eds.). City
• [21]National Telecommunications and Information Administration and US Department of Commerce: Falling through the net: defining the digital divide. In Book Falling through the net: defining the digital divide. City: GPO; 1999.
• [22]Roberts D, Foehr M, Rideout V, Generation M: Media in the Lives of 8–18 Year-Olds. 2005.
• [23]National Telecommunications and Information Administration: Economics and Statistics Administration. Falling Through the Net: Toward Digital Inclusion. Book National Telecommunications and Information Administration; Economics and Statistics Administration. Falling Through the Net: Toward Digital Inclusion 2000. (Editor ed.^eds.). City
• [24]Rideout V, Foehr U, Roberts D: Generation M2: Media in the Lives of 0–18 Year Olds. 2010.
• [25]Thompson D, Cullen K, Boushey C, Konzelman K: Design of a website on nutrition and physical activity for adolescents: results from formative research. J Med Internet Res 2012, 14:e59.
• [26]Thompson D, Bhatt R, Lazarus M, Cullen K, Baranowski J, Baranowski T: A serious video game to increase fruit and vegetable consumption among elementary aged youth (Squire's Quest! II): rationale, design, and methods. JMIR Research Protocols 2012, 1:219.
• [27]Harris M, Rosenthal R: Mediation of interpersonal expectancy effects: 31 meta-analyses. Psychol Bull 1985, 97:363-386.
• [28]Thompson D, Baranowski T, Buday R, Baranowski J, Thompson V, Jago R, Griffith M: Serious Video Games for Health: How Behavioral Science Guided the Development of a Serious Video Game. Simulation & Gaming 2008, 41:587-606.
• [29]Thompson D, Baranowski T, Baranowski T, Cullen K, Jago R, Watson K, Liu Y: Boy Scout 5-A-Day Badge: Outcome results of a troop and Internet intervention. Prev Med 2009, 49:518-526.
• [30]Thompson D, Baranowski T, Cullen K, Watson K, Liu Y, Canada A, Bhatt R, Zakeri I: Food, Fun, & Fitness Internet Program for Girls: Pilot Evaluation of an eHealth Youth Obesity Prevention Program Examining Predictors of Obesity. Prev Med 2008, 47:494-497.
• [31]Patrick K, Sallis J, Prochaska J, Lydston D, Calfas K, Zabinski M, Wilfley D, Saelens B, Brown D: A multi component program for nutrition and physical activity change in primary care: PACE + for adolescents. Archives of Pediatric Adolescent Medicine 2001, 155:940-946.
• [32]Jago R, Baranowski T, Baranowski J, Thompson D, Cullen K, Watson K, Liu Y: Fit For Life Boy Scout badge: Outcome evaluation of a troop and internet intervention. Prev Med 2006, 42:181-187.
• [33]Winett R, Roodman A, Winett S, Bajzek W, Rovniak L, Whiteley J: The effects of the Eat4Life Internet-based health behavior program on the nutrition and activity practices of high school girls. Journal of Gender, Culture, and Health 1999, 4:239-254.
• [34]Williamson D, Martin P, White M, Newton R, Walden H, York-Crown E, Alfonzo A, Gordon S, Ryan D: Efficacy of an internet-based behavioral weight loss program for overweight adolescent African-American girls. Eat Weight Disord 2005, 10:193-203.
• [35]Baranowski T, Baranowski J, Cullen KW, Thompson DI, Nicklas T, Zakeri I, Rochon J: The Fun, Food and Fitness Project (FFFP): The Baylor GEMS pilot study. Ethn Dis 2003, 13(S1):30-39.
• [36]Story M, Sherwood N, Himes J, Davis M, Jacobs D, Cartwright Y, Smyth M, Rochon J: An After-School Obesity Prevention Program for African-American Girls: The Minnesota GEMS Pilot Study. Ethn Dis 2003, 13(S1):54-64.
• [37]Beech B, Klesges R, Kumanyika S, Murray D, Klesges L, McClanahan B, Slawson D, Nunnally C, Rochon J, McLain-Allen B, Pree-Cary J: Child- and Parent-Targeted Interventions: The Memphis GEMS Pilot Study. Ethn Dis 2003, 13(S1):40-53.
• [38]Robinson T, Killen J, Kraemer H, Wilson D, Matheson D, Haskell W, Pruitt L, Powell T, Owens A, Thompson N, et al.: Dance and Reducing Television Viewing to Prevent Weight Gain in African-American Girls: The Stanford GEMS Pilot Study. Ethn Dis 2003, 13(S1):65-77.
• [39]Klesges R, Obarzanek E, Kumanyika S, Murray D, Klesges L, Relyea G, Stockton M, Lanctot J, Beech B, McClanahan B, et al.: The Memphis Girls health Enrichment Multi-Site Studies (GEMS): an evaluation of the efficacy of a two-year obesity prevention intervention in African-American girls. Arch Pediatr Adolesc Med 2010, 164:1007-1014.
• [40]Obarzanek E, Pratt C: Girls health enrichment multi-ssite studies (GEMS): new approaches to obesity prevention among young African-American girls. Ethn Dis 2003, 13(supplement):S1-1-S1-5.
• [41]Petty R, Cacioppo J: Communication and persuasion: Central and peripheral routes to attitude change. New York: Springer; 1986.
• [42]Thompson D, Baranowski J, Cullen K, Baranowski T: Development of a theory-based Internet program promoting maintenance of diet and physical activity change to 8 year old African American girls. Computers & Education 2007, 48:446-459.
• [43]Thompson D, Baranowski T, Cullen K, Watson K, Canada A, Bhatt R, Liu Y, Zakeri I: Food, Fun, & Fitness Internet Program for girls: influencing log-on rate. Health Educ Res 2008, 23:228-237.
• [44]Thompson D, Canada A, Bhatt R, Davis J, Plesko L, Baranowski T, Cullen K, Zakeri I: eHealth recruitment challenges. Eval Program Plann 2006, 29:433-440.
• [45]Kumanyika S, Story M, Beech B, Sherwood N, Baranowski J, Powell T, Cullen K, Owens A: Collaborative planning for formative assessment and cultural appropriateness in the Girls Health Enrichment Multi-Site Studies (GEMS): a retrospecitve. Ethn Dis 2003, 13(S1):15-29.
• [46]Thompson V, Baranowski T, Cullen K, Rittenberry L, Baranowski J, Taylor W, Nicklas T: Influences on diet and physical activity among middle-class African American 8- to 10-year-old girls at risk of becoming obese. J Nutr Educ Behav 2003, 35:115-123.
• [47]Schunk D: Peer models and children's behavioral change. Review of Educational Research 1987, 57:149-174.
• [48]Deng C, Graz J: Generating randomization schedules using SAS programming. Research Triangle Park, NC: PPD, Inc; 267-227. Available: http://www2.sas.com/proceedings/sugi27/p267-27.pdf webcite
• [49]Baranowski T, Jago R: Understanding the Mechanisms of Change in Children's Physical Activity Programs. Exercise and Sport Science Review 2005, 33:163-168.
• [50]Lytle L, Murray D, Perry C, Eldridge A: Validating fourth-grade students' self-report of dietary intake: results from the 5 A Day Power Plus Program. J Am Diet Assoc 1998, 98:570-572.
• [51]Trost S, Loprinzi P, Moore R, Pfeiffer K: Comparison of accelerometer cut points for predicting activity intensity in youth. Med Sci Sports Exerc 2011, 43:1360-1368.
• [52]Domel S, Baranowski T, Davis H, Leonard S, Riley P, Baranowski J: Measuring fruit and vegetable preferences among 4th and 5th grade students. Prev Med 1993, 22:866-879.
• [53]Baranowski T, Davis M, Resnicow K, Baranowski J, Doyle C, Lin L, Smith M, Wang D: GIMME 5 Fruit, Juice, and Vegetables for Fun and Health: Outcome Evaluation. Health Educ Behav 2000, 27:96-111.
• [54]Domel S, Thompson W, Davis H, Baranowski T, Leonard S, Baranowski J: Psychosocial predictors of fruit and vegetable consumption among elementary school children. Health Educ Res 1996, 11:299-308.
• [55]Domel SB, Baranowski T, Davis HC, Thompson WO, Leonard SB, Baranowski J: A measure of outcome expectations for fruit and vegetable consumption among fourth and fifth grade children; reliability and validity. Health Educ Res 1995, 10:65-72.
• [56]Reynolds CR, Paget KD: National normative and reliability data for the Revised Children's Manifest Anxiety Scale. School Psychology Review 1983, 12:324-336.
• [57]Dadds MR, Perrin S, Yule W: Social desirability and self-reported anxiety in children: an analysis of the RCMAS lie scale. J Abnorm Child Psychol 1998, 26:311-317.
• [58]Thompson FE, Kipnis V, Subar AF, Krebs-Smith SM, Kahle LL, Midthune D, Potischman N, Schatzkin A: Evaluation of 2 brief instruments and a food-frequency questionnaire to estimate daily number of servings of fruit and vegetables. Am J Clin Nutr 2000, 71:1503-1510.
• [59]Cullen KW, Klesges LM, Sherwood NE, Baranowski T, Beech B, Pratt C, Zhou A, Rochon J: Measurement characteristics of diet-related psychosocial questionnaires among African-American parents and their 8- to 10-year-old daughters: results from the Girls' health Enrichment Multi-site Studies. Prev Med 2004, 38(Suppl):S34-42.
• [60]Hearn M, Baranowski T, Baranowski J, Doyle C, Smith M, Lin L, Resnicow K: Environmental influences on dietary behaviors among children: availability and accessibility of fruits and vegetables enable consumption. J Health Educ 1998, 29:26-32.
• [61]Cullen K, Baranowski T, Rittenberry L, Cosart C, Owens E, Hebert D, de Moor C: Socioenvironmental influences on children's fruit, juice, and vegetable consumption as reported by parents: reliability and validity of measures. Public Health Nutr 2000, 3:345-356.