Department of Health, Physical Education and Sport Studies, Winston-Salem State University, Anderson Center Suite 146, Winston-Salem, NC, 27110, USA.
UNC Eshelman School of Pharmacy, Division of Pharmaceutical Outcomes and Policy, University of North Carolina at Chapel Hill, Asheville, NC, 28804, USA.
J Racial Ethn Health Disparities. 2017 Aug;4(4):549-557. doi: 10.1007/s40615-016-0257-5. Epub 2016 Jun 22.
Low-income and minority children are susceptible to obesity due to the social and environmental barriers that influence their health behaviors. Many programs and interventions fail to account for these aforementioned barriers among this population. Given what we know about the complexity of childhood obesity, low-income and minority children require innovative prevention strategies from those used in traditional childhood obesity interventions. The purpose of this study was to describe the evaluation of a 6-week summer childhood obesity pilot intervention designed for low-income and minority children. Focus groups and interviews (N = 29) were conducted among caregivers. Overall, caregivers indicated that the experience was mostly positive for their children who obtained small amounts of knowledge and behavioral changes. Caregivers also noted several perceived barriers for intervention completion. The CHOICES intervention is a promising approach that warrants attention in future childhood obesity intervention design. Interventions involving low-income and minority children should aim to help participants make healthier choices given the environmental and social barriers that cannot be overlooked or changed.
低收入和少数族裔儿童容易受到肥胖的影响，因为影响他们健康行为的社会和环境障碍。许多项目和干预措施都没有考虑到这一人群中存在的上述障碍。考虑到我们对儿童肥胖症复杂性的了解，低收入和少数族裔儿童需要创新的预防策略，而不是传统的儿童肥胖症干预措施。本研究的目的是描述对一项为期 6 周的暑期儿童肥胖症试点干预措施的评估，该干预措施专为低收入和少数族裔儿童设计。对照顾者进行了焦点小组和访谈（N=29）。总体而言，照顾者表示，对于他们的孩子来说，这次经历大多是积极的，因为他们获得了少量的知识和行为上的改变。照顾者还指出了完成干预措施的几个感知障碍。CHOICES 干预措施是一种很有前途的方法，值得在未来的儿童肥胖症干预设计中引起关注。涉及低收入和少数族裔儿童的干预措施应该旨在帮助参与者做出更健康的选择，因为不能忽视或改变环境和社会障碍。
