Parent and Family Oriented Support Interventions for the Facilitation of Weight Loss in African American Families

PRIMARY OBJECTIVES:

I. Determine whether a parent/caregiver intervention or a family intervention can produce greater weight loss among obese African American (AA) parents at 12 months compared to a cancer prevention group (control).

II. Use the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) model, to evaluate individual and church-level barriers and facilitators on program reach, effectiveness, adoption, implementation, maintenance and dissemination.

SECONDARY OBJECTIVES:

I. Explore whether a parent/caregiver intervention and a family intervention can produce weight maintenance or weight loss, as determined by change in body mass index (BMI) z-score, among AA children at risk for obesity at 12 months compared to the control group.

II. Determine the extent to which the proposed interventions improve fruit and vegetable (FV) consumption, physical activity, blood pressure, body fat percentage, muscle mass and waist circumference.

OUTLINE: Churches are randomized to 1 of 3 groups.

GROUP I: Parents/caregivers whose churches are randomized to Group I, attend monthly health coaching sessions over 1 hour each for 12 months, 9 resource navigation sessions over 12 months, and monthly support groups for 12 months.

GROUP II: Families whose churches are randomized to Group II, attend monthly health coaching sessions over 1 hour each for 12 months, 9 resource navigation sessions over 12 months, and monthly support groups for 12 months.

GROUP III: Families whose churches are randomized to Group III, receive an educational handbook on cancer prevention.

Inclusion criteria

• DYAD: Be parent/caregiver (legal parent or custodial grandparent; male or female) and child willing to participate
• DYAD: Live together in the same household
• PARENT/CAREGIVER: Self-identify as a racial ethic minority (i.e., black or African American or Hispanic)
• PARENT/CAREGIVER: Parent or caregiver age 18 through 65 years old
• PARENT/CAREGIVER: Are overweight (BMI greater than or equal to 25);
• PARENT/CAREGIVER: Are not currently participating in a physical activity (PA), diet, or weight management program
• PARENT/CAREGIVER: Have a valid home address, telephone number, and internet access
• PARENT/CAREGIVER: Enroll with a child aged 8-17 years
• PARENT/CAREGIVER: Are able to speak English

Exclusion criteria

• PARENT/CAREGIVER: They are currently pregnant or thinking about becoming pregnant during the study period
• PARENT/CAREGIVER: They present any contraindications for exercise based on responses to the PA Readiness Questionnaire plus (PAR-Q +)

Exclusion criteria

for child:

• None.