Evidence map›Paper›PMID 25811497›Full record

ArticlePreventing chronic disease2015

Community stakeholders' perceptions of barriers to childhood obesity prevention in low-income families, Massachusetts 2012-2013.

Claudia Ganter, Emmeline Chuang, Alyssa Aftosmes-Tobio, Rachel E Blaine, Mary Giannetti, Thomas Land, Kirsten K Davison

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Preventing chronic disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Trial
  2. Embedding weight management into safety-net pediatric primary care: randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Claudia GanterDepartment of Nutrition, Harvard School of Public Health, Landmark Center, 401 Park Drive, 3rd floor East, Boston, MA 01225. Email: cgehre@hsph.harvard.edu. Ms. Ganter is also affiliated with the Technical University of Berlin, Department of Health Care Management, Berlin, Germany.
Emmeline ChuangUniversity of California, Los Angeles, Los Angeles, California (Dr. Chuang was at University of California, San Diego, at the time this article was written).
Alyssa Aftosmes-TobioHarvard School of Public Health, Boston, Massachusetts.
Rachel E BlaineHarvard School of Public Health, Boston, Massachusetts.
Mary GiannettiMontachusett Opportunity Council, Fitchburg, Massachusetts.
Thomas LandMassachusetts Department of Public Health, Boston, Massachusetts.
Kirsten K DavisonHarvard School of Public Health, Boston, Massachusetts.

Funding

MULTILEVEL SYSTEMS-ORIENTED CHILDHOOD OBESITY STUDY IN CHINAU54HD070725 · NICHD · JOHNS HOPKINS UNIVERSITY · PI WANG, YOUFA · 2011 to 2016
$15.9M
MA Childhood Obesity ResearchU18DP003370 · DP · MASSACHUSETTS STATE DEPT OF PUB HEALTH · PI LAND, THOMAS GROVER · 2011 to 2014
$6.4M
NCCDPHP CDC HHS U18 DP003370NCCDPHP CDC HHS U18DP003370NICHD NIH HHS U54 HD070725NICHD NIH HHS U54HD070725
6 · The paper itself

Abstract

introductionThe etiology of childhood obesity is multidimensional and includes individual, familial, organizational, and societal factors. Policymakers and researchers are promoting social-ecological approaches to obesity prevention that encompass multiple community sectors. Programs that successfully engage low-income families in making healthy choices are greatly needed, yet little is known about the extent to which stakeholders understand the complexity of barriers encountered by families. The objective of this study was to contextually frame barriers faced by low-income families reported by community stakeholders by using the Family Ecological Model (FEM).

methodsFrom 2012 through 2013, we conducted semistructured interviews with 39 stakeholders from 2 communities in Massachusetts that were participating in a multisector intervention for childhood obesity prevention. Stakeholders represented schools; afterschool programs; health care; the Special Supplemental Nutrition Program for Women, Infants, and Children; and early care and education. Interviews were audio-recorded, transcribed, coded, and summarized.

resultsStakeholder reports of the barriers experienced by low-income families had a strong degree of overlap with FEM and reflected awareness of the broader contextual factors (eg, availability of community resources, family culture, education) and social and emotional dynamics within families (eg, parent knowledge, social norms, distrust of health care providers, chronic life stressors) that could affect family adoption of healthy lifestyle behaviors. Furthermore, results illustrated a level of consistency in stakeholder awareness across multiple community sectors.

conclusionThe congruity of stakeholder perspectives with those of low-income parents as summarized in FEM and across community sectors illustrates potential for synergizing the efforts necessary for multisector, multilevel community interventions for the prevention of childhood obesity.

Indexed as

Community-Institutional RelationsHealth Knowledge, Attitudes, PracticeHealth Status DisparitiesPoverty AreasChildChild Health ServicesFamily CharacteristicsFemaleFood AssistanceHispanic or LatinoHumansIncomeInterviews as TopicMassachusettsPediatric ObesityPoverty

Identifiers

PMID25811497
PMCPMC4375987

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.