Evidence map›Paper›PMID 27211525›Full record

Trial reportPublic health nutrition2016

The Healthy Children, Strong Families intervention promotes improvements in nutrition, activity and body weight in American Indian families with young children.

Emily J Tomayko, Ronald J Prince, Kate A Cronin, Alexandra K Adams

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Public health nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06298149 (Reach Through Equitable Implementation of Turtle Island Tales in American Indian Communities), which is not on this map. Cited by 43 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 17 pooled it
–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.

NCT06298149 naenrolling by invitationnot on this mapstarted 2023, after this paper: background citation

Reach Through Equitable Implementation of Turtle Island Tales in American Indian Communities: Program Effectiveness

TypeinterventionalSponsorMontana State UniversityRan2023 to 2028Enrolled200ConditionsObesity, Childhood, Obesity, CancerArmsTurtle Island Tales
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 17 syntheses or guidelines pooled it.

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  2. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
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  8. Identifying effective intervention strategies to reduce children's screen time: a systematic review and meta-analysis.The international journal of behavioral nutrition and physical activity · 2021
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  9. Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
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  15. Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Emily J Tomayko1Department of Nutritional Sciences,University of Wisconsin,College of Agricultural & Life Sciences,Madison,WI,USA.
Ronald J Prince2Department of Family Medicine,University of Wisconsin School of Medicine and Public Health,1100 Delaplaine Court,Madison,WI 53715,USA.
Kate A Cronin2Department of Family Medicine,University of Wisconsin School of Medicine and Public Health,1100 Delaplaine Court,Madison,WI 53715,USA.
Alexandra K Adams2Department of Family Medicine,University of Wisconsin School of Medicine and Public Health,1100 Delaplaine Court,Madison,WI 53715,USA.

Funding

TRAINING IN NUTRITIONT32DK007665 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI GUY E GROBLEWSKI, Chi- Liang Eric Yen · 1993 to 2026
$9.2M
vitamin D Status, Cardiovascular Health and Diabetes in American IndiansP60MD003428 · NIMHD · UNIVERSITY OF WISCONSIN-MADISON · PI ADAMS, ALEXANDRA K. · 2009 to 2013
$6.9M
Healthy Children, Strong Families and Supportive Communities InterventionU01HL087381 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI ADAMS, ALEXANDRA K. · 2006 to 2010
$2.3M
NHLBI NIH HHS U01 HL087381NIDDK NIH HHS T32 DK007665NIMHD NIH HHS P60 MD003428
6 · The paper itself

Abstract

objectiveAmerican Indian children of pre-school age have disproportionally high obesity rates and consequent risk for related diseases. Healthy Children, Strong Families was a family-based randomized trial assessing the efficacy of an obesity prevention toolkit delivered by a mentor v. mailed delivery that was designed and administered using community-based participatory research approaches.

designDuring Year 1, twelve healthy behaviour toolkit lessons were delivered by either a community-based home mentor or monthly mailings. Primary outcomes were child BMI percentile, child BMI Z-score and adult BMI. Secondary outcomes included fruit/vegetable consumption, sugar consumption, television watching, physical activity, adult health-related self-efficacy and perceived health status. During a maintenance year, home-mentored families had access to monthly support groups and all families received monthly newsletters.

settingFamily homes in four tribal communities, Wisconsin, USA. SUBJECTS: Adult and child (2-5-year-olds) dyads (n 150).

resultsNo significant effect of the mentored v. mailed intervention delivery was found; however, significant improvements were noted in both groups exposed to the toolkit. Obese child participants showed a reduction in BMI percentile at Year 1 that continued through Year 2 (P<0·05); no change in adult BMI was observed. Child fruit/vegetable consumption increased (P=0·006) and mean television watching decreased for children (P=0·05) and adults (P=0·002). Reported adult self-efficacy for health-related behaviour changes (P=0·006) and quality of life increased (P=0·02).

conclusionsAlthough no effect of delivery method was demonstrated, toolkit exposure positively affected adult and child health. The intervention was well received by community partners; a more comprehensive intervention is currently underway based on these findings.

Indexed as

Body WeightIndians, North AmericanAdultBody Mass IndexChild, PreschoolDietExerciseFemaleHealth PromotionHumansMaleObesityQuality of LifeTelevisionWisconsinAmerican IndianCommunity-based participatory researchEarly childhoodFamilyHome-based interventionNutritionPaediatric obesityPhysical activity

Identifiers

PMID27211525
PMCPMC5039403

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Registered trials

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.