Trial reportPublic health nutrition2019
The impact of a multilevel childhood obesity prevention intervention on healthful food acquisition, preparation, and fruit and vegetable consumption on African-American adult caregivers.
Trial report in Public health nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.
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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.
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.
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Who cites it
18 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Interventions to prevent obesity in children aged 12 to 18 years old.The Cochrane database of systematic reviews · 2024Pooled it
- Applications of Mobile Health Technologies to Address Cardiometabolic Health Disparities in the United States: A Systematic Review.Ethnicity & disease · 2023Pooled it
- Black American and Latinx Parent/Caregiver Participation in Digital Health Obesity Interventions for Children: A Systematic Review.Frontiers in digital health · 2021Pooled it
- Improving Consumption and Purchases of Healthier Foods in Retail Environments: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Bringing WISE Home: Feasibility and Effectiveness of a Preschool Nutrition Curriculum in Rural Home Visits.Journal of nutrition education and behavior · 2026Article
- Protocol for the Southeast Asian Healthy Habits, Healthy Kids (SEAHK) study, a culturally tailored family-based pilot randomized controlled trial to improve dietary quality.Pilot and feasibility studies · 2026Article
- Leveraging Neighborhood-Level Interventions to Improve Cardiovascular Health: A Scoping Review.Circulation. Population health and outcomes · 2026Article
- eHealth, family-based interventions, and multilevel approaches to pediatric weight management: a scoping review.Nutrition reviews · 2025Article
- The individual-level effects of social media campaigns related to healthy eating, physical activity, and healthy weight: A narrative review.Obesity science & practice · 2024Review
- Encouraging Healthier Food and Beverage Purchasing and Consumption: A Review of Interventions within Grocery Retail Settings.International journal of environmental research and public health · 2022Review
- The Baltimore Urban Food Distribution (BUD) App: Study Protocol to Assess the Feasibility of a Food Systems Intervention.International journal of environmental research and public health · 2022Article
- Behavioral Economic Approaches to Childhood Obesity Prevention Nutrition Policies: A Social Ecological Perspective.Perspectives on behavior science · 2021Article
- Evaluating the implementation and impact of a healthier checkout programme at a regional convenience store chain.Public health nutrition · 2021Article
- Systematic review into city interventions to address obesity.EClinicalMedicine · 2021Article
- Perceptions and Impact of a Youth-led Childhood Obesity Prevention Intervention among Youth-leaders.Journal of hunger & environmental nutrition · 2021Article
- Challenges and Lessons Learned from Multi-Level Multi-Component Interventions to Prevent and Reduce Childhood Obesity.International journal of environmental research and public health · 2018Article
- Dietary interventions using Facebook: a systematic review.Porto biomedical journalReview
- Geospatial Monitoring of Body Mass Index: Use of Electronic Health Record Data Across Health Care Systems.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo evaluate the secondary impact of a multilevel, child-focused, obesity intervention on food-related behaviours (acquisition, preparation, fruit and vegetable (FV) consumption) on youths' primary caregivers.
designB'More Healthy Communities for Kids (BHCK) group-randomized controlled trial promoted access to healthy foods and food-related behaviours through wholesaler and small store strategies, peer mentor-led nutrition education aimed at youths, and social media and text messaging targeting their adult caregivers. Measures included caregivers' (n 516) self-reported household food acquisition frequency for FV, snacks and grocery items over 30 d, and usual FV consumption in a sub-sample of 226 caregivers via the NCI FV Screener. Hierarchical models assessed average treatment effects (ATE). Treatment-on-the-treated-effect (TTE) analyses evaluated correlation between behavioural change and exposure to BHCK. Exposure scores at post-assessment were based on self-reported viewing of BHCK materials and participating in activities.
settingThirty Baltimore City low-income neighbourhoods, USA.ParticipantsAdult caregivers of youths aged 9-15 years.
resultsOf caregivers, 90·89 % were female; mean age 39·31 (sd 9·31) years. Baseline mean (sd) intake (servings/d) was 1·30 (1·69) fruits and 1·35 (1·05) vegetables. In ATE, no significant intervention effect was found on caregivers' food-related behaviours. In TTE, each point increase in BHCK exposure score (range: 0-6·9) increased caregivers' daily fruit consumption by 0·2 servings (0·24 (se 0·11); 95 % CI 0·04, 0·47). Caregivers reporting greater social media exposure tripled their daily fruit intake (3·16 (se 0·92); 95 % CI 1·33, 4·99) and increased their frequency of unhealthy food purchasing v. baseline.
conclusionsChild-focused community-based nutrition interventions may also benefit family members' fruit intake. Child-focused interventions should involve adult caregivers and intervention effects on family members should be assessed. Future multilevel studies should consider using social media to improve reach and engage caregiver participants.
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