Evidence map›Paper›PMID 33482774›Full record

ArticleBMC public health2021

Acceptability and appropriateness of a novel parent-staff co-leadership model for childhood obesity prevention in Head Start: a qualitative interview study.

Jacob P Beckerman-Hsu, Cristina Gago, Alyssa Aftosmes-Tobio, Janine M Jurkowski, Kindra Lansburg, Jessie Leonard, Merieka Torrico, Sebastien Haneuse, S V Subramanian, Erica L Kenney and 1 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03334669 (Empowerment as a Mechanism for Change in Childhood Obesity Prevention), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
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.

NCT03334669 naterminatednot on this map

Empowerment as a Mechanism for Change in Childhood Obesity Prevention

TypeinterventionalSponsorBoston CollegeRan2017 to 2019Enrolled4,999ConditionsPediatric Obesity, ObesityArmsParents Connect for Healthy Living (PConnect), Enhanced Nutrition Support, Media Resources
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Article
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

11 authors at 5 institutions in 1 country.

Jacob P Beckerman-HsuBoston College School of Social Work, McGuinn Hall 106K, 140 Commonwealth Ave, Chestnut Hill, MA, 02467, USA. jacob.beckerman@bc.edu.ORCID 0000-0002-3818-3856
Cristina GagoDepartment of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Ave, Boston, MA, 02115, USA.
Alyssa Aftosmes-TobioBoston College School of Social Work, McGuinn Hall 106K, 140 Commonwealth Ave, Chestnut Hill, MA, 02467, USA.
Janine M JurkowskiDepartment of Health Policy, Management, & Behavior, University at Albany School of Public Health, 1 University Pl, Rensselaer, NY, 121440, USA.
Kindra LansburgAction for Boston Community Development, 178 Tremont Street, Boston, MA, 02111, USA.
Jessie LeonardCommunity Action Agency of Somerville, 66 Union Square, Somerville, MA, 02143, USA.
Merieka TorricoAction for Boston Community Development, 178 Tremont Street, Boston, MA, 02111, USA.
Sebastien HaneuseDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, 665 Huntington Ave, Boston, MA, 02115, USA.
S V SubramanianDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
Erica L KenneyDepartment of Nutrition and Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 665 Huntington Ave, Boston, MA, 02115, USA.
Kirsten K DavisonBoston College School of Social Work, McGuinn Hall 106K, 140 Commonwealth Ave, Chestnut Hill, MA, 02467, USA.
Harvard University · USBoston College · USAction for Boston Community Development · USSomerville Hospital · USUniversity at Albany, State University of New York · US

Funding

The Harvard Chan Education Program in Cancer Prevention and ControlT32CA057711 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Karen M. Emmons, ANNE LINDSAY FRAZIER · 2019 to 2026
$3.3M
Empowerment as a mechanism for change in childhood obesity preventionR01DK108200 · NIDDK · HARVARD SCHOOL OF PUBLIC HEALTH · PI DAVISON, KIRSTEN · 2015 to 2019
$3.1M
NCI NIH HHS T32 CA057711NIDDK NIH HHS R01 DK108200
6 · The paper itself

Abstract

backgroundPeer leadership can be an effective strategy for implementing health programs, benefiting both program participants and peer leaders. To realize such benefits, the peer leader role must be appropriate for the community context. Also, peer leaders must find their role acceptable (i.e., satisfactory) to ensure their successful recruitment and retention. To date, parent peer leaders have seldom been part of early childhood obesity prevention efforts. Moreover, parents at Head Start preschools have rarely been engaged as peer leaders. The aim of this study is to evaluate the appropriateness and acceptability of an innovative model for engaging parents as peer leaders for this novel content area (early childhood obesity prevention) and setting (Head Start).

methodsParents Connect for Healthy Living (PConnect) is a 10-session parent program being implemented in Head Start preschools as part of the Communities for Healthy Living early childhood obesity prevention trial. PConnect is co-led by a parent peer facilitator who is paired with a Head Start staff facilitator. In the spring of 2019, 10 PConnect facilitators participated in a semi-structured interview about their experience. Interview transcripts were analyzed by two coders using an inductive-deductive hybrid analysis. Themes were identified and member-checked with two interviewees.

resultsThemes identified applied equally to parent and staff facilitators. Acceptability was high because PConnect facilitators were able to learn and teach, establish meaningful relationships, and positively impact the parents participating in their groups, although facilitators did express frustration when low attendance limited their reach. Appropriateness was also high, as PConnect provided adequate structure and support without being overly rigid, and facilitators were able to overcome most challenges they encountered.

conclusionsThe PConnect co-facilitation model was highly acceptable and appropriate for both the parent facilitators (peer leaders) and the staff facilitators. Including parents as peer leaders aligns to Head Start's emphasis on parent engagement, making it a strong candidate for sustained implementation in Head Start. The insights gained about the drivers of peer leadership appropriateness and acceptability in this particular context may be used to inform the design and implementation of peer-led health programs elsewhere.

trial registrationclinicaltrials.gov, NCT03334669 (7-11-17).

Indexed as

Pediatric ObesityChild, PreschoolHealth PromotionHumansLeadershipParentsQualitative ResearchEarly childhood educationHead StartImplementation outcomesObesity preventionParentsPeer leadership

Identifiers

PMID33482774
PMCPMC7825243
OpenAlexW3124053091

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.