Evidence map›Paper›PMID 34222765›Full record

ArticleCurrent developments in nutrition2021

Use of Text Messaging and Facebook Groups to Support the Healthy Children, Strong Families 2 Healthy Lifestyle Intervention for American Indian Families.

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

2 registry-linked trialsAbstract read
In one paragraph

Article in Current developments in nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 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.

NCT01776255 nacompletednot on this map

Healthy Children, Strong Families: American Indian Communities Preventing Obesity

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2013 to 2017Enrolled900ConditionsObesity, OverweightArmsHealthy Children, Strong Families, Child Safety
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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
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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

5 authors.

Emily J TomaykoCenter for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, USA.ORCID https://orcid.org/0000-0002-9074-0875
Eliza J WebberCenter for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, USA.
Kate A CroninDepartment of Surgery, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.
Ronald J PrinceDepartment of Population Health, School of Medicine and Public Health, University of Wisconsin, Madison, WI, USA.ORCID https://orcid.org/0000-0002-9653-8184
Alexandra K AdamsCenter for American Indian and Rural Health Equity, Montana State University, Bozeman, MT, USA.ORCID https://orcid.org/0000-0002-3157-6438

Funding

Translational Biomarkers CoreP20GM104417 · NIGMS · MONTANA STATE UNIVERSITY - BOZEMAN · PI ADAMS, ALEXANDRA K. · 2014 to 2023
$23.1M
Healthy children, Strong families: American Indian Communities Preventing ObesityR01HL114912 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI ADAMS, ALEXANDRA K. · 2012 to 2016
$3.5M
NHLBI NIH HHS R01 HL114912NIGMS NIH HHS P20 GM104417
6 · The paper itself

Abstract

backgroundFew obesity interventions have been developed for American Indian (AI) families despite the disproportionate risk of obesity experienced within AI communities. The emergence of mobile technologies to enhance intervention delivery could particularly benefit AI communities, many of which are hard to reach and underserved.

objectivesThis study aimed to assess the use and perceptions of text messaging and Facebook to support delivery of the Healthy Children, Strong Families 2 (HCSF2) mailed healthy lifestyle/obesity prevention intervention and discuss lessons learned regarding intervention support via these platforms among AI participants.

methodsFrom among AI families with young children (ages 2-5 y), 450 adult-child dyads were recruited from 5 rural and urban communities for a year-long intervention. Intervention content was delivered by mail and supported by text messaging and optional Facebook groups. Participants provided feedback on text message and Facebook components post-intervention, and Facebook analytic data were tracked.

resultsSelf-report feedback indicated high satisfaction with both text messaging and Facebook, with tangible content (e.g., recipes, physical activity ideas) cited as most useful. Overall, participants reported higher satisfaction with and perceived efficacy of Facebook content compared with text messaging. Analytic data indicate the optional HCSF2 Facebook groups were joined by 67.8% of adult participants. Among those who joined, 78.4% viewed, 50.8% "liked," and 22.6% commented on ≥1 post. Engagement levels differed by urban-rural status, with more urban participants "liking" (

conclusionsThis study demonstrates high satisfaction regarding mobile delivery of HCSF2 intervention support components. Best practices and challenges in utilizing different mobile technologies to promote wellness among AI families are discussed, with particular focus on urban-rural differences. Future mobile-based interventions should consider the context of unstable technology maintenance, especially in low-resource communities.This work is part of the HCSF2 trial, which is registered at clinicaltrials.gov (NCT01776255).

Indexed as

American IndiancommunicationFacebookfamily-based interventionhealth promotionobesity preventionsocial mediatext messaging

Identifiers

PMID34222765
PMCPMC8242221

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.