An Integrated Approach to Prevention of Obesity in High Risk Families

AN INTEGRATED APPROACH TO PREVENTION OF OBESITY IN HIGH RISK FAMILIES

Sponsoring Institution

National Institute of Food and Agriculture

Project Status

COMPLETE

Funding Source

HATCH

Reporting Frequency

Annual

Accession No.

0221388

Grant No.

(N/A)

Cumulative Award Amt.

(N/A)

Proposal No.

(N/A)

Multistate No.

W-1005

Project Start Date

Oct 1, 2009

Project End Date

Sep 30, 2012

Grant Year

(N/A)

Program Code

[(N/A)]- (N/A)

Recipient Organization
OKLAHOMA STATE UNIVERSITY
(N/A)
STILLWATER,OK 74078

Performing Department
Human Sciences

Non Technical Summary
Parenting behaviors, attitudes, and styles have been identified as contributing to the continuing high rates of childhood obesity and overweight. Research is needed that compares the relation to childhood obesity and overweight of parenting behaviors, attitudes, and styles that are focused on food with those that characterize aspects of family life other than meals and eating.

Animal Health Component

(N/A)

Research Effort Categories

Basic

100%

Applied

(N/A)

Developmental

(N/A)

Classification

Knowledge Area (KA)	Subject of Investigation (SOI)	Field of Science (FOS)	Percent
802	6020	3030	100%

Knowledge Area
802 - Human Development and Family Well-Being;

Subject Of Investigation
6020 - The family and its members;

Field Of Science
3030 - Information and communication;

Keywords

obesity

parent-child interactions

Goals / Objectives
Objective #3: To assess parent-child interactions in the target population as they relate to key behaviors identified as being associated with resilience to overweight. Objective #4: Determine appropriate tools to effectively measure salient behavioral differences between low-income families in the parent-child relationships identified in Objective 3 for the community setting. Objective #5: Design a framework for prevention strategies targeting the development of resilience behaviors.

Project Methods
Objective #3: To assess parent-child interactions in the target population as they relate to key behaviors identified as being associated with resilience to overweight. Method - W1005 Pilot Questionnaire includes 1. Assessment of parenting styles. Parenting Behavior Questionnaire - Head Start (40 items). (Coolahan K, McWayne C, Fantuzzo J, Grim S. Validation of multidimensional assessment of parenting styles for low-income African-American families with preschool children. Early Childhood Research Quarterly. 2002 Fal;17(3):356-373.) 2. Assessment of parental feeding behaviors - Child Feeding Questionnaire (3 items). (Birch LL et al. Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite. 2001 36(3):201-210.) 3. Assessment of parental feeding style - Child Feeding Styles Questionnaire (19 items). (Hughes SO, Power TG, Orlet Fisher J, Mueller S, Nicklas TA. Revisiting a neglected construct: parenting styles in a child-feeding context. Appetite. 2005 Feb;44(1):83-92. Epub 2004 Nov 13.) 4. Assessment of demographics - Questions from Demographic Information Questionnaire and other measures Objective #4: Determine appropriate tools to effectively measure salient behavioral differences between low-income families in the parent-child relationships identified in Objective 3 for the community setting Methods will be adapted after the pilot study using the methods under objective #3 is completed Objective #5: Design a framework for prevention strategies targeting the development of resilience behaviors. Methods will be adapted after final tools are identified.

Progress 10/01/09 to 09/30/12

Outputs
OUTPUTS: Activities: Implementation of Oklahoma's contribution to multi-state data collection with mothers and children enrolled in Head Start centers. Statistical analysis of final preschool data set for one of the two manuscripts produced by members of Objective 3 and Objective 5 of W1005. Events: Participation in multiple child obesity related sessions at Experimental Biology 2011 and 2012. Service: Students graduated in Human Sciences: MS degree completion: Tabitha Valtr. Maternal Characteristics Related to Infant Growth, December 2011. PhD degree completion: Ajok Beatrice Okwonga. Mediators and moderators of the links of parenting styles and feeding practices to child weight status. July 2011. Advisor: Laura Hubbs-Tait. PARTICIPANTS: Laura Hubbs-Tait, PhD, Regents Professor, Human Development and Family Science, Oklahoma State University. Mentoring of one MS/PhD graduate student, Ashley Blakely Kimble, in understanding the childhood obesity research literature. Training of one MS student, Nikole Dominque-Maikell, in Human Development and Family Science in height and weight measurement of mothers and children and in mother interviews. Mentoring MS student Tabitha Valtr to graduation (research topic = infant growth and rapid weight gain). Mentoring PhD student Ajok Beatrice Okwonga to graduation (research topic = parenting styles and childhood overweight and obesity). Partner organzations: College of Human Sciences, Oklahoma State University: Financial support 2011 and United Community Action Project Head Start TARGET AUDIENCES: Parents, researchers, policy makers PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.

Impacts
Webinars: Fisher, J. O., & Hubbs-Tait, L. (October 20, 2010). Early parenting and feeding practices. Webinar presented for Families, Food and Fitness Community of Practice. This webinar continues in 2012 to be available to the public on the eXtension website (http://www.extension.org/pages/30547/early-parenting-and-feeding-pra ctices) and is also available through various other websites: http://ebookbrowse.com/part-i-and-ii-early-parenting-and-feeding-10-2 0-10-pdf-d36365708. Publications for Family and Consumer Sciences and Nutrition Extension educators: Okwonga, A. B., Topham, G.L., & Hubbs-Tait, L. (March 2011). Effects of maternal depression and socio-economic status on the parenting style/child obesity link. http://fcs.okstate.edu/publications/research-update/March2011/ Hubbs-Tait, L. & Sommer, K. (2010, September). Parental feeding practices predict parenting styles. (Short title: Parental feeding and parenting styles). http://fcs.okstate.edu/publications/research-update/Sept2010/ Reality 101: Parenting and Child Obesity. Presentation for Oklahoma Extension Educators at Oklahoma State University, January 19, 2010

Publications

Okwonga, B., Henry, N., Kennedy, T. S., Richardson, D., & Hubbs-Tait, L. (2010, March). Teachers ratings of behaviors of overweight preschool children. Paper presented at the Biennial Meeting of the Society for Research in Human Development, San Antonio, TX.
Swindle, T., Harrist, A. W., Hubbs-Tait, L., Shriver, L. H., Page, M. C., & Topham G. L. (2010, March). The interaction of sociometric status, weight, and self-esteem among first grade children. Paper presented at the Biennial Meeting of the Society for Research in Human Development, San Antonio, TX.
Valtr, T., Aubuchon-Endsley, N., Grant, S., Kennedy, T., Thomas, D., & Hubbs-Tait, L. (2010, March). Relation of weight-for-length to maternal affect and parenting style. Poster presented at the Biennial Meeting of the Society for Research in Human Development, San Antonio, TX.
Hubbs-Tait, L., Baker, E. R., Henry, N., Kennedy, T. S., Topham, G. L., Larzelere, R. E. (2011, April). Effect modifiers of relations between preschool obesity and parenting styles or feeding practices. Paper presented in Preventing Childhood Obesity session at the annual meeting of the Federated Associated Societies of Experimental Biology in Washington, D.C. Abstract published in FASEB J. 2011;25:99.4.
Okwonga A. B., Hubbs-Tait, L., Henry, N., Kennedy, T. S., Richardson, D., Baker, E. R. (2011, April). Teacher ratings of behavior problems and preschool child odds of obesity. Poster presented at the annual meeting of the Federated Associated Societies of Experimental Biology in Washington, D.C. (Nominated for Nutrition Education Research Interest Section best presentation). Abstract published in FASEB J. 2011;25:99.4.
Harrist, A. W., Topham, G. L., Hubbs-Tait, L., Shriver, L. H., & Page, M. C. (2010, April). Does young childrens emotion regulation predict emotional and external eating Poster presented at the Annual Meeting of the Federated Associated Societies of Experimental Biology, Annaheim, CA. Abstract published in FASEB J.2010;24:730.3
Dickin, K. L., Hubbs-Tait, L., Jahns, L., Mobley, A., Willits-Smith, A., & Sigman-Grant, M. (2012, May). What can child silhouette data tell us Exploring links to parenting, food and activity behaviors, BMI, and maternal concerns. Poster presented at the annual meeting of International Society for Behavioral Nutrition & Physical Activity, Austin, TX.
Dickin, KL, Hubbs-Tait, L., Sigman-Grant, M., Jahns, L. & Mobley, A. Feeding practices correlated with authoritative parenting style and responsive feeding style scores. Poster presented at the annual meeting of the Federated Associated Societies of Experimental Biology, San Diego, CA. Abstract published in FASEB J. 2012;26:1011.14.
Harrist, A.W., Cui,L., Swindle, T., Page, M.C., Hubbs-Tait, L. & Topham, G. L. Are obese and overweight children disliked in 1st grade Teacher and classmate ratings. Paper presented in Childhood Obesity: When Should We Intervene session at the annual meeting of the Federated Associated Societies of Experimental Biology, San Diego, CA. Abstract published in FASEB J. 2012;26:374.7.
Okwonga, A. B., Hubbs-Tait, L., Topham, G.L., Larzelere, R. E., Rutledge, J., Cui, L., Kennedy, T. S., Page, M., & Harrist, A. (2012, April). Parenting styles moderate links of feeding practices to odds of child obesity and overweight. Paper presented in Childhood Obesity: When Should We Intervene session at the annual meeting of the Federated Associated Societies of Experimental Biology, San Diego, CA. Abstract published in FASEB J. 2012;26:374.6
Valtr, T., Hubbs-Tait, L., Grant, S., Aubuchon-Endsley, N., Kennedy, T. S., Thomas, D. G. (2012, April). Early parenting correlates of 9 mo formula amount of predominantly breastfed US 3 mo infants. Poster presented at the annual meeting of the Federated Associated Societies of Experimental Biology, San Diego, CA. Abstract published in FASEB J. 2012;26:806.10
Rutledge, J. M., Swindle, T. M., Harrist, A. W., Hubbs-Tait, L. Page, M. C., Shriver, L. H., Topham, G. L. (2012, March) Gender and Ethnic Trends in the Dimensions of Self-Evaluation as Risk and Protective Factors among Overweight and Non-Overweight Children. Poster presented at the biennial meeting of the Society for Research in Human Development, New Orleans, LA.
Harrist, A. W., Anderson, J. S., Swindle, T. M., Page, M. S., Rutledge, J., Hubbs-Tait, L., Topham, G. L., Shriver, L. H. (2011, April). Classroom social position of obese and at-risk rural 1st-grade children. Poster presented at the biennial meeting of Society for Research on Child Development, Montreal, Quebec, Canada.

Progress 10/01/10 to 09/30/11

Outputs
OUTPUTS: Obtained IRB approval and data collection from 23 mothers of children enrolled in Head Start with W1005 Objective 3 Questionnaire and weighing and measuring 23 mothers and their children. Collaboration with Aidan Tait and Blanca Bojorquez on initial translation of W1005 questionnaire for Spanish-mostly speaking mothers. PARTICIPANTS: Student involvement: Training of one MS student, Nikole Dominque-Maikell, in Human Development and Family Science. One PhD student, Beatrice Okwonga, completed dissertation in Human Development and Family Science. Supervision of one MS student, Tabitha Valtr, in proposing MS thesis in infant weight gain in the first 9 months of life as linked to parenting styles and behaviors. TARGET AUDIENCES: Nothing significant to report during this reporting period. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.

Impacts
Webinar presented for Families, Food and Fitness Community of Practice. Fisher, J. O., & Hubbs-Tait, L. (October 20, 2010). Early parenting and feeding practices. Publications for Family and Consumer Sciences and Nutrition Extension educators: Okwonga, A. B., Topham, G.L., & Hubbs-Tait, L. (March 2011). Effects of maternal depression and socio-economic status on the parenting style/child obesity link. http://fcs.okstate.edu/publications/research-update/March2011/

Publications

Topham, G. L., Hubbs-Tait, L., Rutledge, J. M., Page, M. C., Kennedy, T. S., Shriver, L. H., & Harrist, A. H. (2011). Parenting styles, parental response to child emotion, and family emotional expressiveness are related to child emotional eating. Appetite, 56, 261-264.

Progress 10/01/09 to 09/30/10

Outputs
OUTPUTS: Status of Participation in W1005 Pilot Test A - Revised IRB application and materials have been resubmitted to OSU IRB - After W1005 meeting, the research team requested permission to obtain weights of children from Head Start Center directors (so that W1005 would have validation of maternal perceptions in the W1005 data set) - Also have identified private rooms in two Head Start centers in which we can weigh mothers (the major concern of OSU IRB) - We have full cooperation from two Head Start center directors with 10-15 Latino (and more Caucasian) mothers per center. Dissemination (Outreach) - Outreach to Extension Educators Reality 101: Parenting and Child Obesity. Presentation for Oklahoma Extension Educators at Oklahoma State University, January 19, 2010 Extension research updates Hubbs-Tait, L. & Sommer, K. (2010, September). Parental feeding practices predict parenting styles. (Short title: Parental feeding and parenting styles). Retrieved from: http://fcs.okstate.edu/publications/research-update/Sept2010/. PARTICIPANTS: Students Trained: Doctoral student, Ajok Beatrice Okwonga - see presentation at biennial meeting of the Society for Research in Human Development; dissertation research ongoing. TARGET AUDIENCES: Nothing significant to report during this reporting period. PROJECT MODIFICATIONS: Not relevant to this project.

Impacts
There are no outcomes or impacts to report during this time period.

Publications

Harrist, A. W., Topham, G. L., Hubbs-Tait, L., Shriver, L. H., & Page, M. C. (2010, April). Does young children's emotion regulation predict emotional and external eating Poster presented at the Annual Meeting of the Federated Associated Societies of Experimental Biology, Annaheim, CA. Abstract published in FASEB J. 24:730.3
Okwonga, B., Henry, N., Kennedy, T. S., Richardson, D., & Hubbs-Tait, L. (2010, March). Teachers' ratings of behaviors of overweight preschool children. Paper presented at the Biennial Meeting of the Society for Research in Human Development, San Antonio, TX.
Swindle, T., Harrist, A. W., Hubbs-Tait, L., Shriver, L. H., Page, M. C., & Topham G. L. (2010, March). The interaction of sociometric status, weight, and self-esteem among first grade children. Paper presented at the Biennial Meeting of the Society for Research in Human Development, San Antonio, TX.
Topham, G. L., Harrist, A. W., Page, M. C., Rutledge, J. M., Kennedy, T. S., Shriver, L. H., & Hubbs-Tait, L. (2010). Maternal depression and socioeconomic status moderate the parenting style/child obesity association. Public Health Nutrition, 13, 1237-1244.