Case study: Behavior changes in the family-focused obesity prevention HOME Plus program

Michelle L. Myers, Jayne Fulkerson, Sarah E Friend, Melissa L Horning, Colleen F. Flattum

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Objective: The purpose of this case study is to describe two successful HOME Plus participants and highlight how an intervention with individual and group components can help families make lifestyle changes that result in improvements in child weight status. Design: One hundred and sixty families participated in the HOME Plus study, and were randomized to either a control or intervention group. Sample: Two successful HOME Plus participants were chosen because of their healthful changes in weight status and behavior and high engagement in the program. Measurements: Data were collected at baseline and postintervention, 1 year later. Data included height, weight, home food inventory, dietary recalls, and psychosocial surveys. Intervention: Families in the intervention group participated in cooking and nutrition education sessions, goal-setting activities, and motivational interviewing telephone calls to promote behavioral goals associated with meal planning, family meal frequency, and healthfulness of meals and snacks. Results: Analysis of the families' behaviors showed that Oliver (fictitious name) experienced changes in nutritional knowledge and cooking skill development while Sophia's (fictitious name) changes were associated with healthful food availability and increased family meal frequency. Conclusion: These cases show that offering a multicomponent, family-focused program allows participants to select behavior strategies to fit their unique family needs.

Original languageEnglish (US)
Pages (from-to)299-306
Number of pages8
JournalPublic Health Nursing
Volume35
Issue number4
DOIs
StatePublished - Jul 1 2018

Bibliographical note

Funding Information:
This publication was completed as a capstone project for a Master’s of Nursing degree at the University of Minnesota. This study and publication was supported by Grant R01 DK08400 by the National Institute of Diabetes and Digestive and Kidney Diseases at the National Institutes of Health (NIH). Its contents are solely the responsibility of the authors and do not necessarily represent the views of the NIH. Software support was also provided by the University of Minnesota’s Clinical and Translational Science Institute (Grant 1UL1RR033183 from the National Center for Research Resources of the NIH). The HOME Plus trial is registered with ClinicalTrials.gov Identifier: NCT01538615.

Funding Information:
Funding information This publication was completed as a capstone project for a Master's of Nursing degree at the University of Minnesota. This study and publication was supported by Grant R01 DK08400 by the National Institute of Diabetes and Digestive and Kidney Diseases at the National Institutes of Health (NIH). Its contents are solely the responsibility of the authors and do not necessarily represent the views of the NIH. Software support was also provided by the University of Minnesota's Clinical and Translational Science Institute (Grant 1UL1RR033183 from the National Center for Research Resources of the NIH). The HOME Plus trial is registered with ClinicalTrials.gov Identifier: NCT01538615.

Keywords

  • case study
  • childhood obesity
  • family
  • family meals
  • obesity prevention

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