Let's Move Together: A Randomized Trial of the Impact of Family Health History on Encouragement and Co-Engagement in Physical Activity of Mexican-Origin Parents and Their Children

Autor/inn/en	de Heer, Hendrik Dirk; de la Haye, Kayla; Skapinsky, Kaley; Goergen, Andrea F.; Wilkinson, Anna V.; Koehly, Laura M.
Titel	Let's Move Together: A Randomized Trial of the Impact of Family Health History on Encouragement and Co-Engagement in Physical Activity of Mexican-Origin Parents and Their Children
Quelle	In: Health Education & Behavior, 44 (2017) 1, S.141-152 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198116644703
Schlagwörter	Health Behavior; Family Environment; Health Promotion; Heart Disorders; Diabetes; Physical Activities; Body Weight; Mexican Americans; Parents; Children; Family Influence; Life Style; Surveys; Interviews; Statistical Analysis; Individual Characteristics; Participation; Risk; Access to Information; Regression (Statistics); Texas + Suchen Sie Ihr Suchwort? Health behaviour; Gesundheitsverhalten; Familienmilieu; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Herzkrankheit; Körpergewicht; Hispanoamerikaner; Eltern; Child; Kind; Kinder; Lebensstil; Survey; Umfrage; Befragung; Interviewing; Interviewtechnik; Statistische Analyse; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Teilnahme; Risiko; Regression; Regressionsanalyse
Abstract	Background: Due to shared health behaviors and disease risk, families may be more effective targets for health promotion. This study assessed whether providing family health history (FHH)-based risk information for heart disease and diabetes affected encouragement to engage in physical activity (PA) and healthy weight (HW) maintenance and co-engagement in physical activity among 320 Mexican-origin parents and their 1,081 children. Method: At baseline and 10 months, parents indicated who they encouraged and who encouraged them to engage in PA/HW, and with whom they co-engaged in PA. Households were randomized to receive FHH-based assessments either by one or all adult household members. Primary analyses consisted of regression analyses using generalized estimating equations. Results: At baseline, parents reported encouraging their child for both PA and HW in 37.6% of parent-child dyads and reported receiving children's encouragement for both in 12.1% of dyads. These increased to 56.8% and 17.5% at 10 months (p < 0.001). Co-engagement in PA increased from 11.4% to 15.7% (p < 0.001), with younger children (30.4%) and mother-daughter dyads (26.8%) most likely to co-engage at 10 months. Providing FHH-based risk information to all adult household members (vs. one) was associated with increased parent-to-child encouragement of PA/HW (p = 0.011) at 10 months but not child-to-parent encouragement. New encouragement from parent-to-child (p = 0.048) and from child-to-parent (p = 0.003) predicted new 10-month PA co-engagement. Discussion: Providing FHH information on a household level can promote parental encouragement for PA/HW, which can promote greater parent-child co-engagement in PA. In this high-risk population with a cultural emphasis on family ties, using FHH-based risk information for all adult household members may be a promising avenue to promote PA. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01