Family-Based Obesity Prevention Interventions among Hispanic Children and Families: A Scoping Review

Authors

Erica G Soltero
Armando Peña
Veronica Gonzalez
Edith Hernandez
Guisela Mackey
Chishinga Callender
Jayna M Dave
Debbe Thompson

Publication Date

8-3-2021

Journal

Nutrients

DOI

10.3390/nu13082690

PMID

34444850

PMCID

PMC8402012

PubMedCentral® Posted Date

8-3-2021

PubMedCentral® Full Text Version

Post-print

Published Open-Access

yes

Keywords

Adolescent, Behavior Therapy, Child, Consumer Health Information, Culturally Competent Care, Family Therapy, Feeding Behavior, Female, Health Behavior, Health Promotion, Hispanic or Latino, Humans, Male, Obesity, Program Evaluation, Randomized Controlled Trials as Topic, Social Determinants of Health, obesity, children, adolescents, social determinants of health, prevention interventions

Abstract

This scoping review examined intervention and sample characteristics of family-based obesity prevention interventions among Hispanic youth. This review also examined the degree to which existing interventions were culturally-adapted, acknowledged social determinants of health (SDoH), and collaborated with community stakeholders. A comprehensive search across Medline Ovid, Embase, Scopus, PsycInfo, and Pubmed was used to identify 13 studies primarily based in the U.S. (92.3%). Data was extracted by two independent reviewers. Most used a randomized control trial design (69.2%), a behavior change theory (84.6%), and reported moderate to high (≥70%) retention (69.2%). Studies targeted improvements in physical activity (69.2%) and fruit and vegetable intake (92.3%) through nutrition education, cooking demonstrations, and tastings. Younger children from low socioeconomic backgrounds (61.5%) were well represented. Most interventions were culturally-adapted (69.2%), all studies reported collaboration with stakeholders, yet only half used strategies that acknowledged SDoH (46.2%). To increase our understanding of the underlying mechanisms by which family-based approaches can reach and engage Hispanic youth and families, future studies should rigorously evaluate theoretical constructs, family processes, and SDoH that influence program participation and health behaviors. This information will guide the design and development of future interventions aimed at reducing obesity disparities among Hispanic youth.