International Journal of Environmental Research and Public Health
Volume 15, Issue 7, 2018

Predictors of participant attendance patterns in a family-based intervention for overweight and obese hispanic adolescents (Article) (Open Access)

St. George S.M.* , Petrova M. , Lee T.K. , Sardinas K.M. , Kobayashi M.A. , Messiah S.E. , Prado G.
  • a Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, United States
  • b Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, United States
  • c Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, United States
  • d Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, United States
  • e Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, United States
  • f Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, United States, Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL 33136, United States
  • g Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, United States

Abstract

This study examined participant attendance patterns and individual (e.g., income), family dynamics (e.g., communication), and cultural (i.e., Americanism, Hispanicism) predictors of these patterns among Hispanic families enrolled in a 12-week family-based intervention, Familias Unidas for Health and Wellness. Hispanic adolescents (n = 140, 49% female, 13.04 ± 0.87 years old, 36% overweight, 64% obese, 39% immigrants) and their parents (87% female, 42.09 ± 6.30 years old, BMI 30.99 ± 6.14 kg/m 2 , 90% immigrants) were randomized to the intervention condition. A repeated measures latent class analysis that included 12 binary variables (yes/no) of attendance identified three subgroups of attendance patterns: consistently high, moderate and decreasing, and consistently low. An ANOVA was then conducted to examine whether the identified attendance patterns differed by individual, family dynamics, and cultural characteristics at baseline. Parents in the consistently high attendance group had lower Americanism than those in either of the other attendance groups. Adolescents in the consistently high attendance group had lower Hispanicism than those in either of the other attendance groups. No other variables significantly discriminated between attendance groups. Sustained attendance in the Familias Unidas for Health and Wellness intervention may be driven by Hispanic parents’ desire to better understand their host culture, connect with other culturally similar parents, and reconnect adolescents with their heritage culture. © 2018 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

Hispanic attendance Obesity intervention Acculturation Family

Index Keywords

Communication interpersonal communication human middle aged Overweight statistics and numerical data controlled study obesity randomized controlled trial socioeconomic status ethnology Hispanic Americans predictor variable United States Humans family Hispanic Adolescent cultural identity male female Acculturation health geography patient attendance cultural heritage young population cultural factor Latino people Article Family Relations major clinical study adult Americanism Hispanicism family relation Familias Unidas for Health and Wellness intervention patient participation adolescent obesity obesity management family dynamics Cultural Characteristics ethnicity body mass parental attitude health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85050257656&doi=10.3390%2fijerph15071482&partnerID=40&md5=86b4071c28207ff0e00e67257ccca9a7
DOI: 10.3390/ijerph15071482
ISSN: 16617827
Cited by: 1
Original Language: English