American Journal of Health Promotion
Volume 32, Issue 2, 2018, Pages 473-484

Healthy Immigrant Families: Randomized Controlled Trial of a Family-Based Nutrition and Physical Activity Intervention (Article)

Wieland M.L.* , Hanza M.M.M. , Weis J.A. , Meiers S.J. , Patten C.A. , Clark M.M. , Sloan J.A. , Novotny P.J. , Njeru J.W. , Abbenyi A. , Levine J.A. , Goodson M. , Capetillo G.D.P. , Osman A. , Hared A. , Nigon J.A. , Sia I.G.
  • a Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, United States
  • b Department of Development, Mayo Clinic, Rochester, MN, United States
  • c Department of Research Administration, Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN, United States
  • d Department of Graduate Nursing, Winona State University, Rochester, MN, United States
  • e Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States
  • f Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States
  • g Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States
  • h Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States
  • i Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, United States
  • j Division of Clinical Microbiology, Mayo Clinic, Rochester, MN, United States
  • k Division of Endocrinology, Mayo Clinic, Scottsdale, AZ, United States
  • l Alliance of Chicanos, Hispanics and Latin Americans, Rochester, MN, United States
  • m Language Services, Mayo Clinic, Rochester, MN, United States
  • n Somali Community Resettlement Services, Rochester, MN, United States
  • o Somali Community Resettlement Services, Rochester, MN, United States
  • p Hawthorne Education Center, Rochester, MN, United States
  • q Division of Infectious Diseases, Mayo Clinic, Rochester, MN, United States

Abstract

Purpose: To evaluate a healthy eating and physical activity intervention for immigrant families, derived through community-based participatory research. Design: The Healthy Immigrant Families study was a randomized controlled trial with delayed intervention control group, with families as the randomization unit. Setting: US Midwest city. Participants: Participants were recruited by community partners from Hispanic, Somali, and Sudanese immigrant communities. Intervention: Family health promoters from participating communities delivered 6 healthy eating modules, 4 physical activity modules, and 2 modules synthesizing information in 12 home visits (60-90 minutes) within the first 6 months. Up to 12 follow-up phone calls to each participant occurred within the second 6 months. Measures: Primary measures were dietary quality measured with weekday 24-hour recall and reported as Healthy Eating Index score (0-100) and physical activity measured with accelerometers (14 wear days) at baseline, 6, 12, and 24 months. Results: In total, 151 persons (81 adolescents and 70 adults; 44 families) were randomly assigned. At 12 months, significant improvement occurred in Healthy Eating Index scores for adults in the intervention group compared with controls (change, +8.6 vs −4.4; P <.01) and persisted at 24 months (+7.4 from baseline; P <.01). No differences were observed for adolescents and no significant differences occurred between groups for physical activity. Conclusion: This intervention produced sustained dietary quality improvement among adults but not among adolescents. Program outcomes are relevant to communities working to decrease cardiovascular risk among immigrant populations. © 2017, © The Author(s) 2017.

Author Keywords

Community-based participatory research immigrant–refugee health physical activity dietary quality

Index Keywords

education exercise human middle aged controlled study randomized controlled trial family health procedures United States Humans migrant Adolescent male Emigrants and Immigrants female Healthy Diet organization and management adult health education participatory research Community-Based Participatory Research Accelerometry nutritional status Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040967589&doi=10.1177%2f0890117117733342&partnerID=40&md5=70926b0b8fde50fdc5f27a42e7821160
DOI: 10.1177/0890117117733342
ISSN: 08901171
Cited by: 5
Original Language: English