Mexican American Mothers' Perceptions of Childhood Obesity and Their Role in Prevention

The childhood obesity epidemic continues to escalate, disproportionately impacting Mexican American children. It is unclear how Mexican American mothers, who are at high-risk of rearing obese children, perceive childhood obesity, prevention or their role in prevention. Three studies - a systematic literature review, a qualitative study focusing on Mexican American mothers' perceptions of childhood obesity, and a qualitative study examining Mexican American mothers' perceptions regarding childhood obesity prevention and their role in prevention - were used to address this research question. The first study is a systematic review of the literature regarding Mexican American mothers' perceptions of childhood obesity and their role in prevention. Four databases were searched for relevant articles and 22 studies met inclusion criteria and were included in the review. Social Cognitive Theory was used to sort similar findings across studies and identify scarce areas researched. Major findings included: (a) mothers felt inadequate to be role models for their children's healthy behaviors, (b) mothers did not identify short-term consequences of childhood obesity, (c) only 23% of studies explicitly used a theoretical framework to guide their study, and (d) most studies used heterogeneous groups (including all caretakers, including all Hispanics/Latinos) to discuss perceptions. The second study used naturalistic inquiry to examine mothers' perceptions regarding childhood obesity, its causes and its consequences. Using a Social Ecological Model adapted to childhood obesity, the study examined causes of childhood obesity at different levels of influence - intrapersonal, interpersonal, and community. Obesity was identified as an adult issue by the mothers. Mothers were more aware of the health risks associated with having underweight children rather than overweight children. Lastly, mothers identified overweight children as those who are suffering from consequences. The third study used a narrative inquiry approach to qualitatively investigate mothers' perceptions. Mothers suggested several ways parents could prevent childhood obesity and overweight among their children. However, fathers, grandparents and schools could unintentionally counter mothers' efforts to encourage healthful behaviors. Mothers identified a lack of ability to speak English, feelings of guilt associated with limiting food intake, and a lack of knowledge and skills as impediments in carrying out obesity preventive behaviors within the home

Lessons Learned from Training of Promotores de Salud for Obesity and Diabetes Prevention

Background: Promotores de Salud are impactful in reducing health disparities for Hispanic communities. The purpose of this paper is to present the training process and fidelity of study protocol implementation using a promotora model for community-based diabetes prevention. Methods: Five Hispanic bilingual promotores were recruited from a Community Health Worker program and received intensive 30-hour promotora training on how to recruit participants, lead group sessions, and support participants making behavior changes. Evaluation of the training included a survey and focus group to assess promotores’ feedback, a post-training knowledge test to assess knowledge acquired during the training and an observational assessment to measure promotores’ skill acquisition. Evaluation of intervention delivery included in-vivo observations to assess attendance and alignment with protocol and a participant focus group to assess acceptance of the intervention being delivered by the promotores. Results: The promotores’ focus group revealed that promotores were satisfied with the training and perceived it to be clear and enjoyable. Post knowledge test scores were high (M=83.8; SD=6.4). Promotores suggested future trainings include more time to develop presentation skills. Study participants perceived the promotores to be supportive and helpful in assisting them to reach their goals. Discussion: Promotores were able to obtain the necessary skills for delivering a diabetes prevention program in an acceptable way among Mexican American women. Conclusion: Promotores can play a critical role in reducing health disparities among Hispanic populations but need adequate training for fulfilling this critical role

THE COMPLEXITIES OF CHILDHOOD OBESITY: A QUALITATIVE STUDY AMONG MEXICAN AMERICAN MOTHERS

Introduction: Mothers play an important role in preventing childhood obesity; however, might differ in how they define healthy weight and the associated consequences. Due to the lack of research investigating how Mexican American mothers perceive childhood obesity, the purpose of this paper is to qualitatively assess Mexican-American mothers’ perceptions regarding childhood obesity, its causes and consequences. Methods: Three focus groups, two in Spanish and one in English, were conducted with 23 mothers in Bryan, TX. Thematic analysis was performed by three researchers independently using sentences as the unit of meaning. Findings: Mexican American mothers believed that a child needs to be a healthy weight to be healthy; however, the mothers varied in their methods for determining if their child was at a healthy weight. Mothers identified several underlying causes of childhood obesity including genetics, parenting, household characteristics and culture. Conclusion: Understanding the views of mothers of at-risk of rearing overweight children are important in elucidating effective strategies for preventing childhood obesity. Communication messages for this group might be more effective if they are contextualized within the culture, household and family

Juntos y Saludables: Outcomes of a peer led approach to obesity prevention for Head Start

Purpose: The purpose of this study was to evaluate Juntos y Saludables (Get Healthy Together), a multi-component obesity prevention pilot tailored for Mexican American Head Start children (ages 3-5). For the parent education component, researchers trained seven peer parent educators to deliver health information via afterschool parent education sessions. When parents attended the sessions, they received a take-home bag with a book and family activity to promote physical activity in the home. Method: Parent intercept interviews, focus groups, and questionnaires were collected (average 80% participation rate). Results: Average participation rate at the parent education sessions was 46% and rates varied between 34% (61 parents) and 53% (94 parents). More parents in the intervention school reported that their child ate fruit at least 3 times (83.5% versus 79.17%), ate in front of the television less than three times (70.87% versus 49.38%) during the typical week and more parents reported that their child watched 2 hours or less of television each day (73.79% versus 13.19%), compared to the comparison school. 81% of parents interviewed correctly identified the program name. On average, parents could recall almost 3 (M=2.94, SD=1.92) of the 8 key messages without a prompt and about 6 (M=5.91, SD=1.88) when prompted. Messages recalled the most, without a prompt, included (1) preschoolers need 60 minutes of physical activity each day, and (2) children who get all five servings of fruits and vegetables each day are more likely to get the nutrients they need. In the focus group, parents reported that they enjoyed the peer-led session format and session scheduled time. Conclusion: Results suggest that peer-led approaches can be highly effective with parents, especially when addressing childhood obesity prevention

Lessons Learned from Juntos Y Saludables Peer-Led Parent Education

Purpose: The objective of this study was to assess the quality of training received by peer educators in the Juntos y Saludables (Get Healthy Together) program. Juntos y Saludables is a multi-component childhood obesity prevention program for Head Start. Method: This study applied the peer led education approach to provide parents with education regarding healthy growth among their children. Seven parents were recruited through teachers, other parents, and the Parent Leadership Institute at a local Head Start center. Faculty and graduate assistants from local universities provided training to the parent educators in both English and Spanish. Training sessions were conducted the week of each new parent education session, with one booster training after spring break (7 training sessions in total). The parent educators were trained to: (1) encourage the Head Start parents to participate in the sessions, (2) explain the health messages, and (3) answer any questions the parents had. A focus group was conducted at the end of the program, with all seven parent educators, to assess their feedback about the training they received. Results: The peer parent educators reported that they became educators to improve children’s health. They were satisfied with the training methods and felt that they learned a lot of information regarding nutrition and physical activity recommendations for their children. They also reported feeling comfortable delivering health information to other parents. Parent educators appreciated that they could work together (e.g., in bilingual pairs) to provide the health education to parents in both English and Spanish. The peer parent education training session attendance was high-71% and greater. Conclusions: Most peer parent educators felt comfortable and confident delivering the material as the program progressed. Earlier training might assist the parent educators to have greater familiarity with content prior to the first session. Educators also created strategies to deal with situations that arose during the sessions (e.g. crowd control, parents requesting extra bags). Future training can include suggested strategies to handle similar situations

Diabetes Self-Management Support Program in Predominantly Hispanic Faith Community Settings: A Pilot Study

Objectives: This study aimed to assess the feasibility, facilitators, barriers, and impact of adopting the Self-Management Resource Center Diabetes Self-Management Program (SMRC DSMP) on diabetes-related outcomes. Methods: The SMRC DSMP was implemented in five churches in San Antonio, Texas. A single group pre-post-test design was used to evaluate program effect on improving T2D outcomes. The primary outcome was glycohemoglobin (HbA1c) and secondary outcomes included Self-Efficacy for Diabetes, health-related quality of life (HRQOL), and patterns of eating and physical activity. Program feasibility, facilitators, and barriers were assessed through documentation and in-person interviews with participants. Results: A total of 96 participants were in the program with 87 completed endpoint surveys (91%). HbA1c level was significantly reduced by 0.73%. HRQL score increased by 2.6 days per month; stretching/strengthening activity increased by 36 minutes per week; and Self-Efficacy for Diabetes score significantly increased. The program was viewed as necessary for the community due to familiar environment with church acquaintances and ease of access to the program. Key barriers were a lack of facilitators’ competency in the Spanish language, short program length, and no ongoing support group / reunions. Conclusion: The DSMP program was feasible and effective when implemented in faith community settings for Hispanics

MUSiC : a model-unspecific search for new physics in proton-proton collisions at root s=13TeV

Results of the Model Unspecific Search in CMS (MUSiC), using proton-proton collision data recorded at the LHC at a centre-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 35.9 fb(-1), are presented. The MUSiC analysis searches for anomalies that could be signatures of physics beyond the standard model. The analysis is based on the comparison of observed data with the standard model prediction, as determined from simulation, in several hundred final states and multiple kinematic distributions. Events containing at least one electron or muon are classified based on their final state topology, and an automated search algorithm surveys the observed data for deviations from the prediction. The sensitivity of the search is validated using multiple methods. No significant deviations from the predictions have been observed. For a wide range of final state topologies, agreement is found between the data and the standard model simulation. This analysis complements dedicated search analyses by significantly expanding the range of final states covered using a model independent approach with the largest data set to date to probe phase space regions beyond the reach of previous general searches.Peer reviewe

Measurement of prompt open-charm production cross sections in proton-proton collisions at root s=13 TeV

The production cross sections for prompt open-charm mesons in proton-proton collisions at a center-of-mass energy of 13TeV are reported. The measurement is performed using a data sample collected by the CMS experiment corresponding to an integrated luminosity of 29 nb(-1). The differential production cross sections of the D*(+/-), D-+/-, and D-0 ((D) over bar (0)) mesons are presented in ranges of transverse momentum and pseudorapidity 4 < p(T) < 100 GeV and vertical bar eta vertical bar < 2.1, respectively. The results are compared to several theoretical calculations and to previous measurements.Peer reviewe

Measurement of the top quark forward-backward production asymmetry and the anomalous chromoelectric and chromomagnetic moments in pp collisions at √s = 13 TeV

Abstract The parton-level top quark (t) forward-backward asymmetry and the anomalous chromoelectric (d̂ t) and chromomagnetic (μ̂ t) moments have been measured using LHC pp collisions at a center-of-mass energy of 13 TeV, collected in the CMS detector in a data sample corresponding to an integrated luminosity of 35.9 fb−1. The linearized variable AFB(1) is used to approximate the asymmetry. Candidate t t ¯ events decaying to a muon or electron and jets in final states with low and high Lorentz boosts are selected and reconstructed using a fit of the kinematic distributions of the decay products to those expected for t t ¯ final states. The values found for the parameters are AFB(1)=0.048−0.087+0.095(stat)−0.029+0.020(syst),μ̂t=−0.024−0.009+0.013(stat)−0.011+0.016(syst), and a limit is placed on the magnitude of | d̂ t| &lt; 0.03 at 95% confidence level. [Figure not available: see fulltext.

Measurement of B-c(2S)(+) and B-c*(2S)(+) cross section ratios in proton-proton collisions at root s=13 TeV

Peer reviewe