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Int. J. Environ. Res. Public Health 2018, 15(7), 1482; https://doi.org/10.3390/ijerph15071482

Predictors of Participant Attendance Patterns in a Family-Based Intervention for Overweight and Obese Hispanic Adolescents

1
Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
2
Department of Pediatrics, University of Miami Miller School of Medicine, Miami, FL 33136, USA
*
Author to whom correspondence should be addressed.
Received: 22 May 2018 / Revised: 28 June 2018 / Accepted: 5 July 2018 / Published: 13 July 2018
(This article belongs to the Special Issue Eating and Exercise in Children and Adolescents)
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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/m2, 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. View Full-Text
Keywords: attendance; family; obesity; intervention; Hispanic; acculturation attendance; family; obesity; intervention; Hispanic; acculturation
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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St. George, S.M.; Petrova, M.; Kyoung Lee, T.; Sardinas, K.M.; Kobayashi, M.A.; Messiah, S.E.; Prado, G. Predictors of Participant Attendance Patterns in a Family-Based Intervention for Overweight and Obese Hispanic Adolescents. Int. J. Environ. Res. Public Health 2018, 15, 1482.

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