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Healthcare 2018, 6(2), 51; https://doi.org/10.3390/healthcare6020051

Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H

1
Davis College of Agriculture, Natural Resources & Design, Division of Animal and Nutritional Sciences, West Virginia University, G016 Agricultural Science Building, Morgantown, WV 26506, USA
2
Nutrition and Health Sciences Department, University of Nebraska-Lincoln, 110 Ruth Leverton Hall, Lincoln, NE 68583-0806, USA
3
Department of Nutrition, University of Tennessee, 1215 W. Cumberland Avenue, 229 Jessie Harris Building, Knoxville, TN 37996-1920, USA
4
Department of Health and Nutritional Sciences, South Dakota State University, Box 2275A, SWG 425, Brookings, SD 57007, USA
5
School of Food and Agriculture, University of Maine, 5735 Hitchner Hall, Orono, ME 04469, USA
*
Author to whom correspondence should be addressed.
Received: 4 May 2018 / Revised: 18 May 2018 / Accepted: 21 May 2018 / Published: 22 May 2018
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Abstract

iCook 4-H is a lifestyle intervention to improve diet, physical activity and mealtime behavior. Control and treatment dyads (adult primary meal preparer and a 9–10-year-old youth) completed surveys at baseline and 4, 12, and 24 months. A Health Disparity (HD) score composite was developed utilizing a series of 12 questions (maximum score = 12 with a higher score indicating a more severe health disparity). Questions came from the USDA short form U.S. Household Food Security Survey (5), participation in food assistance programs (1), food behavior (2), level of adult education completed (1), marital status (1), and race (1 adult and 1 child). There were 228 dyads (control n = 77; treatment n = 151) enrolled in the iCook 4-H study. Baseline HD scores were 3.00 ± 2.56 among control dyads and 2.97 ± 2.91 among treatment dyads, p = 0.6632. There was a significant decline in the HD score of the treatment group from baseline to 12 months (p = 0.0047) and baseline to 24 months (p = 0.0354). A treatment by 12-month time interaction was found (baseline mean 2.97 ± 2.91 vs. 12-month mean 1.78 ± 2.31; p = 0.0406). This study shows that behavioral change interventions for youth and adults can help improve factors that impact health equity; although, further research is needed to validate this HD score as a measure of health disparities across time. View Full-Text
Keywords: behavior; health disparities; nutrition; physical activity; family mealtime behavior; health disparities; nutrition; physical activity; family mealtime
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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Olfert, M.D.; Barr, M.L.; Hagedorn, R.L.; Franzen-Castle, L.; Colby, S.E.; Kattelmann, K.K.; White, A.A. Health Disparities Score Composite of Youth and Parent Dyads from an Obesity Prevention Intervention: iCook 4-H. Healthcare 2018, 6, 51.

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