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Open AccessArticle

Comparative Effectiveness Trial of an Obesity Prevention Intervention in EFNEP and SNAP-ED: Primary Outcomes

DePaul University, Department of Psychology, 2219 N. Kenmore Ave, Chicago IL 60614, USA
University of Illinois at Chicago, Institute for Health Research and Policy, 1747 West Roosevelt Road, Chicago, IL 60608, USA
University of Illinois at Chicago, Department of Kinesiology and Nutrition, 1919 West Taylor Street, Chicago, IL 60612, USA
Medical College of Wisconsin, General Internal Medicine, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA
Family and Consumer Sciences, University of Illinois Cooperative Extension Service, University of Illinois at Urbana-Champaign, 905 S. Goodwin Ave, Urbana, IL 61801, USA
Department of Pediatrics, University of Illinois at Chicago, 840 S. Wood Street, Chicago, IL 60612, USA
University of Illinois Cancer Center, University of Illinois at Chicago, 818 South Wolcott Avenue, Chicago, IL 60612, USA
Author to whom correspondence should be addressed.
Nutrients 2019, 11(5), 1012;
Received: 19 February 2019 / Revised: 19 April 2019 / Accepted: 30 April 2019 / Published: 5 May 2019
(This article belongs to the Special Issue Food and Nutrient Intake, Diet Quality, Obesity and Cancer)
There is a need to disseminate evidence-based childhood obesity prevention interventions on a broader scale to reduce obesity-related disparities among underserved children. The purpose of this study was to test the comparative effectiveness of an evidence-based obesity prevention intervention, Hip-Hop to Health (HH), delivered through Expanded Food and Nutrition Education Program (EFNEP) and the Supplemental Nutrition Assistance Program-Education (SNAP-Ed) versus the standard curriculum delivered by the programs (Standard Nutrition Education (NE)). A nonequivalent control group design was delivered to compare the effectiveness of HH to NE on weight gain prevention and health behavior outcomes at EFNEP and SNAP-Ed sites. One hundred and fifty-three caregiver–child dyads (n = 103 in the HH group; n = 50 in the NE group) participated in the study. HH is an evidence-based dietary and physical activity intervention for low-income preschool children. The NE curriculum provided lessons for children that are consistent with the Dietary Guidelines for Americans 2010. Data were collected on demographics, anthropometrics, and behavioral variables for parent–child dyads at baseline and postintervention. Mixed model methods with random effects for site and participant were utilized. No differences in child or caregiver diet, physical activity, or screen time by group were found. No between-group differences in child BMI z-score were found; however, caregivers in the HH group lost significantly more weight than those in the NE group. Results from this trial can inform future dissemination efforts of evidenced-based programs for underserved families. View Full-Text
Keywords: obesity prevention; preschool children; USDA; dissemination; EFNEP; SNAP-Ed obesity prevention; preschool children; USDA; dissemination; EFNEP; SNAP-Ed
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Buscemi, J.; Odoms-Young, A.; Stolley, M.R.; Schiffer, L.; Blumstein, L.; Clark, M.H.; Berbaum, M.L.; McCaffrey, J.; Braunschweig, C.; Fitzgibbon, M.L. Comparative Effectiveness Trial of an Obesity Prevention Intervention in EFNEP and SNAP-ED: Primary Outcomes. Nutrients 2019, 11, 1012.

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