Relationships examined: Parent and child readiness to change and sociodemographic characteristics in family based weight loss treatment

Author:

Ramel Melissa1ORCID,Wilfley Denise E.2,Tabak Rachel3,Lew Daphne4,Moursi Nasreen A.2,Kilanowski Colleen5,Cook Steven R.6,Eneli Ihouma U.7,Quattrin Teresa5,Schechtman Kenneth B.4,Epstein Leonard H.5

Affiliation:

1. Department of Family and Consumer Sciences Fontbonne University St. Louis Missouri USA

2. Department of Psychiatry Washington University in St. Louis School of Medicine St. Louis Missouri USA

3. Brown School Washington University in St. Louis St. Louis Missouri USA

4. Department of Biostatistics Washington University in St. Louis School of Medicine St. Louis Missouri USA

5. Department of Pediatrics, Jacobs School of Medicine, and Biomedical Sciences University at Buffalo Buffalo New York USA

6. Department of Pediatrics University of Rochester Medical Center Rochester New York USA

7. Department of Pediatrics Nationwide Children's Hospital Columbus Ohio USA

Abstract

SummaryBackgroundFamily based treatment is an effective, multipronged approach to address obesity as it plagues families.ObjectiveTo investigate the relationships among sociodemographic characteristics (e.g., education and income), body mass index (BMI) and race/ethnicity with readiness to change for parents enrolled in the Primary care pediatrics, Learning, Activity and Nutrition (PLAN) study.MethodsMultivariate linear regressions tested two hypotheses: (1) White parents will have higher levels of baseline readiness to change, when compared to Black parents; (2) parents with higher income and education will have higher levels of readiness to change at baseline.ResultsA positive relationship exists between baseline parent BMI and readiness to change (Pearson correlation, 0.09, p < 0.05); statistically significant relationships exist between parent education level (−0.14, p < 0.05), income (0.04, p < 0.05) and readiness to change. Additionally, a statistically significant relationship exists, with both White (β, −0.10, p < 0.05), and Other, non‐Hispanic (−0.10, p < 0.05) parents exhibiting lower readiness to change than Black, non‐Hispanic parents. Child data did not indicate significant relationships between race/ethnicity and readiness to change.ConclusionsResults demonstrate that investigators should consider sociodemographic characteristic factors and different levels of readiness to change in participants enrolling in obesity interventions.

Funder

National Heart, Lung, and Blood Institute

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Nutrition and Dietetics,Health Policy,Pediatrics, Perinatology and Child Health

Reference50 articles.

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