Obesity Risk, Parenting and Diet Quality Assessment for Spanish-Speaking Families With Preschool Children: EFNEP, Head Start, Medical Clinic-Year 1


      Produce final versions of two validated obesity risk assessment tools for Spanish speaking parents; assess feasibility of these tools to the child's pediatrician; develop and validate a visual diet quality tool, and determine feasibility of an Expanded Food and Nutrition Education Program (EFNEP) intervention in a medical clinic.


      The Healthy Kids (HK) and My Child at Meal Time (MCMT) tools were translated and cognitively tested (n=30) with Head Start parents. To test the feasibility of EFNEP in a clinic setting, formal planning meetings (n=5) have been conducted. A 22-item diet quality tool focusing on vegetable intake was developed and cognitively tested (n=9). Lastly, the biomarker data sets were evaluated for accuracy, precision and reproducibility.


      For HK and MCMT, photographs, vocabulary, and response options were changed based on parent preferences. Parents’ preferred fresh fruit and vegetables and indicated that overall pictures should feature Hispanic families with some variety in ethnic groups. Two separate diet quality tools for English speaking and Spanish speaking parents with different vegetable photographs was determined. To assist with an EFNEP intervention in a medical clinic, referral sheets were developed. To date 24 patient referrals have been made but there has been difficulty enrolling patients. The biomarkers were ranked and summed for a specific index (Pro-Inflammatory, Anti-Inflammatory, Metabolic, Lipid, Carotenoids).

      Conclusions and Implications

      Spanish language HK and MCMT are now ready for validity testing using logs, biomarkers, and anthropometrics. Although the physicians enthusiastically supported EFNEP in the clinic, the actual implementation faced hurdles and revised approaches are being developed.


      USDA Grant #2010-85215-20658