Abstract
Objective
Methods
Results
Conclusions and Implications
Key Words
INTRODUCTION
US Department of Health and Human Services. Physical activity guidelines for Americans.https://health.gov/dietaryguidelines/2015/guidelines/appendix-1/. Accessed October 22, 2020.
US Department of Agriculture. ChooseMyPlate.https://www.choosemyplate.gov/. Accessed October 22, 2020.
METHODS
Qualitative Data Collection
Analysis
RESULTS
Participant Centeredness
Main Themes | Quote |
Participant centeredness | |
| “What I liked about the program the most, the games, the outdoor activities with the children. Sharing with my children.” (father, wait-list control group) b Respondent, group in which they participated. Note: The quotes represent the main themes organized by the Practical, Robust Implementation and Sustainability Model patient perspective dimension.28 Not all themes include a quote. No 1 participant provided more than 2 representative quotes to illustrate the breadth of comments obtained from the exit interviews. |
| “Because I think it is a good option … to help them with the relationship between the dad and the kids as well as them working out together, how to eat...” (mother, intervention group) |
| “Well, my wife told me about it, I didn't know what it was, to be honest, but I knew that there were going to be activities for the children, and I liked the idea.” (father, intervention group) |
Participant choices | |
| “The challenges that we did, we all had, to do maybe minimum half of an hour of exercise, or walking or to play with him (his child).” (father, intervention group) |
Participant barriers | |
| “I did miss several [sessions], like four or five times I missed, I don't remember well….Because I had work, I had little jobs to finish….” (father, wait-list control group) |
| “In the cold weather, well, we were here at home, and during warm weather we went outside (to practice the sports skills)… In a small park that is here outside of the apartment.” (father, intervention group) |
| “I made him put his phone down and spend more time playing with us … He's putting [his phone] to the side more….Because he used to be on his phone all day.” (child, wait-list control group) |
Seamless transition between program elements | |
| “Well, now—since the classes started, we play almost every night before going to bed, tickling, or luchitas … they come and we play 15 or 20 minutes….” (father, wait-list control group) |
| “Oh, I liked it (the Facebook group) a lot, because they kept us up to date with what was happening and the topics that they were seeing. They also reminded us that the sessions were every Sunday. They reminded us of the hour, right? I also liked it, because they sent photos, and you could see the activities that they did every Sunday.” (mother, wait-list control group) |
Service and access | |
| “Something that I didn't like was that the program was very short. I think it should be more consistent. More frequent, longer. The program was very fast. It seemed rushed. ‘Our time is up now. We have to do this and this.’ I didn't like that.” (father, wait-list control group) “If it could happen twice a week, and in a place that is more open, because we did have a couple accidents there with the children, for the same reason, because the parking lot is very hard.” (father, wait-list control group) |
| “… for it (the program) to be healthy families, healthy kids. I mean, for it to also include the mom more also, if she wants to come and listen to the talks, or—I mean, for it to be more—to include everyone.” (mother, intervention) |
Burden (complexity and cost) | |
| “I tried to use it (pedometer) but at work, since we are spraying and everything, we are in the dust and all that, it's not–it's sometimes also cumbersome because you get stuck with something.” (father, wait-list control group) |
| “I didn't use it, I did download it and I had it there, but I had issues with entering the application, and I stopped. I didn't use it.” (father, intervention group) |
Feedback of results | |
| “…the program made me see where I was neglecting the area of the family, the children.…because one gets so immersed in work...” (father, intervention group) |
| “What I liked the most about everything was that the dads could have more of a relationship with the kids.” (mother, intervention group) “They (fathers) get involved more and they don't leave everything to us (mothers), because they know that the children also need time with the dad, and I think he learned that, being there in the program.” (mother, wait-list control group) |
| “Well, I liked it, [be]cause, like I mentioned before, so I can have more time spending with my Dad. Also, be more healthy than before.” (child, intervention group) |
| “To eat healthier, what potions, what type of portions to eat, if I am going to eat a plate, not to eat another one… sometimes even if I am full, I keep eating and it doesn't have to be like that….” (father, wait-list control group) |
| “My goal was to lose weight and I didn't achieve that, but I did accomplish many other things which were being closer to my children, spending more time with them, so I believe it was more valuable.” (father, wait-list control group) |
Participant Choices
Participant Barriers
Seamless Transition Between Program Elements
Service and Access
Burden (Complexity and Cost)
Feedback of Results
DISCUSSION
Noe-Bustamante L. Key facts about U.S. Hispanics and their diverse heritage.https://www.pewresearch.org/fact-tank/2019/09/16/key-facts-about-u-s-hispanics/. Accessed October 22, 2020.
IMPLICATIONS FOR RESEARCH AND PRACTICE
ACKNOWLEDGMENTS
Appendix. SUPPLEMENTARY DATA
REFERENCES
- Preschooler obesity and parenting styles of mothers and fathers: Australian national population study.Pediatrics. 2007; 120: e1520-e1527
- Involvement of fathers in pediatric obesity treatment and prevention trials: a systematic review.Pediatrics. 2017; 139e20162635
- Paternal influences on children's weight gain: a systematic review.Fathering. 2011; 9: 252-267
- The forgotten parent: fathers’ representation in family interventions to prevent childhood obesity.Prev Med. 2018; 111: 170-176
- Engaging Latino fathers in children's eating and other obesity-related behaviors: a review.Curr Nutr Rep. 2018; 7: 29-38
- Preventing and treating childhood obesity: time to target fathers.Int J Obes (Lond). 2012; 36: 12-15
- Child fitness and father's BMI are important factors in childhood obesity: a school based cross-sectional study.PLoS One. 2012; 7: e36597
- Modifiable risk factors in the first 1000 days for subsequent risk of childhood overweight in an Asian cohort: significance of parental overweight status.Int J Obes (Lond). 2018; 42: 44-51
- The influence of fathers on children's physical activity and dietary behaviors: insights, recommendations and future directions.Curr Obes Rep. 2017; 6: 324-333
- Prevalence of childhood and adult obesity in the United States, 2011-2012.JAMA. 2014; 311: 806-814
- Prevalence of obesity among adults and youth: United States, 2015-2016.NCHS Data Brief. 2017; : 1-8
- Informing the adaptation and implementation of a lifestyle modification program in Hispanics: a qualitative study among low-income Hispanic adults.Hisp Health Care Int. 2018; 16: 204-212
- Trends in evidence-based lifestyle interventions directed at obese and overweight adult Latinos in the US: a systematic review of the literature.J Community Health. 2016; 41: 667-673
- Fatherhood in the twenty-first century.Child Dev. 2000; 71: 127-136
- The ‘Healthy Dads, Healthy Kids’ randomized controlled trial: efficacy of a healthy lifestyle program for overweight fathers and their children.Int J Obes (Lond). 2011; 35: 436-447
- The ‘Healthy Dads, Healthy Kids’ community randomized controlled trial: a community-based healthy lifestyle program for fathers and their children.Prev Med. 2014; 61: 90-99
- Health promotion by social cognitive means.Health Educ Behav. 2004; 31: 143-164
- Familial approach to the treatment of childhood obesity: conceptual mode.J Nutr Educ. 2001; 33: 102-107
- Targeted health behavior interventions promoting physical activity: a conceptual model.Exerc Sport Sci Rev. 2016; 44: 71-80
- The ‘Healthy Dads, Healthy Kids’ community effectiveness trial: study protocol of a community-based healthy lifestyle program for fathers and their children.BMC Public Health. 2011; 11: 876
- Twelve-month outcomes of a father-child lifestyle intervention delivered by trained local facilitators in underserved communities: the Healthy Dads Healthy Kids dissemination trial.Transl Behav Med. 2019; 9: 560-569
- Cultural adaptation of ‘Healthy Dads, Healthy Kids’ for Hispanic families: applying the Ecological Validity Model.Int J Behav Nutr Phys Act. 2020; 17: 52
- Research With Hispanic Populations.Sage Publications, Inc, Newbury Park, CA1991
US Department of Health and Human Services. Physical activity guidelines for Americans.https://health.gov/dietaryguidelines/2015/guidelines/appendix-1/. Accessed October 22, 2020.
US Department of Agriculture. ChooseMyPlate.https://www.choosemyplate.gov/. Accessed October 22, 2020.
- Council on Communications and Media. Children and adolescents and digital media.Pediatrics. 2016; 138e20162593
- Feasibility of targeting Hispanic fathers and children in an obesity intervention.Papás Saludables Niños Saludables. Child Obes. 2020; 16: 379-392
- A Practical, Robust Implementation and Sustainability Model (PRISM) for integrating research findings into practice.Jt Comm J Qual Patient Saf. 2008; 34: 228-243
- Using the Practical, Robust Implementation and Sustainability Model (PRISM) to qualitatively assess multilevel contextual factors to help plan, implement, evaluate, and disseminate health services programs.Transl Behav Med. 2019; 9: 1002-1011
- Updating ACSM's recommendations for exercise preparticipation health screening.Med Sci Sports Exerc. 2015; 47: 2473-2479
- A focus group study of Mexican immigrant men's perceptions of weight and lifestyle.Public Health Nurs. 2012; 29: 490-498
- Mexican origin Hispanic men's perspectives of physical activity-related health behaviors.Am J Mens Health. 2019; 131557988319834112
- Outcomes from a culturally tailored diabetes prevention program in Hispanic families from a low-income school: Horton Hawks Stay Healthy (HHSH).Diabetes Educ. 2010; 36: 784-792
Noe-Bustamante L. Key facts about U.S. Hispanics and their diverse heritage.https://www.pewresearch.org/fact-tank/2019/09/16/key-facts-about-u-s-hispanics/. Accessed October 22, 2020.
Article info
Publication history
Footnotes
Conflict of Interest Disclosure: The authors have not stated any conflicts of interest.
Identification
Copyright
User license
Creative Commons Attribution – NonCommercial – NoDerivs (CC BY-NC-ND 4.0) |
Permitted
For non-commercial purposes:
- Read, print & download
- Redistribute or republish the final article
- Text & data mine
- Translate the article (private use only, not for distribution)
- Reuse portions or extracts from the article in other works
Not Permitted
- Sell or re-use for commercial purposes
- Distribute translations or adaptations of the article
Elsevier's open access license policy