Solving The Problem Of Childhood Obesity Within A Generation

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These risks are particularly acute for Hispanic children.

We hypothesized that the prevention-focused, socioecological approach of the “Minding the Baby” (MTB) home visiting program might decrease the rate of childhood overweight and obesity early in life.

We hypothesized that MTB would have an impact on the rate of childhood overweight and obesity in the first 2 years of life (ie, address the Healthy People 2020 goal to reduce early childhood obesity).

In this interdisciplinary, relationship-based program, we aim to develop and enhance parent-child attachment and maternal reflective functioning (RF) and to promote a range of positive parenting behaviors.

First-time mothers who lived in medically underserved communities (where most families live at or below the poverty level) and received prenatal care at 2 inner-city community health clinics (CHCs) were invited to participate.

The communities are culturally and ethnically diverse with a large population self-reporting as Hispanic.

The home visits were typically 1 hour in duration, but this varied according to the dyad’s life circumstances.

The clinician pairs were varied between families and CHCs to reduce threats to internal validity.

Seventy-eight percent of the visits took place in participants’ homes (versus an alternate place of convenience to the mother).

In both phases of the RCTs, we used a 2-group experimental design with cluster randomization using a sealed envelope method to assign group status on the basis of due dates before recruitment.

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