142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Sustainability of EMPOWER program intervention effects: 12 month follow-up

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 10:30 AM - 10:50 AM

Adam Knowlden, CHES, MBA, MS, Ph.D. , Department of Health Science, University of Alabama, Tuscaloosa, AL
Manoj Sharma, PhD , Health Promotion & Education, University of Cincinnati, Cincinnati, OH
Background. Enabling Mothers to Prevent pediatric Obesity through Web-based Education and Reciprocal determinism (EMPOWER) is an on-line intervention for mothers based on social cognitive theory for prevention of childhood obesity developed in 2013. The purpose of this study was to collect long-term, follow-up data from a sample of mothers (n = 50) that participated in the EMPOWER intervention and test the sustainability of program intervention effects. Methods. The EMPOWER trial was a two-arm, parallel group, randomized, participant-blinded trial that targeted mothers with children between 4 and 6 years of age. The intervention based on social cognitive theory was compared to a control group, which received an equivalent knowledge-based intervention. During phase one of the trial, data were collected across three measurement periods (pretest, posttest, and post-intervention follow-up). For phase two, an additional measurement was taken to evaluate the sustainability of the intervention effects detected during phase one. Participants were contacted 12 months from the last point of measurement and were requested to complete the previously validated measurement tool. Data were analyzed using repeated measures analysis of variance (ANOVA). Results. The primary dependent variables for comparison between the groups were child physical activity, fruit and vegetable consumption, sugar-free beverage consumption, and screen time. Additional variables tested included maternal-mediated, social cognitive constructs of environment, emotional coping, expectations, self-control, and self-efficacy. Conclusions. Web-based, childhood obesity interventions are an efficient method for accessing the home and family environment. Social cognitive theory offers a pragmatic framework for targeting family and home-based determinants of childhood obesity.

Learning Areas:

Administer health education strategies, interventions and programs
Advocacy for health and health education
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
Discuss the relationship between pediatric obesity and the family and home environment. Describe the long-term effects of an on-line intervention designed to prevent childhood obesity. Evaluate a web-based educational intervention that promotes physical activity, fruit and vegetable consumption, sugar-free beverage consumption, and reduced screen time.

Keyword(s): Evaluation, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am responsible for conducting the literature review, conceptualizing the study, designing the intervention, collecting the data, and analyzing the data.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.