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Text Messaging Based Obesity Prevention Program for Parents of Pre-Adolescent African American Girls
Chishinga Callender1, Deborah Thompson2
1USDA/ARS Children's Nutrition Research Center, Department of Pediatrics, Baylor College of Medicine, 1100 Bates Street, Houston, TX 77030, USA. Chishinga.Callender@bcm.edu.
Insights
Parents of African American girls are interested in mobile health (mHealth) interventions for childhood obesity prevention. Text messaging programs can effectively deliver healthy eating and physical activity content to support an obesity-preventive home environment.
Area of Science:
- Childhood obesity prevention
- Public health interventions
- Health disparities
Background:
- African American girls face higher obesity risks compared to peers.
- Parental influence on home environment is crucial for child obesity prevention.
- Need for targeted obesity prevention programs for parents.
Purpose of the Study:
- To gather formative research from parents of 8-10-year-old African American girls.
- To understand perceptions and expectations for a text messaging-based obesity prevention program.
- To inform the development of culturally relevant mHealth content.
Main Methods:
- Surveys and interviews with 30 mothers of African American girls.
- Development of text messages based on parent input.
- Expert panel review of draft text messages.
Main Results:
- Mothers owned cellphones and used texting/internet services.
- 86.7% of mothers expressed interest in receiving text messages on healthy eating and physical activity.
- 107 text messages promoting an obesity-preventive home environment were developed and positively received.
Conclusions:
- Mobile health (mHealth) interventions are appealing to parents of African American girls.
- Parents have accessible technology for supporting mHealth obesity prevention strategies.
- This study supports the feasibility of text messaging for childhood obesity prevention in this demographic.
Abstract:
African American girls are at a greater risk of obesity than their nonminority peers. Parents have the primary control over the home environment and play an important role in the child obesity prevention. Obesity prevention programs to help parents develop an obesity-preventive home environment are needed. The purpose of this study was to collect formative research from parents of 8-10-year old African American girls about perceptions, expectations, and content for a text messaging based program. Mothers (n = 30) participated in surveys and interviews to inform message development and content. A professional expert panel (n = 10) reviewed draft text messages via a survey. All the mothers reported owning a cellphone with an unlimited texting plan, and they used their cellphones for texting (90.0%) and accessing the Internet (100.0%). The majority were interested in receiving text messages about healthy eating and physical activity (86.7%). Interviews confirmed survey findings. One hundred and seven text messages promoting an obesity-preventive home environment were developed. The expert panel and parents reported positive reactions to draft text messages. This research provides evidence that mobile health (mHealth) interventions appeal to parents of African American girls and they have ready access to the technology with which to support this approach.
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