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Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
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A Home Visiting Parenting Program and Child Obesity: A Randomized Trial.

Monica Roosa Ordway1, Lois S Sadler2,3, Margaret L Holland2

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The Minding the Baby (MTB) home visiting program significantly reduced obesity rates in 2-year-olds from low-income families. Hispanic children in the MTB program showed a lower likelihood of being overweight or obese.

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Area of Science:

  • Pediatrics
  • Public Health
  • Maternal and Child Health

Background:

  • Young children in marginalized families face increased risks of obesity and related health issues, particularly Hispanic children.
  • Early childhood obesity has long-term health and economic consequences.

Purpose of the Study:

  • To evaluate the effectiveness of the "Minding the Baby" (MTB) home visiting program in preventing childhood overweight and obesity.
  • To assess the program's impact on children from historically marginalized and Hispanic families.

Main Methods:

  • Prospective longitudinal cohort study utilizing data from a randomized controlled trial of the MTB program.
  • Included first-time mothers from medically underserved communities, collecting data from birth to 2 years on demographics, maternal mental health, and child anthropometrics for 158 children.

Main Results:

  • Children in the MTB intervention group had a significantly lower rate of obesity (3.3%) compared to the control group (19.7%) at 2 years.
  • Hispanic children in the MTB intervention were less likely to be overweight or obese (OR=0.32; 95% CI: 0.13-0.78).

Conclusions:

  • The MTB program effectively reduced obesity rates in 2-year-old children from low-socioeconomic status communities.
  • The findings highlight the program's success in mitigating overweight and obesity risks for Hispanic children, with significant clinical, research, and policy implications.