Differential Participation: Comparison of Latino and Non-Latino Families in Fitline, a Family-Centered Weight...

Area of Science:

• Pediatric weight management
• Health disparities
• Behavioral intervention research

Background:

• Childhood overweight and obesity are significant public health concerns.
• Pediatric weight management interventions are crucial for addressing this issue.
• Ensuring equitable participation across diverse populations is essential.

Purpose of the Study:

• To evaluate the participation and satisfaction of Latino families in the Fitline pediatric weight management program.
• To identify potential barriers and facilitators for Latino family engagement in weight management interventions.

Main Methods:

• Analysis of study tracking records and satisfaction surveys from 243 families.
• Comparison of participation rates (coaching sessions, assessments) between Latino and non-Latino families.
• Assessment of satisfaction with intervention components (coaching, workbook).

Main Results:

• Latino families (31%) completed fewer telephonic coaching sessions (70% vs. 89%) and study assessments compared to non-Latino families.
• Despite lower completion rates, Latino families reported higher satisfaction with coaching sessions and workbooks.
• Significant differences in participation (p < 0.001) and assessment completion (p < 0.01) were observed.

Conclusions:

• While Latino families found intervention components helpful, lower participation rates may limit the full impact of the Fitline program.
• Further research is needed to optimize weight management interventions for improved engagement and outcomes in Latino children.
• Addressing participation disparities is critical to reduce health inequities in pediatric obesity.