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Randomized Controlled Trial
. 2014 Jun;22(6):1520-6.
doi: 10.1002/oby.20731. Epub 2014 Mar 11.

The interaction of social networks and child obesity prevention program effects: the pathways trial

Hee-Sung Shin  1 , Thomas W Valente, Nathaniel R Riggs, Jimi Huh, Donna Spruijt-Metz, Chih-Ping Chou, Mary Ann Pentz
Affiliations
Randomized Controlled Trial

The interaction of social networks and child obesity prevention program effects: the pathways trial

Hee-Sung Shin et al. Obesity (Silver Spring). 2014 Jun.

Abstract

Objective: Social network analysis was used to examine whether peer influence from one's social networks moderates obesity prevention program effects on obesity-related behaviors: healthful and unhealthful.

Methods: Participants included 557 children residing in Southern California. The survey assessed health-promoting behaviors (i.e., physical activity at school, physical activity outside of school, and fruit and vegetable intake), as well as unhealthful behaviors (high-calorie, low-nutrient intake and sedentary activity), and peer exposure calculated from social network nominations as indicators of peer influence. Multilevel models were conducted separately on outcomes predicted by program participation, peer exposure, and program participation by peer exposure.

Results: Results indicated that peer exposure was positively associated with one's own healthful and unhealthful behaviors. Program participation effects were moderated by peer influence, but only when unhealthful peer influence was present. Results suggest that peer influence can diminish or amplify prevention programs

Conclusion: Future interventions should consider peer-led components to promote healthful influence of peers on healthful and unhealthful behaviors, and programs should be mindful that their effects are moderated by social networks.

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Conflict of interest statement

Conflicts of Interest Statement

This article contains no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Predicted outcome means by average peer exposure by intervention conditions (program and control). The slope of the program condition was significantly different than the control condition for fruit and vegetable intake (p<0.01), HCLN food intake (p<0.05) and sedentary behavior (p<0.05).
See this image and copyright information in PMC

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