HOME Plus: Program design and implementation of a family-focused, community-based intervention to promote the frequency and healthfulness of family meals, reduce children's sedentary behavior, and prevent obesity

Colleen Flattum¹, Michelle Draxten², Melissa Horning³, Jayne A Fulkerson⁴, Dianne Neumark-Sztainer⁵, Ann Garwick⁶, Martha Y Kubik⁷, Mary Story⁸

Affiliations

¹ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard St. SE, Minneapolis, MN, 55455, USA. Flatt018@umn.edu.
² Department of Family Medicine, University of Minnesota, Minneapolis, MN, USA. parke511@umn.edu.
³ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard St. SE, Minneapolis, MN, 55455, USA. horn0199@umn.edu.
⁴ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard St. SE, Minneapolis, MN, 55455, USA. fulke001@umn.edu.
⁵ Department of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA. neuma011@umn.edu.
⁶ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard St. SE, Minneapolis, MN, 55455, USA. garwi001@umn.edu.
⁷ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard St. SE, Minneapolis, MN, 55455, USA. kubik002@umn.edu.
⁸ Community and Family Medicine and Global Health, Duke University, Durham, NC, USA. mary.story@duke.edu.

PMID: 25925226
PMCID: PMC4417510
DOI: 10.1186/s12966-015-0211-7

Randomized Controlled Trial

HOME Plus: Program design and implementation of a family-focused, community-based intervention to promote the frequency and healthfulness of family meals, reduce children's sedentary behavior, and prevent obesity

Colleen Flattum et al. Int J Behav Nutr Phys Act. 2015.

. 2015 Apr 29:12:53.

doi: 10.1186/s12966-015-0211-7.

Authors

Colleen Flattum¹, Michelle Draxten², Melissa Horning³, Jayne A Fulkerson⁴, Dianne Neumark-Sztainer⁵, Ann Garwick⁶, Martha Y Kubik⁷, Mary Story⁸

Affiliations

¹ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard St. SE, Minneapolis, MN, 55455, USA. Flatt018@umn.edu.
² Department of Family Medicine, University of Minnesota, Minneapolis, MN, USA. parke511@umn.edu.
³ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard St. SE, Minneapolis, MN, 55455, USA. horn0199@umn.edu.
⁴ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard St. SE, Minneapolis, MN, 55455, USA. fulke001@umn.edu.
⁵ Department of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA. neuma011@umn.edu.
⁶ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard St. SE, Minneapolis, MN, 55455, USA. garwi001@umn.edu.
⁷ School of Nursing, University of Minnesota, 5-160 Weaver-Densford Hall, 308 Harvard St. SE, Minneapolis, MN, 55455, USA. kubik002@umn.edu.
⁸ Community and Family Medicine and Global Health, Duke University, Durham, NC, USA. mary.story@duke.edu.

PMID: 25925226
PMCID: PMC4417510
DOI: 10.1186/s12966-015-0211-7

Abstract

Background: Involvement in meal preparation and eating meals with one's family are associated with better dietary quality and healthy body weight for youth. Given the poor dietary quality of many youth, potential benefits of family meals for better nutritional intake and great variation in family meals, development and evaluation of interventions aimed at improving and increasing family meals are needed. This paper presents the design of key intervention components and process evaluation of a community-based program (Healthy Home Offerings via the Mealtime Environment (HOME) Plus) to prevent obesity.

Methods: The HOME Plus intervention was part of a two-arm (intervention versus attention-only control) randomized-controlled trial. Ten monthly, two-hour sessions and five motivational/goal-setting telephone calls to promote healthy eating and increasing family meals were delivered in community-based settings in the Minneapolis/St. Paul, MN metropolitan area. The present study included 81 families (8-12 year old children and their parents) in the intervention condition. Process surveys were administered at the end of each intervention session and at a home visit after the intervention period. Chi-squares and t-tests were used for process survey analysis.

Results: The HOME Plus program was successfully implemented and families were highly satisfied. Parents and children reported that the most enjoyable component was cooking with their families, learning how to eat more healthfully, and trying new recipes/foods and cooking tips. Average session attendance across the ten months was high for families (68%) and more than half completed their home activities.

Conclusions: Findings support the value of a community-based, family-focused intervention program to promote family meals, limit screen time, and prevent obesity.

Trial registration: NCT01538615.

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References

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1. Fulkerson JA, Kubik MY, Story M, Lytle L, Arcan C. Are there nutritional and other benefits associated with family meals among at-risk youth? J Adolesc Health. 2009;45:389–95. doi: 10.1016/j.jadohealth.2009.02.011. - DOI - PMC - PubMed
1. Fulkerson JA, Neumark-Sztainer D, Hannan PJ, Story M. Family meal frequency and weight status among adolescents: Cross-sectional and 5-year longitudinal associations. Obesity. 2008;16:2529–34. doi: 10.1038/oby.2008.388. - DOI - PubMed

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HOME Plus: Program design and implementation of a family-focused, community-based intervention to promote the frequency and healthfulness of family meals, reduce children's sedentary behavior, and prevent obesity

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HOME Plus: Program design and implementation of a family-focused, community-based intervention to promote the frequency and healthfulness of family meals, reduce children's sedentary behavior, and prevent obesity

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