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Evaluating Dynamo Kids!, an eHealth Intervention in Primary-Care for Low-Income Ethnic Minorities

Obesity (Silver Spring, Md.), 2022-11, Vol.30, p.71-71 [Peer Reviewed Journal]

Copyright Blackwell Publishing Ltd. Nov 2022 ;ISSN: 1930-7381 ;EISSN: 1930-739X

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  • Title:
    Evaluating Dynamo Kids!, an eHealth Intervention in Primary-Care for Low-Income Ethnic Minorities
  • Author: Yudkin, Joshua ; Allicock, Marlyn ; Barlow, Sarah
  • Subjects: Obesity ; Parents & parenting ; Primary care
  • Is Part Of: Obesity (Silver Spring, Md.), 2022-11, Vol.30, p.71-71
  • Description: Background: Aligned with the Obesity Chronic Care Model, Dynamo Kids!/Niños Dinámicos! (DK) is a personalized, self-guided, bilingual (English and Spanish), and e-Health educational intervention that pediatric primary care providers could offer to the parents of children ages 6-12 with overweight and obesity. The focus was guiding parents in reducing their childs sugar-sweetened beverages, increasing physical activity, and adhering to MyPlate guidelines. This pilot study aimed to assess the effectiveness of DK. Methods: Primary care providers at 3 safety-net practices offered the program to parents with children with BMI >85th percentile and then scheduled 3-month follow-up visits. The primary outcome in this single-arm intervention was change in parent-completed Family and Nutrition and Physical Activity (FNPA) score. Secondary outcomes were child %BMIp95, calculated using weights and heights from electronic medical records, and parent BMI from self-reported weight and height. The minutes families spent on the website were the primary predictor of the outcomes. We used mixed-effects linear regression modeling to identify significant predictors. Results: Of the 100 parents consented, 73 completed baseline surveys (participants), and 46 used the DK site (users). Among all participants, FNPA score improved (53 to 56, p=0.002), while child BMIp95 and parent BMI did not change (116.8% to 116.3%, NS; 33.01 kg/m2 to 32.5 kg/m2, NS respectively). However, among DK users, FNPA did not change (55 to 58, NS), while both child BMIp95 and parent BMI improved (115.1% to 114.1%, p=0.01; 33.2 kg/m2 to 32.5 kg/m2, p=0.04). In the regression models, both the minutes spent on the DK website and the time between the initial and follow-up visits were significantly associated with a decrease in child BMIp95 and parent BMI. Conclusions: Despite the lack of effect on the primary outcome among DK users, the association between time on site and improved child BMIp95 and parent BMI suggests DK use had the intended effect. A larger, controlled study is needed.
  • Publisher: Silver Spring: Blackwell Publishing Ltd
  • Language: English
  • Identifier: ISSN: 1930-7381
    EISSN: 1930-739X
  • Source: ProQuest Central
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