Family Matters

family matters

Family Matters seeks to identify how familial factors of racially/ethnically and socioeconomically diverse children act as risk or protective factors for predicting childhood obesity.

A two-phased, mixed-methods approach is being used.

  • Phase I includes in-home observation of diverse families. Results from these observations will be used to inform the development of a culturally-appropriate survey for Phase II.
  • The Phase II survey will be administered at two time points to a diverse sample of caregivers of children ages 5 to 7.
  • View theoretical model and timeline.

This comprehensive evaluation of the home environment will identify potential factors that increase childhood obesity risk in order to create culturally-tailored interventions that will be effective in reducing childhood obesity disparities across diverse groups.

Study Details

Participants

  • 5- to 7-year-old children and their families were recruited from primary care clinics in the Twin Cities
  • For Phase I, home visits were conducted with 150 families (25 per race/ethnicity: African American, American Indian, Latino, Hmong, Somali, and Caucasian)
  • 1,200 families (200 per race/ethnicity) are being recruited for Phase II to complete a longitudinal survey

Methods

Phase I

  • Family members played a “Family Matters” game developed by the research study to measure family interactions
  • Parent completed multiple ecological momentary assessment (EMA) mini-surveys for eight days on a study-provided iPad. Surveys asked about parent's stress level, feeding practices, modeling, etc.
  • Parent and child provided eight days of accelerometry (physical activity) data
  • Collected height and weight data on all family members living in the home
  • Home food inventories
  • Three, 24-hour dietary recalls of 5- to 7-year-old target child
  • Parent completed a qualitative interview regarding family meals, physical activity, and weight talk
  • Parent completed a quantitative survey

See our home visit visual for more information about in-home observation activities

Phase II

  • Parents of 5- to 7-year-olds will complete a longitudinal survey at two time points (baseline and 18 months), measuring parent feeding practices, physical activity, child eating behavior, family dynamics, etc.
  • An up-to-date height and weight will be gathered from primary care clinics for the 5- to 7-year-old child
  • Parents will have the option of completing an additional EMA study. Participants will get three mini-surveys per day on their smartphone. Surveys will measure constructs such as parent stress, family meals, picky eating, etc.

Publications

2019

Berge, J. M., Beebe, M., Smith, M. C. M., Tate, A., Trofholz, A., & Loth, K. (2019). Ecological Momentary Assessment of the Breakfast, Lunch, and Dinner Family Meal Environment in Racially/Ethnically Diverse and Immigrant Households. Journal of nutrition education and behavior.

Berge, J. M., Telke, S., Tate, A., & Trofholz, A. (2019). Utilizing a Board Game to Measure Family/Parenting Factors and Childhood Obesity Risk. Journal of nutrition education and behavior.

Fertig, A. R., Loth, K. A., Trofholz, A. C., Tate, A. D., Miner, M., Neumark-Sztainer, D., & Berge, J. M. (2019). Compared to Pre-prepared Meals, Fully and Partly Home-Cooked Meals in Diverse Families with Young Children Are More Likely to Include Nutritious Ingredients. Journal of the Academy of Nutrition and Dietetics.

Jennings, K. M., Loth, K. A., Tate, A. D., Miner, M. H., & Berge, J. M. (2019). Application of latent profile analysis to define subgroups of parenting styles and food parenting practices. Appetite.

Trofholz, A. C., Tate, A., Loth, K., Neumark-Sztainer, D., & Berge, J. M. (2019). Watching Television while Eating: Associations with Dietary Intake and Weight Status among a Diverse Sample of Young Children. Journal of the Academy of Nutrition and Dietetics.

Trofholz, A., Telke, S., Loth, K., Tate, A., Berge, J. (2019) Examining predictors of watching television during family meals in a diverse sample.  Journal of Nutrition Education and Behavior.  In process.

2018

Berge, J. M., Fertig, A., Tate, A., Trofholz, A., & Neumark-Sztainer, D. (2018). Who is meeting the Healthy People 2020 objectives?: Comparisons between racially/ethnically diverse and immigrant children and adults. Families, systems & health: the journal of collaborative family healthcare36(4), 451-470.

Berge, J. M., Tate, A., Trofholz, A., Fertig, A., Crow, S., Neumark-Sztainer, D., & Miner, M. (2018). Examining within-and across-day relationships between transient and chronic stress and parent food-related parenting practices in a racially/ethnically diverse and immigrant population. International Journal of Behavioral Nutrition and Physical Activity15(1), 7.

Berge, J. M., Tate, A., Trofholz, A., Loth, K., Miner, M., Crow, S., & Neumark-Sztainer, D. (2018). Examining variability in parent feeding practices within a low-income, racially/ethnically diverse, and immigrant population using ecological momentary assessment. Appetite127, 110-118.

Trofholz, A. C., Thao, M. S., Donley, M., Smith, M., Isaac, H., & Berge, J. M. (2018). Family meals then and now: A qualitative investigation of intergenerational transmission of family meal practices in a racially/ethnically diverse and immigrant population. Appetite121, 163-172.

Trofholz, A., Tate, A., Fulkerson, J. A., Hearst, M. O., Neumark-Sztainer, D., & Berge, J. M. (2018). Description of the home food environment in Black, White, Hmong, Latino, Native American and Somali homes with 5–7-year-old children. Public health nutrition, 1-12.

2017

Berge, J. M., Tate, A., Trofholz, A., Fertig, A. R., Miner, M., Crow, S., & Neumark-Sztainer, D. (2017). Momentary Parental Stress and Food-Related Parenting Practices. Pediatrics140(6), e20172295.

Berge, J. M., Trofholz, A., Tate, A. D., Beebe, M., Fertig, A., Miner, M. H., ... & Neumark-Sztainer, D. (2017). Examining unanswered questions about the home environment and childhood obesity disparities using an incremental, mixed-methods, longitudinal study design: The Family Matters study. Contemporary Clinical Trials62, 61-76.

2016

Ochoa, A., & Berge, J. M. (2016). Home Environmental Influences on Childhood Obesity in the Latino Population: A Decade Review of Literature. Journal of Immigrant and Minority Health, 1-18.