Limits...
Butterfly Girls; promoting healthy diet and physical activity to young African American girls online: rationale and design.

Thompson D, Mahabir R, Bhatt R, Boutte C, Cantu D, Vazquez I, Callender C, Cullen K, Baranowski T, Liu Y, Walker C, Buday R - BMC Public Health (2013)

Bottom Line: Change in body mass index is the primary outcome; change in fruit and vegetable consumption, water, and physical activity are secondary outcomes.Girls in the treatment and comparison groups will be interviewed at post 1 to obtain information on personal reactions to the program.NCT01481948.

View Article: PubMed Central - HTML - PubMed

Affiliation: USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, 1100 Bates Street, Houston TX 77030, USA. dit@bcm.edu.

ABSTRACT

Background: Young African American girls have a high risk of obesity. Online behavior change programs promoting healthy diet and physical activity are convenient and may be effective for reducing disparities related to obesity. This report presents the protocol guiding the design and evaluation of a culturally and developmental appropriate online obesity prevention program for young African American girls.

Methods/design: The Butterfly Girls and the Quest for Founder's Rock is an 8-episode online program delivered as an animated, interactive comic. The program promotes healthy diet and physical activity and is specifically designed for 8-10 year old African American girls. Girls, parents, and community representatives provided formative feedback on cultural relevance and developmental appropriateness. A three-group (treatment, comparison, wait-list control) randomized design (n=390 parent/child dyads) is employed, with child as the unit of assignment. Change in body mass index is the primary outcome; change in fruit and vegetable consumption, water, and physical activity are secondary outcomes. Data collection occurs at baseline, approximately 3 months after baseline (i.e., completion of the online program), and approximately three months later (i.e., maintenance assessment). Two dietary recalls are collected at each data collection period by trained interviewers using the Nutrient Data System for Research (NDSR 2012) system. Physical activity is objectively measured by seven days of accelerometry. Psychosocial and process data are also collected. Girls in the treatment and comparison groups will be interviewed at post 1 to obtain information on personal reactions to the program.

Discussion: This research will develop and evaluate the efficacy of an online program for reducing obesity risk among girls at risk of obesity and related diseases. Online programs offer the potential for wide dissemination, thus reducing disparities related to obesity.

Trial registration: NCT01481948.

Show MeSH

Related in: MedlinePlus

Flow diagram.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3750459&req=5

Figure 3: Flow diagram.

Mentions: The story unfolds in eight episodes. Art assets were created by a professional artist. The participant is represented in the story by an unseen character referred to as “Rookie,” since she is the newest member of the Butterfly Girls Club. Rookie has a dog named, "Wok" who makes humorous observations conveyed as thought bubbles. Character comments are voiced and also appear as on-screen text. Interactivity is included to help participants feel part of the story. For example, participants are encouraged to “explore” comic panel scenes to enhance immersion and enjoyment. At certain times, clicking on a character reveals their interior thoughts (i.e., private thoughts not voiced or critical to the behavior change components). Rolling over objects in a scene also elicits tooltips (e.g., “This is a blender”). A rich audio track with music and sound effects is included. The program structure is presented in Figure 3.


Butterfly Girls; promoting healthy diet and physical activity to young African American girls online: rationale and design.

Thompson D, Mahabir R, Bhatt R, Boutte C, Cantu D, Vazquez I, Callender C, Cullen K, Baranowski T, Liu Y, Walker C, Buday R - BMC Public Health (2013)

Flow diagram.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750459&req=5

Figure 3: Flow diagram.
Mentions: The story unfolds in eight episodes. Art assets were created by a professional artist. The participant is represented in the story by an unseen character referred to as “Rookie,” since she is the newest member of the Butterfly Girls Club. Rookie has a dog named, "Wok" who makes humorous observations conveyed as thought bubbles. Character comments are voiced and also appear as on-screen text. Interactivity is included to help participants feel part of the story. For example, participants are encouraged to “explore” comic panel scenes to enhance immersion and enjoyment. At certain times, clicking on a character reveals their interior thoughts (i.e., private thoughts not voiced or critical to the behavior change components). Rolling over objects in a scene also elicits tooltips (e.g., “This is a blender”). A rich audio track with music and sound effects is included. The program structure is presented in Figure 3.

Bottom Line: Change in body mass index is the primary outcome; change in fruit and vegetable consumption, water, and physical activity are secondary outcomes.Girls in the treatment and comparison groups will be interviewed at post 1 to obtain information on personal reactions to the program.NCT01481948.

View Article: PubMed Central - HTML - PubMed

Affiliation: USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, 1100 Bates Street, Houston TX 77030, USA. dit@bcm.edu.

ABSTRACT

Background: Young African American girls have a high risk of obesity. Online behavior change programs promoting healthy diet and physical activity are convenient and may be effective for reducing disparities related to obesity. This report presents the protocol guiding the design and evaluation of a culturally and developmental appropriate online obesity prevention program for young African American girls.

Methods/design: The Butterfly Girls and the Quest for Founder's Rock is an 8-episode online program delivered as an animated, interactive comic. The program promotes healthy diet and physical activity and is specifically designed for 8-10 year old African American girls. Girls, parents, and community representatives provided formative feedback on cultural relevance and developmental appropriateness. A three-group (treatment, comparison, wait-list control) randomized design (n=390 parent/child dyads) is employed, with child as the unit of assignment. Change in body mass index is the primary outcome; change in fruit and vegetable consumption, water, and physical activity are secondary outcomes. Data collection occurs at baseline, approximately 3 months after baseline (i.e., completion of the online program), and approximately three months later (i.e., maintenance assessment). Two dietary recalls are collected at each data collection period by trained interviewers using the Nutrient Data System for Research (NDSR 2012) system. Physical activity is objectively measured by seven days of accelerometry. Psychosocial and process data are also collected. Girls in the treatment and comparison groups will be interviewed at post 1 to obtain information on personal reactions to the program.

Discussion: This research will develop and evaluate the efficacy of an online program for reducing obesity risk among girls at risk of obesity and related diseases. Online programs offer the potential for wide dissemination, thus reducing disparities related to obesity.

Trial registration: NCT01481948.

Show MeSH
Related in: MedlinePlus