Assessing the acceptability of a culturally adapted group-based pediatric intervention, Kokajjiriri, for Marshallese mothers and infants to improve nutrition and prevent childhood obesity

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2024-07-26 DOI:10.1111/cch.13311

Britni L. Ayers, Eliza Short, Chloe Cline, Alice S. Ammerman, Sarah K. Council, Philmar Mendoza Kabua

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引用次数: 0

Abstract

Background

Marshallese Pacific Islanders experience higher rates of obesity than other racial and/or ethnic communities. Despite the obesity rates experienced in this community, there are currently no childhood obesity prevention interventions designed for Marshallese Pacific Islanders in the United States. The purpose of this study is to assess the acceptability and feasibility of a culturally adapted group-based pediatric intervention, Kokajjiriri, with Marshallese mothers to improve nutrition and reduce childhood obesity.

Methods

A multi-methods design was used to culturally adapt the Kokajjiriri intervention for Marshallese mothers in Arkansas (n = 17). In phase one, we conducted 24-h dietary recalls with 20 Marshallese mothers to inform the cultural adaptation of the group-based pediatric intervention, and then in phase two, we culturally adapted and piloted three sessions of the intervention to determine the acceptability and feasibility of the intervention.

Results

Participants found the adapted intervention to be acceptable and feasible, found the location to be convenient and found the facilitator to be knowledgeable. Four themes emerged from the qualitative data: (1) Lactation Support; (2) Introducing Healthy Solids; (3) Rice Portion Control; and (4) Finding Resources.

Conclusions

This is the first study to assess the acceptability and feasibility of a culturally adapted group-based pediatric intervention, Kokajjiriri, with Marshallese mothers to improve nutrition and reduce childhood obesity. The results from this culturally adapted group-based pediatric intervention, Kokajjiriri, will be used to inform future adaptations and implementation of the full intervention for Marshallese women and children.

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评估马绍尔母婴对基于文化的集体儿科干预措施 Kokajjiriri 的接受程度，以改善营养状况并预防儿童肥胖。

背景：马绍尔太平洋岛民的肥胖率高于其他种族和/或族裔社区。尽管该社区的肥胖率很高，但目前美国还没有针对马绍尔太平洋岛民设计的儿童肥胖预防干预措施。本研究的目的是评估马绍尔母亲对基于文化的小组儿科干预Kokajjiriri的接受度和可行性，以改善营养状况，减少儿童肥胖：方法：我们采用了多种方法设计，针对阿肯色州的马绍尔母亲（n = 17）对 Kokajjiriri 干预措施进行了文化调整。在第一阶段，我们对 20 位马绍尔母亲进行了 24 小时饮食回顾，为基于小组的儿科干预措施的文化调整提供信息；然后在第二阶段，我们对干预措施进行了文化调整并试行了三节课，以确定干预措施的可接受性和可行性：结果：参与者认为调整后的干预措施可以接受且可行，认为地点方便，并认为主持人知识渊博。定性数据中出现了四个主题：（1）哺乳支持；（2）引入健康固体食物；（3）米饭分量控制；以及（4）寻找资源：这是第一项评估马绍尔母亲对基于文化的集体儿科干预Kokajjiriri的接受度和可行性的研究，旨在改善营养状况和减少儿童肥胖。Kokajjiriri "这一基于文化的小组儿科干预措施的结果将被用于为马绍尔妇女和儿童未来调整和实施完整的干预措施提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.