Collaborating with low-income families and their overweight children to improve weight-related behaviors: an intervention process evaluation.
OBJECTIVE
This paper aims to examine the collaborative negotiation process, an interventional approach being tested at a primary-care school-based clinic to help low-income families improve lifestyle and weight-related health indicators in their overweight children.


METHODS
Process evaluation of the intervention employed in an ongoing longitudinal pilot study. Descriptive analysis is from structured field notes and audiotapes of parent-child-provider interactions during intervention visits (n=111).


RESULTS
Activity levels and eating patterns were families' main concerns in managing their children's weight. Challenges and facilitators of implementing health plans were explored.


CONCLUSIONS
The collaborative negotiation intervention provides a family-centered approach to engage families in management of children's weight.
Tyler
Diane O
DO
School of Nursing, University of Texas at Austin, Austin, TX, USA. dtyler@mail.utexas.edu
Horner
Sharon D
SD
D001294:Attitude to Health; D002648:Child; D015362:Child Nutrition Disorders / Q000517:prevention & control* / Q000523:psychology; D003299:Cooperative Behavior; D005190:Family / Q000523:psychology*; D005260:Female; D006293:Health Promotion / Q000458:organization & administration; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D010043:Outcome and Process Assessment, Health Care; D050177:Overweight / Q000517:prevention & control* / Q000523:psychology; D010865:Pilot Projects; D011203:Poverty / Q000523:psychology*; D011368:Professional-Family Relations; D015397:Program Evaluation; D036301:Qualitative Research; D012573:School Nursing / Q000458:organization & administration*; D013781:Texas