title: Niños Sanos, Familia Sana: Mexican immigrant study protocol for a multifaceted CBPR intervention to combat childhood obesity in two rural California towns.
abstract: BACKGROUND
  Overweight and obese children are likely to develop serious health problems. Among children in the U.S., Latino children are affected disproportionally by the obesity epidemic. Niños Sanos, Familia Sana (Healthy Children, Healthy Family) is a five-year, multi-faceted intervention study to decrease the rate of BMI growth in Mexican origin children in California's Central Valley. This paper describes the methodology applied to develop and launch the study.
  
  
  METHODS
  Investigators use a community-based participatory research approach to develop a quasi-experimental intervention consisting of four main components including nutrition, physical activity, economic and art-community engagement. Each component's definition, method of delivery, data collection and evaluation are described. Strategies to maintain engagement of the comparison community are reported as well.
  
  
  CONCLUSIONS
  We present a study methodology for an obesity prevention intervention in communities with unique environmental conditions due to rural and isolated location, limited infrastructure capacity and limited resources. This combined with numerous cultural considerations and an unstable population with limited exposure to researcher expectations necessitates reassessment and adaptation of recruitment strategies, intervention delivery and data collection methods. Trial registration # NCT01900613.
  
  
  BACKGROUND
  NCT01900613.
authors.forename: Adela
authors.initials: A
authors.lastname: de la Torre
authors.forename: Banafsheh
authors.initials: B
authors.lastname: Sadeghi
authors.forename: Richard D
authors.initials: RD
authors.lastname: Green
authors.forename: Lucia L
authors.initials: LL
authors.lastname: Kaiser
authors.forename: Yvette G
authors.initials: YG
authors.lastname: Flores
authors.forename: Carlos F
authors.initials: CF
authors.lastname: Jackson
authors.forename: Ulfat
authors.initials: U
authors.lastname: Shaikh
authors.forename: Linda
authors.initials: L
authors.lastname: Whent
authors.affiliation: Foods for Health Institute, 2141 RMI North, University of California, Davis, CA 95616, USA. seschaefer@ucdavis.edu.
authors.forename: Sara E
authors.initials: SE
authors.lastname: Schaefer
mesh_terms: D002140:California / Q000453:epidemiology; D002675:Child, Preschool; D003153:Community Health Services / Q000379:methods*; D055812:Community-Based Participatory Research; D004032:Diet; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D006801:Humans; D017058:Mexican Americans / Q000706:statistics & numerical data*; D009043:Motor Activity; D063766:Pediatric Obesity / Q000453:epidemiology / Q000517:prevention & control*; D012424:Rural Population / Q000706:statistics & numerical data; D012572:School Health Services