title: Taking steps together: a family- and community-based obesity intervention for urban, multiethnic children.
abstract: OBJECTIVE
  Successful childhood obesity intervention models that build sustainable behavioral change are needed, particularly in low-income, ethnic minority communities disparately affected by this problem.
  
  
  METHODS
  Families were referred to Taking Steps Together (TST) by their primary care provider if at least one child had a body mass index ≥85%. The TST intervention comprised 16 weekly 2-hour classes including educational activities, group cooking/eating, and physical activities for parents and children. TST's approach emphasized building self-efficacy, targeting both children and parents for healthy change, and fostering intrinsic motivation for healthier living. Pre-post intervention data were collected on health-related behaviors using a survey, and trained staff measured weight and height.
  
  
  RESULTS
  Adults (n = 33) and children (n = 62) were largely Hispanic/Latino and low-income. Adults and children significantly increased their fruit and vegetable consumption and weekly physical activity, and adults significantly decreased sugared beverage consumption and screen time. No change in body mass index was observed for adults or children.
  
  
  CONCLUSIONS
  This family-focused childhood obesity intervention integrated evidence-based principles with a nonprescriptive approach and produced significant improvements in key healthy behaviors for both adults and children.
authors.affiliation: Hennepin County Medical Center, Minneapolis, MN, USA john.anderson@hcmed.org.
authors.forename: John D
authors.initials: JD
authors.lastname: Anderson
authors.affiliation: Hennepin County Medical Center, Minneapolis, MN, USA.
authors.forename: Rachel
authors.initials: R
authors.lastname: Newby
authors.affiliation: University of Minnesota, Minneapolis, MN, USA.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Kehm
authors.affiliation: Hennepin County Medical Center, Minneapolis, MN, USA.
authors.forename: Patricia
authors.initials: P
authors.lastname: Barland
authors.affiliation: St. Catherine University, St. Paul, MN, USA.
authors.forename: Mary O
authors.initials: MO
authors.lastname: Hearst
mesh_terms: D000328:Adult; D015992:Body Mass Index; D003296:Cooking; D004032:Diet; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006293:Health Promotion / Q000458:organization & administration*; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D009042:Motivation; D050177:Overweight / Q000208:ethnology; D010290:Parents / Q000193:education*; D063766:Pediatric Obesity / Q000208:ethnology* / Q000628:therapy*; D012111:Residence Characteristics; D020377:Self Efficacy
keywords: family health; health disparities; nutrition; obesity; physical activity/exercise