Open Access Highly Accessed Study protocol

Childhood obesity prevention in rural settings: background, rationale, and study design of ‘4-Health,’ a parent-only intervention

Wesley C Lynch1*, Jill Martz2, Galen Eldridge3, Sandra J Bailey4, Carrie Benke5 and Lynn Paul6

Author Affiliations

1 Department of Psychology, Montana State University, Bozeman, MT, 59717-3440, USA

2 4-H Center for Youth Development, Montana State University Extension, 203 Taylor Hall, Bozeman, MT, 59717-2230, USA

3 Montana State University Extension, Department of Health and Human Development, 314 Herrick Hall, Bozeman, MT, 59717-2230, USA

4 Montana State University Extension, Department of Health & Human Development, 316B Herrick Hall, Bozeman, MT, 59717-2230, USA

5 Montana State University Extension, 314 Herrick Hall, Bozeman, MT, 59717-2230, USA

6 Montana State University Extension, Department of Health and Human Development, 101 Romney, PO Box 173370, Bozeman, MT, 59717-3370, USA

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BMC Public Health 2012, 12:255 doi:10.1186/1471-2458-12-255

Published: 2 April 2012

Abstract

Background

Childhood obesity in rural communities is a serious but understudied problem. The current experiment aims to assess a wide range of obesity risk factors among rural youth and to offer an 8-month intervention program for parents to reduce obesity risk in their preteen child.

Methods/Design

A two-group, repeated measures design is used to assess the effectiveness of the 4-Health intervention program. Assessments include anthropometric measures, child self-evaluations, parent self-evaluations, and parent evaluations of child. County Extension agents from 21 rural Montana counties recruit approximately 150 parent–child dyads and counties are semi-randomly assigned to the active intervention group (4-Health Educational Program) or a “best-practices” (Healthy Living Information) control group.

Discussion

This study will shed light on the effectiveness of this parent-only intervention strategy in reducing obesity risk factors among rural preteens. The 4-Health program is designed to provide information and skills development for busy rural parents that will increase healthy lifestyles of their preteen children and improve the parents’ ability to intervene effectively in the lives of their families during this critical developmental period.

Trial registration

ClinicalTrials.gov ID: NCT01510587