A health literate approach to the prevention of childhood overweight and obesity

Richard O. White; Jessica R. Thompson; Russell L. Rothman; Amanda M. McDougald Scott; William J. Heerman; Evan C. Sommer; Shari L. Barkin

doi:10.1016/j.pec.2013.08.010

A health literate approach to the prevention of childhood overweight and obesity

Richard O. White, Jessica R. Thompson, Russell L. Rothman, Amanda M. McDougald Scott, William J. Heerman, Evan C. Sommer, Shari L. Barkin

Community Internal Medicine

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

Objective: To describe a systematic assessment of patient educational materials for the Growing Right Onto Wellness (GROW) trial, a childhood obesity prevention study targeting a low health literate population. Methods: Process included: (1) expert review of educational content, (2) assessment of the quality of materials including use of the Suitability Assessment of Materials (SAM) tool, and (3) material review and revision with target population. Results: 12 core modules were developed and assessed in an iterative process. Average readability was at the 6th grade reading level (SMOG Index 5.63 ± 0.76, and Fry graph 6.0 ± 0.85). SAM evaluation resulted in adjustments to literacy demand, layout & typography, and learning stimulation & motivation. Cognitive interviews with target population revealed additional changes incorporated to enhance participant's perception of acceptability and feasibility for behavior change. Conclusion: The GROW modules are a collection of evidence-based materials appropriate for parents with low health literacy and their preschool aged children, that target the prevention of childhood overweight/obesity. Practice implications: Most trials addressing the treatment or prevention of childhood obesity use written materials. Due to the ubiquitous prevalence of limited health literacy, our described methods may assist researchers in ensuring their content is both understood and actionable.

Original language	English (US)
Pages (from-to)	612-618
Number of pages	7
Journal	Patient Education and Counseling
Volume	93
Issue number	3
DOIs	https://doi.org/10.1016/j.pec.2013.08.010
State	Published - Dec 2013

Keywords

Childhood obesity
Education
Evaluation
Health literacy
Intervention development

ASJC Scopus subject areas

General Medicine

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10.1016/j.pec.2013.08.010

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@article{5204601bc78b4f4084ad7b44eed71782,

title = "A health literate approach to the prevention of childhood overweight and obesity",

abstract = "Objective: To describe a systematic assessment of patient educational materials for the Growing Right Onto Wellness (GROW) trial, a childhood obesity prevention study targeting a low health literate population. Methods: Process included: (1) expert review of educational content, (2) assessment of the quality of materials including use of the Suitability Assessment of Materials (SAM) tool, and (3) material review and revision with target population. Results: 12 core modules were developed and assessed in an iterative process. Average readability was at the 6th grade reading level (SMOG Index 5.63 ± 0.76, and Fry graph 6.0 ± 0.85). SAM evaluation resulted in adjustments to literacy demand, layout & typography, and learning stimulation & motivation. Cognitive interviews with target population revealed additional changes incorporated to enhance participant's perception of acceptability and feasibility for behavior change. Conclusion: The GROW modules are a collection of evidence-based materials appropriate for parents with low health literacy and their preschool aged children, that target the prevention of childhood overweight/obesity. Practice implications: Most trials addressing the treatment or prevention of childhood obesity use written materials. Due to the ubiquitous prevalence of limited health literacy, our described methods may assist researchers in ensuring their content is both understood and actionable.",

keywords = "Childhood obesity, Education, Evaluation, Health literacy, Intervention development",

author = "White, {Richard O.} and Thompson, {Jessica R.} and Rothman, {Russell L.} and {McDougald Scott}, {Amanda M.} and Heerman, {William J.} and Sommer, {Evan C.} and Barkin, {Shari L.}",

note = "Funding Information: The project described was supported by Award Number 5U01HL103620-03 from the National Heart, Lung, and Blood Institute , the Eunice Kennedy Shriver National Institute of Child Health and Development and the Office of Behavioral and Social Sciences Research . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute or the National Institutes of Health. Support also came in part from the Effective Health Communication Core of the Vanderbilt CTSA (NIH/NCATS UL54TR000123), the Vanderbilt Institute for Clinical and Translational Research (Ul1TR000445), and the Vanderbilt Center for Diabetes Translation Research (P30DK092986). ROW is supported by an NIDDK Career Development Award (5K23DK092470-04). ROW and JRT were lead authors of the manuscript. ROW, AMS, and WJH independently conducted the SAM assessment. ECS provided statistical input. RLR and SLB provided health literacy expertise and mentorship to ROW. SLB provided substantive editing and data assessment. All authors approved the final version of the manuscript. Funding Information: No author has any conflicts of interest to report. ROW is supported by an NIDDK Career Development Award (5K23DK092470-04). AMS is supported by an NIH/NCATS award (UL54TR000123). ",

year = "2013",

month = dec,

doi = "10.1016/j.pec.2013.08.010",

language = "English (US)",

volume = "93",

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journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier Ireland Ltd",

number = "3",

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T1 - A health literate approach to the prevention of childhood overweight and obesity

AU - White, Richard O.

AU - Thompson, Jessica R.

AU - Rothman, Russell L.

AU - McDougald Scott, Amanda M.

AU - Heerman, William J.

AU - Sommer, Evan C.

AU - Barkin, Shari L.

N1 - Funding Information: The project described was supported by Award Number 5U01HL103620-03 from the National Heart, Lung, and Blood Institute , the Eunice Kennedy Shriver National Institute of Child Health and Development and the Office of Behavioral and Social Sciences Research . The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute or the National Institutes of Health. Support also came in part from the Effective Health Communication Core of the Vanderbilt CTSA (NIH/NCATS UL54TR000123), the Vanderbilt Institute for Clinical and Translational Research (Ul1TR000445), and the Vanderbilt Center for Diabetes Translation Research (P30DK092986). ROW is supported by an NIDDK Career Development Award (5K23DK092470-04). ROW and JRT were lead authors of the manuscript. ROW, AMS, and WJH independently conducted the SAM assessment. ECS provided statistical input. RLR and SLB provided health literacy expertise and mentorship to ROW. SLB provided substantive editing and data assessment. All authors approved the final version of the manuscript. Funding Information: No author has any conflicts of interest to report. ROW is supported by an NIDDK Career Development Award (5K23DK092470-04). AMS is supported by an NIH/NCATS award (UL54TR000123).

PY - 2013/12

Y1 - 2013/12

N2 - Objective: To describe a systematic assessment of patient educational materials for the Growing Right Onto Wellness (GROW) trial, a childhood obesity prevention study targeting a low health literate population. Methods: Process included: (1) expert review of educational content, (2) assessment of the quality of materials including use of the Suitability Assessment of Materials (SAM) tool, and (3) material review and revision with target population. Results: 12 core modules were developed and assessed in an iterative process. Average readability was at the 6th grade reading level (SMOG Index 5.63 ± 0.76, and Fry graph 6.0 ± 0.85). SAM evaluation resulted in adjustments to literacy demand, layout & typography, and learning stimulation & motivation. Cognitive interviews with target population revealed additional changes incorporated to enhance participant's perception of acceptability and feasibility for behavior change. Conclusion: The GROW modules are a collection of evidence-based materials appropriate for parents with low health literacy and their preschool aged children, that target the prevention of childhood overweight/obesity. Practice implications: Most trials addressing the treatment or prevention of childhood obesity use written materials. Due to the ubiquitous prevalence of limited health literacy, our described methods may assist researchers in ensuring their content is both understood and actionable.

AB - Objective: To describe a systematic assessment of patient educational materials for the Growing Right Onto Wellness (GROW) trial, a childhood obesity prevention study targeting a low health literate population. Methods: Process included: (1) expert review of educational content, (2) assessment of the quality of materials including use of the Suitability Assessment of Materials (SAM) tool, and (3) material review and revision with target population. Results: 12 core modules were developed and assessed in an iterative process. Average readability was at the 6th grade reading level (SMOG Index 5.63 ± 0.76, and Fry graph 6.0 ± 0.85). SAM evaluation resulted in adjustments to literacy demand, layout & typography, and learning stimulation & motivation. Cognitive interviews with target population revealed additional changes incorporated to enhance participant's perception of acceptability and feasibility for behavior change. Conclusion: The GROW modules are a collection of evidence-based materials appropriate for parents with low health literacy and their preschool aged children, that target the prevention of childhood overweight/obesity. Practice implications: Most trials addressing the treatment or prevention of childhood obesity use written materials. Due to the ubiquitous prevalence of limited health literacy, our described methods may assist researchers in ensuring their content is both understood and actionable.

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KW - Health literacy

KW - Intervention development

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A health literate approach to the prevention of childhood overweight and obesity

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