Predictors of Participant Attendance Patterns in a Family-Based Intervention for Overweight and Obese Hispanic Adolescents

Sara M. St. George, Mariya Petrova, Tae Kyoung Lee, Krystal M. Sardinas, Marissa A. Kobayashi, Sarah E. Messiah and Guillermo Prado
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Sara M. St. George: Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
Mariya Petrova: Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
Tae Kyoung Lee: Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
Krystal M. Sardinas: Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
Marissa A. Kobayashi: Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
Sarah E. Messiah: Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
Guillermo Prado: Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA

IJERPH, 2018, vol. 15, issue 7, 1-19

Abstract: This study examined participant attendance patterns and individual (e.g., income), family dynamics (e.g., communication), and cultural (i.e., Americanism, Hispanicism) predictors of these patterns among Hispanic families enrolled in a 12-week family-based intervention, Familias Unidas for Health and Wellness. Hispanic adolescents ( n = 140, 49% female, 13.04 ± 0.87 years old, 36% overweight, 64% obese, 39% immigrants) and their parents (87% female, 42.09 ± 6.30 years old, BMI 30.99 ± 6.14 kg/m 2 , 90% immigrants) were randomized to the intervention condition. A repeated measures latent class analysis that included 12 binary variables (yes/no) of attendance identified three subgroups of attendance patterns: consistently high, moderate and decreasing, and consistently low. An ANOVA was then conducted to examine whether the identified attendance patterns differed by individual, family dynamics, and cultural characteristics at baseline. Parents in the consistently high attendance group had lower Americanism than those in either of the other attendance groups. Adolescents in the consistently high attendance group had lower Hispanicism than those in either of the other attendance groups. No other variables significantly discriminated between attendance groups. Sustained attendance in the Familias Unidas for Health and Wellness intervention may be driven by Hispanic parents’ desire to better understand their host culture, connect with other culturally similar parents, and reconnect adolescents with their heritage culture.

Keywords: attendance; family; obesity; intervention; Hispanic; acculturation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
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