SAES-422 Multistate Research Activity Accomplishments Report

Status: Approved

Basic Information

Participants

Anderson, Alex (fianko@uga.edu), University of Georgia Banna, Jinan (jcbanna@hawaii.edu), University of Hawaii @ Manoa Cluskey, Mary (cluskeym@oregonstate.edu), Oregon State University da Silva, Vanessa (vdasilva@email.arizona.edu), Arizona State University Gunther, Carolyn (gunther.22@osu.edu), Ohio State University Hongu, Nobuko Kay (hongu@email.arizona.edu), University of Arizona Jones, Blake (blakejones@purdue.edu), Purdue University Lora, Karina R (karina-lora@ouhsc.edu), University of Oklahoma Monroe-Lord, Lillie (lmonroelord@udc.edu), University of the District of Columbia Reicks, Marla (mreicks@umn.edu), University of Minnesota Richards, Rickelle (Rickelle_richards@byu.edu), Brigham Young University Topham, Glade (gtopham@ksu.edu), Kansas State University Wong Siew Sun (Siewsun.wong@oregonstate.edu), Oregon State University

The 2018 W3003 annual meeting was held on Wed 03/21/2018 (to Sat 03/24/2018) at the University of Georgia, which was the home university to Alex Anderson (2018-2019 secretary elect)

 

Attendees included:

Anderson, Alex, University of Georgia

Banna, Jinan, University of Hawaii @ Manoa (video call in)4

Cluskey, Mary, Oregon State University (video call in)

da Silva, Vanessa (vdasilva@email.arizona.edu), Arizona State University

Gunther, Carolyn, Ohio State University

Jones, Blake, Purdue University2

Lora, Karina, Oklahoma State University (video call in)3

Reicks, Marla, University of Minnesota,

Richards, Rickelle, Brigham Young University

Topham, Glade, Kansas State University1

Wong Siew Sun, Oregon State University

 

12017-18 Chair-Elect, 22017-18 Chair, 32017-2018 Secretary, 4Past Chair

 

1)   The qualitative methods team (Glade Topham, Mary Cluskey, Martha Reicks, Carolyn Gunther, and Jinan Banna) presented the results of the qualitative analyses conducted this past year on Objective 1 data and presented the draft of associated items for the surveys.  The quantitative team (Rickelle Richards and Blake Jones) reviewed the child data from Objective 1 and made decisions regarding how to present the food data and how to structure the data base. The methods team (Karina Lora, Alex Anderson and Siew Sun Wong)  reviewed and updated the methods used in Objective 1 to be extracted for use in papers to be published from this work.

2)   We reviewed and revised rough drafts of items for the parent and child surveys. We discussed the process and timeline of conducting cognitive interviewing to test surveys and made assignments for conducting these interviews.

3)   We discussed plans for pilot testing the surveys via Qualtrics after cognitive interviews and edits are made. We will pilot the measures with 100 parent-child dyads at two time points. We agreed to move child eligibility from ages 10-13 to 11-14 due to the fact that older children are more likely to be able to answer the FFQ accurately.

4)   We reviewed and revised the list of papers and authors to be worked on this next year and discussed upcoming conference presentation deadlines and ideas.

5)   We assigned a core writing team and began to develop objectives for the project renewal (W-4003).

6)   The study timeline was reviewed and modified: 

 

Revised timeline (March 2018)

Finalize surveys

End of March 2018

Conduct cognitive interviewing training

April 2018

Submit IRB amendments

May 2018

Conduct cognitive interviews

May 2018

Revise surveys and add food frequency and demographic items

June 2018

Pilot surveys via Qualtrics

July 2018

Revise surveys

August 2018

Background for W4003 completed

September 2018

Methods for W4003 completed

October 2018

Full data collection

October 2018

Data cleaning

November to December 2018

Submission of W4003 Proposal

January 15, 2019

Analyses and manuscript development

Spring 2019

Plan and develop future intervention components targeting independent eating occasions.

2020

Design, implement and evaluate pilot interventions

2021

Share educational materials and resources with others in cooperation with state partners

2022

 

7)   Members nominated Glade Topham (Chair), Karina Lora (Chair-Elect), and Alex Kojo Anderson (Secretary) to serve in leadership positions for the 2018-19 term. Blake Jones will serve as Past Chair.  The next annual meeting is scheduled for the Arizona State University March 13-16, 2018. Vanessa da Silva will serve as meeting host and Glade Topham will chair the 2019 meeting.

 

 

Accomplishments

 

Background.  There is limited evidence about how adolescents eat when they are making food choices without the direct influence of their parents, who are primary influencers of their choices and consumption behavior as children (Savage et al., 2007). US children and adults are consuming food more frequently throughout the day and more at each occasion (Popkin and Duffey, 2010); a rise that parallels the rise in obesity and increases in portion sizes (Piernas and Popkin, 2011). That consumption is occurring as primary eating or meal occasions but increasingly as secondary eating which may or may not be mealtime eating. Additionally, while evidence shows that most families (58%) consume about 5 or more meals/week together, (National Center on Addiction and Substance Abuse (CASA), 2011), others report the percentage consuming shared family meals decreases among lower SES groups (Neumark-Sztainer et al., 2013). The 1994-96 CFSII data reveal a mean of 4.5 daily eating occasions/day (Ritchie, 2012). Adolescents (10-13 years old) who are at the age of becoming more independent are likely making food choice decisions on their own at some of those other daily eating occasions. However, frequency of eating and snacking are both increasing and what and how much food adolescents choose and consume when they are outside of their parental influence is not known. The work exploring parental practices and their impact on children’s intakes, weight and eating behaviors is not well established. In particular, a focus on what occurs in those occasions when the child is making independent choices and not in the presence of the parent needs more clarity. What strategies do parents use to model healthy food intake? How can the behavior of modeling or creating rules and expectations be measured and how do those behaviors impact children’s food intake? How often do early adolescents make independent food choices and are there parental expectations for choices that they make? How compliant are they with their parental rules? How do role modeling, food choice rules or expectations and food availability translate into food choices when a child is on their own or with peers or siblings at an eating occasion? How can parents be more motivated and overcome the barriers they perceive to practicing positive eating related parental behaviors? Having a greater understanding of this phenomenon fosters the ability to communicate and promote effective practices and strategies to parents for managing healthy eating among their youth.

 

Project Objectives. Explore and identify key parental practices (role modeling, making healthy foods available, and setting rules/expectations and other practices) that may impact eating behaviors and food choices during independent eating occasions and weight among low-income, multi-ethnic early adolescents. 2. Examine the association between key parental practices and positive eating behaviors during independent eating occasions among low-income, multi-ethnic early adolescents 3. Examine the association between key parental practices and early adolescents’ weight. 4. Develop communications for parents and nutrition professionals

 

Main Accomplishments for 2017-2018

 

The main accomplishment of the 2017-2018 of the W3003 group was cleaning and analyzing data from Objective 1. For Objective 1 we collected data from approximately 5 parent-child dyads, including parent surveys, child surveys, anthropometric measurements (heights, weights, waist circumferences), parent interviews, and child interviews at each site. This yielded a sample of over 50 parent-child dyads, with rich, in-depth data from interviews and pictures of foods eaten, as well as surveys and objective anthropometric measurements. The quantitative team developed methods for entering food data and built, cleaned, and conducted analyses on the quantitative data set. Two researchers independently coded the children’s food photos into broader categories, which were then used for data analyses for professional meeting abstracts. 

 

The qualitative team independently coded several of the same parent interview transcripts in order to establish interrater agreement using the codebook developed by the team. After coding the transcript, team members discussed codes and updated the code book. This was repeated until satisfactory interrater agreement was achieved. Next, each of the five qualitative team members coded 10 transcripts, one after the other so each would have the most up to date code book when coding. After the coding was complete and themes were identified, two team members were assigned to create items for each theme, with a primary item developer and a secondary reviewer who suggested edits or additional items. The team then reviewed all items and made edits together to the items in preparation for the annual meetings and survey development. Two researchers also reviewed the child interview transcripts to ensure consistency between parent and child themes.

 

The methods team collated the methods employed in data collection, coding and analyses into one document. Progress throughout the year was facilitated through monthly web conferences with the full group and additional sub group meetings as necessary.

 

Impacts

  1. 1. Through coding of qualitative data from 50 interviews with parents and their children, we identified themes relative to strategies and behaviors parents used to help their children eat healthy foods and avoid eating unhealthy foods when they or other caregivers are not around. Themes relative to parent efforts to influence their children include use of consequences and rewards, teaching children about health consequences, use of power assertion or pressure, monitoring remotely (text, calls), modeling, hiding foods, encouraging alternatives, making only those foods they want their children to eat available, setting rules or expectations, and preparing healthy foods for their children in advance. In addition, we identified themes regarding what parents saw as barriers and facilitators in helping their children eat healthy foods when they are not around. Because the frequency of children’s independent eating occasions continues to increase, an understanding of these processes is key to efforts to help families establish processes that promote healthy eating during independent eating occasions.
  2. 2. These qualitative data (Objective 1) were used to inform the development of parent and child surveys relative to child independent eating occasions that can be administered to large groups of parents and children to better understand key strategies and processes around children’s independent eating occasion for parents and children from diverse racial or ethnic backgrounds (Objective 2). Data collected using these surveys and the associated results may be used in future education and social marketing initiatives aimed at supporting parents of early adolescent children to facilitate healthier eating among their children.
  3. 3. Quantitative data (parents’ responses to demographics information about themselves and their child, children’s responses to questions about the food photos, and parents’ and children’s heights, weights, and waist circumferences) were checked for accuracy and completeness of data, contacting individual sites as needed for clarification. Parents’ BMIs and children’s BMI-for-age percentiles and BMI z-scores were calculated. Food photos were independently reviewed by two researchers to classify foods into broader food categories. Other variables were re-coded for statistical analyses. These steps were critical in being able to generate the results team members’ needed for submitting professional meeting abstracts.
  4. 4. We utilized the secondary FLASHE data to examine adolescent independent eating occasions (paper under review). Findings make an important contribution to what we know about the correlates of independent eating. We found that adolescents who ate alone more frequently were more likely to eat meals from a box, eat more junk food and sugary drinks, have fewer fruits and vegetables in the home, and to be overweight/obese. In addition, adolescents who ate alone more frequently were less likely to report that their parents supported healthy eating.

Publications

Reicks M., Davey, C., Anderson, A. K., Banna J., Cluskey M., M., Gunther, C., Jones, B., Richards, R., Topham, G. L., Wong, S. S. (Under review). Frequency of Eating Alone among Adolescents is Associated with Dietary Intake, Perceived Parent Support and Weight Status: Cross-sectional FLASHE Study Results. International Journal of Behavioral Nutrition and Physical Activity.

 

Papers and posters presented last year:

 

Suzuki A, Anderson A, Choi SY, Cluskey M, Gunther C, Hongu N, Jones B, Lora K, Misner S, Monroe-Lord L, Penicka C, Reicks M, Richards R, Topham G, Wong SS, Banna JC. Characterizing Eating Behaviors of Adolescents Ages 10-13 in Hawaii While Eating Alone. University of Hawai‘i College of Tropical Agriculture and Human Resources Research Symposium. Honolulu, Hawai‘i; 2018, oral presentation by Asuka Suzuki (PhD student). 

Suzuki A, Anderson A, Cluskey M, Ganganna P, Gunther C, Hongu N, Jones B, Litchfield R, Lora K, Misner S, Monroe-Lord L, Penicka C, Reicks M, Richards R, Topham G, Wong SS, Banna JC. Characterizing eating behavior during independent eating occasions among early adolescents in Hawaii. East-West Center International Graduate Student Conference. Honolulu, Hawai‘i, 2018, oral presentation by Asuka Suzuki (PhD student).  

 

Papers and Posters to be Presented During the Upcoming Year

 

Richards R, Jones B, Anderson A, Banna JC, Cluskey M, Gunther C, Hongu N, Lora K, Misner S, Monroe-Lord L, Reicks M, Topham G, Wong SS. Parental practices and its impact on 10-13 year-old children. Food and Nutrition Conference and Expo, 2018, Washington, D.C., presentation by Rickelle Richards.

 

Suzuki A, Anderson A, Choi SY, Cluskey M, Gunther C, Hongu N, Jones B, Lora K, Misner S, Monroe-Lord L, Penicka C, Reicks M, Richards R, Topham G, Wong SS, Banna JC. Characterizing eating behavior during independent eating occasions among early adolescents in Hawaii. Nutrition 2018, Boston, Massachusetts, poster presentation by Asuka Suzuki (PhD student).  

 

Banna JC, Richards R, Jones B, Anderson A, Cluskey M, Gunther C, Hongu N, Lora K, Misner S, Monroe-Lord L, Reicks M, Topham G, Wong SS, Lim E. Describing independent eating occasions among low-income adolescents ages 10-13 in the United States: a multi-state study. Nutrition 2018, Boston, Massachusetts, poster presentation by Jinan Banna.

 

Anderson AK, Richards R, Jones B, Banna J, Gunther C, Hongu N, Lora K, Misner S, Monroe-Lord L, Reicks M, Topham G, Wong SS. Challenges in collecting pictorial data and identifying foods in dietary assessment of early adolescents. Dietary Intake 2018: Workshop on Innovative Technologies for Dietary Intake Measurements. September 17, Imperial College, United Kingdom, presentation by Alex Anderson

 

Reicks M, Davey C, Anderson AK, Banna J, Cluskey M, Gunther C, Jones B, Richards R, Topham G, Wong SS. Frequency of eating alone among adolescents, perceptions of parenting practices, and dietary intake: results from the FLASHE Study. Society for Nutrition Education and Behavior Annual Meeting July 2018, Minneapolis.

 

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