Benchmark - Capstone Project Change Proposal

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LiteratureEvaluationTable.docx

Literature Evaluation Table

Student Name: Avery Bryan

Change Topic (2-3 sentences): Childhood obesity is a world-wide health problem and development of interventions to prevent or control it is a priority. Obesity is prevalent and on the increase among school going African American children in the US. Physical activity and healthy eating are the key interventions that are used to tackle the problem of obesity.

Criteria

Article 1

Article 2

Article 3

Article 4

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Amini et al., International Journal of Preventive Medicine, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258668/

Chircop et al., Health Promotion International, https://doi.org/10.1093/heapro/dat056

Danford et al., Child: Care, Health & Development, https://doi.org/10.1111/cch.12256

Ranucci et al., BioMed Research International, https://doi.org/10.1155/2017/8573725

Article Title and Year Published

Children with Obesity Prioritize Social Support against Stigma: A Qualitative Study for Development of an Obesity Prevention Intervention. 2014.

Privileging physical activity over healthy eating: ‘Time’ to Choose? 2015.

Perceptions of low-income mothers about the causes and ways to prevent Overweight in children. 2015.

Effects of an Intensive Lifestyle Intervention to Treat Overweight/Obese Children and Adolescents. 2017.

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

The aim of the research was to complete the understanding of ideas, attitudes, beliefs, and preferences of obese primary school children.

The purpose of the research was to examine environmental influences on youth obesity.

The aim of the research was to examine what low-income mothers perceive to be the causes of and the ways to prevent children from becoming overweight.

The aim of the study was to examine the effects of a multidisciplinary lifestyle intervention to treat overweight/obese children and adolescents.

Design (Type of Quantitative, or Type of Qualitative)

Qualitative study

Mixed methods study

Qualitative

Quantitative

Setting/Sample

Twenty-seven obese/overweight primary school-students

Forty seven families

286 Low‐income mothers with children aged 4–8 years

Seventy four overweight/obese children or adolescents

Methods: Intervention/Instruments

Focused Group Discussions

Interviews

Semi‐structured interviews

Multidisciplinary interventions

Analysis

All FGD notes were analyzed to find the main themes.

Interviews were transcribed verbatim and imported into NVIVO qualitative data analysis software version 8 (2008) to organize and code the data and initial codes were further analyzed into emerging concepts and major themes by an interdisciplinary team.

The semi structured interviews were first transcribed verbatim and imported into qualitative data analysis software.

Analysis of cardio metabolic risk based on the waist-to-height ratio (WHTR) measurement.

Key Findings

Children mentioned nutrition and physical improvement, social support, and education as the main elements of an effective intervention.

A perceived lack of time to meet the demands of youth' scheduled physical activities was the dominant theme across interviews from all neighborhoods

The majority of mothers (77.1%) reported that they carried out their suggestions to prevent their children from becoming overweight.

Both children and adolescents showed a significant reduction in body weight, BMI, waist circumference, fat mass, and WHTR index and an improvement of fat-free mass, adherence to the Mediterranean diet, and physical fitness performance.

Recommendations

Obese children need to be supported against different barriers of losing weight, mainly social barriers, especially humiliation by the community.

Healthy eating should receive the same priority that was exacerbated in suburban and rural environments.

Increased physical activity should be encouraged as a way to prevent children from becoming overweight.

A family-based multidisciplinary approach should be encouraged since it is effective in ameliorating the health status, the nutrition habits, and physical performance in children and adolescents.

Explanation of How the Article Supports EBP/Capstone Project

The article supports the EBP/Capstone Project since it highlights ways in which children with obesity prioritize social support against stigma.

The article supports the EBP/Capstone Project in that it lays emphasis on physical activity and healthy eating as strategies to tackle childhood obesity.

The article supports the EBP/Capstone Project in that it examines the perceptions of low-income mothers about the causes and ways to prevent obesity in children.

The article supports the EBP/Capstone Project in that it examines the impacts of an intensive lifestyle intervention to treat overweight/obese children.

Criteria

Article 5

Article 6

Article 7

Article 8

Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Sylvetsky et al., Journal of Obesity, https://dx.doi.org/10.1155/2013/670295

Xu et al., Journal of Obesity, https://doi.org/10.1155/2017/2746595

Lutfiyya et al., Journal of the American Board of Family Medicine, https://doi.org/10.3122/jabfm.2008.03.070207

LaShun, ABNF Journal, https://search.proquest.com/openview/9790b951685f186cffb071e9099c2cc8/1?pq-origsite=gscholar&cbl=32975

Article Title and Year Published

Youth Understanding of Healthy Eating and Obesity: A Focus Group Study. 2014.

A Community-Based Nutrition and Physical Activity Intervention for Children Who Are Overweight or Obese and Their Caregivers. 2017.

Overweight and obese prevalence rates in African American and Hispanic children. 2014.

Parental depression, family functioning, and obesity among African American children. 2015.

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

The aim of the study was to investigate youth’s understanding of obesity and to investigate gaps between their nutritional knowledge, dietary habits, and perceived susceptibly to obesity and its co-morbidities.

The purpose of the research was to find out whether collaborative community-based programs designed for children and their caregivers are effective in reducing obesity rates.

The purpose of the study was to examine the prevalence of overweight and obesity in African-American and Hispanic children compared with white children.

The research aimed at examining issues concerning Parental depression, family functioning, and obesity among African American children.

Design (Type of Quantitative, or Type of Qualitative)

Qualitative

Quantitative

Qualitative

Quantitative

Setting/Sample

Sample ads for the development of an obesity awareness campaign

Collaborative community-based setting

Obese African American children

African American setting: 44 parent-child dyads

Methods: Intervention/Instruments

Focused Group Discussions

A Community-Based Nutrition and Physical Activity Intervention

Examining the prevalence of overweight and obesity in African-American and Hispanic children compared with white children

Demographic questionnaire and instruments that measured family functioning, parental psychopathology, child behavior and cardiovascular risks

Analysis

Inductive thematic coding to identify key themes related to youth reports of family eating habits, perceived facilitators and barriers of healthy diet, and knowledge about obesity and its complications.

Analysis of the 16-week intervention including weekly group nutrition and physical activity sessions.

Multivariate analyses were performed on cross-sectional data from the National Survey of Children's Health collected in 2003 to 2004.

The collected data were statistically analyzed using the relevant software.

Key Findings

Mixed attitudes about healthy eating, low perceived risk of being or becoming obese, and limited knowledge about the health consequences of obesity may contribute to the rising prevalence of obesity among youth in Georgia.

Participants decreased their fat, carbohydrate, saturated fat, and sodium intake and increased core body strength and endurance from baseline to the end of the intervention.

Overweight children were more likely to be African American and Hispanic than white.

Parental factors such as depression play a significant role in childhood obesity.

Recommendations

There should be a need for education to connect lifestyle behaviors to development of obesity.

South County Food, Fitness and Fun (SCFFF) program is recommended since it is effective in reducing relative weight and improving diet and core muscle strength and endurance in children who are overweight or obese.

Policymakers concerned with issues of childhood obesity should pursue the creation of school-based health clinics in schools where at least 50% of the student body live in households with incomes less than 150% of the Federal poverty level.

Effective parenting is essential for controlling childhood obesity.

Explanation of How the Article Supports EBP/Capstone

The article supports the EBP/Capstone Project in that analyze the youth’s understanding of obesity.

The article supports the EBP/Capstone Project in that it determines the effectiveness collaborative community-based programs designed in reducing obesity rates.

The article supports the EBP/Capstone Project in that it examines the prevalence of overweight and obesity in African-American.

The article supports the EBP/Capstone Project in that it examines how parental factors such as depression influences obesity among children.

© 2015. Grand Canyon University. All Rights Reserved.

© 2017. Grand Canyon University. All Rights Reserved.