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This article describes the adaptation of a parent-focused evidence-based childhood obesity intervention program for implementation by county-based Extension educators in coordination with school district personnel in rural Pennsylvania. The Lifestyle Positive Parenting Program was designed and evaluated in Australia in clinical settings. Several minor and more serious adaptations, such as featured recipes and content of follow-up telephone calls, were made so that the program would be more appropriate for and appealing to target families. Conceptual issues regarding the adaptation of evidence-based programs are reviewed.

An Extension-implemented parent-focused childhood obesity intervention designed to improve family functioning around healthful eating and exercise was evaluated. Thirty-six parents and their children, aged 5-13, were randomized to a 12-week intervention condition or control condition. Intervention parents, compared to control group parents, felt more confident in promoting children's healthful eating and exercise, worried less about their children's weight, and engaged in fewer counterproductive parenting behaviors. The children of these parents, as compared to children of control group parents, lost weight and displayed better social-emotional functioning. These results highlight Extension's important role in disseminating evidence-based childhood obesity interventions.

Abstract Background Parents play an important role in the development of children's health behaviors, but less is known about the role of parental encouragement for physical activity (PA) on youth PA behavior and body image satisfaction. The purposes of this study were to: (1) longitudinally assess whether adolescent PA at age 15 mediates the effect of perceived parental encouragement for PA at age 15 for predicting adolescent body satisfaction at age 16, while controlling for body mass index (BMI), and (2) examine the extent to which adolescent sex moderates this association. Methods Participants were 379 boys and girls assessed at 15 and 16 years of age, who completed surveys as part of a larger longitudinal study in their health/physical education classes in a school district in Central Pennsylvania. Participants completed measures of their perception of parental encouragement for PA, PA behavior, body satisfaction, and height and weight to calculate BMI at age 15 and 16 (i.e., 10th and 11th grades). Pearson correlations were used to examine the association among the study variables and hierarchical regression analyses were used to predict body satisfaction at age 16. Results Perceived encouragement for PA from fathers, but not mothers, at age 15, was significantly associated with adolescent PA at age 15 and body satisfaction scores at age 16. Adolescents reporting higher PA behavior and perceived encouragement for PA from fathers at age 15 had higher body satisfaction scores at age 16. Moreover, adolescent PA at age 15 mediated the association between perceived fathers' encouragement for PA at age 15 and adolescent body satisfaction at age 16, when controlling for BMI. Examining the moderating effect of adolescent sex on this association revealed that adolescent PA no longer mediated the association between perceived encouragement for PA from fathers and adolescent body satisfaction, and sex moderated this association. Discussion These findings suggest that, regardless of adolescent BMI, fathers may play an instrumental role in adolescents' body image satisfaction by positively influencing PA behavior. However, the influence of perceived encouragement for PA from fathers on adolescent body satisfaction and PA behavior may differ for boys and girls.

An Extension-implemented parent-focused childhood obesity intervention designed to improve family functioning around healthful eating and exercise was evaluated. Thirty-six parents and their children, aged 5-13, were randomized to a 12-week intervention condition or control condition. Intervention parents, compared to control group parents, felt more confident in promoting children's healthful eating and exercise, worried less about their children's weight, and engaged in fewer counterproductive parenting behaviors. The children of these parents, as compared to children of control group parents, lost weight and displayed better social-emotional functioning. These results highlight Extension's important role in disseminating evidence-based childhood obesity interventions. [ABSTRACT FROM AUTHOR]

This article describes the adaptation of a parent-focused evidence-based childhood obesity intervention program for implementation by county-based Extension educators in coordination with school district personnel in rural Pennsylvania. The Lifestyle Positive Parenting Program was designed and evaluated in Australia in clinical settings. Several minor and more serious adaptations, such as featured recipes and content of follow-up telephone calls, were made so that the program would be more appropriate for and appealing to target families. Conceptual issues regarding the adaptation of evidence-based programs are reviewed. [ABSTRACT FROM AUTHOR]