51. Targeted self-regulation interventions in low-income children: Clinical trial results and implications for health behavior change
- Author
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Kiren Chaudhry, Kendrin R. Sonneville, Benjamin Katz, Julie Sturza, Alison L. Miller, Ashley N. Gearhardt, Sharon L. Lo, Richard Gonzalez, Emily M. Fredericks, Julie C. Lumeng, Christine M. Hunter, and Niko Kaciroti
- Subjects
Parents ,Adolescent ,1702 Cognitive Sciences ,media_common.quotation_subject ,GAME ELEMENTS ,Health Behavior ,Psychological intervention ,Social Sciences ,Psychology, Developmental ,Intervention ,Experimental and Cognitive Psychology ,DECISION-MAKING ,AGE-RELATED-CHANGES ,Article ,050105 experimental psychology ,Self-Control ,Executive Function ,Promotion (rank) ,Intervention (counseling) ,Developmental and Educational Psychology ,Psychology ,EPISODIC FUTURE THINKING ,Humans ,0501 psychology and cognitive sciences ,Child ,SUBSTANCE USE ,Poverty ,ASSOCIATIONS ,media_common ,Future orientation ,Psychology, Experimental ,Emotion regulation ,NIH TOOLBOX ,05 social sciences ,Behavior change ,Cognition ,TIME PERSPECTIVE ,Clinical trial ,COGNITIVE BIAS MODIFICATION ,1701 Psychology ,Self-regulation ,Autonomy ,050104 developmental & child psychology ,Clinical psychology - Abstract
Self-regulation, known as the ability to harness cognitive, emotional, and motivational resources to achieve goals, is hypothesized to contribute to health behaviors across the lifespan. Enhancing self-regulation early in life may increase positive health outcomes. During pre-adolescence, children assume increased autonomy in health behaviors (e.g., eating; physical activity), many of which involve self-regulation. This article presents results from a clinical trial (NCT03060863) that used a factorial design to test behavioral interventions designed to enhance self-regulation, specifically targeting executive functioning, emotion regulation, future-oriented thinking, and approach biases. Participants were 118 children (9–12 years of age, M = 10.2 years) who had a history of living in poverty. They were randomized to receive up to four interventions that were delivered via home visits. Self-regulation was assayed using behavioral tasks, observations, interviews, and parent- and child-report surveys. Results were that self-regulation targets were reliably assessed and that interventions were delivered with high fidelity. Intervention effect sizes were very small to moderate (d range = .02–.65, median = .14), and most were not statistically significant. Intercorrelation analyses indicated that associations between measures within each target varied based on the self-regulation target evaluated. Results are discussed with regard to the role of self-regulation-focused interventions in child health promotion. Implications of findings are reviewed for informing next steps in behavioral self-regulation interventions among children from low-income backgrounds. Published version
- Published
- 2021