RESUMO
Childhood obesity and health behavior programs are increasingly a focus within literature and individual provider practices. This study was designed to inform "best practices" for establishing effective programs in the medical setting by identifying persons and factors that influence children's willingness to be active, eat healthy, and lose weight when medically appropriate. A total of 342 child and parent dyads living in a rural setting participated in this study. Child and parent report of theory of planned behavior constructs and child intentions to lose weight, eat healthier, and increase own exercise was established as the study outcomes. Parent and child perceptions and child characteristics (e.g., weight status) were associated with children's intentions to lose weight and obtain more exercise whereas only child perceptions were associated with children's intentions to eat healthier. Incorporating children as young as 10 years of age in conversations and planning for diet and physical activity lifestyle changes is essential for the success of the treatment option.
Assuntos
Comportamento Infantil/psicologia , Comportamentos Relacionados com a Saúde , Educação em Saúde/métodos , Estilo de Vida , Obesidade/prevenção & controle , Relações Pais-Filho , Região dos Apalaches , Índice de Massa Corporal , Peso Corporal , Criança , Feminino , Humanos , Masculino , Autoimagem , Estados UnidosRESUMO
OBJECTIVES: To explore the relationships among neighborhood built environment characteristics, psychosocial factors, perceived and objective proximity assessments, and use of a community rail-trail. METHOD: Telephone survey data of adults (n=788) in Morgantown, WVa, were classified into one of 4 distance-perception categories based on actual (using geographic information systems technology) and perceived proximity of a community rail-trail. RESULTS: Differences in psychosocial barriers to physical activity (P=.037) and perceived neighborhood walkability (P<.001) were associated with perceived proximity to and use of a community trail. CONCLUSION: Specific attention should be given to address neighborhood and psychosocial barriers when constructing and promoting community trails.
