Title

Home Visitation Programs: An Untapped Opportunity for the Delivery of Early Childhood Obesity Prevention

Date

2017

Author(s)

Sarah-Jeanne Salvy, Kayla de la Haye, Titus Galama, and Michael I. Goran

Type of Product

Journal publication

Program Models Included

  • Healthy Families America (HFA)
  • Other Models

Related NHVRC Products

Description

Background: Extant obesity efforts have had limited impact among low-income underserved children, in part because of limitations inherent to existing programs: (i) short duration and low intensity; (ii) late timing of implementation, when children are already overweight or obese; (iii) intervention delivery limiting their accessibility and sustainability; and (iv) failure to address barriers such as a lack of culturally competent services, poverty and housing instability, which interfere with healthy lifestyle changes. Objective: This concept paper proposes an innovative model of obesity prevention implemented in infancy and sustained throughout early childhood to address the limitations of current obesity prevention efforts. Specifically, we propose to integrate sustained, weekly, in-home obesity prevention as part of the services already delivered by ongoing Home Visitation Programs, which currently do not target obesity prevention. Conclusion: The home visiting structure represents an ideal model for impactful obesity prevention as home visitation programs: (i) already provide comprehensive services to diverse low-income infants and families who are most at risk for obesity and poor health because of socio-economic and structural conditions; (ii) services are initiated in infancy and sustained throughout critical developmental periods for the formation of healthy/unhealthy behaviors; and (iii) have been in place for more than 40 years, with a widespread presence across the United States and nationwide, which is critical for the scalability and sustainability of obesity prevention. (author abstract)

Data Collection Methods

Status

Finished

For More Information

Salvy, S.-J., de la Haye, K., Galama, T., & Goran, M. I. (2017). Home visitation programs: An untapped opportunity for the delivery of early childhood obesity prevention. Obesity Reviews, 18(2), 149–163. http://doi.org/10.1111/obr.12482
Author Contact Information:
Sarah-Jeanne Salvy
salvy@uab.edu

Topics

  • Participant, Family, and Program Outcomes
  • Program Enhancements, Innovations, and Promising Approaches