Studies have found that youth are experiencing higher anxiety levels than prior to COVID-19, and youth with type 1 diabetes are at higher risk. Medical specialty camps are a type of camp that provide opportunities for youth with chronic illnesses to share common goals, increase socialization, improve camper well-being, and increase knowledge of…

Family caregivers play a critical role in dietary care and the nutritional status of people with dementia. The aim of this study was to investigate the effects of a family care-based dementia dietary educational program (DDEP) on family caregivers' nutritional knowledge, healthy eating behavior and nutritional status of people with dementia. A…

The well-being of Texas children is essential to the future of our state. Recent years have presented significant challenges for Texas' youngest residents, particularly in areas of economic stability, health, and education. According to the Annie E. Casey Foundation, Texas declined from 43rd to 45th in national rankings for overall child…

Low-income families experience many barriers to purchasing and preparing healthful foods. To help address some of these barriers, a team created a family-based cooking class, Healthy All Together, in which participants learn strategies for how to stretch their food dollars and feed their families healthful meals. In this article, we describe the…

Objectives: To (1) determine the weight-reducing effect of the Koa Family Program (KFP), a community-based, telewellness obesity intervention and (2) examine the impact of the KFP on improving weight-related health indicators. Design: Randomised controlled trial. Setting: Community-based in Sacramento, California, USA. Methods: Seventy women with…

The Fit Family Challenge, a web-based healthy lifestyle program, was developed to motivate families to participate in more physical activity by tracking their behaviors and by providing them with educational materials and community events to attend with their families. This article is an account of the steps taken and the efforts needed to make a…

Lack of treatment fidelity can be an important source of variation affecting the credibility and utility of outcomes from behavioral intervention research. Development and implementation of a well-designed treatment fidelity plan, especially with research involving underserved populations, requires careful conceptualization of study needs in…

The Sugar Plays are a family-focused health intervention. The goal of the play is to explore the experience of living with a Type 2 Diabetes Mellitus (T2DM) diagnosis in Appalachia. This present study examined audience reactions using three data-collection methods: (1) open-ended questionnaires, (2) participatory sketches and (3) semi-structured…

Scalable interventions remain effective across a range of real-world settings and can be modified to fit organizational and community context. "Smoke-Free Homes: Some Things are Better Outside" has been effective in promoting smoke-free home rules in low-income households in efficacy, effectiveness, generalizability, and dissemination…

Latino children have a disproportionately high prevalence of obesity. Parenting styles and food- and activity-related parenting practices influence children's weight and weight-related behaviors. Fathers are underrepresented in existing healthy lifestyle intervention studies for families. The Padres Preparados, Jóvenes Saludables program was…

In order to address the pervasive trend of underconsumption of fruits and vegetables among children, we examined the hypothesis that children would be more likely to select fruits (apple slices, bananas, and oranges) and vegetables (baby carrots) when paired with animal cartoon image than when available without the character image. Tested in a…

Background: Physical activity (PA) is linked to many health benefits. However, many children and adults do not meet PA recommendations. Specifically, Mexican-heritage (MH) families are less physically active and at greater risk for obesity and related co-morbidities than the general population. Culturally-tailored programs are needed to support MH…

The Expanded Food and Nutrition Education Program (EFNEP) is the nation's first federal nutrition education program for low-income populations. Without question, accelerating equity in programming has long been a priority of EFNEP. Historically underserved populations with limited financial resources are often people of color and at increased risk…

In this dissertation, I examine how two major social programs in Kentucky--state-funded preK and Family Resource and Youth Service Centers--impact children's outcomes across the state, including racial, ethnic, and economic equity through elementary school. In each chapter, I will analyze how early childhood opportunities relate to outcomes…

Background: Caregivers of adolescents diagnosed with Oppositional Defiant Disorder and/or Conduct Disorder (ODD/CD) experience unique challenges when interacting with child service systems involved in their adolescents' care. Absent from the literature are interventions to improve these interactions, which in the long term may improve adolescent…