The interaction of social networks and child obesity prevention program effects: The pathways trial. (11th March 2014)

• Record Type: Journal Article
• Authors: Shin, Hee‐Sung; Valente, Thomas W.; Riggs, Nathaniel R.; Huh, Jimi; Spruijt‐Metz, Donna; Chou, Chih‐Ping; Ann Pentz, Mary
• Is Part Of: Obesity. Volume 22:Number 6(2014:Jun.)
• Page Start: 1520
• Page End: 1526
• Publication Date: 2014-03-11
• Subjects: Obesity -- Periodicals; 616.398005
• DOI: 10.1002/oby.20731
• Languages: English
• ISSNs: 1930-7381

Abstract

<abstract abstract-type="main"> <title> <x xml:space="preserve">Abstract</x> </title> <sec id="oby20731-sec-0001" sec-type="section"> <title>Objective</title> <p>Social network analysis was used to examine whether peer influence from one's social networks moderates obesity prevention program effects on obesity‐related behaviors: healthful and unhealthful.</p> </sec> <sec id="oby20731-sec-0002" sec-type="section"> <title>Methods</title> <p>Participants included 557 children residing in Southern California. The survey assessed health‐promoting behaviors (i.e., physical activity at school, physical activity outside of school, and fruit and vegetable intake), as well as unhealthful behaviors (high‐calorie, low‐nutrient intake and sedentary activity), and peer exposure calculated from social network nominations as indicators of peer influence. Multilevel models were conducted separately on outcomes predicted by program participation, peer exposure, and program participation by peer exposure.</p> </sec> <sec id="oby20731-sec-0003" sec-type="section"> <title>Results</title> <p>Results indicated that peer exposure was positively associated with one's own healthful and unhealthful behaviors. Program participation effects were moderated by peer influence, but only when unhealthful peer influence was present. Results suggest that peer influence can diminish or amplify prevention programs</p> </sec> <sec id="oby20731-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Future interventions should consider peer‐led components to promote healthful influence of peers on healthful and unhealthful behaviors, and programs should be mindful that their effects are moderated by social networks.</p> </sec> </abstract>