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![Page 1: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/1.jpg)
Development and Evaluation of an Early Childhood Obesity
Prevention Video
Mary Ann Chiasson, DrPHNNPHI Annual Conference
May 7, 2009
![Page 2: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/2.jpg)
About Public Health Solutions
• Grant and contract management• Direct service provision
– WIC ~50,000 women & children– Reproductive health centers ~ 17,000– Health Insurance enrollment– Early intervention service coordination
• Technology services
• Research and Evaluation (IRB)
![Page 3: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/3.jpg)
Research and Evaluation Unit
• 3 PhDs (epidemiology, sociology, demography) 2 MPHs + study staff
• Work as team
• Highly integrated with all other Public Health Solutions programs
• Internal & external R&E projects
• Academic affiliation
![Page 4: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/4.jpg)
Evolution of the Intervention as an Example of Integration
2000 WIC staff concerned about early childhood obesity
2001 Brief survey on prevalence, food consumption, physical activity
2002 Detailed survey (2-4 yr olds)
~40% overweight/obese
![Page 5: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/5.jpg)
BMI Age Trends NYC Neighborhood WIC Program, 2001
0
10
20
30
40
50
60
70
80
24-29 30-35 36-41 42-47 48-53 54-59
Age in months
Per
cen
tag
e
Normalweight
Underweight
Overweight& Obese
40%
![Page 6: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/6.jpg)
Next Steps
2006 Funding from NYS Assembly2006 Intervention formative research
– Video…DVD format– English / Spanish– Intervention for families
2007 Infant feeding videos created
2008 Effect of intervention assessed
![Page 7: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/7.jpg)
![Page 8: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/8.jpg)
Evaluation Overview
• Goal – To evaluate the impact of video on maternal infant feeding knowledge & practices 3 & 6 months after viewing.
• Data – Intervention Group (IG) - 171 got DVD; Control Group (CG) - 197 usual WIC services. All had singleton infants < 5 months of age; spoke English or Spanish.
• Methods – Baseline survey at WIC centers; 3 & 6 month phone follow-up surveys.
![Page 9: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/9.jpg)
WIC Breastfeeding Peer Counselors
![Page 10: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/10.jpg)
Participant Birthplace (N=368)
8%
26%
24%5%
20%
17%
Dom RepMexicoEcuadorColombiaUSOther
![Page 11: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/11.jpg)
DVD Use at 3-MonthFollow-up - Intervention Group
•85% watched the DVD
•66% watched more than once
•73% watched the whole DVD
•59% watched with someone else
![Page 12: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/12.jpg)
Change in Knowledge* from Baseline to 3-Month Survey by Group
Group Increase in Knowledge*
p**
Intervention From 5.8 to 6.3
8.6%
.001
Control From 6.3 to 6.6
4.8%
.006
*Mean number of correct answers out of 9 questions **Wilcoxon Signed Ranks Test
![Page 13: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/13.jpg)
4.2
5.4
4.1
4.9
0.0
1.0
2.0
3.0
4.0
5.0
6.0
3-Month Interview(ns)
6-Month Interview(p<.01)
Mo
nth
s
IGCG
Age at Introduction of Solids
*
*
![Page 14: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/14.jpg)
Video Evaluation Conclusions
The Intervention group:
• watched DVD at home and shared it.
• had a greater improvement in knowledge of healthy infant feeding practices.
• showed a later introduction of solids practices at 6-month follow-up survey.
![Page 15: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/15.jpg)
Video Dissemination
• Now have three versions - English/Spanish, English/Mandarin & English/Creole/French
• Distributed to ~35,000 new mothers in NYC (WIC, large health plan, Asian-American health centers)
• Goal - Statewide distribution to all new mothers
![Page 16: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/16.jpg)
Ongoing Obesity Prevention Activities
Internal• Planning for large scale RCT with prenatal
mothers’ groups.
• Manuscript preparation
• Coordinated early childhood obesity prevention messages including breastfeeding support among all Public Health Solutions’ programs.
External• Co-PI with Columbia University on RWJF
evaluation of impact of NYS new WIC food package
![Page 17: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/17.jpg)
![Page 18: Development and Evaluation of an Early Childhood Obesity Prevention Video Mary Ann Chiasson, DrPH NNPHI Annual Conference May 7, 2009.](https://reader033.fdocuments.in/reader033/viewer/2022042703/56649e395503460f94b2a770/html5/thumbnails/18.jpg)
Research & Evaluation