caa a22 4500 606153519 CHVBK 20210128100554.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s11121-014-0505-z doi (NATIONALLICENCE)springer-10.1007/s11121-014-0505-z Preventing Weight Gain and Obesity: Indirect Effects of the Family Check-Up in Early Childhood [Elektronische Daten] [Justin Smith, Zorash Montaño, Thomas Dishion, Daniel Shaw, Melvin Wilson] The early signs of obesity are observable in early childhood. Although the most promising prevention approaches are family-centered, few relevant early prevention programs exist. This study evaluated the effects of an evidence-based, home-visiting intervention, the Family Check-Up (FCU), on the trajectory of children's weight gain. The FCU was designed to prevent the development of behavior problems by improving family management practices; children's weight has not been an explicit target. On the basis of previous research and conceptual models, we hypothesized that intervention effects on parenting practices, specifically caregivers' use of positive behavior support (PBS) strategies in toddlerhood, would mediate improvements in children's weight trajectories. A total of 731 indigent caregiver-child dyads from a multisite randomized intervention trial were examined. Observational assessment of parenting and mealtime behaviors occurred from age 2-5years. The child's body mass index (BMI) was assessed yearly from age 5-9.5years. Path analysis with a latent growth model revealed a significant indirect effect of the FCU on the trajectory of BMI in later childhood. Improvements in caregivers' PBS in toddlerhood, which was related to the nutritional quality of the meals caregivers served to the child during the mealtime task, served as the intervening process. Furthermore, findings indicate that the FCU prevents progression to overweight and obese status amongst at-risk children. These study results add to existing evidence that has demonstrated that family-based interventions aimed at improving general family management skills are effective at preventing weight gain. Future directions are discussed. Society for Prevention Research, 2014 BMI nationallicence Family intervention nationallicence Latent growth model nationallicence Pediatric obesity nationallicence Translational research nationallicence Smith Justin REACH Institute, Arizona State University, Phoenix, AZ, USA aut Montaño Zorash REACH Institute, Arizona State University, Phoenix, AZ, USA aut Dishion Thomas REACH Institute, Arizona State University, Phoenix, AZ, USA aut Shaw Daniel University of Pittsburgh, Pittsburgh, PA, USA aut Wilson Melvin University of Virginia, Charlottesville, VA, USA aut Prevention Science Springer US; http://www.springer-ny.com 16/3(2015-04-01), 408-419 1389-4986 16:3<408 2015 16 11121 https://doi.org/10.1007/s11121-014-0505-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11121-014-0505-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Smith Justin REACH Institute, Arizona State University, Phoenix, AZ, USA aut NATIONALLICENCE 700 1- Montaño Zorash REACH Institute, Arizona State University, Phoenix, AZ, USA aut NATIONALLICENCE 700 1- Dishion Thomas REACH Institute, Arizona State University, Phoenix, AZ, USA aut NATIONALLICENCE 700 1- Shaw Daniel University of Pittsburgh, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Wilson Melvin University of Virginia, Charlottesville, VA, USA aut NATIONALLICENCE 773 0- Prevention Science Springer US; http://www.springer-ny.com 16/3(2015-04-01), 408-419 1389-4986 16:3<408 2015 16 11121