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Southside Simple Suppers Scale-Up (S4): Effects of a Family Meals Program on Caregiver Outcomes

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2020, Master of Science, Ohio State University, Human Ecology: Human Nutrition.
Background: Obesity among children and adults is a persisting national epidemic. Published data demonstrate benefit(s) of healthy family mealtime routines on children’s weight status and health. However, there is little research examining the impact on caregivers. Objective: Assess the impact of Simple Suppers, an 8-week evidence-based intervention (EBI) designed to improve family mealtime routines, on caregiver health outcomes. Methods: The study design was a single arm baseline to post-test. The 8-week intervention occurred during the school year at Head Start. Participants were recruited from Head Start family events. Main outcomes included: BMI (kg/m2), waist circumference (cm), blood pressure (mm Hg), and mental health measures (depression (Patient Health Questionnaire-9 (PHQ-9)), stress (Perceived Stress Scale (PSS)), and anxiety (Generalized Anxiety Disorder-7 (GAD-7)). Psychosocial (self-efficacy for healthy family mealtime routines) and social (family functioning (McMaster Family Functioning Scale)) health outcomes were also measured. Paired t-tests were used to determine baseline to post-test change. Results: Twenty-two caregivers enrolled in the study. The sample consisted of 76.20% of households with an annual household income of $44,999 or less and 31.82% with low/very low food security. Caregivers’ mean (SD) age was 36.95 (12.75) yr, 95.45% were female, 77.27% were Black, 4.55% were Alaskan/American Indian, and none were Latinx. 77.27% (n=17) of enrollees attended 3 or more sessions and 22.73% (n=5) attended no sessions and were classified as attendees and non-attendees, respectively. Depression and anxiety reflected clinical improvements among enrollees and attendees and blood pressure reflected clinical improvement among non-attendees. Among survey items, significant differences from baseline were observed with: 1) `I can make sure my child has healthy dietary habits’ improved within attendees (p=0.0017); 2) `We avoid discussing our fears and concerns’ decreased within enrollees (p=0.0303); 3) `In the past month, how often have you felt confident about your ability to handle personal problems?’ improved within attendees (p=0.0413); 4) `Feeling down, depressed, or hopeless’ improved within attendees (p=0.0144); and 5) `Feeling bad about yourself – or that you are a failure or have let yourself or your family down’ improved within attendees (p=0.0275). Conclusions: This study gave greater insight in understanding the role of healthy family mealtime routines for caregiver physical, psychosocial, social, and mental health among racial minorities residing in low-income households and the impact of caregiver health on the familial unit.
Carolyn Gunther (Advisor)
Julie Kennel (Committee Member)
Tonya Orchard (Committee Member)
Irene Hatsu (Committee Member)
Jen D. Wong (Committee Member)
141 p.

Recommended Citations

Citations

  • Sharn, A. R. (2020). Southside Simple Suppers Scale-Up (S4): Effects of a Family Meals Program on Caregiver Outcomes [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1593128830743077

    APA Style (7th edition)

  • Sharn, Amy. Southside Simple Suppers Scale-Up (S4): Effects of a Family Meals Program on Caregiver Outcomes . 2020. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1593128830743077.

    MLA Style (8th edition)

  • Sharn, Amy. "Southside Simple Suppers Scale-Up (S4): Effects of a Family Meals Program on Caregiver Outcomes ." Master's thesis, Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1593128830743077

    Chicago Manual of Style (17th edition)