Clinical Study

A Pilot Study of Parent Mentors for Early Childhood Obesity

Table 5

Child Comprehensive Feeding Practices Questionnaire (CFPQ) results(1).

Measure(3)Parent mentor groupCommunity health worker group
GroupTimeGroup × time

Child control (allow child control of eating behavior)0.49<0.0010.77
 Baseline2.5 (2.3, 2.8)2.7 (2.4, 3.0)
 6 months2.3 (2.0, 2.6)2.2 (1.9, 2.5)
 12 months2.3 (2.0, 2.6)2.3 (1.9, 2.6)
Emotion regulation (parent uses food to regulate emotion)0.34<0.0010.62
 Baseline1.5 (1.2, 1.7)1.7 (1.4, 2.0)
 6 months1.4 (1.1, 1.7)1.3 (1.1, 1.5)
 12 months1.3 (1.1, 1.5)1.2 (1.0, 1.3)
Encourage balance and variety in diet0.0090.0010.12
 Baseline4.4 (4.2, 4.6)4.3 (4.0, 4.5)
 6 months4.5 (4.2, 4.8)4.3 (4.0, 4.5)
 12 months4.8 (4.6, 5.0)4.5 (4.2, 4.7)
Environment (make healthy foods available in home)0.22<0.0010.48
 Baseline3.7 (3.3, 4.1)3.4 (3.0, 3.7)
 6 months4.4 (4.2, 4.7)4.1 (3.8, 4.3)
 12 months4.3 (4.0, 4.5)3.9 (3.6, 4.2)
Food as reward for behavior0.17<0.0010.39
 Baseline2.4 (2.0, 2.8)2.6 (2.2, 2.9)
 6 months1.8 (1.4, 2.1)2.2 (1.7, 2.6)
 12 months2.0 (1.6, 2.4)2.3 (1.8, 2.8)
Encourage child involvement in meal planning/preparation0.45<0.0010.78
 Baseline3.1 (2.8, 3.5)3.1 (2.7, 3.5)
 6 months3.6 (3.1, 4.1)3.5 (3.1, 3.8)
 12 months3.6 (3.1, 4.1)3.4 (3.0, 3.9)
Modeling (parent demonstrates healthy eating)0.31<0.0010.53
 Baseline3.8 (3.5, 4.2)3.7 (3.3, 4.1)
 6 months4.6 (4.2, 4.9)4.4 (4.1, 4.7)
 12 months4.5 (4.2, 4.8)4.2 (3.8, 4.6)
Monitoring (parent tracks less healthy foods)0.820.240.96
 Baseline3.7 (3.3, 4.0)3.5 (3.2, 3.9)
 6 months3.6 (3.1, 4.2)3.3 (2.9, 3.8)
 12 months3.8 (3.4, 4.3)3.6 (3.1, 4.1)
Pressure (parent pressures child to eat more food at meals)0.630.0060.65
 Baseline2.6 (2.2, 3.0)2.2 (1.9, 2.5)
 6 months2.2 (1.8, 2.7)2.2 (1.7, 2.6)
 12 months2.2 (1.7, 2.6)1.9 (1.4, 2.4)
Restriction for health (parent controls intake to restrict less healthy foods)0.110.050.04
 Baseline3.9 (3.5, 4.2)3.7 (3.4, 4.1)
 6 months4.4 (4.1, 4.6)3.8 (3.3, 4.3)
 12 months4.1 (3.7, 4.4)4.0 (3.6, 4.4)
Restriction for weight control (parent controls intake to influence weight)0.130.050.37
 Baseline2.8 (2.4, 3.2)3.1 (2.7, 3.5)
 6 months3.3 (2.9, 3.7)3.2 (2.8, 3.7)
 12 months3.3 (2.8, 3.7)3.2 (2.7, 3.7)
Teaching about nutrition (explicit instruction to encourage healthy foods)0.37<0.0010.21
 Baseline3.9 (3.5, 4.2)3.6 (3.2, 3.9)
 6 months4.5 (4.2, 4.8)4.0 (3.7, 4.4)
 12 months4.3 (4.0, 4.6)4.2 (3.8, 4.5)

The CFPQ scales (range: 1–5) with higher scores indicating more agreement with the feeding behavior or higher frequency of the practice. Values are means (95% CIs); = 30, 23, and 21 in the parent mentor group and 30, 23, and 20 in the community health worker group at baseline and at 6 and 12 months, respectively.
Linear mixed-model analysis on the entire study population; values are for the individual effects of group and time as well as their interaction.
0–6-month mean difference significance at a value < 0.05; 6–12-month mean difference significance at a value < 0.05; 0–12-month mean difference significance at a value < 0.05.