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National Institutes of Health: National Cancer Institute: Division of Cancer Control and Population Sciences
Grant Details

Grant Number: 5R01CA102671-03 Interpret this number
Primary Investigator: Franklin, Frank
Organization: University Of Alabama At Birmingham
Project Title: Fruit and Vegetable Intake Issues in Head Start Families
Fiscal Year: 2005
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Abstract

DESCRIPTION (provided by applicant): Low-income families have increased risks for cancer, cardiovascular disease (CVD) obesity and diabetes related to adverse diets especially low in fruit and vegetable intake (FVI). Various caregiver (CG) attitudes and behaviors including feeding practices relate to child and CG FVI. The organizational structure of these CG influences has not been specified in low-income families in diverse race/ethnic groups. We propose a cognitive mapping approach to define CG perceptions of FVI barriers and facilitators and to model how these and CG feeding practices, availability and accessibility relate to CG and child FVI in Non-Hispanic White (W), Non-Hispanic African-American (AA) and Hispanic (H) primary CG and their children from Head Start districts in Houston, Texas and Alabama. The specific aims are to: (1) identify CG-derived barriers and facilitators to family FVI using Nominal Group Technique (NGT) structured focus groups; (2) examine the organization of these CG attitudes using card sorts of these CG issues and to weight these from individual CG perceived ratings of their personal importance and confidence for making adaptive changes; (3) assess child and CG FVI and BMI, caregiver feeding practices and FV availability and accessibility; (4) model CG and child FVI as functions of these psychosocial assessments and the weighted clusters of barriers and facilitators; (5) describe family groups differing in these relevant correlates of FVI; and (6) translate the relevant correlates to performance objectives for a future tailored intervention to increase low income family FVI. In each aim, we will examine potential differences by race/ethnicity. Our multidisciplinary team has expertise and experience working in Head Start districts, assessing correlates of FVI in children and adults, CG cognitive mapping and intervention development. This proposal addresses important unanswered questions that when answered will permit the development of effective interventions tailored to specific CG characteristics.

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Publications

Diet Quality Varies By Race/ethnicity Of Head Start Mothers
Authors: Hoerr S.L. , Tsuei E. , Liu Y. , Franklin F.A. , Nicklas T.A. .
Source: Journal Of The American Dietetic Association, 2008 Apr; 108(4), p. 651-9.
PMID: 18375222
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Indulgent Feeding Style And Children's Weight Status In Preschool
Authors: Hughes S.O. , Shewchuk R.M. , Baskin M.L. , Nicklas T.A. , Qu H. .
Source: Journal Of Developmental And Behavioral Pediatrics : Jdbp, 2008 Oct; 29(5), p. 403-10.
PMID: 18714209
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The Impact Of Dairy Product Consumption On Nutrient Adequacy And Weight Of Head Start Mothers
Authors: O'Neil C.E. , Nicklas T.A. , Liu Y. , Franklin F.A. .
Source: Public Health Nutrition, 2009 Oct; 12(10), p. 1693-701.
PMID: 19000345
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Impact Of Dairy And Sweetened Beverage Consumption On Diet And Weight Of A Multiethnic Population Of Head Start Mothers
Authors: O'Neil C.E. , Nicklas T.A. , Liu Y. , Franklin F.A. .
Source: Journal Of The American Dietetic Association, 2009 May; 109(5), p. 874-82.
PMID: 19394474
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Parenting Practices Are Associated With Fruit And Vegetable Consumption In Pre-school Children
Authors: O'Connor T.M. , Hughes S.O. , Watson K.B. , Baranowski T. , Nicklas T.A. , Fisher J.O. , Beltran A. , Baranowski J.C. , Qu H. , Shewchuk R.M. .
Source: Public Health Nutrition, 2010 Jan; 13(1), p. 91-101.
PMID: 19490734
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Predictors Of Calcium Intake At Dinner Meals Of Ethnically Diverse Mother-child Dyads From Families With Limited Incomes
Authors: Hoerr S.L. , Nicklas T.A. , Franklin F. , Liu Y. .
Source: Journal Of The American Dietetic Association, 2009 Oct; 109(10), p. 1744-50.
PMID: 19782174
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Body Mass Index And Dietary Intake Among Head Start Children And Caregivers
Authors: Acharya K. , Feese M. , Franklin F. , Kabagambe E.K. .
Source: Journal Of The American Dietetic Association, 2011 Sep; 111(9), p. 1314-21.
PMID: 21872694
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Resemblance Of Dietary Intakes Of Snacks, Sweets, Fruit, And Vegetables Among Mother-child Dyads From Low Income Families
Authors: Wroten K.C. , O'Neil C.E. , Stuff J.E. , Liu Y. , Nicklas T.A. .
Source: Appetite, 2012 Oct; 59(2), p. 316-23.
PMID: 22634195
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Child Temperament, Parent Emotions, And Perceptions Of The Child's Feeding Experience
Authors: Hughes S.O. , Shewchuk R.M. .
Source: The International Journal Of Behavioral Nutrition And Physical Activity, 2012; 9, p. 64.
PMID: 22643039
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Validity And Feasibility Of A Digital Diet Estimation Method For Use With Preschool Children: A Pilot Study
Authors: Nicklas T.A. , O'Neil C.E. , Stuff J. , Goodell L.S. , Liu Y. , Martin C.K. .
Source: Journal Of Nutrition Education And Behavior, 2012 Nov-Dec; 44(6), p. 618-23.
PMID: 22727939
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Feeding Style Differences In Food Parenting Practices Associated With Fruit And Vegetable Intake In Children From Low-income Families
Authors: Papaioannou M.A. , Cross M.B. , Power T.G. , Liu Y. , Qu H. , Shewchuk R.M. , Hughes S.O. .
Source: Journal Of Nutrition Education And Behavior, 2013 Nov-Dec; 45(6), p. 643-51.
PMID: 23860101
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