Black Girls Move Physical Activity and Improving Dietary Intake Among Black Adolescent Daughters
Adolescent Obesity, Diabetes Mellitus
About this trial
This is an interventional prevention trial for Adolescent Obesity focused on measuring dyad, mothers, daughters, physical activity, nutrition, racism
Eligibility Criteria
Inclusion Criteria:
- (a) English speaking; (b) Black; (c) grade 9 or 10; (d) daily access to the internet outside of school and/or work through an iOS or android smartphone, tablet, or personal computer; (e) either high-normal weight (between ≥50th and <85th percentile for age and gender) or overweight (between ≥85th and <95th percentile for age and gender) as the purpose of this study is weight maintenance and obesity prevention in at-risk daughters rather than obesity treatment; 98 and (f) have either a poor diet, (defined as consuming <1 vegetable or <1 fruit per day) 99 or inadequate PA (defined as < 60 minutes per day, 7 days per week). 99,100 Inclusion criteria for mothers are (a) English-speaking; (b) Black; (c) co-residing biological mother or mother-figure and legal guardian of the participating daughter; (d) the person primarily responsible for meals in the household; and (e) access to the internet through an iOS or android smartphone, tablet or personal computer. In a longitudinal study of 480 adults, 84% of adults with obesity were adolescents with high normal weight status (≥50th and <85th percentile).National data on cell phone ownership show that 81% of Black students and 68% of Black parents own a smartphone
Exclusion Criteria:
- The exclusion criteria for both daughters and mothers includes: (a) having conditions/procedures that prevent the oral consumption of foods (e.g., gastric feeding tubes); (b) presence of physical limitations that would preclude participation in the PA activity components of the intervention; (c) altered dietary intake (e.g., pregnancy, eating or metabolic disorders except for type 1 or type 2 diabetes); and (d) at baseline physical assessment, participants screened for uncontrolled blood pressure (systolic > 130, diastolic >80 for daughters; and systolic >160, diastolic >100 for mothers) will be eligible only with a healthcare provider release. In addition, (e) participants with diagnosed type 1 or 2 diabetes will be eligible for participation only with a healthcare provider release. Further, (f) mothers will be screened for CVD and musculoskeletal risk factors with the 7-item Physical Activity Readiness Questionnaire. 103 Mothers that answer 'yes' to any item on the Physical Activity Readiness Questionnaire will be eligible only with a healthcare provider release. Daughters or mothers who are asked to provide healthcare provider release will be referred to the Chicago Department of Public Health if they do not have a primary care provider. To be eligible to participate in either condition, both the daughter and her mother must be willing and eligible to participate in the study.
Sites / Locations
- Rush University Medical CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Black Girls Move (BGM) Treatment Condition
Daughters-Only Comparison Condition (DOCC)
BGM is guided by the Anti-Racist Public Health Critical Race Praxis with adaptive mechanisms to support Black adolescent females as they navigate a racist society. The BGM treatment condition will include mothers as active participants in all components of the weekly, 12-session intervention to test the impact of actively leveraging the daughter/mother relationship . Participants in our prior research endorsed the importance of daughters and mothers actively engaging in group meetings together on weekends. Participants set PA and diet goals and self-monitor goal attainment. Dyads participate in structured activities designed to facilitate communication, problem solving, role assignment, and relationship quality. Dyads use a variety of videos, role play, discussion, and activities to achieve session outcomes. The sessions are led by trained facilitators who follow a standardized facilitator manual.
The DOCC runs parallel to the BGM intervention and includes daughters-only group meetings. The DOCC incorporates all components of BGM except Family Systems Theory strategies. Daughters in DOCC will receive PA and diet behavior content based on Anti-Racist Public Health Critical Race Praxis and Social Cognitive Theory with daughter-only group activities. DOCC facilitators will lead group meetings and discussions. All DOCC daughters will self-monitor their progress towards PA goals using Fitbit® and progress towards diet goals using Start Simple with My Plate®.