Case study: Behavior changes in the family-focused obesity prevention HOME Plus program.
Michelle L Myers, Jayne A Fulkerson, Sarah E Friend and 2 others
PMID 29624720WHAT IT FOUND
Two families in an obesity prevention program moved their children to healthier weight categories through different paths.
One focused on meal planning and cooking skills, while the other prioritized family meal frequency and home food availability.
Key findings
01Both children reduced their BMI enough to move from an obese or overweight category to a healthier one.
02The families achieved weight reduction through different behavioral focus areas, with one improving meal planning skills and the other improving family meal frequency.
03Both families improved the healthfulness of food available at home and showed reduced food neophobia in the children.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a case report of two individuals, so it cannot demonstrate that the intervention works or predict outcomes for other families. The cases were chosen subjectively because they were successful, which introduces selection bias. All survey data were self-reported and may be influenced by social desirability. The study describes changes but does not test statistical significance between groups.
The easy way to misread this
Do not interpret these two successful cases as evidence that the HOME Plus program effectively reduces childhood obesity in the general population. The cases were selected specifically because they showed improvement, and a case report describes individual experiences rather than proving treatment efficacy.