Home visitation programs: an untapped opportunity for the delivery of early childhood obesity prevention

S. J. Salvy, K. de la Haye, T. Galama, M. I. Goran

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: Extant obesity efforts have had limited impact among low-income underserved children, in part because of limitations inherent to existing programs: (i) short duration and low intensity; (ii) late timing of implementation, when children are already overweight or obese; (iii) intervention delivery limiting their accessibility and sustainability; and (iv) failure to address barriers such as a lack of culturally competent services, poverty and housing instability, which interfere with healthy lifestyle changes. Objective: This concept paper proposes an innovative model of obesity prevention implemented in infancy and sustained throughout early childhood to address the limitations of current obesity prevention efforts. Specifically, we propose to integrate sustained, weekly, in-home obesity prevention as part of the services already delivered by ongoing Home Visitation Programs, which currently do not target obesity prevention. Conclusion: The home visiting structure represents an ideal model for impactful obesity prevention as home visitation programs: (i) already provide comprehensive services to diverse low-income infants and families who are most at risk for obesity and poor health because of socio-economic and structural conditions; (ii) services are initiated in infancy and sustained throughout critical developmental periods for the formation of healthy/unhealthy behaviors; and (iii) have been in place for more than 40 years, with a widespread presence across the United States and nationwide, which is critical for the scalability and sustainability of obesity prevention.

Original languageEnglish
Pages (from-to)149-163
Number of pages15
JournalObesity reviews
Volume18
Issue number2
DOIs
Publication statusPublished - 1 Feb 2017
Externally publishedYes

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Pediatric Obesity
Obesity
Poverty
Economics
Health

Keywords

  • Early childhood
  • home visiting programs
  • infancy
  • obesity prevention

Cite this

Salvy, S. J. ; de la Haye, K. ; Galama, T. ; Goran, M. I. / Home visitation programs : an untapped opportunity for the delivery of early childhood obesity prevention. In: Obesity reviews. 2017 ; Vol. 18, No. 2. pp. 149-163.
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Home visitation programs : an untapped opportunity for the delivery of early childhood obesity prevention. / Salvy, S. J.; de la Haye, K.; Galama, T.; Goran, M. I.

In: Obesity reviews, Vol. 18, No. 2, 01.02.2017, p. 149-163.

Research output: Contribution to JournalArticleAcademicpeer-review

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