# A mobile phone-based pilot intervention to prevent obesity in Latino preschool children

> **NIH NIH R21** · UNIVERSITY OF CALIFORNIA LOS ANGELES · 2020 · $193,980

## Abstract

Project Summary
Child obesity disproportionately impacts young Latino children and has important implications for later
adulthood weight and health problems. In-person parent-focused obesity prevention and control interventions
are effective in establishing healthy weight behaviors and weight outcomes for young children, including Latino
children. Widespread dissemination in healthcare and community settings pose several challenges including
family participation barriers of time, cost, transportation, and English proficiency. The study goal is to pilot a
stand-alone mobile phone intervention with Latino mothers, fathers, and grandparents, geared at
building caregiver strategies to support evidence-based and age appropriate dietary, media-viewing, and
physical activity practices among 2- to 5-year old children in order to resolve key challenges of traditional in-
person pediatric obesity interventions (e.g. transportation, time), and also leverage important determinants of
Latino health (e.g. familism, language). A prospective control group pilot study will be completed to assess
acceptability, feasibility, and preliminary effect sizes on children's weight-related behaviors and BMI z-scores at
6 months post-intervention, in preparation for a larger randomized trial to evaluate the intervention's efficacy.
The intervention will deliver 4 interactive texts every week for one month to Latino caregivers of 2 to 5-year old
children and 2-months of mobile phone “booster” doses that incorporate behavioral change techniques using a
group strategy, a cornerstone of many effective in-person parent-focused pediatric obesity interventions. The
study will first use qualitative methods to maximize the acceptability and usability of the existing mobile phone
group learning strategies with a small group of Latino mothers, fathers, and grandparents. A 4-week mobile
phone pilot intervention will then be completed with 66 caregiver-child dyads recruited from two WIC sites in
East Los Angeles. Eligible caregiver-child dyads will be randomly assigned into the mobile phone intervention
group or the comparison group, in which caregivers receive usual WIC services. Acceptability and feasibility
outcomes will include: (1) the number of families needed to be screened per month; (2) attrition rates of a
mobile phone intervention with Latino populations; (3) dose and exposure of texts; (4) frequency of
sharing/replying to texts by caregiver-type; (5) number of completed baseline and follow-up data; and (6)
family-centeredness of the intervention. Pre- and post- intervention data will be collected at baseline, 1-month,
and 6-months after the intervention begins in order to estimate preliminary effect sizes and standard deviations
associated with child dietary, physical activity, and media viewing practices and BMI scores. Mediators of the
intervention will include measures of caregiver self-efficacy, caregiver feeding practices, and group support.
The pilot study will provide...

## Key facts

- **NIH application ID:** 9924592
- **Project number:** 5R21HD096298-02
- **Recipient organization:** UNIVERSITY OF CALIFORNIA LOS ANGELES
- **Principal Investigator:** Alma D Guerrero
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $193,980
- **Award type:** 5
- **Project period:** 2019-05-01 → 2021-10-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9924592

## Citation

> US National Institutes of Health, RePORTER application 9924592, A mobile phone-based pilot intervention to prevent obesity in Latino preschool children (5R21HD096298-02). Retrieved via AI Analytics 2026-06-08 from https://api.ai-analytics.org/grant/nih/9924592. Licensed CC0.

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