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The Role of Maternal Social Networks on the Outcomes of a Home-Based Childhood Obesity Prevention Pilot Intervention Cover

The Role of Maternal Social Networks on the Outcomes of a Home-Based Childhood Obesity Prevention Pilot Intervention

Open Access
|Aug 2019

Figures & Tables

Figure 1.

Help and encouragement to be healthy within mothers’ personal networks. Each network represents the personal network of the participating mothers pre-intervention (baseline), where nodes represent the mother (black node) and her named alters, and ties represent social connections. Alters that provided the mother with “help or encouragement to have a healthy lifestyle, eat healthy foods, or be active” are colored orange, and alters that did not provide this type of support are colored blue (white nodes = missing data). Personal network data from two mothers was missing at baseline.

Characteristics of mothers’ egocentric social networks at baseline and post-intervention

Mother network characteristic (% of mothers’ social network ties that are…)Baseline M (SD)Post-intervention M (SD)
Health influence relationships (%)
    Provides health information/advice74.3 (28.2)66.7 (31.8)
    Encourages health68.8 (34.9)73.9 (30.1)
    Eat/prepare food with47.2 (24.9)49.3 (24.3)
    Do physical activity with42.4 (30.3)42.0 (25.1)
    Health barrier19.6 (25.8)12.3 (15.3)
Female (%)59.6 (21.8)60.9 (20.5)
Relationship type (%)
    Family64.9 (26.8)66.7 (24.6)
    Friend19.7 (23.6)23.2 (24.0)
    Spouse/boyfriend8.5 (8.7)10.1 (9.7)
Location (%)
    Same household25.1 (21.9)29.0 (15.3)
    Same neighborhood31.0 (33.9)24.6 (25.6)
Contact daily or almost daily (%)40.4 (30.6)50.0 (20.7)
Network density0.77 (0.28)0.85 (0.17)

Correlations between mothers’ social network characteristics (B = baseline and P = post-intervention) and mother and infant health outcomes post-intervention

Mother network characteristicMother outcomesInfant outcomes
BMISSB serves/dayFruit serves/dayVeg serves/dayStep count/dayWLZSSB serves/day
Health relationships (%)
    Provides health info/advice.41* (B)
    Encourages health−.42+ (P).50* (B)
    Eat/prepare food with−.38+ (B)−.39+ (P)
    Do physical activity with
    Health barrier.37+ (B)
% female−.50* (P).37+ (P)−.64* (P)
Relationship type (%)
    Family−.46* (P).47* (B)
    Friend.64* (P)
    Spouse/boyfriend
Location (%)
    Same household−.39+ (P).41+ (P)
    Same neighborhood
    Same household or neighborhood.42* (P).43+ (P)
Contact daily/almost daily (%)−.43* (B).53* (P)
Network density−.61* (B)

Descriptive statistics of change in the mother and infant outcomes by study condition (N = 26 dyads)

Change score (post - baseline)InterventionControl
MSDNMSDN
Mother
    weight in kg−0.533.83160.003.088
    BMI−0.071.4614−0.041.168
    SSB serves/day0.222.43170.922.759
    fruit serves/day−0.140.9217−0.194.389
    vegetable serves/day0.471.49170.092.179
    steps/day−97740288−346735362
Infant
    WLZ1.582.6113−0.291.237
    SSB serves/day0.110.30160.941.458

Descriptive statistics of mother and infant demographics and outcomes (N = 26 dyads)

Mother or infant characteristicBaselinePost-intervention
M (SD) / N (%)M (SD) / N (%)
Mother demographics
    M (SD) age in years at baseline28.4 (7.6)
    Race/ethnicity (%)a
        Hispanic/Latina21 (80.1)
        Black/African American2 (7.7)
        White, non-Hispanic6 (23.1)
    Annual household income (%)b
        $9,999 or less8 (30.8)
        $10,000 - $29,99912 (46.2)
        $30,000 - $49,9994 (15.4)
        $50,000 - $69,9991 (3.8)
    Marital status (%)b
        Single13 (52.0)
        Married7 (28.0)
        Divorced1 (4.0)
        Living with spouse4 (16.0)
Infant demographics
    M (SD) age in months at baseline3.8 (2.7)
    Female (%)16 (61.5)
Intervention arm (%)17 (65.4)
Mother health outcomes
    M (SD) BMIc29.2 (5.9)29.1 (6.5)
    N (%) overweight/obese18 (69.2)19 (73.1)
    M (SD) SSBd serves/day1.0 (1.0)1.5 (2.3)
    M (SD) fruit serves/day1.0 (1.6)0.9 (2.2)
    M (SD) vegetable serves/day0.7 (0.9)1.0 (1.5)
    M (SD) steps/day3996 (1713)4162 (2922)
Infant health outcomes
    M (SD) WLZe−0.46 (2.3)0.70 (2.3)
    N (%) at risk for overweight5 (29.4)6 (25.0)
    M (SD) SSBd serves/day0.04 (0.2)0.4 (1.0)

Correlations between mothers’ social network characteristics (B = baseline and P = post-intervention) and change in mother and infant health outcomes

Mother network characteristicMother outcomesInfant outcomes
Change in kgChange in SSB serves/dayChange in Fruit serves/dayChange in vegetable serves/dayChange in step count/dayChange in WLZChange in SSB serves/day
Health relationships (%)
    Provides health info/advice
    Encourages health.39+ (P)
    Eat/prepare food with
    Do physical activity with−.56+ (P)
    Health barrier.41* (P)
% female.37+ (P).75* (P)
Relationship type (%)
    Family.39+ (P)−.38+ (B)-49* (P)
    Friend.61* (P)
    Spouse/boyfriend.45+ (P)
Location (%)
    Same household−.55* (P).48* (B)
    Same neighborhood.49* (P).34+ (P).50* (P)
Contact daily/almost daily (%)−.48* (B).68** (B).48* (P)
Network density−.43* (P)−.53* (B)
Language: English
Page range: 7 - 28
Published on: Aug 1, 2019
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2019 Kayla de la Haye, Brooke M. Bell, Sarah-Jeanne Salvy, published by International Network for Social Network Analysis (INSNA)
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.