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dc.contributor.authorSilva, Fabiana Britoen_US
dc.date.accessioned2016-06-30T08:00:47Z
dc.date.available2016-06-30T08:00:47Z
dc.date.issued2016-06-29en_US
dc.identifier.othervt_gsexam:8213en_US
dc.identifier.urihttp://hdl.handle.net/10919/71669
dc.description.abstractObesity is one of the most pressing global population health issues, and importantly one that affects racial/ethnic minorities and those of low socioeconomic status disproportionately. Obesity tracks from childhood into adulthood and is related to serious medical and economic consequences throughout the life course. Childhood obesity is well recognized as a complex and multifaceted problem influenced by broader social, geographic and environmental factors. A social ecological framework that is transdisciplinary is needed to address individual-level influences and choices that lead to energy imbalance, but also to address the complex interactions among home and neighborhood environmental features that provide the context for health-related behavior change. The overall goal of this dissertation is to investigate multilevel factors that could influence outcomes of an intervention program aimed at addressing childhood obesity. Including studies that investigated the use of clear communication strategies to facilitate parents comprehension, home media environment related to change in children weight status and the neighborhood environmental context of families. This dissertation draws upon a social ecological model that acknowledges multiple levels of human interaction with the environment and represents a comprehensive approach to designing, implementing and evaluating interventions that which target multiple influences on health behaviors. The iChoose is a 3-month family-based childhood obesity treatment program developed under a community-based participatory research approach led by the Partnering for Obesity Planning and Sustainability (POPS) Community Advisory Board (CAB). The studies within this dissertation use clear communication evaluation and qualitative feedback from focus groups, intervention outcome data and home environmental surveys, as well as environmental audits of neighborhoods. To investigate multilevel factors could influence intervention outcomes, we used both multiple statistical analytical techniques and a Geographic Information System (GIS) spatial analysis to evaluate the iChoose program.en_US
dc.format.mediumETDen_US
dc.publisherVirginia Techen_US
dc.rightsThis Item is protected by copyright and/or related rights. Some uses of this Item may be deemed fair and permitted by law even without permission from the rights holder(s), or the rights holder(s) may have licensed the work for use under certain conditions. For other uses you need to obtain permission from the rights holder(s).en_US
dc.subjectChildhood obesityen_US
dc.subjectclear communicationen_US
dc.subjecthome environmenten_US
dc.subjectneighborhood environmenten_US
dc.subjectinterventionen_US
dc.titleIndividual, home and neighborhood factors related to childhood obesity interventionen_US
dc.typeDissertationen_US
dc.contributor.departmentHuman Nutrition, Foods, and Exerciseen_US
dc.description.degreePh. D.en_US
thesis.degree.namePh. D.en_US
thesis.degree.leveldoctoralen_US
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen_US
thesis.degree.disciplineHuman Nutrition, Foods, and Exerciseen_US
dc.contributor.committeechairEstabrooks, Paul Andrewen_US
dc.contributor.committeememberHill, Jennie L.en_US
dc.contributor.committeememberZoellner, Jamie M.en_US
dc.contributor.committeememberKolivras, Korine N.en_US
dc.contributor.committeememberYou, Wenen_US


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