Collaborating With Low-Income Families and Their Overweight Children to Improve Weight-Related Behaviors: An Intervention Process Evaluation


  • Diane O. Tyler, PhD, RN, FNP, is Professor of Clinical Nursing; and Sharon D. Horner, PhD, RN, is Professor, School of Nursing, University of Texas at Austin, Austin, TX.

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PURPOSE. This paper aims to examine the collaborative negotiation process, an interventional approach being tested at a primary-care school-based clinic to help low-income families improve lifestyle and weight-related health indicators in their overweight children.

DESIGN AND METHODS. Process evaluation of the intervention employed in an ongoing longitudinal pilot study. Descriptive analysis is from structured field notes and audiotapes of parent–child–provider interactions during intervention visits (n=  111).

RESULTS. Activity levels and eating patterns were families’ main concerns in managing their children's weight. Challenges and facilitators of implementing health plans were explored.

PRACTICE IMPLICATIONS. The collaborative negotiation intervention provides a family-centered approach to engage families in management of children's weight.