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The interaction of social networks and child obesity prevention program effects: The pathways trial
Author(s) -
Shin HeeSung,
Valente Thomas W.,
Riggs Nathaniel R.,
Huh Jimi,
SpruijtMetz Donna,
Chou ChihPing,
Ann Pentz Mary
Publication year - 2014
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.20731
Subject(s) - disease prevention , promotion (chess) , health promotion , public health , gerontology , medicine , library science , family medicine , political science , environmental health , nursing , law , politics , computer science
Objective Social network analysis was used to examine whether peer influence from one's social networks moderates obesity prevention program effects on obesity‐related behaviors: healthful and unhealthful. Methods Participants included 557 children residing in Southern California. The survey assessed health‐promoting behaviors (i.e., physical activity at school, physical activity outside of school, and fruit and vegetable intake), as well as unhealthful behaviors (high‐calorie, low‐nutrient intake and sedentary activity), and peer exposure calculated from social network nominations as indicators of peer influence. Multilevel models were conducted separately on outcomes predicted by program participation, peer exposure, and program participation by peer exposure. Results Results indicated that peer exposure was positively associated with one's own healthful and unhealthful behaviors. Program participation effects were moderated by peer influence, but only when unhealthful peer influence was present. Results suggest that peer influence can diminish or amplify prevention programs Conclusion Future interventions should consider peer‐led components to promote healthful influence of peers on healthful and unhealthful behaviors, and programs should be mindful that their effects are moderated by social networks.