{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:51:01Z","timestamp":1777485061112,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Childhood Obesity"],"published-print":{"date-parts":[[2025,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The high prevalence of obesity in Latino families with low income necessitates prevention beginning in pregnancy and continuing through infancy. Due to systemic inequities, adverse social determinants of health (SDoH) and mental health symptoms may limit program efficacy by presenting barriers to attendance. We sought to assess: (1) the feasibility of the Starting Early Program (StEP) Prenatal, a 17-session intervention beginning early in pregnancy and continuing to 18 months postpartum; and (2) the effects of adverse SDoH (material hardship, low social support) and mental health symptoms (depression, anxiety, stress) on program attendance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      We conducted a single-arm feasibility trial of StEP Prenatal, enrolling from December 2018 to February 2020 (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 231). We assessed feasibility (recruitment, retention, fidelity, attendance) and direct and interactive effects of adverse SDoH and mental health symptoms on attendance. We used zero-inflated Poisson regression, adjusting for maternal age, marital status, nativity, education, and pandemic timing.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We recruited 57% of eligible participants, with 213 remaining eligible to receive the full program. Retention was 75%. Median fidelity for group format was 64%; median attendance per session was 69%; median number of program sessions attended was 13. Baseline material hardship and high perceived stress predicted approximately one additional session attended. Similar effects were seen for low social support in the absence of anxiety symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Despite pandemic disruptions, StEP Prenatal was feasible to deliver and participants with adverse SDoH at baseline were particularly motivated to attend. Futures studies should tailor programs to baseline SDoH and test flexible implementation models.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/chi.2024.0340","type":"journal-article","created":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T11:19:41Z","timestamp":1732879181000},"page":"157-167","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Feasibility of an Obesity Prevention Program for Latino Families from First Trimester of Pregnancy to Child Age 18 Months and Predictors of Program Attendance"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1915-6094","authenticated-orcid":false,"given":"Michelle W.","family":"Katzow","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Northwell Health, New Hyde Park, New York, USA."},{"name":"Cohen Children\u2019s Medical Center, Queens, New York, USA."},{"name":"Northwell Health, Institute for Health System Science, Feinstein Institutes for Medical Research, Manhasset, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Jo","family":"Messito","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janneth","family":"Bancayan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina N.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5648-580X","authenticated-orcid":false,"given":"Carol","family":"Duh-Leong","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandra L.","family":"Marcone","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen","family":"Denny","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc A.","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Applied Statistics, Social Science, and Humanities, Steinhardt School of Culture, Education, and Human Development, New York University, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel S.","family":"Gross","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, New York University Grossman School of Medicine, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,11]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.080812"},{"issue":"2","key":"e_1_3_6_3_2","first-page":"26","article-title":"Childhood overweight and family income","volume":"9","author":"Freedman DS","year":"2007","unstructured":"Freedman DS, , Ogden CL, , Flegal KM, et al. 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