{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T11:06:40Z","timestamp":1779188800948,"version":"3.51.4"},"reference-count":44,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T00:00:00Z","timestamp":1772841600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01HD059794"],"award-info":[{"award-number":["R01HD059794"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NYU Community Service Plan"},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["U54MD000538"],"award-info":[{"award-number":["U54MD000538"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Sala Elbaum Pediatric Research Scholars Program"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Health Promot"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To estimate the effect of the culturally-adapted Greenlight intervention on parent activation and locus of control (LOC) among Chinese-American immigrant parents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective, quasi-experimental study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A New York City-based federally-qualified health center with a large patient population of low-income, ethnically Chinese immigrant individuals and families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample<\/jats:title>\n                    <jats:p>444 Immigrant Chinese-American parents of infants (267 cross-sectionally enrolled historical controls and 177 Greenlight recipients followed prospectively).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>A culturally-adapted version of Greenlight, a health literacy- and communication-informed early childhood obesity prevention intervention in primary care which promotes certain healthy infant feeding practices at 12\u00a0months in the present sample.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measures<\/jats:title>\n                    <jats:p>Parent activation and LOC were measured at 6, 12, 24, and 36\u00a0month well child visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Analysis<\/jats:title>\n                    <jats:p>Generalized estimating equations were used to examine the effects of the Greenlight intervention on the outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Compared to historical controls, parents receiving Greenlight were more likely to strongly agree with the activation statements: \u201cI know how to prevent my child from becoming overweight\u201d (adjusted odds ratio (aOR): 9.62 [4.70, 19.73]); \u201cI have been able to help my child maintain recommended changes like eating right or exercising\u201d (aOR: 6.42 [4.14, 9.97]); and \u201cI am confident I can keep my child eating and exercising right, even when I am busy or stressed\u201d (aOR: 8.44 [5.35, 13.31]). Greenlight recipients also demonstrated increased internal LOC (aOR: 2.02 [1.35, 3.03]) and decreased powerful others external LOC (aOR: 1.76 [1.23, 2.51]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>To reduce disparities in child obesity, especially among immigrant families, interventions must also prioritize parent factors like parent activation and LOC to build upon their inherent assets and promote long-term change.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08901171261431998","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T18:39:47Z","timestamp":1773254387000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Childhood Obesity Prevention Intervention: Leveraging Chinese-American Parents\u2019 Activation and Locus of Control"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0892-5393","authenticated-orcid":false,"given":"Kristyn A.","family":"Pierce","sequence":"first","affiliation":[{"name":"NYU Grossman School of Medicine"}],"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":"NYU Grossman School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Loretta","family":"Au","sequence":"additional","affiliation":[{"name":"Charles B. 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