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Kpehe Isam

Revisiting the Effects of Underlying Health Conditions among Minorities Children in Southwest Houston, Texas and the roles Children and Parents Play to its Inabilities to Control Them with the Spread of COVID-19 (Underlying Health Conditions Three) Kpehe Isam

Mentor: Park E. Atatah Health and Kinesiology Department/Research Coordinator

Introduction: The purpose of the quasi-experiment quantitative research study is to investigate the effects of underlying health conditions among minority children in Southwest Houston, Texas, and the roles the children and their parents play in the abilities and inabilities to control them and the outcomes of the spreads of COVID-19. Studies upon studies have shown that the abilities or inabilities to control underlying health conditions effectively, efficiently, or even proficiently in any races or areas are always detrimental to the short-, medium-, or long-term health effects in the long run (American Heart Association, 2017; Collins, 2016, for more). Overweight issues related to overeating among minorities’ children across the board are overwhelming, and the abilities or inabilities to take a proactive stand through their involvements are somehow limited (see Bonnie et al., 2016; Bocca, 2012; Berge et al., 2018 Birch et al., 2018 for more). As such, overeating among minority children leads to obesity, high blood pressure, high blood sugar levels or diabetics H1C, and many more, just to mention a few. The long-term effects of these out of controls eating behaviors as well and inabilities lead to the inabilities to control the spreads of COVID-19 in minorities overall, especially among the children in Southwest Houston, Texas. Therefore, the focus of this quasiexperiment quantitative research study is to investigate the confronting factors of these conditions and to find way to get both children and parents involved in systematically eliminating these critical underlying health conditions among minorities in Southwest Houston, Texas, and possibly beyond. This study hypothesized two major research alternative hypotheses as shown below; Alternative Hypothesis 1: There is a relationship between children overeating, in-activities, and the overall outcomes of their weight gains and Body Mass Index (BMI) blood sugar A1C levels. Alternative Hypothesis 2: There is a relationship between lack of parental supports and inactivates their children overeating, in-activities, and the overall outcomes of their weight gains and Body Mass Index (BMI) blood sugar A1C levels. Materials and Methods: This study will use a “singular case study” quasi-experimental quantitative research methodology, which should allow the primary investigator to invite willing participates from a confidential clinic in Southwest Houston, Texas. Since any health conditions are considered confidential issues, the personal demographics of all participants as well as the participating clinic and the multidiscipline medical entities will be dimmed confidential as to protect their interests. Participants/parents were assessed on obesity knowledge, nutritional lifestyle, and physical activity with Child Feeding Questionnaire (CFQ) developed by Birch et al. (2007). The Child Feeding Questionnaire (CFQ) is a selfreport measure to assess parental beliefs, attitudes, and practices regarding child feeding, with a focus on obesity proneness in children, which will be used before and after the introduction of participants to the intervention scorecards. Thereafter, pretests and posttests will be recorded and analyzed. The data collection card will involve population, intervention indicator, comparator and control, outcomes, and time known as (PICOT). The picot question has been presented as: “Among parents of obese or overweight children or adolescent from 6 to 18-year-old in a primary care pediatric setting (P), how does the implementation of a multidisciplinary pediatric obesity educational program (I) versus no pediatric obesity educational program (C) impact the dietary habits (O) over a period 4 weeks in 4 ½ months (T)?” P - Population/ Patient = how does the implementation of a multidisciplinary pediatric obesity educational program

I - Intervention/ Indicator = versus no pediatric obesity educational program C - Comparator/control = no pediatric obesity educational program • O - Outcome = impact the dietary habits • T – Time = over a period of 4 weeks measurements for 4 ½ months from August 24, 2020 to December 31, 2020. Results and Discussion: Pending Conclusion(s) or Summary: Pending

References:

American Heart Association. (2017). Overweight in children. Retrieved from http://www.heart.org/HEARTORG/HealthyLiving/HealthyKids/ChildhoodObesity/Overwe inChildren_UCM_304054_Article.jsp Birch, L., Fisher, J., Grimm-Thomas, K., Markey, C., Sawyer, R. and Johnson, S. (2018). Confirmatory factor analysis of the Child Feeding Questionnaire: a measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Bonnie J, Ronsen R, Roth S, Luke C, Nida S, Coombs L et al. (2016). The Fit Family Challenge: A Primary Care Childhood Obesity Pilot Intervention. Journal of the American Board of Family Medicine. 29(4), 434-443. Bocca, G., Corpeleijin, E., Stolk, R. & Sauer, P. (2012). Results of a multidisciplinary treatment program in 3-year-old to 5-year-old overweight or obese children: a randomized controlled clinical trial. Arch

Pediatr Adolesc Med., 166(12), 1109-1115. doi:10.1001/archpediatrics.2012.1638 Berge, J. M., Jin, S., Hanson-Bradley, C., Doty, J., Jagaraj, K., Braaten, K. & Doherty, W. J. (2016). Play it Forward! A Community-Based Participatory Research Approach to Childhood Obesity Prevention.

Fam Syst Health, 34(1), 15-30. doi: 10.1037/fsh0000116 Collins, C. E., Warren, J., Neve. M., & Stokes, B. J. (2016). Measuring Effectiveness of Dietetic Interventions in Child Obesity. Article Review. Available at file:///C:/Users/owner/AppData/Local/Temp/pra60002_906_922.pdf

Awardee and Student:

Dr. Park E. Atatah (Ph.D.). is an Assistant Professor with research interests in Globalization’s Public Health Issues, Races’ Inequalities, Health Accessibilities Issues, Criminal Justice Issues, Environmental Issues, Minorities’ Incarcerations, and Minorities Issues with Communities’ Policing (key phrases) Sam Kpehe graduated in December 2020, majoring in Health with no minor(s) in (NA) (if minors are applicable)

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