Cited by 59Obesity, Physical Activity, DietNutrition, Health and Food BehaviorObesity and Health Practices

The interaction of social networks and child obesity prevention program effects: The pathways trial: Networks and Childhood Obesity Prevention

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Shin, Hee-Sung, Valente, Thomas W., Riggs, Nathaniel R., Huh, Jimi, Spruijt-Metz, Donna, Chou, Chih-Ping, Ann Pentz, Mary·2014·Obesity

Abstract

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.

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  • Children with friends who were physically inactive gained more from an obesity prevention program than those with physically active friends.

    “For example, Shin and others [29] demonstrated that children with friends who were physically inactive gained more from an obesity prevention program than those with physically active friends.”

    From Social Network Analysis for Program Implementation (2015) · cites this paper as [29]

  • Intervention effects may vary as a function of the recipients' social networks.

    “Studies have shown that networks can mediate intervention effects. That is, intervention effects may vary as a function of the recipients’ social networks [28, 29].”

    From Social Network Analysis for Program Implementation (2015) · cites this paper as [29]

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Authors
Shin, H.-S., Valente, T. W., Riggs, N. R., Huh, J., Spruijt-Metz, D., Chou, C.-P., & Ann Pentz, M.
Affiliations
  • The Institute for Health Promotion & Disease Prevention Research (IPR), University of Southern California, Keck School of Medicine; Los Angeles CA USA
  • University of Southern California (US)
  • Colorado State University (US)
Venue
Obesity
Publisher
Wiley
Published
2014-03-11
Volume
22
Issue
6
Pages
1520-1526
ISSN
1930-7381 (ISSN-L)
OpenAlex
W1509402306
Cited by
59
References
45
Citations by year
2026: 1 · 2025: 3 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 9 · 2020: 7 · 2019: 5 · 2018: 12 · 2017: 5 · 2016: 5 · 2015: 7
FWCI
5.57
Type
journal article
Language
en
Open access
Locations
  • Obesity (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Cancer Institute (T32CA009492)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD052107)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
Keywords
childhood obesity prevention, peer influence, social networks, moderation, physical activity, fruit and vegetable intake, sedentary behavior, school-based intervention
MeSH terms
California, Energy Intake, Child, Child Behavior, Feeding Behavior, Female, Fruit, Health Promotion, Humans, Longitudinal Studies, Male, Motor Activity, Peer Group, Schools, Social Support, Vegetables, Health Behavior, Body Mass Index, Linear Models, Sedentary Behavior, Pediatric Obesity

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