Dr. Darcy Thompson is a general pediatrician with fellowship training in epidemiology and research methods. Her career goal is to conduct interdisciplinary research that identifies modifiable family environmental factors related to the development of overweight in Latino children. Her immediate goal is to become an independent investigator who has the knowledge, skills, and preliminary research necessary to conduct interdisciplinary investigations focused on understanding parenting practices regarding TV viewing, also called parental mediation of TV viewing, in relation to overweight in Latino preschoolers. TV viewing is associated with overweight, however, the role of parental mediation of TV viewing, e.g. having rules about child TV viewing, in relation to childhood overweight has received little attention, especially in Latino families. Parental mediation of TV viewing and its relation with overweight may differ in Latino families due to cultural and social factors. This proposal outlines 3 studies with 4 aims. The 1st study analyzes an existing database to evaluate the extent to which TV viewing in low-income Latino children varies by country of origin and acculturation and if TV viewing is associated with parental mediation of TV viewing (AIM 1);and to determine the relationship between parental mediation of TV viewing, child TV viewing, and BMI in low-income Latino families over time (AIM 2). The 2nd study uses qualitative methods to develop a tool to measure parental beliefs about TV viewing and parental mediation of TV viewing in low-income Mexican-American mothers of preschoolers (AIM 3). In the 3rd study, Dr. Thompson will conduct a clinic based study of low-income Mexican-American mothers of preschoolers to evaluate the psychometrics of new instruments and determine associations among parental beliefs and mediation of TV viewing, child TV viewing, child diet and BMI (AIM 4). To conduct this work, Dr. Thompson will acquire knowledge on parenting and methodological issues of media and obesity research. She will develop skills in conducting culturally informed research and using advanced analytical techniques. Training and research will take place at Johns Hopkins University with guidance from a diverse and strong team of mentors.

Public Health Relevance

Understanding contextual influences on the development of overweight in low-income Latino preschoolers is important to the design of evidence-based culturally competent interventions. This proposed work will inform the design of overweight interventions targeting Latino preschoolers by enhancing our understanding of the role of parental mediation of TV viewing in the development of overweight.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Mentored Patient-Oriented Research Career Development Award (K23)
Project #
5K23HD060666-06
Application #
8466343
Study Section
Pediatrics Subcommittee (CHHD)
Program Officer
Haverkos, Lynne
Project Start
2009-06-05
Project End
2014-05-31
Budget Start
2013-06-01
Budget End
2014-05-31
Support Year
6
Fiscal Year
2013
Total Cost
$134,259
Indirect Cost
$9,945
Name
University of Colorado Denver
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
041096314
City
Aurora
State
CO
Country
United States
Zip Code
80045
Thompson, Darcy A; Tschann, Jeanne M (2016) Factors Contributing to Background Television Exposure in Low-Income Mexican-American Preschoolers. Matern Child Health J 20:1835-41
Luna, Rubi E; Polk, Sarah; Thompson, Darcy A (2016) Understanding the Use of Whole Milk and Flavored Powders in Children of Low-Income, Immigrant Latina Mothers: A Descriptive Study. Clin Pediatr (Phila) :
Thompson, Darcy A; Vandewater, Elizabeth A; Matson, Pamela A et al. (2015) Young low-income ethnic minority children watch less television when their mothers regulate what they are viewing. Acta Paediatr 104:300-5
Brown, Natasha A; Smith, Katherine Clegg; Thornton, Rachel L J et al. (2015) Gathering perspectives on extended family influence on African American children's physical activity. J Health Dispar Res Pract 8:10-24
Zhou, Nan; Cheah, Charissa S L; Van Hook, Jennifer et al. (2015) A cultural understanding of Chinese immigrant mothers' feeding practices. A qualitative study. Appetite 87:160-7
Hernandez, Raquel G; Garcia, Janelle; Thompson, Darcy A (2015) Racial-Ethnic Differences in Parental Body Image Perceptions of Preschoolers: Implications for Engaging Minority Parents in Weight-Related Discussions. Clin Pediatr (Phila) 54:1293-6
Thompson, Darcy A; Polk, Sarah; Cheah, Charissa S L et al. (2015) Maternal Beliefs and Parenting Practices Regarding Their Preschool Child's Television Viewing: An Exploration in a Sample of Low-Income Mexican-Origin Mothers. Clin Pediatr (Phila) 54:862-70
Thompson, Darcy A; Hernandez, Raquel G; Cowden, John D (2014) In reply to Drain and Rhatigan. Acad Med 89:531
Okelo, Sande O; Eakin, Michelle N; Riekert, Kristin A et al. (2014) Validation of parental reports of asthma trajectory, burden, and risk by using the pediatric asthma control and communication instrument. J Allergy Clin Immunol Pract 2:186-92
Okelo, Sande O; Eakin, Michelle N; Patino, Cecilia M et al. (2013) The Pediatric Asthma Control and Communication Instrument asthma questionnaire: for use in diverse children of all ages. J Allergy Clin Immunol 132:55-62

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