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Outcomes of the 5-4-3-2-1 Go Childhood Obesity Community Trial

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Objectives : To determine effects of the 5-4-3-2-1 Go community social marketing campaign on obesity risk factors.

Methods : We randomly assigned 524 parents of 3- to 7-year-old children to receive 5-4-3-2-1 Go counseling or not. We surveyed parents about 5-4-3-2-1 Go! behaviors and perceptions of children's behaviors at baseline and one year later. We conducted multivariable logistic regression for each outcome.

Results : Parents who received counseling consumed more fruits and vegetables at follow-up (OR 1.749, [95 CI: 1.01-3.059]). Parental exposure to messaging at children's school events was associated with higher water consumption (6.879, [1.954-24.212]).

Conclusions : 5-4-3-2-1 Go is a promising intervention.
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Keywords: Social marketing; childhood obesity; community trial; social determinants

Document Type: Research Article

Affiliations: 1 Professor, Prevention and Community Health & Global Health, The George Washington University, Wasington DC.

Publication date: 2011-03-01

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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