Parent and Family Obesity Intervention in Reducing Obesity Risk in Racial Ethnic Minority Families

PRIMARY OBJECTIVE: I. Establish the feasibility and acceptability of the Parent and Family obesity interventions. SECONDARY OBJECTIVES: I. Explore congregational and community interest in obesity and obesity related behaviors in racial ethnic minorities. II. Explore the preliminary impact of the Parent and Family interventions on behavioral, social and environmental outcomes in parent/child dyads. III. Explore potential mediators (self-efficacy, perceived stress, depressive symptoms) and moderators (sex of dyads, family history of lifestyle changes, and church attendance). OUTLINE: Churches are randomized to 1 of 3 arms. ARM I (PARENT INTERVENTION): Parents receive health coaching sessions over 50-60 minutes monthly for 6 months. Parents also receive navigation sessions with a lay health worker (LHW) monthly for 6 months and church-based peer support monthly for 6 months. ARM II (FAMILY INTERVENTION): Family members receive health coaching sessions over 50-60 minutes monthly for 6 months. Family members also receive navigation sessions with a LHW monthly for 6 months and church-based peer support monthly for 6 months. ARM III (DELAYED COMPARISON): Participants receive a handbook that includes core content from the parent and family interventions, but without individual support from coaches, LHWs or the church.