Alicia Beltran's research while affiliated with Baylor College of Medicine and other places

Publications (55)

Article
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Background There is a strong association between increased mobile device use and worse dietary habits, worse sleep outcomes, and poor academic performance in children. Self-report or parent-proxy report of children’s screen time has been the most common method of measuring screen time, which may be imprecise or biased. Objective The objective of t...
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Background: Television viewing among children is associated with developmental and health outcomes, yet measurement techniques for television viewing are prone to errors, biases, or both. Objective: This study aims to develop a system to objectively and passively measure children's television viewing time. Methods: The Family Level Assessment...
Article
Parents influence their child's vegetable intake through their feeding style, i.e. the emotional tone established around feeding, and vegetable parenting practices (VPPs), i.e. the specific behaviors employed to influence their child's vegetable intake. A model of precision food parenting proposes that child healthy dietary intake could be optimize...
Article
The optimal approach to feeding preschool children balances expectation setting (demandingness) with responsivity to the child (responsiveness), and ideal feeding practices use environmental structuring and covert, non-directive control strategies while maintaining responsiveness. However, research has not examined the extent to which demandingness...
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Objective Qualitatively assess culturally adapted lifestyle intervention, Papás Saludables, Niños Saludables (PSNS; Healthy Dads, Healthy Kids), for Hispanic fathers and children. Methods Semistructured interviews of parents and children after participation in 10-week PSNS program for Hispanic fathers and children. Qualitative data double-coded in...
Article
Background: Hispanic children and men carry a high burden for obesity and associated medical conditions. Healthy Dads Healthy Kids was the first obesity prevention intervention targeting fathers and demonstrated weight loss among fathers and behavior change among fathers and children in Australia. The aim of this study was to assess the feasibility...
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Background: Healthy Dads Healthy Kids (HDHK) is a unique lifestyle obesity intervention for fathers and children that demonstrated weight loss among the fathers and behavior change among fathers and children in Australia. The program is gender-tailored to specifically target fathers for weight loss and 5-12 year old children for obesity prevention...
Article
Background: Previous research indicates games for health have substantial promise in promoting change in children's diet and physical activity (PA) behavior for obesity and diabetes prevention, but the research has generally not been rigorous. The study reported here was an efficacy trial of two role-playing videogames played in sequence, "Escape...
Article
Background: The eButton, a multisensor device worn on the chest, uses a camera to passively capture images of everything in front of the child throughout the day. These images can be analyzed to provide a passive method of dietary intake assessment. Objective: This study assessed the eButton's feasibility and intercoder reliability for dietary i...
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Objective The eButton takes frontal images at 4s intervals throughout the day. A three-dimensional manually administered wire mesh procedure has been developed to quantify portion sizes from the two-dimensional images. The present paper reports a test of the inter-rater reliability and validity of use of the wire mesh procedure. Design Seventeen f...
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Background: Vegetables are an important part of a healthy diet because they help prevent several chronic diseases. Mothers of preschoolers reported difficulty getting their young children to eat vegetables, and many did not know how to cook child-pleasing recipes. Objective: The cooking habits of mothers of preschoolers, their perceptions of rec...
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Children can influence the foods available at home, but some ways of approaching a parent may be better than others; and the best way may vary by type of parent. This study explored how parents with different parenting styles would best receive their 10 to 14 years old child asking for fruits and vegetables (FV). An online parenting style questionn...
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Background Active video games (AVGs) capable of inducing physical activity offer an innovative approach to combating childhood obesity. Unfortunately, children’s AVG game play decreases quickly, underscoring the need to identify novel methods for player engagement. Narratives have been demonstrated to influence behaviors. Objective The objective o...
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Parents may positively influence children’s vegetable consumption through effective vegetable parenting practices (VPP). Research has demonstrated three dimensions of effective VPP: Effective Responsiveness, Structure, and Non-Directive Control, but there is limited research investigating each separately. This study presents the modeling of Effecti...
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Background: Player feedback is an important part of serious games, although there is no consensus regarding its delivery or optimal content. "Mommio" is a serious game designed to help mothers motivate their preschoolers to eat vegetables. The purpose of this study was to assess optimal format and content of player feedback for use in "Mommio." M...
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Objective: This article presents the results of interviews conducted with children regarding their cognitive and affective responses toward a narrative and a non-narrative cartoon. The findings will be used to further explore the role of a narrative in motivating continued active videogame play. Materials and methods: Twenty children (8-11 years...
Article
Objective: Habit has been defined as the automatic performance of a usual behaviour. The present paper reports the relationships of variables from a Model of Goal Directed Behavior to four scales in regard to parents' habits when feeding their children: habit of (i) actively involving child in selection of vegetables; (ii) maintaining a positive v...
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Vegetable consumption protects against chronic diseases, but many young children do not eat vegetables. One quest within the mobile application Mommio was developed to train mothers of preschoolers in effective vegetable parenting practices, or ways to approach getting their child to eat and enjoy vegetables. A much earlier version of the game, the...
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This study reports the modeling of three categories of ineffective vegetable parenting practices (IVPP) separately (responsive, structure, and control vegetable parenting practices). An internet survey was employed for a cross sectional assessment of parenting practices and cognitive-emotional variables. Parents (n=307) of preschool children (3-5 y...
Article
Objective To model effective vegetable parenting practices using the Model of Goal Directed Vegetable Parenting Practices construct scales. Design An Internet survey was conducted with parents of pre-school children to assess their agreement with effective vegetable parenting practices and Model of Goal Directed Vegetable Parenting Practices items....
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To evaluate the psychometric properties of a vegetable parenting practices scale using multidimensional polytomous item response modeling which enables assessing item fit to latent variables and the distributional characteristics of the items in comparison to the respondents. We also tested for differences in the ways item function (called differen...
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Valid methods of diet assessment are important for nutrition research and practice, but can be difficult with children. To validate the 2012 version of the Automated Self-Administered 24-Hour Dietary Recall for Children (ASA24-Kids-2012), a self-administered web-based 24-hour dietary recall (24hDR) instrument, among children aged 9 to 11 years, in...
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The purpose of this research is to explore the capacity of story to connect to a health-related videogame, as well as the qualities that may increase efficacy by making the story compelling. Parents of 3-5-year-old children often report difficulty getting their children to eat vegetables, which are protective against chronic illnesses. Videogames m...
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Despite its relevance, formative research on games may be an undervalued part of the game development process. At the 2014 International Society of Behavioral Nutrition and Physical Activity exergaming preconference satellite meeting, a roundtable discussion was held to assemble experiences and suggestions on enhancing the use of formative research...
Article
Objective: To model effective vegetable parenting practices using the Model of Goal Directed Vegetable Parenting Practices construct scales. Design: An Internet survey was conducted with parents of pre-school children to assess their agreement with effective vegetable parenting practices and Model of Goal Directed Vegetable Parenting Practices i...
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Vegetable intake has been related to lower risk of chronic illnesses in the adult years. The habit of vegetable intake should be established early in life, but many parents of preschoolers report not being able to get their child to eat vegetables. The Model of Goal Directed Behavior (MGDB) has been employed to understand vegetable parenting practi...
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Childhood obesity is a growing problem. As more researchers become involved in the study of parenting influences on childhood obesity, there appears to be a lack of agreement regarding the most important parenting constructs of interest, definitions of those constructs, and measurement of those constructs in a consistent manner across studies. This...
Article
Objective: This study assessed whether two serious videogames, “Escape from Diab” (Diab) and “Nanoswarm: Invasion from Inner Space” (Nano) (both from Archimage, Inc., Houston, TX) shown to effect change in healthy children's diet and possibly physical activity are acceptable for obesity prevention among pediatric cancer patients and survivors at hi...
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In summary, a fundamental reconsideration is needed of the foundational knowledge of parenting in regard to energy balance behaviors in light of the poor functioning of existing measures and inconsistencies in the findings to date. More qualitative and observational research is needed because key dimensions of parenting may yet be discovered. Inves...
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The objective of this study was to determine the factor structure of 31 effective and ineffective vegetable parenting practices used by parents of preschool children based on three theoretically proposed factors: responsiveness, control and structure. The methods employed included both corrected item-total correlations and confirmatory factor analy...
Article
A serious videogame is being developed to train parents of preschool children in selecting and using parenting practices that are likely to encourage their child to eat more vegetables. The structure of feedback to the parents on their selection may influence what they learn from the game. Feedback Intervention Theory provides some guidance on the...
Chapter
Higher levels of vegetable intake have been associated with decreased risks of heart disease, diabetes, stroke, several cancers, and possibly obesity, but vegetable intake is generally low. Preference is an important determinant of vegetable intake, and food preferences are initiated early in life, but parents of preschoolers commonly report diffic...
Chapter
Full-text available
Higher levels of vegetable intake have been associated with decreased risks of heart disease, diabetes, stroke, several cancers, and possibly obesity, but vegetable intake is generally low. Preference is an important determinant of vegetable intake, and food preferences are initiated early in life, but parents of preschoolers commonly report dif...
Article
This is a report of an alpha test with a computer of one episode of a casual videogame smartphone application, called Kiddio Food Fight™ (Archimage Inc., Houston, TX), targeted at training parents to increase their 3-5-year-old child's vegetable consumption. This was a qualitative study using semistructured interviews. Sixteen parents from three et...
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Baranowski T., Islam N., Douglass D., Dadabhoy H., Beltran A., Baranowski J., Thompson D., Cullen K.W. & Subar A.F. (2012) Food Intake Recording Software System, version 4 (FIRSSt4): a self-completed 24-h dietary recall for children. J Hum Nutr Diet. ABSTRACT: The Food Intake Recording Software System, version 4 (firsst4), is a web-based 24-h dieta...
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Self-administered instruments offer a low-cost diet assessment method for use in adult and pediatric populations. This study tested whether 8- to 13-year-old children could complete an early version of the Automated Self Administered 24-hour diet recall (ASA24) and how this compared to an interviewer-administered 24-hour diet recall. One-hundred tw...
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Little research has been conducted on the psychometrics of the very short scale (36 items) of the Children's Behavior Questionnaire, and no one-item temperament scale has been tested for use in applied work. In this study, 237 United States caregivers completed a survey to define their child's behavioral patterns (i.e., Surgency, Negative Affectivi...
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We appreciate S. P. Putnam’s (2012) gentle commentary on our original article (Sleddens, Hughes, O’connor, Beltran, Baranowski, Nicklas, et al., 2012). in our article, we evaluated the psychometrics of the 36-item Children’s Behavior Questionnaire (CBQ), including item response modeling analyses, and introduced a single-item temperament scale for u...
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The aim of this study was to explore factors underlying parents' motivations to use vegetable parenting practices (VPP) using the Model of Goal Directed Vegetable Parenting Practices (MGDVPP) (an adaptation of the Model of Goal Directed Behavior) as the theoretical basis for qualitative interviews. In-depth interviews with parents of 3-5-year-old c...
Article
Generate and test parents' understanding of values and associated reason statements to encourage effective food parenting practices. This study was cross-sectional. Sixteen parents from different ethnic groups (African American, white, and Hispanic) living with their 3- to 5-year-old child were recruited. Interested parents were directed to a Web s...
Article
Sensitivity to the taste of 6-n-propylthiouracil (PROP) (a bitter chemical related to the phenylthiocarbamide found in cruciferous vegetables) has been related to dietary intake or preferences of cruciferous vegetables among adults and young children but not middle-aged children or adolescents. We hypothesized that PROP taste sensitivity is related...
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Objective: To test the effect of image size and presence of size cues on the accuracy of portion size estimation by children. Design: Children were randomly assigned to seeing images with or without food size cues (utensils and checked tablecloth) and were presented with sixteen food models (foods commonly eaten by children) in varying portion s...
Article
Fruit and vegetable intake may reduce the risk of some chronic diseases. However, many children consume less-than-recommended amounts of fruit and vegetables. Because health professionals and dietetics practitioners often work with parents to increase children's fruit and vegetable intake, assessing their opinions about the effectiveness of parenti...
Article
This research tested whether children could categorize foods more accurately and speedily when presented with child-generated rather than professionally generated food categories, and whether a graphically appealing browse procedure similar to the Apple iTunes (Cupertino, CA) "cover flow" graphical user interface accomplished this better than the m...
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To examine the relationship of 6-n-propylthiouracil (PROP) sensitivity to BMI while statistically controlling for demographic characteristics in two age groups of children: 9-10 years and 17-18 years (n 1551). Cross-sectional design with a multi-ethnic (White, African-American, Hispanic, Other) sample of 813 children aged 9-10 years and 738 childre...
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Parents may influence children's fruit and vegetable (F&V) consumption in many ways, but research has focused primarily on counterproductive parenting practices, such as restriction and pressure to eat. The present study aimed to assess the association of diverse parenting practices to promote F&V and its consumption among pre-school children. An e...
Article
This study assessed how 8- to 13-year-old children categorized and labeled grain foods and how these categories and labels were influenced by child characteristics. The main hypotheses were that children categorized foods in consistent ways and these food categories differed from the professional food categories. A set of 71 cards with pictures and...
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This exploratory study assessed how 8-13-year-old children categorised and labelled fruit and vegetables (FaV), and how these were influenced by child characteristics, to specify second-level categories in a hierarchical food search system for a computerised 24 h dietary recall (hdr). Two sets of food cards, sixty-seven for fruit (F) and sixty-four...
Article
Assess how 8- to 13-year-old children categorized and labeled food items for possible use as part of a food search strategy in a computerized 24-hour dietary recall. A set of 62 cards with pictures and names of food items from 18 professionally defined food groups was sorted by each child into piles of similar food items. Participants attended the...
Article
Food search in a computerized 24h dietary recall (24hdr) for children should be easiest when the categories reflect children's categorization of foods, in contrast to professional categories. This study assessed how 8-13 year old children categorized and labeled mixed foods (e.g. fried rice, lasagna), and how these were influenced by child characte...

Citations

... The difficulties in accurately measuring children's mobile device use demonstrate an acute need for new measurement tools to accomplish this goal. We have already developed a novel approach for measuring children's television viewing [14]. There are also assessment tools to track the screen use of a person on a mobile device used only by that person [13,15,16]. ...
... In addition, indulgent feeding style at 4-5 years of age was positively related to child BMIz at 7-9 years; and BMIz at 4-5 positively predicted indulgent feeding style and negatively predicted authoritarian feeding style at 7-9 years [27,28]. As would be expected, an authoritative parenting style involved a higher frequency of effective structure and responsive parenting practices [29]. Thus, feeding style provides an important contextual variable that should enhance understanding of the selection and use of FPP [29]. ...
... The first is Padres Preparados, Jóvenes Saludables, an obesity prevention program for Latino fathers and early adolescents [46,47]. The second is Papás Saludables, Niños Saludables (PSNS, Healthy Dads, Healthy Kids), with Latino fathers and children [48,49]. PSNS is a cultural adaptation of the Healthy Dads, Healthy Kids (HDHK) program [50], which was initially developed by Morgan et al. for white fathers and their children who were living in Australia [51,52]. ...
... For example, Kiddio™ is a smartphone dietary research video game simulation of parent-child interaction designed to teach effective vegetable parenting skills. (22) Commercial versions of Kiddio are planned as downloadable "apps" to recover the developer's subsidy to the project. ...
... The first is Padres Preparados, Jóvenes Saludables, an obesity prevention program for Latino fathers and early adolescents [46,47]. The second is Papás Saludables, Niños Saludables (PSNS, Healthy Dads, Healthy Kids), with Latino fathers and children [48,49]. PSNS is a cultural adaptation of the Healthy Dads, Healthy Kids (HDHK) program [50], which was initially developed by Morgan et al. for white fathers and their children who were living in Australia [51,52]. ...
... While some research explores the role of NMCs among school-aged children [13][14][15][16], less research examines the role of NMCs among very young children (ages 0-3). It is important to understand the influence that NMCs may have on feeding in this group of children in order to develop appropriate and effective interventions that can promote healthy eating behaviors and prevent chronic disease. ...
... Previous studies that use passive methods to estimate EI and macronutrient composition in free-living environments have encountered similar challenges to this study. Cooking methods that affect EI and nutrient composition in passive image capture methods are a common obstacle (30), as are low quality images that make it difficult for nutritionists to accurately estimate EI (8,29,31,32). Beltran et al., Schrempft et al., and Martin et al. showed low ICC between nutritionists for portion size estimates in free-living conditions (32)(33)(34) as opposed to other traditional digital photography methods (35). ...
... Com aumento na utilização de smartphones, intervenções baseadas em tecnologias de informação estão amplamente disponíveis em formatos de aplicativos fitness e de nutrição apresentando grande adesão, porém com elevada desistência 20 , demonstrando sucessos variados e seus efeitos por períodos limitados 21 . Desta forma, estudos têm sido desenvolvidos buscando melhor aderência e efetividade para redução do CS, incluindo aqueles com utilização de exergames em diversos subgrupos populacionais 17,22 . ...
... Images captured by a passive device, i.e. not requiring active input from the user, overcome the issue of participant bias and provide researchers a frame-by-frame view of parent and child activities during dietary intake sessions. This technology-based method has been explored in dietary assessment studies, but never for the purpose of infant feeding assessment in low-and middle-income countries (24)(25)(26) . Further, geographic differences in feeding practices between urban and rural communities have not been examined using such an innovative method. ...