1. Introduction
obesity, Obesity, cancers, diet-related chronic diseases, diabetes
OBESITY, OBESITY, CANCERS, CHILDHOOD OBESITY, CARDIOVASCULAR DISEASE, CHILDHOOD OBESITY, DIABETES
Consuming an unhealthy diet increases health risks. This study assessed the impact of a culturally adapted behaviorally innovative obesity prevention intervention (Childhood obesity remains a major public health issue [During the height of the COVID-19 pandemic, child obesity in the United States (US) increased from 19.3% in August 2019 to 22.4% in August 2020, an all-time high [Obesity steadily increases throughout childhood and adolescence. Among children in the US, 13.4% of 2–5-year-olds, 20.3% of 6–11-year-olds, and 21.2% of 12–19-year-olds are reported to have obesity [Consuming an unhealthy diet increases the risks of obesity, diet-related chronic diseases (e.g., cardiovascular disease, diabetes, and some cancers [Racial disparities exist in dietary patterns, which may partially explain the increased prevalence of overweight and obesity in minority children. Compared to non-Hispanic White children, NH B/AA children in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) had lower calcium, vitamin D, and total dairy intakes and higher sodium intakes [Although the relationship between diet and obesity is known to be associated with sustained energy imbalance, no consensus exists on the best approach to assess the association between diet and childhood obesity [Healthy Eating Index 2015 (HEI-2015) measures diet quality as assessed via determining whether or not an individual’s dietary intake aligns with the 2015–2020 Dietary Guidelines for Americans [Diet quality in the US is below that of the recommendations [An internet-based intervention provides a method that can be easily accessed by parents and children at their most convenient times using digital devices, such as a computer or smartphone. Effective digital interventions can also be scaled to reach larger audiences at little additional cost. While NH B/AA families have been shown to regularly access the internet [Engagement is a characteristic of whether or not a participant is paying attention to and involved with the intervention [Goal setting is a common behavior change technique in behavioral interventions [Using a three-group randomized controlled trial (RCT) design, the current study encouraged a healthy diet to pre-adolescent NH B/AA girls and their parent. The purpose of this paper is to report changes in diet quality over time.