Clinical Child and Family Psychology Review

, Volume 20, Issue 1, pp 64–77

Promoting Social Nurturance and Positive Social Environments to Reduce Obesity in High-Risk Youth

  • Dawn K. Wilson
  • Allison M. Sweeney
  • Heather Kitzman-Ulrich
  • Haylee Gause
  • Sara M. St. George

DOI: 10.1007/s10567-017-0230-9

Cite this article as:
Wilson, D.K., Sweeney, A.M., Kitzman-Ulrich, H. et al. Clin Child Fam Psychol Rev (2017) 20: 64. doi:10.1007/s10567-017-0230-9


Nurturing environments within the context of families, schools, and communities all play an important role in enhancing youth’s behavioral choices and health outcomes. The increasing prevalence rates of obesity among youth, especially among low income and ethnic minorities, highlight the need to develop effective and innovative intervention approaches that promote positive supportive environments across different contexts for at-risk youth. We propose that the integration of Social Cognitive Theory, Family Systems Theory, and Self-Determination Theory offers a useful framework for understanding how individual, family, and social-environmental-level factors contribute to the development of nurturing environments. In this paper, we summarize evidence-based randomized controlled trials that integrate positive parenting, motivational, and behavioral skills strategies in different contexts, including primary care, home, community, and school-based settings. Taken together, these studies suggest that youth and parents are most likely to benefit when youth receive individual-level behavioral skills, family-level support and communication, and autonomous motivational support from the broader social environment. Future investigators and healthcare providers should consider integrating these evidence-based approaches that support the effects of positive social climate-based interventions on promoting healthy eating, physical activity, and weight management in youth.


Nurturance Positive parenting Obesity prevention Diet Physical activity Ethnic minorities Youth 

Funding information

Funder NameGrant NumberFunding Note
National Institute of Child Health and Human Development
  • R01HD072153

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Department of Psychology, Barnwell CollegeUniversity of South CarolinaColumbiaUSA
  2. 2.Diabetes Health and Wellness InstituteBaylor Scott and White HealthDallasUSA
  3. 3.Department of Public Health SciencesUniversity of Miami Miller School of MedicineMiamiUSA

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