Interventions that involve parents to improve children's weight-related nutrition intake and activity patterns—What nutrition and activity targets and behaviour change techniques are associated with intervention effectiveness?

CSIRO Food and Nutritional Sciences, The Commonwealth Scientific and Industrial Research Organisation, Adelaide, Australia.
Obesity Reviews (Impact Factor: 8). 02/2011; 12(2):114-30. DOI: 10.1111/j.1467-789X.2010.00745.x
Source: PubMed


Parent involvement is an important component of obesity prevention interventions. However, the best way to support parents remains unclear. This review identifies interventions targeting parents to improve children's weight status, dietary and/or activity patterns, examines whether intervention content and behaviour change techniques employed are associated with effectiveness. Seventeen studies, in English, 1998-2008, were included. Studies were evaluated by two reviewers for study quality, nutrition/activity content and behaviour change techniques using a validated quality assessment tool and behaviour change technique taxonomy. Study findings favoured intervention effectiveness in 11 of 17 studies. Interventions that were considered effective had similar features: better study quality, parents responsible for participation and implementation, greater parental involvement and inclusion of prompt barrier identification, restructure the home environment, prompt self-monitoring, prompt specific goal setting behaviour change techniques. Energy intake/density and food choices were more likely to be targeted in effective interventions. The number of lifestyle behaviours targeted did not appear to be associated with effectiveness. Intervention effectiveness was favoured when behaviour change techniques spanned the spectrum of behaviour change process. The review provides guidance for researchers to make informed decisions on how best to utilize resources in interventions to support and engage parents, and highlights a need for improvement in intervention content reporting practices.

Download full-text


Available from: Amy Slater
  • Source
    • "However, another study found no differences in food availability, accessibility or affordability by SES (Turrell, Blakely, Patterson, & Oldenburg, 2004). Given that cost is a major influence on food purchases (Van der Kruk et al., 2013; Golley et al., 2011) and that lower SES groups are likely to have less disposable income, it's quite likely that healthier (often more expensive) foods may be overlooked in favour of more unhealthy, energy-dense choices (Giskes et al., 2002; Hunter et al., 2008). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Purpose The purpose of this qualitative study was to explore the perceptions and attitudes that underlie food choices, and, the impact of a school-based healthy eating intervention in mothers from an economically-disadvantaged community. The aim of the intervention was to educate children to act as ‘health messengers’ to their families. Method Sixteen semi-structured phone interviews were conducted with mothers with four receiving a second interview. Interviews were conducted following their child’s participation in a six-week after school healthy cooking intervention. Results Thematic content analysis revealed four main themes: Cost and budget influence on food choices, diversity in household rules controlling food, role of socialisation on diet, and improved cooking skills and confidence to make homemade meals. The interview findings demonstrated the positive influence of the after-school cooking intervention on children and their families in cooking skills, promoting healthier cooking methods and increasing confidence to prepare homemade meals. Conclusions The findings demonstrated the wider economic and social influences on food choices and eating practices. Socialisation into, and strong cultural norms around, eating habits were significant influences on family diet and on parental decisions underpinning food choices and attitudes towards the control of food within the family. The intervention was perceived to be successful in terms of improving nutritional knowledge, cooking skills and increasing confidence to make healthy and tasty homemade meals. The study demonstrates the importance of parental involvement in school-based interventions if improvements in healthy eating are to be evidenced at the family level and maintained.
    Full-text · Article · Jan 2016 · Eating Behaviors
  • Source
    • "Identifying variables associated with child health behavior change related to weight among at-risk preschool children can inform future prevention efforts. Previous reviews of the childhood obesity prevention literature suggest that parental involvement and parent behavior change are paramount in the initiation and maintenance of child changes (Bluford, Sherry, & Scanlon, 2007; Campbell & Hesketh, 2007; Golley, Hendrie, Slater, & Corsini, 2011; Skouteris et al., 2011). In a 2011 review, Skouteris and colleagues (2011) proposed a conceptual model illustrating the relation between preschool child weight and child and parent beliefs and behaviors (See Figure 1; Bluford et al., 2007; Faith & Kerns, 2005; Harvey-Berino & Rourke, 2003; Lobstein, Baur, & Uauy, 2004; Trost et al., 2003). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Objective: To determine whether parent health behavior changes and feeding practices were associated with child changes in body mass index z-score and related health behaviors over the course of 1 year. METHODS: Anthropometric data from 590 child-parent dyads of ethnic/racial minority groups were collected at baseline, 14 weeks (postintervention), and 1-year follow-up. Additionally, parent screen time and feeding practices and child dietary consumption, diet quality, physical activity, and screen time were collected. RESULTS: Random effects growth models revealed that changes in child screen time moved in tandem with parent screen time from baseline to 14-week postintervention and from postintervention to 1-year follow-up. Greater parental monitoring predicted greater reduction in child calorie consumption at 1 year. CONCLUSIONS: Future studies should include innovative ways to explicitly involve parents in prevention efforts.
    Full-text · Article · Dec 2015 · Journal of Pediatric Psychology
  • Source
    • "Only two of the ten studies (Hendrie and Golley, 2011; McGowan Table 1 Summary of study characteristics. "
    [Show abstract] [Hide abstract]
    ABSTRACT: The evidence regarding effectiveness of parental support interventions targeting children's health behaviours is weak. We aimed to review: 1) Effectiveness of universal parental support interventions to promote dietary habits, physical activity (PA) or prevent overweight and obesity among children 2-18 years and 2) effectiveness in relation to family socio-economic position. Thirty five studies from 1990-2013 were identified from major databases. Quality was assessed by four criteria accounting for selection and attrition bias, fidelity to intervention, and outcome measurement methodology, categorizing studies as strong, moderate or weak. Four interventions types were identified: Face-to-face counselling, group education, information sent home, and telephone counselling. Face-to-face or telephone counselling was effective in changing children's diet, while there was only weak evidence for improvement in PA. Sending home information was not effective. Concerning body weight, group education seemed more promising than counselling. Intervention effectiveness was generally higher in younger compared to older children. In groups with low socio-economic position, group-based approaches appeared promising. In the future efforts should be made to improve reporting of intervention content, include a power calculation for the main outcome, use of high quality outcome assessment methodology, and a follow-up period of at least 6 months. Copyright © 2015. Published by Elsevier Inc.
    Full-text · Article · May 2015 · Preventive Medicine
Show more