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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

ABSTRACT

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.

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    • "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). "
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    • "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). "
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