Mechanisms and outcomes of a very low intensity intervention to improve parental acknowledgement and understanding of childhood overweight/obesity, embedded in the National Child Measurement Programme: A sub‐study within a large cluster Randomized Controlled Trial (MapMe2)
| Title: | Mechanisms and outcomes of a very low intensity intervention to improve parental acknowledgement and understanding of childhood overweight/obesity, embedded in the National Child Measurement Programme: A sub‐study within a large cluster Randomized Controlled Trial (MapMe2) |
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| Authors: | Evans, Elizabeth H., Jones, Christopher M., Adamson, Ashley, Jones, Angela R., Basterfield, Laura, Greca, João Paulo de Aguiar, Sermin‐Reed, Letitia, Patterson, Maddey, McSweeney, Lorraine, Dhami, Raenhha, Ells, Louisa, Gahagan, Alison, Robinson, Tomos, Shahrokhabadi, Mohadeseh Shojaei, Teare, Dawn, Tovée, Martin J., Araújo Soares, Vera |
| Source: | British Journal of Health Psychology; Feb2025, Vol. 30 Issue 1, p1-25, 25p |
| Subject Terms: | CHILDHOOD obesity, PARENT attitudes, TREATMENT effectiveness, BODY mass index, SOCIAL psychology, PSYCHOLOGICAL factors |
| Abstract: | Objectives: Parental underdetection of child underweight and overweight/obesity may negatively affect children's longer‐term health. We examined psychological/behavioural mechanisms of a very low‐intensity intervention to improve acknowledgement and understanding of child weight after feedback from a school‐based weight monitoring programme. Design: This sub‐study was nested within a larger 3‐arm cluster‐RCT (1:1:1; N = 57,300). Parents in all groups received written postal feedback on their child's weight classification. Intervention participants received an enhanced feedback letter with computer‐generated photorealistic images depicting children of different weight classifications, and access to a website about supporting healthy weight, once (intervention one) or twice (intervention two; repeated 6 months after first 'dose'). Methods: A quantitative process and outcome evaluation using baseline and 12‐month BMI z‐scores of an opt‐in sub‐sample of 502 children aged 4–5 and 10–11. Children completed dietary reports, used accelerometers (MVPA), and self‐reported self‐esteem; 10–11‐year‐olds also self‐reported quality of life and dietary restraint. Parents reported perceptions of child's weight classification, and their intentions, self‐efficacy, action planning and coping planning for child physical activity, dietary intake; parents of 4–5‐year‐olds reported their child's quality of life. Results: Neither intervention differentially improved parental acknowledgement or understanding of weight classification at follow‐up, although parents in all groups reported better acknowledgement after receiving feedback. The interventions did not affect behavioural/psychological determinants, weight outcomes, children's self‐esteem, dietary restraint or quality of life. Conclusions: The interventions neither improved parental acknowledgement of child weight, child BMI z‐scores and their psychological/behavioural determinants, nor worsened psycho‐social sequelae. [ABSTRACT FROM AUTHOR] |
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| Database: | Complementary Index |
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| Items | – Name: Title Label: Title Group: Ti Data: Mechanisms and outcomes of a very low intensity intervention to improve parental acknowledgement and understanding of childhood overweight/obesity, embedded in the National Child Measurement Programme: A sub‐study within a large cluster Randomized Controlled Trial (MapMe2) – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Evans%2C+Elizabeth+H%2E%22">Evans, Elizabeth H.</searchLink><br /><searchLink fieldCode="AR" term="%22Jones%2C+Christopher+M%2E%22">Jones, Christopher M.</searchLink><br /><searchLink fieldCode="AR" term="%22Adamson%2C+Ashley%22">Adamson, Ashley</searchLink><br /><searchLink fieldCode="AR" term="%22Jones%2C+Angela+R%2E%22">Jones, Angela R.</searchLink><br /><searchLink fieldCode="AR" term="%22Basterfield%2C+Laura%22">Basterfield, Laura</searchLink><br /><searchLink fieldCode="AR" term="%22Greca%2C+João+Paulo+de+Aguiar%22">Greca, João Paulo de Aguiar</searchLink><br /><searchLink fieldCode="AR" term="%22Sermin‐Reed%2C+Letitia%22">Sermin‐Reed, Letitia</searchLink><br /><searchLink fieldCode="AR" term="%22Patterson%2C+Maddey%22">Patterson, Maddey</searchLink><br /><searchLink fieldCode="AR" term="%22McSweeney%2C+Lorraine%22">McSweeney, Lorraine</searchLink><br /><searchLink fieldCode="AR" term="%22Dhami%2C+Raenhha%22">Dhami, Raenhha</searchLink><br /><searchLink fieldCode="AR" term="%22Ells%2C+Louisa%22">Ells, Louisa</searchLink><br /><searchLink fieldCode="AR" term="%22Gahagan%2C+Alison%22">Gahagan, Alison</searchLink><br /><searchLink fieldCode="AR" term="%22Robinson%2C+Tomos%22">Robinson, Tomos</searchLink><br /><searchLink fieldCode="AR" term="%22Shahrokhabadi%2C+Mohadeseh+Shojaei%22">Shahrokhabadi, Mohadeseh Shojaei</searchLink><br /><searchLink fieldCode="AR" term="%22Teare%2C+Dawn%22">Teare, Dawn</searchLink><br /><searchLink fieldCode="AR" term="%22Tovée%2C+Martin+J%2E%22">Tovée, Martin J.</searchLink><br /><searchLink fieldCode="AR" term="%22Araújo+Soares%2C+Vera%22">Araújo Soares, Vera</searchLink> – Name: TitleSource Label: Source Group: Src Data: British Journal of Health Psychology; Feb2025, Vol. 30 Issue 1, p1-25, 25p – Name: Subject Label: Subject Terms Group: Su Data: <searchLink fieldCode="DE" term="%22CHILDHOOD+obesity%22">CHILDHOOD obesity</searchLink><br /><searchLink fieldCode="DE" term="%22PARENT+attitudes%22">PARENT attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22TREATMENT+effectiveness%22">TREATMENT effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22BODY+mass+index%22">BODY mass index</searchLink><br /><searchLink fieldCode="DE" term="%22SOCIAL+psychology%22">SOCIAL psychology</searchLink><br /><searchLink fieldCode="DE" term="%22PSYCHOLOGICAL+factors%22">PSYCHOLOGICAL factors</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objectives: Parental underdetection of child underweight and overweight/obesity may negatively affect children's longer‐term health. We examined psychological/behavioural mechanisms of a very low‐intensity intervention to improve acknowledgement and understanding of child weight after feedback from a school‐based weight monitoring programme. Design: This sub‐study was nested within a larger 3‐arm cluster‐RCT (1:1:1; N = 57,300). Parents in all groups received written postal feedback on their child's weight classification. Intervention participants received an enhanced feedback letter with computer‐generated photorealistic images depicting children of different weight classifications, and access to a website about supporting healthy weight, once (intervention one) or twice (intervention two; repeated 6 months after first 'dose'). Methods: A quantitative process and outcome evaluation using baseline and 12‐month BMI z‐scores of an opt‐in sub‐sample of 502 children aged 4–5 and 10–11. Children completed dietary reports, used accelerometers (MVPA), and self‐reported self‐esteem; 10–11‐year‐olds also self‐reported quality of life and dietary restraint. Parents reported perceptions of child's weight classification, and their intentions, self‐efficacy, action planning and coping planning for child physical activity, dietary intake; parents of 4–5‐year‐olds reported their child's quality of life. Results: Neither intervention differentially improved parental acknowledgement or understanding of weight classification at follow‐up, although parents in all groups reported better acknowledgement after receiving feedback. The interventions did not affect behavioural/psychological determinants, weight outcomes, children's self‐esteem, dietary restraint or quality of life. Conclusions: The interventions neither improved parental acknowledgement of child weight, child BMI z‐scores and their psychological/behavioural determinants, nor worsened psycho‐social sequelae. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Group: Ab Data: <i>Copyright of British Journal of Health Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/bjhp.12784 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 25 StartPage: 1 Subjects: – SubjectFull: CHILDHOOD obesity Type: general – SubjectFull: PARENT attitudes Type: general – SubjectFull: TREATMENT effectiveness Type: general – SubjectFull: BODY mass index Type: general – SubjectFull: SOCIAL psychology Type: general – SubjectFull: PSYCHOLOGICAL factors Type: general Titles: – TitleFull: Mechanisms and outcomes of a very low intensity intervention to improve parental acknowledgement and understanding of childhood overweight/obesity, embedded in the National Child Measurement Programme: A sub‐study within a large cluster Randomized Controlled Trial (MapMe2) Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Evans, Elizabeth H. – PersonEntity: Name: NameFull: Jones, Christopher M. – PersonEntity: Name: NameFull: Adamson, Ashley – PersonEntity: Name: NameFull: Jones, Angela R. – PersonEntity: Name: NameFull: Basterfield, Laura – PersonEntity: Name: NameFull: Greca, João Paulo de Aguiar – PersonEntity: Name: NameFull: Sermin‐Reed, Letitia – PersonEntity: Name: NameFull: Patterson, Maddey – PersonEntity: Name: NameFull: McSweeney, Lorraine – PersonEntity: Name: NameFull: Dhami, Raenhha – PersonEntity: Name: NameFull: Ells, Louisa – PersonEntity: Name: NameFull: Gahagan, Alison – PersonEntity: Name: NameFull: Robinson, Tomos – PersonEntity: Name: NameFull: Shahrokhabadi, Mohadeseh Shojaei – PersonEntity: Name: NameFull: Teare, Dawn – PersonEntity: Name: NameFull: Tovée, Martin J. – PersonEntity: Name: NameFull: Araújo Soares, Vera IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: Feb2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 1359107X Numbering: – Type: volume Value: 30 – Type: issue Value: 1 Titles: – TitleFull: British Journal of Health Psychology Type: main |
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