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)

被引：0

作者：

Evans, Elizabeth H. ^{[1
]}

Jones, Christopher M. ^{[2
]}

Adamson, Ashley ^{[3
]}

Jones, Angela R. ^{[3
]}

Basterfield, Laura ^{[3
]}

Greca, Joao Paulo de Aguiar ^{[3
]}

Sermin-Reed, Letitia ^{[3
]}

Patterson, Maddey ^{[3
]}

Mcsweeney, Lorraine ^{[3
]}

Dhami, Raenhha ^{[2
]}

Ells, Louisa ^{[4
]}

Gahagan, Alison ^{[5
]}

Robinson, Tomos ^{[3
]}

Shahrokhabadi, Mohadeseh Shojaei ^{[3
]}

Teare, Dawn ^{[3
]}

Tovee, Martin J. ^{[6
]}

Soares, Vera Araujo ^{[2
]}

机构：

[1] Univ Durham, Dept Psychol, Stockton Rd, Durham DH1 3LE, England

[2] Heidelberg Univ, Med Fac Mannheim, Ctr Prevent Med & Digital Hlth CPD, Dept Prevent Cardiovasc & Metab Dis, Mannheim, Germany

[3] Newcastle Univ, Populat Hlth Sci Inst, Human Nutr & Exercise Res Ctr, Newcastle Upon Tyne, England

[4] Leeds Beckett Univ, Obes Inst, Sch Hlth, Leeds, England

[5] Off Hlth Improvement & Dispar, Dept Hlth & Social Care, London, England

[6] Northumbria Univ, Newcastle Upon Tyne, England

来源：

BRITISH JOURNAL OF HEALTH PSYCHOLOGY | 2025年 / 30卷 / 01期

基金：

美国国家卫生研究院;

关键词：

child obesity; parental perceptions; weight monitoring; SELF-EFFICACY; BEHAVIOR; PERCEPTION; OBESITY;

D O I：

10.1111/bjhp.12784

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

ObjectivesParental 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.DesignThis 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').MethodsA 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.ResultsNeither 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.ConclusionsThe interventions neither improved parental acknowledgement of child weight, child BMI z-scores and their psychological/behavioural determinants, nor worsened psycho-social sequelae.

引用

页数：25