Efficacy of a Home-Based Parent Training-Focused Weight Management Intervention for Preschool Children: The DRIVE Randomized Controlled Pilot Trial

Hawkins, Keely R.; Apolzan, John W.; Staiano, Amanda E.; Shanley, Jenelle R.; Martin, Corby K.

doi:10.1016/j.jneb.2019.04.002

Cited by 9 publications

(7 citation statements)

References 35 publications

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“…We developed a parent support focused program to treat childhood obesity that can be delivered in the home called DRIVE (Developing Relationships that Include Values of Eating and Exercise) [ 9 ] with the intent to eventually disseminate the program across the SafeCare network. DRIVE incorporates SafeCare principles to promote healthy eating, physical activity, and healthy weight in children by fostering positive parent-child interactions.…”

Section: Introductionmentioning

confidence: 99%

“…DRIVE incorporates SafeCare principles to promote healthy eating, physical activity, and healthy weight in children by fostering positive parent-child interactions. Previously, we tested the efficacy of DRIVE in a 19-week randomized controlled pilot trial in 16 parent/child dyads (children ages 2-6 years with BMIs ≥ 75th percentile) and found that the change in children’s BMI z-scores (BMIz) (Mean –0.1, SE 0.1) was significantly different ( P <.01) compared to a health education control group (mean 0.5, SE 0.1) [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Digital Tools to Support Family-Based Weight Management for Children: Mixed Methods Pilot and Feasibility Study

Staiano¹,

Shanley²,

Kihm³

et al. 2021

JMIR Pediatr Parent

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Background Family-based behavioral therapy is an efficacious approach to deliver weight management counseling to children and their parents. However, most families do not have access to in-person, evidence-based treatment. We previously developed and tested DRIVE (Developing Relationships that Include Values of Eating and Exercise), a home-based parent training program to maintain body weight among children at risk for obesity, with the intent to eventually disseminate it nationally alongside SafeCare, a parent support program that focuses on parent-child interactions. Currently the DRIVE program has only been tested independently of SafeCare. This study created the “mHealth DRIVE” program by further adapting DRIVE to incorporate digital and mobile health tools, including remotely delivered sessions, a wireless scale that enabled a child-tailored weight graph, and a pedometer. Telehealth delivery via mHealth platforms and other digital tools can improve program cost-effectiveness, deliver long-term care, and directly support both families and care providers. Objective The objective of this study was to examine preliminary acceptability and effectiveness of the mHealth DRIVE program among children and parents who received it and among SafeCare providers who potentially could deliver it. Methods Study 1 was a 13-week pilot study of a remotely delivered mHealth family-based weight management program. Satisfaction surveys were administered, and height and weight were measured pre- and post-study. Study 2 was a feasibility/acceptability survey administered to SafeCare providers. Results Parental and child satisfaction (mean of 4.9/6.0 and 3.8/5.0, respectively) were high, and children’s (N=10) BMI z-scores significantly decreased (mean –0.14, SD 0.17; P=.025). Over 90% of SafeCare providers (N=74) indicated that SafeCare families would benefit from learning how to eat healthily and be more active, and 80% of providers reported that they and the families would benefit from digital tools to support child weight management. Conclusions Pediatric mHealth weight management interventions show promise for effectiveness and acceptability by families and providers. Trial Registration Clinicaltrials.gov NCT03297541, https://clinicaltrials.gov/ct2/show/NCT03297541.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Digital Tools to Support Family-Based Weight Management for Children: Mixed Methods Pilot and Feasibility Study

Staiano¹,

Shanley²,

Kihm³

et al. 2021

JMIR Pediatr Parent

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“…Although the preschools were supervised by the Welfare Organization of Tehran, parents and preschool principals provided equipment and food preparation costs. Based on the literature, parents, especially mothers, are the most important agents in children’s weight management [ 1 , 7 , 18 ] Also, in Iran, mothers are more involved in taking care of their children and their eating habits and physical activity than fathers. Therefore, the research team decided to prioritize interviewing mothers.…”

Section: Methodsmentioning

confidence: 99%

“…The high prevalence of overweight and obesity in children has become a public health problem in developing and developed countries [ 1 ]. The prevalence of overweight (including obesity) among preschoolers was 32.0% and 10.0%- 20.6% in the United States and Europe, respectively [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding the perceptions of parents and preschool principals on the determinants of weight management among Iranian preschoolers: A directed qualitative content analysis

Zarghani

Ghofranipour²,

Mohammadi³

et al. 2022

PLoS ONE

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The current study aimed to understand the perceptions and experiences of Iranian parents and principals of preschool children on weight management based on the PRECEDE-PROCEED Model (PPM), a comprehensive structure for assessing health needs for designing, implementing, and evaluating health promotion, and other public health programs. PRECEDE provides a structure for planning a targeted and focused public health program, and PROCEED provides a structure for implementing and evaluating the program. Data were gathered from 17 preschoolers’ parents and two principals using semi-structured interviews in the preschool setting in Tehran, the capital of Iran, in 2019. Data were analyzed manually through directed content analysis based on constructs in phases two and three of the PPM, simultaneously with data collection. This study identified genetic, behavioral (e.g., food preferences, physical activity, sedentary behaviors, the effect of parents’, peers’, principals’ and teachers’ behavior and also influence of grandparents’ and neighbors’ behaviors) and environmental (e.g., home, grandparents’ home and preschool) factors from the epidemiological construct. Also, predisposing (e.g., child’s attitude, parent’s and principals’ attitude, as well as parents’ knowledge and parents’ and principals’ beliefs), enabling (e.g., parental skills and skills of the principals and teachers, rules and laws in the preschools, and availability), and reinforcing (e.g., family support and influences, teachers’ encouragement and influences, and peers’ influences) factors were identified from the educational and ecological construct. Additionally, “quality of child-parent relationship” was determined as a new factor affecting preschoolers’ weight management promotion; however, it was not in the PPM. In the study, parents’ and principals’ experiences regarding preschoolers’ weight management promotion confirmed the genetic, behavioral, environmental, predisposing, enabling and reinforcing factors of the PPM. “Quality of child-parent relationship” factor may be related to the culture and family relationship type of Iranian people, which is suggested to be investigated in future studies.

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“…This suggests that efforts to reduce psychological stress in young children should focus on the entire family. Intervention tools that have been applied in previous studies to reduce psychological stress in both children and parents include increasing family time [ 8 ], resilience capacities enhancement [ 9 ], parenting training/education [ 10 – 12 ], and mindfulness for parents [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity-susceptible healthy weight children and their parents

et al. 2022

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Poor sleep and psychological stress are obesity determinants that are rarely included in obesity prevention programs. The aim was to report the effects of the Healthy Start randomized intervention on the secondary outcomes psychological stress and sleep duration and onset latency. Data was obtained from the Healthy Start randomized intervention conducted in 2009–2012 among Danish healthy weight children aged 2–6 years, who had either a high birth weight (>4,000 g), high maternal pre-pregnancy body mass index (>28 kg/m2), or low maternal educational level (≤10 years of schooling) and their parents. The intervention was designed to deliver improvements in diet and physical activity habits, optimization of sleep habits, and reduction of psychological family stress. The average intervention period was 15 months. Children with information on a 7-day sleep record, sleep onset latency, Strengths and Difficulties Questionnaire (SDQ), and a modified version of Parenting Stress Index (PSI) were included. The effects of the intervention on sleep habits, PSI scores, SDQ Total Difficulties (SDQ-TD) and Pro-social Behavior scores, and 95% Confidence Intervals (95% CI) were analyzed using linear regression intention-to-treat (n = 543 (intervention group n = 271, control group n = 272)) analyses. No statistically significant effects on sleep duration, sleep onset latency, PSI score, or SDQ Pro-social Behavior score were observed. Values both before and after the intervention were within the normal range both for children in the intervention and children in the control group. Mean change in SDQ-TD was 0.09 points (95% CI -0.57;0.59) in the intervention group, and -0.69 points (95% CI -1.16; -0.23) in the control group (p = 0.06). In conclusion, there were no intervention effects in relation to sleep duration, sleep onset latency, PSI score, or SDQ Pro-social behavior. There was an indication that children in the intervention group had slightly more behavioral problems than the control group after the intervention, but values were within normal range both before and after the intervention, and the difference is not considered to be clinically meaningful.

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Efficacy of a Home-Based Parent Training-Focused Weight Management Intervention for Preschool Children: The DRIVE Randomized Controlled Pilot Trial

Cited by 9 publications

References 35 publications

Digital Tools to Support Family-Based Weight Management for Children: Mixed Methods Pilot and Feasibility Study

Digital Tools to Support Family-Based Weight Management for Children: Mixed Methods Pilot and Feasibility Study

Understanding the perceptions of parents and preschool principals on the determinants of weight management among Iranian preschoolers: A directed qualitative content analysis

Effects of the healthy start randomized intervention on psychological stress and sleep habits among obesity-susceptible healthy weight children and their parents

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