Family-based, healthy living intervention for children with overweight and obesity and their families: a ‘real world’ trial protocol using a randomised wait list control design

Liu, Sam; Marques, Isabela G.; Perdew, Megan; Strange, Karen; Hartrick, Teresa; Weismiller, Joy; Ball, Geoff D.C.; Mâsse, Louise C.; Rhodes, Ryan E.; Naylor, Patti-Jean

doi:10.1136/bmjopen-2018-027183

Cited by 14 publications

(5 citation statements)

References 47 publications

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“…4 Children who are overweight or obese have short-term mental and physical health problems and are more likely to remain overweight as adults, being overweight as an adult is a major risk factor for lifestyle-related illness and death. 5 There is more evidence that treating childhood obesity with a family-based method that focuses on food, exercise, and attitude change works to decrease BMI. 6 Energy consumption has often been presented by researchers as the primary factor responsible for the substantial rise in the prevalence of overweight persons.…”

Section: Introductionmentioning

confidence: 99%

Promoting Healthier Futures: A Six-Month Program for Childhood Obesity Reduction and Lifestyle Enhancement

Mohammed,

Abdulahad Shabu

2024

J. Contemp. Med. Sci.

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Objective: This study aimed to evaluate the impact of a six-month family-based intervention and follow-up intervention on the body mass index and children's lifestyle in Erbil City among 5 to 19 years old. The intervention specifically targeted parents to the educational program and intended to reduce the Body Mass Index of children and change sedentary behavior. On the other hand, the educational program included minimizing the consumption of high-fat and carbohydrate-containing, increasing the consumption of fruits and vegetables, and soft drinks. In addition, it assessed exposure to multi-screen devices and evaluated sleep quality. Methods: Weight, height, waist circumference, and hip circumference were measured by portable stadiometer and weight-calibrated electronic scales and BMI was calculated at the baseline and after six months of intervention. The research employed various methodologies and conducted a family-based educational program through a printed booklet. The questionnaire was used at baseline and after six months of intervention, and IBM SPSS Statistics version 25 was used for data analysis, paired sample t-test and MacNemar Chi-square were used. Results: The BMI was reduced after six months of intervention. The mean difference was 0.435, however, there were no more differences for hip and waist circumference, on the other hand, the sedentary behaviour lifestyle was changed from poor daily lifestyle practice to good practice. Conclusion: The results of this research suggest that the implementation of a complete intervention produces favourable outcomes in terms of lifestyle modifications and a decrease in BMI among children who are obese or overweight. Although, daily practice was notable changed from poor daily practice to good practice.

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Section: Introductionmentioning

confidence: 99%

Promoting Healthier Futures: A Six-Month Program for Childhood Obesity Reduction and Lifestyle Enhancement

Mohammed,

Abdulahad Shabu

2024

J. Contemp. Med. Sci.

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“…However, due to the requirements of in-person interventions such as travel to a location or missing work responsibilities, their structures are often limited in flexibility and scalability [ 14 ]. Emerging evidence has indicated the inclusion of digital technologies (eg, smartphones, tablets, computers, and wearables) in conjunction with in-person, family-based interventions, which may allow researchers to increase both program outreach and provide flexibility for families [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…The Early Intervention Program (EIP) implemented a blended design including both in-person and online components to promote healthy lifestyle intervention for off-trajectory children (ages 8-12 years with a BMI ≥85th percentile) and their families in British Columbia (BC), Canada. The blended intervention design can help improve program delivery flexibility [ 16 ]. The EIP curriculum integrated the Multi-Process Action Control (M-PAC) framework, and emphasized behavior change techniques such as goal setting, self-monitoring and feedback, as well as social support [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

Dose-Response Relationship of a Blended In-Person and Online Family-Based Childhood Obesity Management Program: Secondary Analysis of a Behavior Intervention

Liu

Smith

Nuss

et al. 2022

JMIR Pediatr Parent

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Background The Early Intervention Program (EIP) was a 10-week, blended, in-person and online lifestyle intervention for families with children who were off the healthy weight trajectory. The engagement pattern and the dose response of EIP have not been examined. Objective The aims of this paper are to examine families’ engagement patterns with the EIP and to evaluate the dose-response relationship between EIP engagement patterns and physical activity and healthy eating–related outcomes at 10 weeks. Methods Families with children (8-12 years old) who are off the healthy weight trajectory (child BMI ≥85th percentile for age and sex) were recruited. Pre- and postintervention questionnaires assessed child lifestyle behaviors, parental support behaviors, family lifestyle habits, as well as parental physical activity and healthy-eating identity. Hierarchical cluster analysis of both in-person and online components was used to classify engagement patterns. Regression analysis assessed differences in outcomes by engagement groups. Results Two distinct clusters of engagement groups were identified (N=66), which were in-person (IP; n=40, 61%) and in-person + online (IP+; n=26, 39%) engagement. Relative to the IP group at week 10, IP+ showed a greater child moderate-to-vigorous physical activity level (1.53, SD 0.56; P=.008), child physical activity confidence (1.04, SD 0.37; P=.007), parental support for child physical activity (5.54, SD 2.57; P=.04) and healthy eating (2.43, SD 1.16; P=.04), family habits for physical activity (3.02, SD 1.50; P=.049) and healthy eating (3.95, SD 1.84; P=.04), and parental identity for physical activity (2.82, SD 1.19; P=.02). Conclusions The online EIP portal complemented the in-person sessions. Additional engagement with the portal was associated with greater improvements in child physical activity and parental support behaviors, habits, and identity for physical activity.

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“…Consequently, there is an urgent need to develop innovative solutions to help families with children who are off the healthy weight trajectory. Physical inactivity, increased screen time, and unhealthy food choices have all contributed to overweight or obesity among children [1,5]. The lockdown imposed during the COVID-19 pandemic has further exacerbated these unhealthy lifestyle behaviors.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Effectiveness of a Family-Based Virtual Childhood Obesity Management Program Delivered During the COVID-19 Pandemic in Canada: Prospective Study

Nuss¹,

DeSilva²,

Buenafe³

et al. 2022

JMIR Pediatr Parent

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Background Generation Health (GH) is a 10-week family-based lifestyle program designed to promote a healthy lifestyle for families with children who are off the healthy weight trajectory in British Columbia, Canada. GH uses a blended delivery format that involves 10 weekly in-person sessions, and self-guided lessons and activities on a web portal. The blended program was adapted to be delivered virtually due to the COVID-19 pandemic. Currently, the effectiveness of the virtual GH program compared with that of the blended GH program remains unclear. Objective We aimed to (1) compare the effectiveness of the virtual GH program delivered during the COVID-19 pandemic with that of the blended GH program delivered prior to the pandemic for changing child physical activity, sedentary and dietary behaviors, screen time, and parental support–related behaviors for child physical activity and healthy eating, and (2) explore virtual GH program engagement and satisfaction. Methods This study used a single-arm pre-post design. The blended GH program (n=102) was delivered from January 2019 to February 2020, and the virtual GH program (n=90) was delivered during the COVID-19 pandemic from April 2020 to March 2021. Families with children aged 8-12 years and considered overweight or obese (BMI ≥85th percentile according to age and sex) were recruited. Participants completed preintervention and postintervention questionnaires to assess the children’s physical activity, dietary and sedentary behaviors, and screen time, and the parent’s support behaviors. Intervention feedback was obtained by interviews. Repeated measures ANOVA was used to evaluate the difference between the virtual and blended GH programs over time. Qualitative interviews were analyzed using thematic analyses. Results Both the virtual and blended GH programs improved children’s moderate-to-vigorous physical activity (F1,380=18.37; P<.001; ηp2=0.07) and reduced screen time (F1,380=9.17; P=.003; ηp2=0.06). However, vegetable intake was significantly greater in the virtual GH group than in the blended GH group at the 10-week follow-up (F1,380=15.19; P<.001; ηp2=0.004). Parents in both groups showed significant improvements in support behaviors for children’s physical activity (F1,380=5.55; P=.02; ηp2=0.002) and healthy eating (F1,380=3.91; P<.001; ηp2=0.01), as well as self-regulation of parental support for children’s physical activity (F1,380=49.20; P<.001; ηp2=0.16) and healthy eating (F1,380=91.13; P<.001; ηp2=0.28). Families in both groups were satisfied with program delivery. There were no significant differences in attendance for the weekly in-person or group video chat sessions; however, portal usage was significantly greater in the virtual GH group (mean 50, SD 55.82 minutes) than in the blended GH group (mean 17, SD 15.3 minutes; P<.001). Conclusions The study findings suggested that the virtual GH program was as effective as the blended program for improving child lifestyle behaviors and parental support–related behaviors. The virtual program has the potential to improve the flexibility and scalability of family-based childhood obesity management interventions.

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Family-based, healthy living intervention for children with overweight and obesity and their families: a ‘real world’ trial protocol using a randomised wait list control design

Cited by 14 publications

References 47 publications

Promoting Healthier Futures: A Six-Month Program for Childhood Obesity Reduction and Lifestyle Enhancement

Promoting Healthier Futures: A Six-Month Program for Childhood Obesity Reduction and Lifestyle Enhancement

Dose-Response Relationship of a Blended In-Person and Online Family-Based Childhood Obesity Management Program: Secondary Analysis of a Behavior Intervention

Evaluating the Effectiveness of a Family-Based Virtual Childhood Obesity Management Program Delivered During the COVID-19 Pandemic in Canada: Prospective Study

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