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?

Golley, Rebecca K.; Hendrie, Gilly A.; Slater, Amy; Corsini, Nadia

doi:10.1111/j.1467-789x.2010.00745.x

Cited by 242 publications

(259 citation statements)

References 37 publications

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“…In some instances, HCPs would work in a more structured way citing strategies consistent with behaviour change techniques (e.g., regular monitoring, specific weight‐related follow‐up, and goal setting). Consistent with previous research, the importance of setting realistic achievable goals was emphasized (Golley, Hendrie, Slater, & Corsini, 2011). …”

Section: Discussionsupporting

confidence: 64%

Barriers and facilitators to health care professionals discussing child weight with parents: A meta‐synthesis of qualitative studies

Bradbury

Chisholm

Watson

et al. 2018

British J Health Psychol

135

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IntroductionChildhood obesity is one of the most serious global public health challenges. However, obesity and its consequences are largely preventable. As parents play an important role in their children's weight‐related behaviours, good communication between parents and health care professionals (HCPs) is essential. This systematic review provides a meta‐synthesis of qualitative studies exploring the barriers and facilitators experienced by HCPs when discussing child weight with parents.MethodsSearches were conducted using the following databases: MEDLINE (OVID), Psych INFO (OVID), EMBASE (OVID), Web of Knowledge and CINAHL. Thirteen full‐text qualitative studies published in English language journals since 1985 were included. Included studies collected data from HCPs (e.g., nurses, doctors, dieticians, psychologists, and clinical managers) concerning their experiences of discussing child weight‐related issues with parents. An inductive thematic analysis was employed to synthesize findings.FindingsEmerging subthemes were categorized using a socio‐ecological framework into intra/interpersonal factors, organizational factors, and societal factors. Perceived barriers and facilitators most commonly related to intra/interpersonal level factors, that is, relating to staff factors, parental factors, or professional–parent interactions. HCPs also attributed a number of barriers, but not facilitators, at the organizational and societal levels.ConclusionThe findings of this review may help to inform the development of future weight‐related communication interventions. Whilst intra/interpersonal interventions may go some way to improving health care practice, it is crucial that all stakeholders consider the wider organizational and societal context in which these interactions take place. Statement of contribution What is already known on the subject? Childhood obesity is one of the United Kingdom's most serious current public health challenges.Health care professionals are in a prime position to identify child weight issues during routine consultations.However, they often feel unable or unequipped to raise the topic and provide information on child weight management. What does this study add? To our knowledge, this is the first review to synthesize barriers and facilitators to discussing child weight.This review interprets key barriers and facilitators in the context of the socio‐ecological model.Supports the development of interventions matched to the appropriate level of the socio‐economic model.

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Section: Discussionsupporting

confidence: 64%

Barriers and facilitators to health care professionals discussing child weight with parents: A meta‐synthesis of qualitative studies

Bradbury

Chisholm

Watson

et al. 2018

British J Health Psychol

135

View full text Add to dashboard Cite

show abstract

“…In addition, the BCTs were mostly used in an implicit way, not referring to any theoretical base nor describing the BCT explicitly. In the field of lifestyle change for the general population, the same lack of theoretical base has been found (Golley, Hendrie, Slater & Corsini, 2011). Furthermore, the RCT is the gold standard to evaluate lifestyle change interventions (Tones, 2000), but an RCT design was not often used in the included interventions.…”

Section: Quality Of the Included Studiesmentioning

confidence: 99%

Use of behaviour change techniques in lifestyle change interventions for people with intellectual disabilities: A systematic review

Willems

Hilgenkamp

Havik

et al. 2017

Research in Developmental Disabilities

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Background People with intellectual disabilities (ID) experience more health problems and have different lifestyle change needs, compared with the general population.Aims To improve lifestyle change interventions for people with ID, this review examined how behaviour change techniques (BCTs) were applied in interventions aimed at physical activity, nutrition or physical activity and nutrition, and described their quality. Methods and ProceduresAfter a broad search and detailed selection process, 45 studies were included in the review. For coding BCTs, the CALO-RE taxonomy was used. To assess the quality of the interventions, the Physiotherapy Evidence Database (PEDro) scale was used. Extracted data included general study characteristics and intervention characteristics. Outcomes and ResultsAll interventions used BCTs, although theory-driven BCTs were rarely used.The most frequently used BCTs were 'provide information on consequences of behaviour in general'and 'plan social support/social change'. Most studies were of low quality and a theoretical framework was often missing. Conclusion and implications This review shows that BCTs are frequently applied in lifestyle changeinterventions. To further improve effectiveness, these lifestyle change interventions could benefit from using a theoretical framework, a detailed intervention description and an appropriate and reliable intervention design which is tailored to people with ID. What this paper addsSo far, lifestyle change interventions for people with ID do not seem to be very effective: not only are well-designed studies scarce but the description of the intervention content is often lacking sufficient detail to replicate or learn from the studies. This review aims to explore the use of behaviour change techniques (BCTs) in lifestyle interventions for people with ID. We identify key concepts, types of evidence and gaps in research, and provide recommendations for future research studies. Therefore, this review adds to existing knowledge by identifying how to improve the effectiveness of lifestyle interventions via the inclusion of BCTs.

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“…Search method for identification of studies A list of search terms and keywords was developed based on recent and relevant reviews (25,26) and refined to reflect a focus on dairy food intake in young children. Search term lists were comprehensive and inclusive (see Supplementary Materials).…”

Section: Methodsmentioning

confidence: 99%

Improving children's dairy food and calcium intake: can intervention work? A systematic review of the literature

Hendrie

Brindal

Baird

et al. 2012

Public Health Nutr.

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Objective: Strategies are needed to address the shortfall in children's dairy food and Ca intakes. The present review identified interventions targeting an increase in children's dairy food or Ca intakes, and determined characteristics associated with successful intervention. Design: A systematic literature search identified fourteen intervention studies, published in English, between 1990 and 2010. Studies were evaluated for study population, setting and mode of delivery, dietary targets and outcome measures, measures of intervention intensity, intervention description, the use of behaviour change techniques and intervention effectiveness. Setting: Interventions targeting an increase in dairy food or Ca intake. Subjects: Children aged 5-12 years. Results: Ten of the fourteen studies were considered to be effective. Studies focusing on encouraging intake of dairy foods or Ca alone were all effective, compared with 55 % of studies promoting dairy within the context of a healthy diet. Effective interventions tended to be higher in intensity, provide dairy foods and were delivered across a variety of settings to a range of primary targets. The number of behaviour change techniques used did not differentiate effective and ineffective interventions, but the use of taste exposure and prompting practice appeared to be important for effective intervention. Conclusions: Interventions that target an increase in children's dairy food or Ca intake could potentially increase children's dairy food intake by about one serving daily. Research conducted outside the USA is needed. The review has identified some promising strategies likely to be part of effective interventions for improving dairy and Ca intakes in countries where children's intake is insufficient.

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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?

Cited by 242 publications

References 37 publications

Barriers and facilitators to health care professionals discussing child weight with parents: A meta‐synthesis of qualitative studies

Barriers and facilitators to health care professionals discussing child weight with parents: A meta‐synthesis of qualitative studies

Use of behaviour change techniques in lifestyle change interventions for people with intellectual disabilities: A systematic review

Improving children's dairy food and calcium intake: can intervention work? A systematic review of the literature

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