Parental involvement in interventions to improve child dietary intake: A systematic review

Hingle, Melanie; O’Connor, Teresia M.; Dave, Jayna M.; Baranowski, Tom

doi:10.1016/j.ypmed.2010.04.014

Cited by 212 publications

(243 citation statements)

References 67 publications

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“…Previous behavioral interventions for obese adolescents were inconclusive regarding the role of parental involvement. [24][25][26] The present study can strengthen the evidence for parental involvement in the context of an MI intervention.…”

Section: Discussionsupporting

confidence: 73%

“…24,25 Parenting skills (generic and specific to lifestyle behavior) were frequently present in effective weight control interventions, 24 and indirect methods to engage parents were commonly used, although direct approaches were more likely to result in positive outcomes. 24,26 Parental involvement requires further investigation with the use of randomized controlled trial (RCT) designs. 23 Although meta-analytical differences in effect sizes favor parental involvement, no existing RCT studies compare .2 of the 3 target groups (eg, MI, MI + PI, control) in the same trial experimentally.…”

Section: What This Study Addsmentioning

confidence: 99%

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Motivational Interviewing With Parents for Obesity: An RCT

et al. 2015

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BACKGROUND AND OBJECTIVE: Motivational interviewing (MI) has been shown to be an effective strategy for targeting obesity in adolescents, and parental involvement is associated with increased effectiveness. The aim of this study was to evaluate and compare the role of parental involvement in MI interventions for obese adolescents.METHODS: A total of 357 Iranian adolescents (aged 14-18 years) were randomized to receive an MI intervention or an MI intervention with parental involvement (MI + PI) or assessments only (passive control). Data regarding anthropometric, biochemical, psychosocial, and behavioral measures were collected at baseline and 12 months later. A series of intention-totreat, 2-way repeated-measures analysis of covariance were performed to examine group differences in change in outcomes measures over the 12-month follow-up period.RESULTS: Results revealed significant effects on most of the outcome parameters for MI + PI (eg, mean 6 SD BMI z score: 2.58 6 0.61) compared with the passive control group (2.76 6 0.70; post hoc test, P = .02), as well as an additional superiority of MI + PI compared with MI only (2.81 6 0.76; post hoc test, P = .05). This pattern was also shown for most of the anthropometric, biochemical, psychometric, and behavioral outcome variables.CONCLUSIONS: MI with parental involvement is an effective strategy in changing obesity-related outcomes and has additional effects beyond MI with adolescents only. These findings might be important when administering MI interventions in school settings. WHAT'S KNOWN ON THIS SUBJECT:Motivational interviewing (MI) has been found to increase the effectiveness of weight loss programs in obese children and adolescents. Although parental involvement seems to be linked to its effectiveness, strong conclusions cannot be drawn. WHAT THIS STUDY ADDS:The present study found that MI with parental involvement is an effective strategy in changing obesity-related outcomes and has additional effects beyond MI with adolescents only. These findings are important when administering MI interventions in school settings.

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Section: Discussionsupporting

confidence: 73%

Section: What This Study Addsmentioning

confidence: 99%

Motivational Interviewing With Parents for Obesity: An RCT

et al. 2015

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“…In many LMICs, caregivers and families are present more prominently in the daily life of children and adolescents, underscoring the importance of their involvement in these school-based interventions. Recently, Hingle et al (75) reported that direct methods (eg, education or workshops on healthy eating) that involve parents in diet interventions were more likely to be effective than were indirect methods (eg, information leaflets and assignments). However, motivating and sustaining parental or family involvement in interventions remain challenging (75,76).…”

Section: Discussionmentioning

confidence: 99%

“…Recently, Hingle et al (75) reported that direct methods (eg, education or workshops on healthy eating) that involve parents in diet interventions were more likely to be effective than were indirect methods (eg, information leaflets and assignments). However, motivating and sustaining parental or family involvement in interventions remain challenging (75,76). Key barriers identified by parents were limited time availability and an unwillingness to be tutored by schools (76).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of preventive school-based obesity interventions in low- and middle-income countries: a systematic review

Verstraeten

Roberfroid²,

Lachat³

et al. 2012

The American Journal of Clinical Nutrition

145

143

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Background: The prevalence of childhood obesity is increasing rapidly in low-and middle-income countries, and informed policies to tackle the problem must be defined. Objective: We systematically reviewed the evidence on the effectiveness of school-based interventions targeting dietary behavior and/or physical activity for the primary prevention of obesity in children and adolescents aged 6-18 y in low-and middle-income countries. Design: We searched the MEDLINE, EMBASE, Web of Science, CENTRAL, ERIC, Cochrane Library, and Centre for Reviews and Dissemination databases for peer-reviewed controlled studies published in English, Spanish, French, German, or Dutch between January 1990 and July 2011. The quality of the included studies was appraised independently by 2 authors who used the Effective Public Health Practice Project tool. Results: From a total of 7218 unique references, we retained 22 studies. Most of the interventions (82%) had a positive effect on dietary behavior and physical activity behavior (effect size ranged from 20.48 to 1.61). BMI decreased in 8 studies (effect size ranged from 20.7 to 0.0). Effective interventions targeted both diet and physical activity, involved multiple stakeholders, and integrated educational activities into the school curriculum. Conclusions: School-based interventions have the potential to improve dietary and physical activity behavior and to prevent unhealthy body weights in low-and middle-income countries. To reach their full potential, interventions should conduct process evaluations to document program implementation. The effect and the pathways through which interventions have this effect need to be better documented through rigorous evaluation studies.Am J Clin Nutr 2012;96:415-38.

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“…[35][36][37][38][39][40][41][42][43] In addition, particularly at young ages, habit changes do not directly depend on children but rather on the adults in their environment, principally parents, but also other relatives, neighbors, teachers, and canteen educators. As expected, family involvement emerges as a crucial aspect [36][37][38][39][40][41][42][43][44][45][46][47][48] although a remaining major question concerns how they should be involved. [21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39] Public policies against childhood obesity at European level As we can observe in Table 2, actions against childhood obesity have been undertaken from all institutional levels: the WHO, the WHO Regional Office for Europe, the EU Commission and the Spanish government has developed wide-range policies aiming at offering an integral solution to the dramatic rise of obesity rates.…”

Section: Resultsmentioning

confidence: 92%

Childhood Obesity Prevention: Does Policy Meet Research? Evidence-Based Reflections upon the Spanish Case

Álvarez¹

2017

MOJPH

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Childhood obesity is a major public health challenge, and its prevalence and severity are increasing worldwide despite the different actions launched. The aim of this article is to critically review to what extent policies developed at different international institutional levels affecting Spain have effectively translated current research into practice as well as to discuss how the available evidence can serve policy makers. A review of reviews on childhood obesity prevention practices was first performed using MEDLINE and ERIC databases. To select the relevant policies, several experts on childhood obesity prevention were consulted. Results show that, on paper, policies comply with current research recommendations, but in practice there is a gap in how to reach these goals as a role overlap between institutions. Actions need more definition, particularly in the procedural and methodological aspects. Policymakers face numerous barriers to work on this direction, one of the most relevant being the difficulty of implementing systemic policies based upon compartmentalised research. Lessons learned in fields such as community development and education might inform this process.

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Parental involvement in interventions to improve child dietary intake: A systematic review

Abstract: Limited conclusions may be drawn regarding the best method to involve parents in changing child diet to promote health. However, direct methods show promise and warrant further research.

Cited by 212 publications

References 67 publications

Motivational Interviewing With Parents for Obesity: An RCT

Motivational Interviewing With Parents for Obesity: An RCT

Effectiveness of preventive school-based obesity interventions in low- and middle-income countries: a systematic review

Childhood Obesity Prevention: Does Policy Meet Research? Evidence-Based Reflections upon the Spanish Case

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