scholarly journals An App-Based Parenting Program to Promote Healthy Energy-Balance Related Parenting Practices to Prevent Childhood Obesity: A Study Protocol Using the Intervention Mapping Framework (Preprint)

10.2196/24802 ◽  
2020 ◽  
Author(s):  
Levie T Karssen ◽  
Jacqueline M Vink ◽  
Carolina de Weerth ◽  
Roel CJ Hermans ◽  
Carina PM de Kort ◽  
...  
2020 ◽  
Author(s):  
Levie T Karssen ◽  
Jacqueline M Vink ◽  
Carolina de Weerth ◽  
Roel CJ Hermans ◽  
Carina PM de Kort ◽  
...  

BACKGROUND The family environment plays an important role in the development of children’s energy-balance related behaviors (EBRBs). As a result, parents’ energy-balance parenting practices (EBRPPs) are eminent targets of preventive childhood obesity programs. Families with a lower socioeconomic position (SEP) may benefit from participating in such programs, but are generally less well reached than families with a higher SEP. OBJECTIVE This study describes the application of the Intervention Mapping Protocol (IMP) for the development of an app-based preventive intervention program to promote healthy EBRPPs among parents of children (0-4 years old) with a lower SEP. METHODS The six steps of the IMP were used as a theory- and evidence-based framework to guide the development of the app-based preventive intervention program. RESULTS In Step 1, behavioral outcomes for the app-based program (ie, children have a healthy dietary intake, sufficient sleep, and restricted screen time/sufficient physical activity) and socio-cognitive (ie, knowledge, attitudes, self-efficacy) and automatic (ie, habitual behaviors) determinants of energy-balance related parenting were identified through a needs assessment. In Step 2, the behavioral outcomes were translated into performance objectives. To influence these objectives, in Step 3 theory-based intervention methods were selected for each of the determinants. In Step 4, the knowledge derived from the previous steps allowed for the development of the app-based program Samen Happie! through a process of continuous co-creation with parents and health professionals. In Step 5, community health services were identified as potential adopters for the app. Lastly, in Step 6, two (randomized controlled) trials were designed to evaluate the process and effects of the app among Dutch parents of infants (Trial 1) and preschoolers (Trial 2). These trials were completed in November 2019 (Trial 1) and February 2020 (Trial 2). CONCLUSIONS The IMP allowed for effective development of the app-based parenting program Samen Happie! to promote healthy EBRPPs among parents of infants and preschoolers. Through the integration of theory, empirical evidence, and data from the target population, as well as the process of continued co-creation, the program specifically addresses parents with a lower SEP. This increases the potential of the program to prevent the development of obesity in early childhood among families with a lower SEP in particular. CLINICALTRIAL Netherlands Trial Register (NTR) NL6727; https://www.trialregister.nl/trial/6727 Netherlands Trial Register (NTR) NL7371; https://www.trialregister.nl/trial/7371


2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Adela de la Torre ◽  
Banafsheh Sadeghi ◽  
Richard D Green ◽  
Lucia L Kaiser ◽  
Yvette G Flores ◽  
...  

2020 ◽  
Author(s):  
Youjie Zhang ◽  
Alejandro Reyes Peralta ◽  
Patricia Arellano Roldan Brazys ◽  
Ghaffar Ali Hurtado ◽  
Nicole Larson ◽  
...  

2014 ◽  
Vol 3 (3) ◽  
pp. e44 ◽  
Author(s):  
Eimear Keane ◽  
Patricia M Kearney ◽  
Ivan J Perry ◽  
Gemma M Browne ◽  
Janas M Harrington

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 511 ◽  
Author(s):  
Silvia Bel-Serrat ◽  
Ana Ojeda-Rodríguez ◽  
Mirjam Heinen ◽  
Marta Buoncristiano ◽  
Shynar Abdrakhmanova ◽  
...  

It is unclear how dietary, physical activity and sedentary behaviors co-occur in school-aged children. We investigated the clustering of energy balance-related behaviors and whether the identified clusters were associated with weight status. Participants were 6- to 9-year-old children (n = 63,215, 49.9% girls) from 19 countries participating in the fourth round (2015/2017) of the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative. Energy balance-related behaviors were parentally reported. Weight and height were objectively measured. We performed cluster analysis separately per group of countries (North Europe, East Europe, South Europe/Mediterranean countries and West-Central Asia). Seven clusters were identified in each group. Healthier clusters were common across groups. The pattern of distribution of healthy and unhealthy behaviors within each cluster was group specific. Associations between the clustering of energy balance-related behaviors and weight status varied per group. In South Europe/Mediterranean countries and East Europe, all or most of the cluster solutions were associated with higher risk of overweight/obesity when compared with the cluster ‘Physically active and healthy diet’. Few or no associations were observed in North Europe and West-Central Asia, respectively. These findings support the hypothesis that unfavorable weight status is associated with a particular combination of energy balance-related behavior patterns, but only in some groups of countries.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Andrea B. Fuller ◽  
Rebecca A. Byrne ◽  
Rebecca K. Golley ◽  
Stewart G. Trost

Abstract Background Establishing healthy nutrition, activity, and sleep behaviours early in life is a key strategy in childhood obesity prevention. Parents are the primary influence on the development and establishment of obesity-related behaviours in young children. There is evidence that autonomy supporting parenting practices are crucial for the development of self-regulation and the internalisation of healthy behaviours in children. It is therefore imperative that parenting practices are targeted as part of an obesity prevention intervention. However, there is limited understanding of barriers and facilitators to parents using autonomy supporting parenting practices with their children aged 0–5 years. Therefore, the aim of the study was to identify barriers and facilitators to using autonomy supporting parenting practices. A secondary aim was to determine parent preferences in respect to an intervention program to be delivered in community playgroups. Methods Parents were recruited through Playgroup Queensland (PGQ), a not-for-profit organisation in Brisbane, Australia, to attend a focus group during their usual playgroup session. The focus group interview guide was designed to promote discussion among the participants in respect to their shared experiences as parents of young children. The focus group transcripts were coded and analysed using qualitative content analysis. Five focus groups with parents (n = 30) were conducted in May 2018. Most of the participants were mothers [1], and the majority (76%) had a child at playgroup aged between 2 and 4 years. Results The support and guidance received from other parents at playgroup was a facilitator to autonomy supporting parenting practices. Barriers included beliefs around the need to use rewards to encourage child eating, beliefs around the need for screens as babysitters, and feeling disempowered to change sleep behaviours. Parents were enthusiastic about a potential program that would leverage off the existing playgroup support networks, but they did not want to be “educated”, or to lose their “playgroup time” to an intervention. Rather they wanted strategies and support to deal with the frustrations of food, screen and sleep parenting. Conclusion These results will be used to inform the development of a childhood obesity prevention intervention to be delivered in a community playgroup setting.


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