Using the Intervention Mapping Protocol to Develop an App-Based Parenting Program to Promote Healthy Energy Balance-Related Parenting Practices (Preprint)

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

2015 ◽  
Vol 29 (2) ◽  
pp. 94-112 ◽  
Author(s):  
Misoon Song ◽  
Suyoung Choi ◽  
Se-an Kim ◽  
Kyoungsan Seo ◽  
Soo Jin Lee

Development of behavior theory–based health promotion programs is encouraged with the paradigm shift from contents to behavior outcomes. This article describes the development process of the diabetes self-management program for older Koreans (DSME-OK) using intervention mapping (IM) protocol. The IM protocol includes needs assessment, defining goals and objectives, identifying theory and determinants, developing a matrix to form change objectives, selecting strategies and methods, structuring the program, and planning for evaluation and pilot testing. The DSME-OK adopted seven behavior objectives developed by the American Association of Diabetes Educators as behavioral outcomes. The program applied an information-motivation-behavioral skills model, and interventions were targeted to 3 determinants to change health behaviors. Specific methods were selected to achieve each objective guided by IM protocol. As the final step, program evaluation was planned including a pilot test. The DSME-OK was structured as the 3 determinants of the IMB model were intervened to achieve behavior objectives in each session. The program has 12 weekly 90-min sessions tailored for older adults. Using the IM protocol in developing a theory-based self-management program was beneficial in terms of providing a systematic guide to developing theory-based and behavior outcome–focused health education programs.


Criminologie ◽  
2005 ◽  
Vol 31 (1) ◽  
pp. 67-85 ◽  
Author(s):  
François Poulin ◽  
Thomas J. Dishion ◽  
Kate Kavanagh ◽  
Jeff Kiesner

The Adolescent Transition Program (ATP) is a multi-component preventive intervention designed to reduce escalation in problem behaviors among high-risk young adolescents. A previous evaluation of this program showed that aggregating high-risk youths for intervention purposes led to an escalation in delinquency and smoking. The results of this study also suggested that an intervention targeting parenting practices was more beneficial. These findings led to the development of a new intervention program aimed at the modification of parenting practices. This school-based program proposes a multiple gating approach to parent intervention with each level of intervention building on the previous one to reduce the overall prevalence of risk. A pilot study designed to evaluate the implementation of this intervention program suggested that schools seem to be an appropriate setting for reaching parents of high-risk adolescents and delivering intervention services.


2016 ◽  
Vol 25 (2) ◽  
pp. 56-66 ◽  
Author(s):  
Sara De Lepeleere ◽  
Maïté Verloigne ◽  
Helen Elizabeth Brown ◽  
Greet Cardon ◽  
Ilse De Bourdeaudhuij

Background: The increasing prevalence of childhood overweight/obesity caused by an unhealthy diet, insufficient physical activity (PA) and high levels of sedentary behaviour (SB) is a prominent public health concern. Parenting practices may contribute to healthy behaviour change in children, but well-researched examples are limited. The aim of this study is to describe the systematic development of an intervention for parents to prevent childhood overweight/obesity through the improvement of parenting practices. Methods: The six steps of the Intervention Mapping Protocol (IMP), a theory- and evidence-based tool to develop health-related interventions, were used as a framework to develop the ‘Movie Models’ programme. Results: In Step 1, a needs assessment was performed to better understand the health problem of overweight/obesity in children and its association with diet, PA and SB. In Step 2, the programme goal (increasing the adoption of effective parenting practices) was sub-divided into performance objectives. Change objectives, which specify explicit actions required to accomplish the performance objectives, were also identified. Step 3 included the selection of theoretical methods (e.g. ‘modelling’ and ‘images’), which were then translated into the practical strategy of online parenting videos. Step 4 comprised the development of a final intervention framework, and Step 5 included the planning of programme adoption and implementation. The final phase, Step 6, included the development of an effect- and process-evaluation plan. Discussion: The IMP was used to structure the development of ‘Movie Models’, an intervention targeting specific parenting practices related to children’s healthy diet, PA, SB, and parental self-efficacy. A clear framework for process analyses is offered, which aims to increase the potential effectiveness of an intervention and can be useful for those developing health promotion programmes.


2020 ◽  
Author(s):  
Carlos Alberto Catalina Ortega ◽  
Svjetlana Kolić-Vehovec ◽  
Barbara Rončević Zubković ◽  
Sanja Smojver-Ažić ◽  
Tamara Martinac Dorčić

UNSTRUCTURED Objectives: The main purpose of the paper is to define a new methodology that allows the design of Serious Games that promote a behavioural change. The methodology is based on the Intervention Mapping Protocol (IMP) to define all the information and interventions and Applied Behaviour Analysis (ABA) to promote the behaviour change. Materials and methods: The methodology is based on the experience of game designers and psychologies within the eConfidence H2020 research project in which a new methodology was designed and implemented in two serious games. The game development methodology is described in six steps to be followed, with the psychological perspective integrated with the game design. Both games were tested in 10 schools with a pre and post-test for the data analysis. Results: Both games developed within the methodology present relevant findings on the change of behaviour of the users. Additionally, the proposed metric integrated allows a database improvement of the games to get better results. Conclusion: New methodology for design and study effectiveness of Serious Games that promote behavioural changes, was designed and integrated into two serious games that demonstrate changes in the users. The methodology could help other teams in the work of design and assess the effectiveness of a Serious Game for behavioural change.


Author(s):  
Abigail A. Fagan ◽  
Kristen M. Benedini

This chapter reviews the degree to which empirical evidence demonstrates that families influence youth delinquency. Because they are most likely to be emphasized in life-course theories, this chapter focuses on parenting practices such as parental warmth and involvement, supervision and discipline of children, and child maltreatment. It also summarizes literature examining the role of children's exposure to parental violence, family criminality, and young (teenage) parents in affecting delinquency. Because life-course theories are ideally tested using longitudinal data, which allow examination of, in this case, the impact of parenting practices on children's subsequent behaviors, this chapter focuses on evidence generated from prospective studies conducted in the United States and other countries. It also discusses findings from experimental studies designed to reduce youth substance use and delinquency by improving the family environment.


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

2007 ◽  
Vol 15 (spe) ◽  
pp. 837-842 ◽  
Author(s):  
Margaret Rose Santa Maria-Mengel ◽  
Maria Beatriz Martins Linhares

This descriptive-correlational study aimed to detect risks for child developmental problems in the first four years of age, to identify the protective resources in the familiar environment, and to verify the best predictive variables of the development at risk. The non-clinical sample was composed by 120 children registered in a Family Health Program. The assessment instruments for global development, expressive language and familiar environment were used. The logistic regression analysis indicated that the lower the father's educational level, the higher the risk for developmental problems. Both the history of low nutritional state at six months of age and the psychosocial risk in the family environment increased the chances of having expressive language problems. It is concluded that screening tests of risk for developmental problems and the analysis of the psychosocial factors in the familiar context should be considered as preventive intervention procedure in the Family Health Programs.


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