Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Faith, Myles S.; Horn, Linda Van; Appel, Lawrence J.; Burke, Lora E.; Carson, Jo Ann S.; Franch, Harold A.; Jakicic, John M.; Kral, Tanja V.E.; Odoms-Young, Angela; Wansink, Brian; Wylie‐Rosett, Judith

doi:10.1161/cir.0b013e31824607ee

Cited by 234 publications

(176 citation statements)

References 222 publications

(210 reference statements)

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“…The key behavioral components of pediatric behavioral lifestyle interventions include specifying behaviors to change, reinforcing positive behaviors, setting goals, changing the environment, monitoring behaviors, and promoting self-management skills (e.g., Faith et al, 2012;Wadden, Crerand, & Brock, 2005). Faith et al (2012) reported that parental adherence to these core behavioral components predicted better outcomes in pediatric weight management interventions.…”

Section: Consistent With Recommendations From Barlow and The Expert Cmentioning

confidence: 99%

Pediatric weight management interventions in primary care settings: A meta-analysis.

2016

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Objective Although the primary care setting has been recommended as an acceptable environment for pediatric overweight/obesity treatment, a quantitative analysis has not been conducted to determine the effectiveness of pediatric weight management interventions delivered in these settings. Therefore, the purpose of the current study was to conduct a meta-analysis of weight management interventions for youth in primary care settings. Method A literature search using PsycINFO and PubMed was conducted to identify articles published through October 2015. Eighteen studies (3,358 participants) met inclusion criteria; studies included a treatment and comparison group and targeted individuals or families for treatment. Study characteristics were coded, and study rigor of articles was assessed. Results The overall effect size for change in BMI in primary care weight management interventions compared to control groups was small but statistically significant (d = 0.26, 95% CI [0.14, 0.38]). The number of treatment contacts, treatment months, and visits with a pediatrician emerged as significant moderators of outcome, such that BMI reduction was positively related to greater contact. Conclusions In comparison to control conditions, weight management programs in primary care settings can be effective for BMI reduction, suggesting that primary care is a suitable setting for treatment of pediatric overweight/obesity. Additionally, treatments that were longer in duration, included more contacts (in person or phone), and included more contacts by a pediatrician had greater impact on BMI reduction. Future studies should continue to examine other aspects of acceptability and accessibility as well as demonstrate the effectiveness of interventions on improving psychosocial outcomes.

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Section: Consistent With Recommendations From Barlow and The Expert Cmentioning

confidence: 99%

Pediatric weight management interventions in primary care settings: A meta-analysis.

2016

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“…Parents can set the stage for the development of healthy behaviors by influencing their child's preferences, shaping their environment, and acting as agents of change. [1][2][3][4][5][6][7] The importance of the familial environment for both the prevention and treatment of childhood obesity is widely recognized 1,7 ; however, the scientific evidence is weak, especially for the treatment of obesity where reviews have yielded varied support (i.e., supporting evidence 3,8 versus weak to no evidence 7,9 ). In part, this may be explained by the psychometric properties of measures used to assess parenting and the considerable variation as to how parenting is assessed across studies.…”

Section: Introductionmentioning

confidence: 99%

“…In part, this may be explained by the psychometric properties of measures used to assess parenting and the considerable variation as to how parenting is assessed across studies. 7,10 A recent position statement by the American Heart Association calls for better measures of parenting to further understand the mechanisms of influence on children's weight-related behaviors [i.e., poor dietary habits, lack of physical activity (PA), and sedentary lifestyles]. 7 Parents are thought to influence their child's behavior through two distinct, but interrelated, constructs-general parenting style and specific parenting practices.…”

Section: Introductionmentioning

confidence: 99%

“…7,10 A recent position statement by the American Heart Association calls for better measures of parenting to further understand the mechanisms of influence on children's weight-related behaviors [i.e., poor dietary habits, lack of physical activity (PA), and sedentary lifestyles]. 7 Parents are thought to influence their child's behavior through two distinct, but interrelated, constructs-general parenting style and specific parenting practices. General parenting style reflects the parental attitudes and beliefs that create the broad emotional climate in which parentchild interactions take place.…”

Section: Introductionmentioning

confidence: 99%

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Stimulating Innovations in the Measurement of Parenting Constructs

Mâsse

Watts

2013

Childhood Obesity

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Parents can play a crucial role in the development of children's behaviors associated with dietary habits, physical activity, and sedentary lifestyles. Many parenting practices and/or styles measures have been developed; however, there is little agreement as to how the influence of parenting should be measured. More importantly, our ability to relate parenting practices and/or styles to children's behaviors depends on its accurate assessment. While there is a need to standardize our assessment to further advance knowledge in this area, this article will discuss areas that may stimulate advances in the measurement of parenting constructs. Because self-report measures are important for the assessment of parenting, this article discusses whether solutions to improve selfreport measures may lie in: (1) Improving the questions asked; (2) improving the methods used to correct for social desirability or measurement errors; (3) changing our measurement paradigm to assess implicit parenting behaviors; (4) changing how self-report is collected by taking advantage of ecological momentary assessment methods; (5) using better psychometric methods to validate parenting measures or alternatively using advances in psychometric methods, such as item banking and computerized adaptive testing, to solve common administration issues (i.e., response burden and comparability of results across studies); and (6) employing novel technologies to collect data such as portable technologies, gaming, and virtual reality simulation. This article will briefly discuss the potential of technologies to measure parenting constructs.

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“…The American Heart Association emphasized evaluating parents as 'agents of change' for childhood obesity and strategies to improve feeding practices and the home environment, while highlighting gaps in the research (10) . Parents foster children's development of eating behaviours through means such as making decisions about food choices and also role modelling them (11)(12)(13)(14) .…”

mentioning

confidence: 99%

Psychometric assessment of the Behavior and Attitudes Questionnaire for Healthy Habits: measuring parents’ views on food and physical activity

Henry

Smith

Ahmad

2013

Public Health Nutr.

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Objective: To assess parents' perspectives of their home environments to establish the validity of scores from the Behavior and Attitudes Questionnaire for Healthy Habits (BAQ-HH). Design: In the present descriptive study, we surveyed a cross-sectional sample of parents of pre-school children. Questionnaire items developed in an iterative process with community-based programming addressed parents' knowledge/ awareness, attitudes/concerns and behaviours about healthy foods and physical activity habits with 6-point rating scales. Exploratory and confirmatory factor analyses were used to psychometrically evaluate scores from the scales. Setting: English and Spanish versions of the BAQ-HH were administered at parent-teacher conferences for pre-school children at ten Head Start centres across a five-county agency in autumn 2010. Subjects: From 672 families with pre-school children, 532 parents provided responses to the BAQ-HH (79 % response rate). The majority was female (83 %), Hispanic (66 %) or white (16 %), and ages ranged from 20 to 39 years (85 %). Results: Exploratory and confirmatory analyses revealed a knowledge scale (seven items), an attitude scale (four items) and three behaviour subscales (three items each). Correlations were identified between parents' perceptions of home activities and reports of children's habits. Differences were identified by gender and ethnicity groupings. Conclusions: As a first step in psychometric testing, the dimensionality of each of the three scales (Knowledge, Attitudes and Behaviours) was identified and scale scores were related to other indicators of child behaviours and parents' demographic characteristics. This questionnaire offers a method to measure parents' views to inform planning and monitoring of obesity-prevention education programmes.

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Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Cited by 234 publications

References 222 publications

Pediatric weight management interventions in primary care settings: A meta-analysis.

Pediatric weight management interventions in primary care settings: A meta-analysis.

Stimulating Innovations in the Measurement of Parenting Constructs

Psychometric assessment of the Behavior and Attitudes Questionnaire for Healthy Habits: measuring parents’ views on food and physical activity

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