Student and Parental Perceptions of School-Based Body Mass Index Screening and Notification

Hunsberger, Monica

doi:10.4172/2161-0711.s2-009

Cited by 6 publications

(19 citation statements)

References 39 publications

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“…25 Oregon's SBMIS report includes diet and lifestyle suggestions and useful websites, but qualitative research suggests that the report did not prompt parents to seek healthcare provider involvement or change behaviors. 11 A unique advantage of our enhanced SBMIS+ approach is the incorporation of the evidence-based online FNPA tool (www.myfnpa.org) designed to provide actionable information to assist parents in evaluating practices and home environments that could be targeted to help reduce their child's risk of obesity. 20 Longitudinal analyses have supported the predictive utility for identifying children who are at risk of becoming obese 21 and other studies have demonstrated associations with parenting style, 27 as well as effective links to provider counseling, 28 and clinical outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9][10] In general, parent objections to SBMIS are rare when CDC safeguards are followed, but problems have been documented when schools do not follow the established CDC safeguards. 8,9,[11][12][13] A commonly stated parent concern is about their child's reaction and fear that reports could contribute to bullying, disordered eating, and adverse health outcomes, but there is little evidence demonstrating these associations. 9,14 Studies suggest that parents want transparency from the school about the SBMIS program, that is, knowledge about why the screenings occur, how children will be measured, and how parents will be notified.…”

mentioning

confidence: 99%

“…9,14 Studies suggest that parents want transparency from the school about the SBMIS program, that is, knowledge about why the screenings occur, how children will be measured, and how parents will be notified. 11,13 In addition, parents request that resources and education accompany the SBMIS report regarding actionable suggestions to help their child and their families reduce health risks associated with obesity, that is, eat healthier, reduce sedentary activities, and live more physically active lifestyles. 15,16 Importantly, health literacy among parents should be considered with easy-to-understand visuals and straight-forward messaging.…”

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confidence: 99%

“…15,16 Importantly, health literacy among parents should be considered with easy-to-understand visuals and straight-forward messaging. 11,15 To advance research in this area, our aim was to determine whether SBMIS reports enhanced with education that included an online link for parents to self-assess and learn about strategies to reduce the risk of childhood obesity would be associated with an improved utility by parents. Consistent with principles of adult learning, we hypothesized that parents who received the enhanced SBMIS report would report greater utility than those who received the standard SBMIS report because self-assessment and feedback information were immediately available to facilitate learning.…”

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confidence: 99%

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Effects of Enhancing School-Based Body Mass Index Screening Reports with Parent Education on Report Utility and Parental Intent To Modify Obesity Risk Factors

et al. 2017

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Effects of Enhancing School-Based Body Mass Index Screening Reports with Parent Education on Report Utility and Parental Intent To Modify Obesity Risk Factors

et al. 2017

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“…In Oregon, 4 th -11 th grade students expressed generally neutral opinions about school-based BMI assessments. [35] Similarly, the vast majority (94%) of 5 th grade Canadian youth in another study felt “okay” or “happy” about having their BMI measured in school. [36] Arkansas students in grades 10-12 who were exposed to repeated BMI screening and reporting through late adolescence did not report unintended consequences (such as increased use of weight control behaviors, including diet pills) compared to students who were not exposed to screening in late adolescence.…”

Section: Avoiding Potential Harmmentioning

confidence: 99%

The Report Card on BMI Report Cards

Thompson

Madsen

2017

Curr Obes Rep

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Half of states in the U.S. have legislation requiring that schools conduct body mass index (BMI) screening among students; just under half of these states report results to parents. The effectiveness of school-based BMI screening and reporting in reducing childhood obesity is not established and the practice has raised concerns about the potential for increased weight-based stigmatization. Recent experimental studies of BMI screening and reporting have not demonstrated a positive impact on students' weight status. However, the language and formatting of BMI reports used in studies to date have been suboptimal and have likely limited the potential effectiveness of the practice. This article reviews the recent literature on school-based BMI screening and reporting and highlights important areas for future inquiry. The present review suggests that evidence to date is not sufficient to support definitive conclusions about the value of school-based BMI screening and reporting as a childhood obesity prevention tool.

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Effect of School-Based Body Mass Index Reporting in California Public Schools

et al. 2021

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IMPORTANCE Annually, US schools screen millions of students' body mass index (BMI) and report the results to parents, with little experimental evidence on potential benefits and harms.OBJECTIVE To determine the impact of school-based BMI reporting on weight status and adverse outcomes (weight stigmatization and weight-related perceptions and behaviors) among a diverse student population. DESIGN, SETTING, AND PARTICIPANTS Cluster randomized clinical trial. The Fit Study (2014)(2015)(2016)(2017) randomized 79 California schools to BMI screening and reporting (group 1), BMI screening only (group 2), or control (no BMI screening or reporting [group 3]) in grades 3 to 8. The setting was California elementary and middle schools. Students in grades 3 to 7 at baseline participated for up to 3 years. A modified intent-to-treat protocol was used. Data analysis was conducted from April 13, 2017, to March 26, 2020.INTERVENTIONS School staff assessed BMI each spring among students in groups 1 and 2. Parents of students in group 1 were sent a BMI report each fall for up to 2 years. MAIN OUTCOMES AND MEASURESChanges in BMI z score and in adverse outcomes (based on surveys conducted each fall among students in grades 4 to 8) from baseline to 1 and 2 years of follow-up.RESULTS A total of 28 641 students (14 645 [51.1%] male) in grades 3 to 7 at baseline participated in the study for up to 3 years. Among 6534 of 16 622 students with a baseline BMI in the 85th percentile or higher (39.3%), BMI reporting had no effect on BMI z score change (−0.003; 95% CI, −0.02 to 0.01 at 1 year and 0.01; 95% CI, −0.02 to 0.03 at 2 years). Weight dissatisfaction increased more among students having BMI screened at school (8694 students in groups 1 and 2) than among control participants (5674 students in group 3). Results of the effect of BMI reporting on other adverse outcomes were mixed: compared with the control (group 3), among students weighed at school (groups 1 and 2), weight satisfaction declined more after 2 years (−0.11; 95% CI, −0.18 to −0.05), and peer weight talk increased more after 1 year (0.05; 95% CI, 0.01-0.09); however, concerning weight control behaviors declined more after 1 year (−0.06; 95% CI, −0.10 to −0.02).CONCLUSIONS AND RELEVANCE Body mass index reports alone do not improve children's weight status and may decrease weight satisfaction. To improve student health, schools should consider investing resources in evidence-based interventions.

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Student and Parental Perceptions of School-Based Body Mass Index Screening and Notification

Cited by 6 publications

References 39 publications

Effects of Enhancing School-Based Body Mass Index Screening Reports with Parent Education on Report Utility and Parental Intent To Modify Obesity Risk Factors

Effects of Enhancing School-Based Body Mass Index Screening Reports with Parent Education on Report Utility and Parental Intent To Modify Obesity Risk Factors

The Report Card on BMI Report Cards

Effect of School-Based Body Mass Index Reporting in California Public Schools

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