The Development and Refinement of an e-Health Screening, Brief Intervention, and Referral to Treatment for Parents to Prevent Childhood Obesity in Primary Care

Avis, Jillian L. S.; Holt, Nicholas L.; Maximova, Katerina; Mierlo, Trevor van; Fournier, Rachel; Padwal, Raj; Cave, Andrew; Martz, Patricia; Ball, Geoff D.C.

doi:10.1089/tmj.2015.0128

Cited by 16 publications

(17 citation statements)

References 47 publications

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“…Nine studies were identified reporting user-testing by parents of digital health tools targeting improvements in children's nutrition. Five evaluated apps [18,[40][41][42][43], three evaluated websites [19,39,44] and one evaluated both an app and website [45] (Table 2; Additional file 3). Studies were conducted in the USA [41][42][43][44], Australia [18,19,45], Canada [40] and Switzerland [39].…”

Section: Objective Twowhat Do Parents Want From Digital Tools Supportmentioning

confidence: 99%

“…Five evaluated apps [18,[40][41][42][43], three evaluated websites [19,39,44] and one evaluated both an app and website [45] (Table 2; Additional file 3). Studies were conducted in the USA [41][42][43][44], Australia [18,19,45], Canada [40] and Switzerland [39]. Evaluations of preferences for content, features, technology, delivery mode, useability and barriers were conducted using focus groups [39][40][41][42]44] and questionnaires [18,19,39,41,43,45].…”

Section: Objective Twowhat Do Parents Want From Digital Tools Supportmentioning

confidence: 99%

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A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition

Zarnowiecki

Mauch

Middleton

et al. 2020

Int J Behav Nutr Phys Act

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Background: Globally children's diet quality is poor. Parents are primary gatekeepers to children's food intake; however, reaching and engaging parents in nutrition promotion can be challenging. With growth in internet and smartphone use, digital platforms provide potential to disseminate information rapidly to many people. The objectives of this review were to conduct a comprehensive and systematic evaluation of nutrition promotion via websites and apps supporting parents to influence children's nutrition, from three different perspectives: 1) current evidence base, 2) end user (parent) experience and 3) current commercial offerings. Methods: Three systematic reviews were undertaken of (1) studies evaluating the effectiveness for digital platforms for improving nutrition in children and parents, (2) studies conducting user-testing of digital tools with parents, (3) websites and apps providing lunch-provision information to parents. Searches were conducted in five databases for reviews one and two, and systematic search of Google and App Store for review three. Randomised controlled trials, cohort and cross-sectional and qualitative studies (study two only) were included if published in English, from 2013, with the intervention targeted at parents and at least 50% of intervention content focused on nutrition. Search results were double screened, with data extracted into standardised spreadsheets and quality appraisal of included search results. Results: Studies evaluating digital nutrition interventions targeting parents (n = 11) demonstrated effectiveness for improving nutrition outcomes, self-efficacy and knowledge. Six of the included randomised controlled trials reported digital interventions to be equal to, or better than comparison groups. User-testing studies (n = 9) identified that digital platforms should include both informative content and interactive features. Parents wanted evidence-based information from credible sources, practical tools, engaging content and connection with other users and health professionals. Websites targeting lunch provision (n = 15) were developed primarily by credible sources and included information-based content consistent with dietary guidelines and limited interactive features. Lunchbox apps (n = 6), developed mostly by commercial organisations, were more interactive but provided less credible information.(Continued on next page)

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Section: Objective Twowhat Do Parents Want From Digital Tools Supportmentioning

confidence: 99%

Section: Objective Twowhat Do Parents Want From Digital Tools Supportmentioning

confidence: 99%

A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition

Zarnowiecki

Mauch

Middleton

et al. 2020

Int J Behav Nutr Phys Act

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show abstract

“…Mobile devices increase the potential to promote healthy nutrition behaviors, and today nutrition and diet apps represent the fastest growing field of health promotion apps [4]. Mobile health (mHealth) apps for nutrition education can be suitable solutions to support parents’ involvement in childhood weight management interventions provided in primary care, as this is often the families’ first point of contact with the health care system [5,6]. The delivery of a primary care intervention by leveraging on digital and mobile support facilitates a higher compliance to it by the target users such as parents, who might have tight daily agendas, difficulties in tracking children’s weight-related behaviors over a day per week on paper diaries, and location difficulties [7].…”

Section: Introductionmentioning

confidence: 99%

Design of a Mobile App for Nutrition Education (TreC-LifeStyle) and Formative Evaluation With Families of Overweight Children

Gabrielli¹,

Dianti²,

Maimone³

et al. 2017

JMIR Mhealth Uhealth

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BackgroundNutrition and diet apps represent today a popular area of mobile health (mHealth), offering the possibility of delivering behavior change (BC) interventions for healthy eating and weight management in a scalable and cost-effective way. However, if commercial apps for pediatric weight management fail to retain users because of a lack of theoretical background and evidence-based content, mHealth apps that are more evidence-based are found less engaging and popular among consumers. Approaching the apps development process from a multidisciplinary and user-centered design (UCD) perspective is likely to help overcome these limitations, raising the chances for an easier adoption and integration of nutrition education apps within primary care interventions.ObjectiveThe aim of this study was to describe the design and development of the TreC-LifeStyle nutrition education app and the results of a formative evaluation with families.MethodsThe design of the nutrition education intervention was based on a multidisciplinary UCD approach, involving a team of BC experts, working with 2 nutritionists and 3 pediatricians from a primary care center. The app content was derived from evidence-based knowledge founded on the Food Pyramid and Mediterranean Diet guidelines used by pediatricians in primary care. A formative evaluation of the TreC-LifeStyle app involved 6 families of overweight children (aged 7-12 years) self-reporting daily food intake of children for 6 weeks and providing feedback on the user experience with the mHealth intervention. Analysis of the app’s usage patterns during the intervention and of participants’ feedback informed the refinement of the app design and a tuning of the nutrition education strategies to improve user engagement and compliance with the intervention.ResultsDesign sessions with the contribution of pediatricians and nutritionists helped define the nutrition education app and intervention, providing an effective human and virtual coaching approach to raise parents’ awareness about children’s eating behavior and lifestyle. The 6 families participating in the pilot study found the app usable and showed high compliance with the intervention over the 6 weeks, but analysis of their interaction and feedback showed the need for improving some of the app features related to the BC techniques “monitoring of the behavior” and “information provision.”ConclusionsThe UCD and formative evaluation of TreC-LifeStyle show that nutrition education apps are feasible and acceptable solutions to support health promotion interventions in primary care.

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“…The Resource Information Program for Parents on Lifestyle and Education (RIPPLE) represents an e‐health screening, brief intervention and referral to treatment (SBIRT) system for parents to help prevent childhood obesity in primary health care. It was viewed by the participants as practical, well‐designed and innovative; nonetheless, they recommended improvements to certain features, such as weight‐related terms, because they perceived it may evoke adverse responses from some parents …”

Section: Discussionmentioning

confidence: 99%

“…It was viewed by the participants as practical, well-designed and innovative; nonetheless, they recommended improvements to certain features, such as weight-related terms, because they perceived it may evoke adverse responses from some parents. 24 The MINSTOP (Mobile-based Intervention Intended to Stop Obesity in Preschoolers) is a web-and mobile phonebased intervention designed to help parents promote healthy eating and physical activity in children. Its effectiveness is still to be reported.…”

Section: Discussionmentioning

confidence: 99%

Electronic registry for the management of childhood obesity in Greece

Kassari

Papaioannou

Billiris

et al. 2018

Eur J Clin Investigation

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The Development and Refinement of an e-Health Screening, Brief Intervention, and Referral to Treatment for Parents to Prevent Childhood Obesity in Primary Care

Cited by 16 publications

References 47 publications

A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition

A systematic evaluation of digital nutrition promotion websites and apps for supporting parents to influence children’s nutrition

Design of a Mobile App for Nutrition Education (TreC-LifeStyle) and Formative Evaluation With Families of Overweight Children

Electronic registry for the management of childhood obesity in Greece

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