Mechanisms and outcomes of a very low intensity intervention to improve parental acknowledgement and understanding of childhood overweight/obesity, embedded in the National Child Measurement Programme: a sub-study within a large cluster Randomized Controlled Trial (MapMe2)
Objectives Parental underdetection of child underweight and overweight/obesity may negatively affect children's longer-term health. We examined psychological/behavioural mechanisms of a very low-intensity intervention to improve acknowledgement and understanding of child weight after feedback f...
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| Hauptverfasser: | , , , , , , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
February 2025
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| In: |
British journal of health psychology
Year: 2025, Jahrgang: 30, Heft: 1, Pages: 1-25 |
| ISSN: | 2044-8287 |
| DOI: | 10.1111/bjhp.12784 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1111/bjhp.12784 Verlag, kostenfrei, Volltext: http://onlinelibrary.wiley.com/doi/abs/10.1111/bjhp.12784 
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| Verfasserangaben: | Elizabeth H. Evans, Christopher M. Jones, Ashley Adamson, Angela R. Jones, Laura Basterfield, João Paulo de Aguiar Greca, Letitia Sermin-Reed, Maddey Patterson, Lorraine McSweeney, Raenhha Dhami, Louisa Ells, Alison Gahagan, Tomos Robinson, Mohadeseh Shojaei Shahrokhabadi, Dawn Teare, Martin J. Tovée, Vera Araújo Soares |
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| 245 | 1 | 0 | |a Mechanisms and outcomes of a very low intensity intervention to improve parental acknowledgement and understanding of childhood overweight/obesity, embedded in the National Child Measurement Programme |b a sub-study within a large cluster Randomized Controlled Trial (MapMe2) |c Elizabeth H. Evans, Christopher M. Jones, Ashley Adamson, Angela R. Jones, Laura Basterfield, João Paulo de Aguiar Greca, Letitia Sermin-Reed, Maddey Patterson, Lorraine McSweeney, Raenhha Dhami, Louisa Ells, Alison Gahagan, Tomos Robinson, Mohadeseh Shojaei Shahrokhabadi, Dawn Teare, Martin J. Tovée, Vera Araújo Soares |
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| 520 | |a Objectives Parental underdetection of child underweight and overweight/obesity may negatively affect children's longer-term health. We examined psychological/behavioural mechanisms of a very low-intensity intervention to improve acknowledgement and understanding of child weight after feedback from a school-based weight monitoring programme. Design This sub-study was nested within a larger 3-arm cluster-RCT (1:1:1; N = 57,300). Parents in all groups received written postal feedback on their child's weight classification. Intervention participants received an enhanced feedback letter with computer-generated photorealistic images depicting children of different weight classifications, and access to a website about supporting healthy weight, once (intervention one) or twice (intervention two; repeated 6 months after first ‘dose’). Methods A quantitative process and outcome evaluation using baseline and 12-month BMI z-scores of an opt-in sub-sample of 502 children aged 4-5 and 10-11. Children completed dietary reports, used accelerometers (MVPA), and self-reported self-esteem; 10-11-year-olds also self-reported quality of life and dietary restraint. Parents reported perceptions of child's weight classification, and their intentions, self-efficacy, action planning and coping planning for child physical activity, dietary intake; parents of 4-5-year-olds reported their child's quality of life. Results Neither intervention differentially improved parental acknowledgement or understanding of weight classification at follow-up, although parents in all groups reported better acknowledgement after receiving feedback. The interventions did not affect behavioural/psychological determinants, weight outcomes, children's self-esteem, dietary restraint or quality of life. Conclusions The interventions neither improved parental acknowledgement of child weight, child BMI z-scores and their psychological/behavioural determinants, nor worsened psycho-social sequelae. | ||
| 650 | 4 | |a child obesity | |
| 650 | 4 | |a parental perceptions | |
| 650 | 4 | |a weight monitoring | |
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| 700 | 1 | |a Jones, Angela R. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Basterfield, Laura |e VerfasserIn |4 aut | |
| 700 | 1 | |a Greca, João Paulo de Aguiar |e VerfasserIn |4 aut | |
| 700 | 1 | |a Sermin-Reed, Letitia |e VerfasserIn |4 aut | |
| 700 | 1 | |a Patterson, Maddey |e VerfasserIn |4 aut | |
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| 700 | 1 | |a Robinson, Tomos |e VerfasserIn |4 aut | |
| 700 | 1 | |a Shahrokhabadi, Mohadeseh Shojaei |e VerfasserIn |4 aut | |
| 700 | 1 | |a Teare, Dawn |e VerfasserIn |4 aut | |
| 700 | 1 | |a Tovée, Martin J. |e VerfasserIn |4 aut | |
| 700 | 1 | |a Araújo-Soares, Vera |e VerfasserIn |0 (DE-588)1305077806 |0 (DE-627)1860853609 |4 aut | |
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