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Pilot of ‘Families for Health’ : community-based family intervention for obesity

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Robertson, Wendy, Friede, Tim, Blissett, Jackie, Rudolf, Mary C. J., Wallis, Maybelle and Stewart-Brown, Sarah L.. (2008) Pilot of ‘Families for Health’ : community-based family intervention for obesity. Archives of Disease in Childhood, Vol.93 (No.11). pp. 921-928. ISSN 0003-9888

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Official URL: http://dx.doi.org/10.1136/adc.2008.139162

Abstract

Objective - To develop and evaluate ‘Families for Health’ - a new community based family intervention for childhood obesity. Design – Programme development, pilot study and evaluation using intention-to-treat analysis. Setting – Coventry, England Participants – 27 overweight or obese children aged 7-13 years (18 girls, 9 boys) and their parents, from 21 families. Intervention – ‘Families for Health’ is a 12 week programme with parallel groups for parents and children, addressing parenting, lifestyle change and social & emotional development. Main Outcome Measures – Primary: change in baseline BMI z-score at end of programme (3 months) and 9 month follow-up. Attendance, drop-out, parents’ perception of programme, child’s quality of life and self esteem, parental mental health, parent-child relationships and lifestyle changes were also measured. Results: Attendance rate was 62%, with 18 of the 27 (67%) children completing the programme. For the 22 children with follow-up data (including 4 drop-outs), BMI z-score was reduced by -0.18 (95%CI -0.30 to -0.05) at end of programme and by -0.21 (-0.35 to -0.07) at 9 months. Statistically significant improvements were observed in children’s quality of life and lifestyle (reduced sedentary behaviour, increased steps and reduced exposure to unhealthy foods), child-parent relationships and parents’ mental health. Fruit and vegetable consumption, participation in moderate/vigorous exercise and children’s self-esteem did not change significantly. Topics on parenting skills, activity and food were rated as helpful and were used with confidence by the majority of parents. Conclusions Families for Health is a promising new childhood obesity intervention. Definitive evaluation of its clinical effectiveness by randomised controlled trial is now required.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine R Medicine > RJ Pediatrics
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Obesity in children, Parenting, Community-based social services
Journal or Publication Title:	Archives of Disease in Childhood
Publisher:	BMJ
ISSN:	0003-9888
Date:	7 May 2008
Volume:	Vol.93
Number:	No.11
Page Range:	pp. 921-928
Identification Number:	10.1136/adc.2008.139162
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access
References:	1. Health Survey for England 2005, from ‘Statistics on obesity, physical activity and diet, England 2006’, The Information Centre www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/obesity/statistics-onobesity- physical-activity-and-diet-england-2006 2. Department of Health (2004) Public Health White Paper, Choosing Health: Making healthier choices easier. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndG uidance/DH_4094550 (accessed 11/11/2007) 3. Ebbeling CB,Pawlak DB,Ludwig DS Childhood obesity:public-health crisis,common sense cure. Lancet 2002;360:473-82 4. Reilly JJ, Methven E, McDowell ZC, Hacking B, Alexander D, Stewart L, Kelnar CJH Health consequences of obesity. Arch Dis Child 2003; 88: 748-752. 5. Summerbell CD, Ashton V, Campbell KJ, Edmunds L, Kelly S, Waters E. Interventions for treating obesity in children (Cochrane Review). In: The Cochrane Library, Issue 4, 2003. Chichester, UK: John Wiley & Sons, Ltd. 6. McLean N, Griffin S, Toney K, Hardeman W Family involvement in weight control, weight maintenance and weight-loss interventions: a systemtaic review of randomised trials. Int J Obes Relat Metab Disord 2003; 27 (9): 987-1005. 7. National Institute for Health and Clinical Excellence’s (NICE) (2006) Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children. NICE clinical guideline 43. http://www.nice.org.uk/CG043 8. Epstein LH, Valoski A, Wing RR, McCurley J. Ten-year outcomes of behavioural family-based treatment for childhood obesity. Health Psychology 1994; 13: 373-383. 9. Golan M, Crow S Targetting parents exclusively in the treatment of childhood obesity: long-term results. Obesity Research 2004; 12: 357-361. 10. Israel AC, Stolmaker L, Andrian CAG The effects of training parents in general child management skills on a behavioural weight loss program for children. Behavior Therapy 1985; 16: 169-180. 11. Rudolf M, Christie D, McElhone S, Sahota P, Dixey R, Walker J, Wellings C. WATCH IT: a community based programme for obese children and adolescents. Arch Dis Child 2006; 91: 736-739. 12. Sacher PM, Chadwick P, Wells JCK, Williams JE, Cole TJ, Lawson MS Assessing the acceptability and feasibility of the MEND programme in a small group of obese 7-11 year old children. J Hum Nutr Dietet 2005; 18: 3-5. 13. Rhee KE, Lumeng JC, Appugliese DP, Kaciroti N, & Bradley RH Parenting styles and overweight status in first grade. Pediatrics, 2006 117, 2047-2054. Downloaded from adc.bmj.com on 14 October 2008. 14. Kremers SP, Brug J, de Vries H, & Engels RCME. Parenting style and adolescent fruit consumption. Appetite 2006, 41, 43-50. 15. Schmitz KH, Lytle LA, Phillips GA, Murray DM, Birnbaum AS, Kubik MY. Psychosocial correlates of physical activity and sedentary leisure habits in young adolescents: The teens eating for energy and nutrition at school study. Preventive Medicine, 2002, 34, 266-278. 16. Hunt C. The Parenting Puzzle: How to get the best out of family life. Oxford, UK: Family Links, 2003. 17. Barlow J, Stewart-Brown S. Understanding parenting programmes: parents’ views. Primary Health Care Research and Development 2001; 2: 117-130. 18. Kirkpatrick S. Family Links Pilot Evaluation Study. Health Services Research Unit, 2005. 19. Food Standards Agency. The Balance of good health. Information for educators and communicators. 2001 http://www.food.gov.uk/multimedia/pdfs/bghbooklet.pdf (accessed 2/1/2008) 20. Ogden J, Reynolds R, Smith A. Expanding the concept of parental control: A role for overt and covert control in children's snacking behaviour? Appetite 2006 47: 100- 106. 21. Faith MS, Berkowitz RI, Stallings VA, Kerns J, Storey M, Stunkard AJ. Parental feeding attitudes and styles and child body mass index: Prospective analysis of a geneenvironment interaction. Pediatrics, 2004: 114, 4, e429-e436. 22. Clark HR, Goyder E, Bissell P, Blank L, Peters J How do parents’ child-feeding behaviours influence child weight? Implications for childhood obesity policy. Journal of Public Health 2007; 29: 132-141. 23. Cole TJ, Freeman JV, Preece MA Body mass index reference curves for the UK, 1990. Arch Dis Child 1995; 73: 25-9. 24. McCarthy HD, Jarrett KV, Crawley HF. The development of waist circumference percentiles in British children aged 5-16.9 years. Eur J Clin Nutr 2001; 55: 902-907. 25. Varni JW The PedsQL Measurement Model for the Pediatric Quality of Life Inventory. 1998 www.pedsql.org/about_pedsql.html (accessed 2/1/2008) 26. Harter S. Manual for the Self-Perception Profile for Children, University of Denver, 1985. 27. Pianta RC Child / Parent Relationship scale. 1992, University of Virginia, USA. http://www.virginia.edu/vprgs/CASTL/files/Child-ParentRelationshipScale.pdf 28. Joseph S, Linley PA, Harwood J, Lewis CA, McCollam P Rapid assessment of well-being: The Short Depression-Happiness Scale (SDHS). Psychology and Psychotherapy: Theory, Research and Practice 2004; 77 (4): 463-478. Downloaded from adc.bmj.com on 14 October 2008 29. Edmunds LD, Ziebland S Development and validation of the Day in the Life Questionnaire (DILQ) as a measure of fruit and vegetable questionnaire for 7-9 year olds. Health Education Research 2002; 17 (2) : 211-220 30. Golan M Reliability and validity of the family eating and activity habits questionnaire. European Journal of Clinical Nutrition 1998; 52 (10): 771-777. 31. Trost SG, Way R, Okely AD Predictive validity of three ActiGraph energy expenditure equations for children. Med. Sci. Sports Exerc. 2006; 38: 380-387. 32. Trost SG, McIver KL, Pate RR Conducting accelerometer-based activity assessments in field-based research. Med. Sci. Sports Exerc. 2005; 37(11) Suppl.: S531-S543. 33. Office for National Statistics. The National Statistics Socio-economic classification. User Manual. 2005. http://www.statistics.gov.uk/methods_quality/ns_sec/downloads/NS-SEC_User.pdf (accessed 4th July 2007) 34. Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Am Psychol 1992; 47:1102-4. 35. Sacher P, Chadwick P, Kolotourou M, Cole T, Lawson M, Singhal A. The MEND RCT: Effectiveness on health outcomes in obese children. International Journal of Obesity, May 2007. (Abstract from the European Congress on Obesity, 23rd April 2007) 36. Upton P, Eiser C, Cheung I, Hutchings HA, Jenney M, Maddocks A, Russell IT, Williams JG Measurement properties of the UK-English version of the Pediatric Quality of Life Inventory 4.0 (PedsQL) generic core scales. Health and Quality of Life Outcomes 2005; 3: 22. 37. Schwimmer JB, Burwinkle TM, Varni JW Health-related quality of life of severely obese children and adolescents. JAMA 2003; 289 (14); 1813-1819. 38. Wardle J The impact of obesity on psychological well-being. Best Practice and Research Clinical Endocrinology and Metabolism 2005; 19 (3): 421-440 39. Hoare P, Elton R, Greer A, Kerley S. The modification and standardization of the Harter self-esteem questionnaire with Scottish school children. European Child and Adolescent Psychiatry 1993; 2(1): 19-33. 40. Shevlin M, Adamson G, Collins K The self-perception profile for children (SPPC): a multiple-indicator multiple-wave analysis using LISREL. Personality and Individual Differences 2003; 35: 1993-2005. 41. Riddoch CJ, Mattocks C, Deere K, Saunders J, Kirkby J, Tilling K, Leary SD, Blair SN, Ness AR Objective measurement of levels and patterns of physical activity. Arch Dis Child 2007; 92:963-969.
URI:	http://wrap.warwick.ac.uk/id/eprint/196