Pilot of ‘Families for Health’ : community-based family intervention for obesity
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
WRAP_robertson_adc.2008.139162v1.pdf - Draft Version
Official URL: http://dx.doi.org/10.1136/adc.2008.139162
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.
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|
|Official Date:||7 May 2008|
|Page Range:||pp. 921-928|
|Access rights to Published version:||Open Access|
1. Health Survey for England 2005, from ‘Statistics on obesity, physical activity and
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