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Engaging parents using web-based feedback on child growth to reduce childhood obesity : a mixed methods study
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Dam, Rinita, Robinson, Heather Anne, Vince-Cain, Sarah, Heaton, Gill, Greenstein, Adam, Sperrin, Matthew and Hassan, Lamiece (2019) Engaging parents using web-based feedback on child growth to reduce childhood obesity : a mixed methods study. BMC Public Health, 19 . 300. doi:10.1186/s12889-019-6618-3 ISSN 1471-2458.
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Official URL: https://doi.org/10.1186/s12889-019-6618-3
Abstract
Background: To measure trends in child growth and combat rising levels of obesity, Manchester University NHS Foundation Trust and the University of Manchester have developed Children’s Health and Monitoring Programme (CHAMP). CHAMP collects an annual measurement for primary school children (aged 4 to 11) in Manchester,
England, and offers feedback of Body Mass Index (BMI) results to parents via a secure website. No similar digital tool exists that both provides high resolution data on the trajectory of child growth and acts as a feedback and monitoring system. This study investigates how effectively this intervention engaged with parents and supported the reduction of childhood obesity.
Methods: Anonymised CHAMP registration and BMI data (UK1990) were collected between September 2013 and
March 2017 from a total of 63,337 children. BMI change over time was compared in matched cohorts of 24,551
children, whose parents had and had not registered with the CHAMP website. Qualitative focus groups and
interviews were used to explore perspectives among 29 key informants (parents, school and healthcare
professionals) from six schools in Manchester.
Results: Overweight children whose parents had not registered with the CHAMP website gained a median of 0.14 BMI centile between measurements, whilst children of CHAMP-registered parents reduced their BMI by a median of 0.4 centile per year (P = 0.02). Normal weight children of registered parents decreased their BMI by 0.3 centile each
year, whilst those not registered increased their BMI by 0.8 centile per year (P = 0.001). There was no significant association between registration and BMI centile change in children already classified as obese (P = 0.34). A qualitative, thematic analysis revealed that the annual measurement programme was widely supported by parents and staff. A range of psychological and behavioural impacts on families were reported as a result of the monitoring and feedback processes, in some cases prompting reflection and monitoring of health and lifestyle choices.
Conclusion: These early findings indicate that CHAMP, as both a monitoring system and a digital intervention, could encourage positive lifestyle change and support healthier child growth trajectories.
Item Type: | Journal Article | |||||||||
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Subjects: | R Medicine > RJ Pediatrics | |||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Obesity in children, Obesity in children -- Prevention -- Great Britain, Overweight children -- Health and hygiene, Children -- Nutrition -- Study and teaching, Parental influences -- Health aspects, Child development -- Health aspects, Health education -- Parent participation -- Psychological aspects, Parents of overweight children -- Attitudes, Obesity in children -- Research -- Psychological aspects | |||||||||
Journal or Publication Title: | BMC Public Health | |||||||||
Publisher: | BioMed Central Ltd. | |||||||||
ISSN: | 1471-2458 | |||||||||
Official Date: | 13 March 2019 | |||||||||
Dates: |
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Volume: | 19 | |||||||||
Article Number: | 300 | |||||||||
DOI: | 10.1186/s12889-019-6618-3 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 24 April 2023 | |||||||||
Date of first compliant Open Access: | 25 April 2023 | |||||||||
RIOXX Funder/Project Grant: |
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