Effects of Enhancing School-Based Body Mass Index Screening Reports with Parent Education on Report Utility and Parental Intent To Modify Obesity Risk Factors.
Effects of Enhancing School-Based Body Mass Index Screening Reports with Parent Education on Report Utility and Parental Intent To Modify Obesity Risk Factors.
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DOI：
10.1089/chi.2016.0177
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发表时间：
2017
影响因子：
2.5
通讯作者：
L. Bailey-Davis;K. Peyer;Yinan Fang;Jae-Kwang Kim;G. Welk
中科院分区：
文献类型：
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作者：
L. Bailey-Davis;K. Peyer;Yinan Fang;Jae-Kwang Kim;G. Welk
以学校为基础的身体质量指数筛查（SBMIS）一直存在争议。我们的目的是确定当报告包括父母教育时，父母是否会表明SBMIS的效用得到改善，以及父母修改肥胖风险因素的意图是否会因报告类型或儿童体重而异。方法采用整群随机对照试验，选取31所小学，随机分配标准SBMIS报告或标准报告加教育（SBMIS+）。一个随机子样本的父母完成了邮寄调查（731 SBMIS，738 SBMIS+）。采用两阶段整群抽样设计，逻辑回归模型与学校水平的随机效应被用来评估条件和体重类别之间的差异。结果：SBMIS+条件下的父母与标准条件下的父母相比，更有可能表示报告提供了有用的信息（不显著）和帮助孩子获得充足睡眠的意图（p < 0.001）。超重或肥胖儿童的父母比那些没有指出报告提供了关于他们孩子体重状况（p < 0.001）或获得资源（p < 0.05）的有用信息的儿童的父母更不可能。然而，这些父母更有可能计划去看医生（p < 0.001），并打算限制含糖饮料（p < 0.05）。结论：父母教育可以提高SBMIS报告的实用性和父母修改至少一个肥胖危险因素的意图。SBMIS的报告促使超重和肥胖儿童的父母寻求临床护理并限制含糖饮料。
BACKGROUND School-based body mass index screenings (SBMIS) have been controversial. We aimed to determine if parents would indicate improved utility with SBMIS when the report included parent education and whether parental intent to modify obesity risk factors would vary with report type or child weight. METHODS A cluster-controlled trial was conducted with 31 elementary schools randomized to distribute a standard SBMIS report or the standard report plus education (SBMIS+). A random subsample of parents completed a mailed survey (731 SBMIS, 738 SBMIS+). Using a two-stage cluster sampling design, logistic regression models with school-level random effect were used to assess differences between conditions and by weight category. RESULTS Parents in the SBMIS+ condition vs. the standard condition were more likely to indicate that the report provided useful information (not significant) and an intent to help their child get enough sleep (p < 0.001). Parents of children who were overweight or obese were less likely than parents of children who were not to indicate that the report provided useful information about their child's weight status (p < 0.001) or access to resources (p < 0.05). However, these parents were more likely to plan a visit to healthcare provider (p < 0.001) and to intend to limit sugar-sweetened beverages (p < 0.05). CONCLUSIONS Parental education can enhance the utility of the SBMIS report and parental intention to modify at least one obesity risk factor. SBMIS reports prompted parents of children with overweight and obesity to seek clinical care and limit sugar-sweetened drinks.