The benefits and harms of providing parents with weight feedback as part of the national child measurement programme: a prospective cohort study
The benefits and harms of providing parents with weight feedback as part of the national child measurement programme: a prospective cohort study
复制标题
DOI：
10.1186/1471-2458-14-549
复制
发表时间：
2014-06-03
影响因子：
4.5
通讯作者：
Kinra, Sanjay
中科院分区：
文献类型：
--
作者：
Falconer, Catherine L.;Park, Min Hae;Kinra, Sanjay
背景资料：小规模评价表明，向父母提供关于其子女体重状况的反馈意见可能会提高对超重的认识，但对生活方式行为的影响尚不清楚，有人担心，告知父母其子女超重可能会产生有害影响。本研究的目的是描述的好处和危害，提供体重反馈给家长的一部分，国家以学校为基础的体重筛查程序在English.Methods：我们进行了一项前后调查的1,844名家长的孩子年龄在4-5岁和10-11岁的人收到体重反馈的一部分，2010-2011年国家儿童测量计划。问卷评估了与儿童超重相关的健康风险的一般知识，父母对超重的认识及其子女的相关健康风险，儿童生活方式行为，儿童自尊和与体重相关的戏弄，父母的反馈经验，以及父母寻求帮助的行为。使用McNemar的test.Results：儿童超重作为一个健康问题的一般知识是高的基线和体重反馈后进一步增加的前后比例的父母报告每个结果的差异进行了评估。在反馈后，正确认识到自己孩子超重的父母比例从21.9%上升到37.7%，超过三分之一的超重儿童父母寻求有关孩子体重的进一步信息。然而，父母报告的儿童生活方式行为的变化很小，仅限于肥胖儿童的体育活动增加。有一些建议，体重反馈有更大的影响后，改变父母认识到与儿童超重的健康风险，在非白人ethnics.Conclusions：在这一人口为基础的样本的父母参加国家儿童测量计划的儿童，提供体重反馈增加认识到儿童超重，并鼓励一些家长寻求帮助，而不会造成明显的不利影响。体重反馈对行为改变的影响是有限的，这表明需要进一步的工作，以确定如何更有效地向父母传达健康信息，并确定哪些信息和支持可能会鼓励父母为孩子改变和维持生活方式。
Background: Small-scale evaluations suggest that the provision of feedback to parents about their child's weight status may improve recognition of overweight, but the effects on lifestyle behaviour are unclear and there are concerns that informing parents that their child is overweight may have harmful effects. The aims of this study were to describe the benefits and harms of providing weight feedback to parents as part of a national school-based weight-screening programme in England.Methods: We conducted a pre-post survey of 1,844 parents of children aged 4-5 and 10-11 years who received weight feedback as part of the 2010-2011 National Child Measurement Programme. Questionnaires assessed general knowledge about the health risks associated with child overweight, parental recognition of overweight and the associated health risks in their child, child lifestyle behaviour, child self-esteem and weight-related teasing, parental experience of the feedback, and parental help-seeking behaviour. Differences in the pre-post proportions of parents reporting each outcome were assessed using a McNemar's test.Results: General knowledge about child overweight as a health issue was high at baseline and increased further after weight feedback. After feedback, the proportion of parents that correctly recognised their child was overweight increased from 21.9% to 37.7%, and more than a third of parents of overweight children sought further information regarding their child's weight. However, parent-reported changes in lifestyle behaviours among children were minimal, and limited to increases in physical activity in the obese children only. There was some suggestion that weight feedback had a greater impact upon changing parental recognition of the health risks associated with child overweight in non-white ethnic groups.Conclusions: In this population-based sample of parents of children participating in the National Child Measurement Programme, provision of weight feedback increased recognition of child overweight and encouraged some parents to seek help, without causing obvious unfavourable effects. The impact of weight feedback on behaviour change was limited; suggesting that further work is needed to identify ways to more effectively communicate health information to parents and to identify what information and support may encourage parents in making and maintaining lifestyle changes for their child.