A cluster randomised trial testing an intervention to improve parents' recognition of their child's weight status: study protocol.

A cluster randomised trial testing an intervention to improve parents' recognition of their child's weight status: study protocol.
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DOI:
10.1186/s12889-015-1882-3
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发表时间:
2015-06-12
期刊:
影响因子:
4.5
通讯作者:
Adamson AJ
Adamson AJ
中科院分区:
医学2区
文献类型:
--
作者:
Parkinson KN;Jones AR;Tovee MJ;Ells LJ;Pearce MS;Araujo-Soares V;Adamson AJ

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父母通常不能根据临床标准准确地识别他们孩子的体重状况,因此如果他们的孩子超重,他们可能不会采取适当的行动。我们开发了一种新的视觉干预,旨在改善父母的看法,儿童的体重状况,根据临床标准为4-5岁和10-11岁的儿童。Map Me干预措施包括已知体重指数的特定年龄和性别的身体形象量表以及有关儿童超重健康风险的支持信息。这项随机分组试验将测试Map Me干预的有效性。小学将随机分为:纸质版Map Me;网络版Map Me;无信息(对照)。将招募入学儿童(4-5岁)和6年级(10-11岁)的家长。这项研究将与国家儿童测量计划合作,该计划测量这些年龄组的身高和体重,并向父母提供有关其孩子体重状况的反馈。在收到反馈之前,父母将完成一份问卷,其中包括评估他们对孩子体重状况的看法和对儿童超重健康后果的认识。对照组将在招募后不久提供干预前数据和评估;干预组将在访问Map Me一个月后提供干预后数据。这项研究随后将从国家儿童测量方案获得儿童身高和体重测量结果。研究小组将在12个月时对家庭进行随访。主要结果是父母对干预前和干预后一个月儿童体重状况的准确性的任何差异。次要结局包括父母知识的差异、改变生活方式行为和/或寻求建议或支持的意图、感知控制、行动计划、应对计划和12个月随访时的儿童体重状况。Map Me工具有可能在人口一级对儿童健康产生积极影响,方法是将其引入目前的干预方案,以提高父母对儿童体重状况看法的准确性。这项试验将为研究人员、教育工作者、卫生专业人员和政策制定者的行动提供信息。当前对照试验ISRCTN 91136472。2013年5月3日注册
Parents typically do not recognise their child’s weight status accurately according to clinical criteria, and thus may not take appropriate action if their child is overweight. We developed a novel visual intervention designed to improve parental perceptions of child weight status according to clinical criteria for children aged 4–5 and 10–11 years. The Map Me intervention comprises age- and sex-specific body image scales of known body mass index and supporting information about the health risks of childhood overweight. This cluster randomised trial will test the effectiveness of the Map Me intervention. Primary schools will be randomised to: paper-based Map Me; web-based Map Me; no information (control). Parents of reception (4–5 years) and year 6 (10–11 years) children attending the schools will be recruited. The study will work with the National Child Measurement Programme which measures the height and weight of these year groups and provides feedback to parents about their child’s weight status. Before receiving the feedback, parents will complete a questionnaire which includes assessment of their perception of their child’s weight status and knowledge of the health consequences of childhood overweight. The control group will provide pre-intervention data with assessment soon after recruitment; the intervention groups will provide post-intervention data after access to Map Me for one month. The study will subsequently obtain the child height and weight measurements from the National Child Measurement Programme. Families will be followed-up by the study team at 12 months. The primary outcome is any difference in accuracy in parental perception of child weight status between pre-intervention and post-intervention at one month. The secondary outcomes include differences in parent knowledge, intention to change lifestyle behaviours and/or seek advice or support, perceived control, action planning, coping planning, and child weight status at 12 month follow-up. The Map Me tool has potential to make a positive impact on children’s health at a population level by introducing it into current intervention programmes to improve accuracy of parental perception of child’s weight status. This trial will inform the action of researchers, educators, health professionals and policy makers. Current Controlled Trials ISRCTN91136472. Registered 3 May 2013
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期刊: PEDIATRICS
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