The effect of an online video intervention 'Movie Models' on specific parenting practices and parental self-efficacy related to children's physical activity, screen-time and healthy diet: a quasi experimental study
The effect of an online video intervention 'Movie Models' on specific parenting practices and parental self-efficacy related to children's physical activity, screen-time and healthy diet: a quasi experimental study
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DOI：
10.1186/s12889-017-4264-1
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发表时间：
2017-04-27
影响因子：
4.5
通讯作者：
Verloigne, Maite
中科院分区：
文献类型：
--
作者：
De Lepeleere, Sara;De Bourdeaudhuij, Ilse;Verloigne, Maite
背景资料：在儿童中，充分的身体活动，屏幕时间少和健康的饮食在很大程度上受到父母做法的影响。父母采用积极的育儿方法的儿童超重和肥胖的风险较低。因此，我们调查了促进健康的在线视频干预对父母（“电影模型”）的影响，对儿童的身体活动（PA），屏幕时间和健康饮食，以及对具体的育儿实践和与这些育儿实践相关的父母自我效能感。在线视频提供给小学生的家长，并基于现实生活scenaries.Methods：双臂，准实验设计。2013年11月至12月，通过在社交媒体上发出呼吁和与小学联系，招募了小学生家长。参与调查的父母大多具有较高的社会经济地位（SES）（83.1%），只有6.8%的儿童超重/肥胖。干预组的参与者被邀请观看4周的在线视频。在基线（T0）、基线后1个月（T1）和4个月（T2）评估儿童的具体育儿实践、父母自我效能、PA、筛查时间和健康饮食。重复测量（多变量）方差分析用于检查干预效果。潜在的调节作用的年龄和性别的儿童和父母SES也examined.Results：T0和T2之间，没有显着的干预效果被发现对儿童的PA，屏幕时间或健康的饮食。最显着的干预效果被发现为更复杂的育儿做法（例如，增加孩子吃水果的动机）。亚组分析显示，干预对年龄较大儿童的父母在PA，屏幕时间和健康饮食方面的实际育儿实践有更大的影响（10-12岁），而对与这些行为相关的父母自我效能感的干预效果在年龄较小的儿童中更强结论：“电影模式”能有效地提升父母在亲子关系、看电影时间、健康饮食等方面的自我效能感。因此，目前的研究是促进有效的育儿相关因素的重要的第一步，并可能增加儿童的健康饮食和PA，减少屏幕时间。
Background: In children, being sufficiently physically active, having low levels of screen-time and having a healthy diet are largely influenced by parenting practices. Children of parents applying positive parenting practices are at lower risk for overweight and obesity. Therefore, we investigated the effect of a health promoting online video intervention for parents ('Movie Models') on children's physical activity (PA), screen-time and healthy diet, and on specific parenting practices and parental self-efficacy related to these parenting practices. The online videos are delivered to parents of primary schoolchildren, and were based on real-life scenarios.Methods: A two-armed, quasi experimental design was used. Parents of primary schoolchildren were recruited between November and December 2013 by spreading an appeal in social media, and by contacting primary schools. Participating parents were predominantly of high socio-economic status (SES) (83.1%), and only 6.8% of children were overweight/obese. Intervention group participants were invited to watch online videos for 4 weeks. Specific parenting practices, parental self-efficacy, PA, screen-time and healthy diet of the child were assessed at baseline (T0), at one (T1) and at four (T2) months post baseline. Repeated Measures (Multivariate) ANOVAs were used to examine intervention effects. The potential moderating effect of age and gender of the child and parental SES was also examined.Results: Between T0 and T2, no significant intervention effects were found on children's PA, screen-time or healthy diet. Most significant intervention effects were found for more complex parenting practices (e.g., an increase in motivating the child to eat fruit). Subgroup analyses showed that the intervention had more effect on the actual parenting practices related to PA, screen-time and healthy diet in parents of older children (10-12 years old), whereas intervention effects on parental self-efficacy related to those behaviors were stronger in parents of younger children (6-9 years old).Conclusions: ('Movie Models') was effective in increasing some important parenting practices and parental self-efficacy related to PA, screen-time and healthy diet in children. Therefore, the current study is an important first step in promoting effective parenting-related factors, and possibly increasing children's healthy diet and PA, and decreasing screen-time.