Parent readiness to change differs for overweight child dietary and physical activity behaviors.
Parent readiness to change differs for overweight child dietary and physical activity behaviors.
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DOI：
10.1016/j.jand.2014.04.029
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发表时间：
2014-10
影响因子：
4.8
通讯作者：
Jelalian, Elissa
中科院分区：
文献类型：
--
作者：
Rhee, Kyung E.;McEachern, Rebecca;Jelalian, Elissa
父母的参与对于帮助超重的孩子减肥很重要。然而，父母对孩子饮食和身体活动（PA）行为做出改变的准备程度可能因领域而异。使用横断面设计，我们的目的是检查哪些因素与父母在每个领域处于变化的行动/维持阶段（SOC）相关。从2008年11月至2009年8月，在罗德岛普罗维登斯的一家三级保健肥胖诊所，超重/肥胖儿童的父母（n=202）回答了评估他们的SOC、对儿童健康和体重的信念以及提供者行为的问题。创建了单独的多变量逻辑回归模型，以确定哪些因素与父母准备改变儿童饮食和PA行为有关。近62%的家长参与了儿童饮食行为的行动SOC，但只有41%的家长参与了PA行为的行动SOC。那些认为自己的体重是一个健康问题的父母不太可能准备好改变孩子的饮食习惯。医生对策略的讨论与是否准备好改变儿童饮食行为有关，但与个人护理行为无关。在PA领域，年龄较小的孩子的父母更有可能准备好做出改变。培训医疗保健提供者解决PA准备问题，并意识到影响饮食和PA准备的因素，可能会导致与父母更有效的对话，并改善儿童减肥的行为改变努力。
Parent involvement is important to help overweight children lose weight. However, parent readiness to make changes around child eating and physical activity (PA) behaviors can differ across domains. Using a cross-sectional design, our aim was to examine which factors were associated with parents being in the action/maintenance stage of change (SOC) in each domain. From November 2008 – August 2009, parents of overweight/obese children (n=202) attending a tertiary care obesity clinic in Providence, RI answered questions assessing their SOC, beliefs about child health and weight, and provider behaviors. Separate multivariate logistic regression models were created to determine which factors were associated with parent readiness to make changes for child dietary and PA behaviors. Almost 62% of parents were in the action SOC for child dietary behaviors, but only 41% were in the action SOC for PA behaviors. Parents who believed their own weight was a health problem were less likely to be ready to make changes to their child’s dietary behaviors. Physician discussion of strategies was related to readiness to make changes for child dietary behaviors, but not PA behaviors. In the PA domain, parents of younger children were more likely to be ready to make changes. Training healthcare providers to address PA readiness and be aware of factors influencing dietary and PA readiness may result in more effective conversations with parents and improve behavior change efforts for pediatric weight loss.
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DOI：
10.1186/1479-5868-6-57
发表时间：
2009-08-14
影响因子：
8.7
作者：
Flood, Andrew;Mitchell, Nathan;Jeffery, Robert W.
通讯作者：
Jeffery, Robert W.
影响因子：
8
作者：
Barlow, Sarah E.
通讯作者：
Barlow, Sarah E.
影响因子：
3.5
作者：
Perrin, Eliana M.;Jacobson Vann, Julie C.;Benjamin, John T.
通讯作者：
Benjamin, John T.
影响因子：
2
作者：
Blokland, Endy A. W. Den Exter;Hale, William W., III;Engels, Rutger C. M. E.
通讯作者：
Engels, Rutger C. M. E.
影响因子：
5.1
作者：
EPSTEIN, LH;WING, RR;KRESS, MJ
通讯作者：
KRESS, MJ