OBJECTIVE: To develop and evaluate "Families for Health", a new community based family intervention for childhood obesity. DESIGN: Programme development, pilot study and evaluation using intention-to-treat analysis. SETTING: Coventry, England. PARTICIPANTS: 27 overweight or obese children aged 7-13 years (18 girls, 9 boys) and their parents, from 21 families. INTERVENTION: Families for Health is a 12-week programme with parallel groups for parents and children, addressing parenting, lifestyle change and social and emotional development. MAIN OUTCOME MEASURES: Change in baseline BMI z score at the end of the programme (3 months) and 9-month follow-up. Attendance, drop-out, parents' perception of the programme, child's quality of life and self-esteem, parental mental health, parent-child relationships and lifestyle changes were also measured. RESULTS:Attendance rate was 62%, with 18 of the 27 (67%) children completing the programme. For the 22 children with follow-up data (including four who dropped out), BMI z score was reduced by -0.18 (95% CI -0.30 to -0.05) at 3 months and -0.21 (-0.35 to -0.07) at 9 months. Statistically significant improvements were observed in children's quality of life and lifestyle (reduced sedentary behaviour, increased steps and reduced exposure to unhealthy foods), child-parent relationships and parents' mental health. Fruit and vegetable consumption, participation in moderate/vigorous exercise and children's self-esteem did not change significantly. Topics on parenting skills, activity and food were rated as helpful and used with confidence by most parents. CONCLUSIONS: Families for Health is a promising new childhood obesity intervention. Definitive evaluation of its clinical effectiveness by randomised controlled trial is now required.
RCT Entities:
OBJECTIVE: To develop and evaluate "Families for Health", a new community based family intervention for childhood obesity. DESIGN: Programme development, pilot study and evaluation using intention-to-treat analysis. SETTING: Coventry, England. PARTICIPANTS: 27 overweight or obesechildren aged 7-13 years (18 girls, 9 boys) and their parents, from 21 families. INTERVENTION: Families for Health is a 12-week programme with parallel groups for parents and children, addressing parenting, lifestyle change and social and emotional development. MAIN OUTCOME MEASURES: Change in baseline BMI z score at the end of the programme (3 months) and 9-month follow-up. Attendance, drop-out, parents' perception of the programme, child's quality of life and self-esteem, parental mental health, parent-child relationships and lifestyle changes were also measured. RESULTS: Attendance rate was 62%, with 18 of the 27 (67%) children completing the programme. For the 22 children with follow-up data (including four who dropped out), BMI z score was reduced by -0.18 (95% CI -0.30 to -0.05) at 3 months and -0.21 (-0.35 to -0.07) at 9 months. Statistically significant improvements were observed in children's quality of life and lifestyle (reduced sedentary behaviour, increased steps and reduced exposure to unhealthy foods), child-parent relationships and parents' mental health. Fruit and vegetable consumption, participation in moderate/vigorous exercise and children's self-esteem did not change significantly. Topics on parenting skills, activity and food were rated as helpful and used with confidence by most parents. CONCLUSIONS: Families for Health is a promising new childhood obesity intervention. Definitive evaluation of its clinical effectiveness by randomised controlled trial is now required.
Authors: Truls Østbye; Katrina M Krause; Marissa Stroo; Cheryl A Lovelady; Kelly R Evenson; Bercedis L Peterson; Lori A Bastian; Geeta K Swamy; Deborah G West; Rebecca J N Brouwer; Nancy L Zucker Journal: Prev Med Date: 2012-06-13 Impact factor: 4.018
Authors: Guadalupe X Ayala; John P Elder; Nadia R Campbell; Elva Arredondo; Barbara Baquero; Noe C Crespo; Donald J Slymen Journal: Am J Prev Med Date: 2010-02 Impact factor: 5.043
Authors: Hollie A Raynor; Emily L Van Walleghen; Kathrin M Osterholt; Chantelle N Hart; Elissa Jelalian; Rena R Wing; Gary S Goldfield Journal: J Am Diet Assoc Date: 2011-03
Authors: Truls Ostbye; Nancy L Zucker; Katrina M Krause; Cheryl A Lovelady; Kelly R Evenson; Bercedis L Peterson; Lori A Bastian; Geeta K Swamy; Deborah G West; Rebecca J N Brouwer Journal: Contemp Clin Trials Date: 2011-02-18 Impact factor: 2.226