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Randomized trial of a prevention intervention that embeds weight‐related messages within a general parenting program
Author(s) -
Haines Jess,
RifasShiman Sheryl L.,
Gross Deborah,
McDonald Julia,
Kleinman Ken,
Gillman Matthew W.
Publication year - 2016
Publication title -
obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.438
H-Index - 199
eISSN - 1930-739X
pISSN - 1930-7381
DOI - 10.1002/oby.21314
Subject(s) - medicine , intervention (counseling) , confidence interval , obesity , randomized controlled trial , body mass index , childhood obesity , physical therapy , pediatrics , demography , overweight , psychiatry , sociology
Objective To assess the extent to which an obesity prevention intervention that embeds obesity‐related messages within a parenting program, compared with controls who received weekly mailings, resulted in a smaller increase in children's BMI (primary outcome) and improvements in weight‐related behaviors from baseline to 9‐month follow‐up. Methods Fifty‐six families were randomly assigned to the intervention and 56 to control. Children were primarily Hispanic (58%) or Black/African American (23%). Intervention included nine weekly: [1][Ogden CL, 2014] group parenting sessions, [2][Rodgers RF, 2013] children's sessions, and [3][Draxten M, 2014] homework assignments. At baseline, post‐intervention, and 9‐month follow‐up, staff assessed children's weight and height. Parents completed surveys assessing parenting skills, feeding behaviors, and children's weight‐related behaviors. Results From baseline to 9‐month follow‐up, BMI decreased by a mean of 0.13 kg m −2 among children in the intervention and increased by 0.21 kg m −2 among children in the control, resulting in a nonsignificant difference (multivariate adjusted difference = −0.36; 95% confidence interval [CI] −1.23, 0.51; P = 0.41). Parents in the intervention decreased restrictive feeding practices relative to control (−0.30; 95% CI −0.53, −0.07; P = 0.01). Intervention and control arms showed similar changes in children's weight‐related behaviors. Conclusions The intervention improved restrictive feeding but did not influence children's BMI or weight‐related behaviors compared to controls who received weekly mailings.