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Using Intervention Mapping to develop the Parents as Agents of Change (PAC©) intervention for managing pediatric

Geoff D C Ball1, Aislin R Mushquash2,3, Rachel A Keaschuk4

  • 1Department of Pediatrics, University of Alberta, Room 4-515, Edmonton Clinic Health Academy, 11405-87th Ave, Edmonton, AB, T6G 1C9, Canada. gdball@ualberta.ca.

BMC Research Notes
|January 15, 2017
PubMed

Insights

A new parent-based weight management program, Parents as Agents of Change (PAC), was developed using Intervention Mapping to address pediatric obesity. This evidence-based intervention is designed for parents of children aged 8-12 with obesity.

Area of Science:

  • Pediatric Health
  • Obesity Intervention
  • Behavioral Science

Background:

  • Pediatric obesity rates are rising, posing significant psychosocial and physical health risks.
  • Children with obesity often become adults with obesity, necessitating early intervention.
  • Evidence-based healthcare interventions are crucial for managing childhood obesity and promoting family well-being.

Purpose of the Study:

  • To describe the development and implementation of a parent-based weight management intervention for children with obesity.
  • To outline the planned evaluation of this novel intervention.
  • To provide a model for developing and evaluating pediatric obesity interventions within healthcare settings.

Main Methods:

  • Intervention Mapping (IM) framework guided the systematic development process.
  • Data collection included environmental scans, qualitative interviews, quantitative medical record reviews, and literature reviews.
  • Curriculum development integrated family systems theory and cognitive behavioral theory.

Main Results:

  • The Parents as Agents of Change (PAC©) intervention was developed as a manualized, 16-session, group-based program.
  • PAC addresses individual, family, and environmental factors influencing pediatric obesity management.
  • The intervention was refined based on expert feedback and successfully implemented in a children's hospital weight management center.

Conclusions:

  • Intervention Mapping provided a practical framework for systematic intervention development.
  • The PAC intervention offers a theory- and evidence-based approach to pediatric weight management.
  • The PAC intervention was subsequently evaluated in a randomized clinical trial (NCT01267097).
Abstract

Keywords:
ChildCognitive therapyObesityParentsPediatric obesityWeight reduction programs

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