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Published on: February 2, 2017
Tailored communications for obesity prevention in pediatric primary care: a feasibility study
Julie A Wright1, Jessica A Whiteley1, Bonnie L Watson1
1Department of Exercise and Health Sciences, University of Massachusetts Boston, Boston, MA 02125, USA.
Insights
The Team Up for Health intervention showed high feasibility for childhood obesity prevention during well-child visits. This tailored communication approach is promising but requires further study to confirm its effectiveness.
Area of Science:
- Pediatric primary care
- Public health interventions
- Obesity prevention
Background:
- Childhood obesity prevention guidelines emphasize counseling on healthy behaviors.
- Theory-based, tailored communication interventions can support behavior change.
- Feasibility of integrating such interventions into routine pediatric care needs evaluation.
Purpose of the Study:
- To evaluate the feasibility of the Team Up for Health intervention for childhood obesity prevention.
- To assess the acceptability and implementation of a tailored communication strategy during well-child visits.
- To determine the demand for an obesity prevention program delivered in a primary care setting.
Main Methods:
- A randomized controlled trial involving parents of children aged 4-10 years.
- Comparison of an immediate intervention group with a delayed intervention group.
- Assessment of feasibility across seven domains: recruitment, randomization, measurement, retention, acceptability, implementation, and demand.
Main Results:
- High rates of measurement (85%), acceptability (89%), and implementation (80%) were observed.
- The intervention demonstrated feasibility within the pediatric primary care setting.
- Recruitment, randomization, and retention data also supported feasibility.
Conclusions:
- The Team Up for Health intervention is feasible for childhood obesity prevention.
- Tailored communication strategies can be effectively delivered during well-child visits.
- Further research with larger sample sizes is necessary to establish the intervention's efficacy.
Abstract:
Recommendations for the prevention of childhood obesity encourage providers to counsel parents and their children on healthy diet and activity behaviors. This study evaluated the feasibility of a theory-based, tailored communication intervention for obesity prevention (Team Up for Health) delivered during a well-child visit. A two-armed randomized controlled trial was used. Parents of children aged 4-10 years were recruited from a list of patients due for a well-child visit at a pediatric primary care clinic. Parents were randomized to either the 'immediate' condition (parent and pediatrician received the tailored report at the well-child visit) or the 'delayed' condition (parent received the report at the end of the study). Self-report measures assessed physical activity, fruits, vegetables, television time, sugary drinks, and 100% fruit juice. Parents completed assessments at baseline, <48 h and 4-week follow-up. Providers were interviewed at the end of the study. Independent t-tests were used to examine between group differences. Seven areas of feasibility were evaluated: Recruitment, randomization, measurement, retention, acceptability, implementation and demand. Results showed high rates of measurement (85%) and acceptability (89%) and implementation (80%) of the intervention. In conclusion, Team Up for Health was feasible; however, a larger study is needed to evaluate its efficacy.
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