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Engaging parents using web-based feedback on child growth to reduce childhood obesity: a mixed methods study

Rinita Dam1,2, Heather Anne Robinson3, Sarah Vince-Cain4

  • 1Radcliffe Department of Medicine, Medical Sciences Division, John Radcliffe Hospital, University of Oxford, Oxford, OX3 9DU, UK. rinita.dam@rdm.ox.ac.uk.

BMC Public Health
|March 15, 2019
PubMed

Insights

The Children's Health and Monitoring Programme (CHAMP) shows that parental registration and feedback on Body Mass Index (BMI) can help reduce childhood obesity and improve growth trajectories. This digital tool supports healthier lifestyles for children.

Area of Science:

  • Public Health
  • Pediatrics
  • Digital Health Interventions

Background:

  • Rising childhood obesity necessitates innovative monitoring and intervention strategies.
  • The Children's Health and Monitoring Programme (CHAMP) was developed to track child growth and combat obesity in Manchester, UK.
  • CHAMP offers annual Body Mass Index (BMI) measurements and feedback to parents via a secure website, a unique digital approach.

Purpose of the Study:

  • To evaluate the engagement effectiveness of the CHAMP intervention with parents.
  • To assess CHAMP's role in supporting the reduction of childhood obesity.
  • To investigate the impact of CHAMP on child growth trajectories.

Main Methods:

  • Analysis of anonymised CHAMP registration and BMI data (UK1990) from 63,337 primary school children (2013-2017).
  • Comparison of BMI change over time in matched cohorts of 24,551 children based on parental CHAMP website registration.
  • Qualitative exploration of perspectives from 29 parents, school, and healthcare professionals through focus groups and interviews.

Main Results:

  • Children of CHAMP-registered parents showed reduced BMI centile gain compared to non-registered children (overweight: -0.4 vs. 0.14; normal weight: -0.3 vs. 0.8).
  • Significant improvements in BMI centile change were observed in overweight and normal-weight children whose parents registered with CHAMP (P=0.02 and P=0.001, respectively).
  • Qualitative data indicated strong parental and staff support for CHAMP, with reported positive psychological and behavioral impacts on families' health choices.

Conclusions:

  • CHAMP demonstrates potential as a monitoring system and digital intervention to foster positive lifestyle changes.
  • The program shows promise in supporting healthier growth trajectories for children.
  • Early findings suggest CHAMP can effectively engage parents and contribute to childhood obesity reduction efforts.
Abstract

Keywords:
Body mass indexDigital interventionHealth educationMixed methods studyPaediatric obesityParents

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