Engaging parents using web-based feedback on child growth to reduce childhood obesity: a mixed methods study.
Body mass index
Digital intervention
Health education
Mixed methods study
Paediatric obesity
Parents
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
13 Mar 2019
13 Mar 2019
Historique:
received:
11
04
2018
accepted:
01
03
2019
entrez:
15
3
2019
pubmed:
15
3
2019
medline:
11
5
2019
Statut:
epublish
Résumé
To measure trends in child growth and combat rising levels of obesity, Manchester University NHS Foundation Trust and the University of Manchester have developed Children's Health and Monitoring Programme (CHAMP). CHAMP collects an annual measurement for primary school children (aged 4 to 11) in Manchester, England, and offers feedback of Body Mass Index (BMI) results to parents via a secure website. No similar digital tool exists that both provides high resolution data on the trajectory of child growth and acts as a feedback and monitoring system. This study investigates how effectively this intervention engaged with parents and supported the reduction of childhood obesity. Anonymised CHAMP registration and BMI data (UK1990) were collected between September 2013 and March 2017 from a total of 63,337 children. BMI change over time was compared in matched cohorts of 24,551 children, whose parents had and had not registered with the CHAMP website. Qualitative focus groups and interviews were used to explore perspectives among 29 key informants (parents, school and healthcare professionals) from six schools in Manchester. Overweight children whose parents had not registered with the CHAMP website gained a median of 0.14 BMI centile between measurements, whilst children of CHAMP-registered parents reduced their BMI by a median of 0.4 centile per year (P = 0.02). Normal weight children of registered parents decreased their BMI by 0.3 centile each year, whilst those not registered increased their BMI by 0.8 centile per year (P = 0.001). There was no significant association between registration and BMI centile change in children already classified as obese (P = 0.34). A qualitative, thematic analysis revealed that the annual measurement programme was widely supported by parents and staff. A range of psychological and behavioural impacts on families were reported as a result of the monitoring and feedback processes, in some cases prompting reflection and monitoring of health and lifestyle choices. These early findings indicate that CHAMP, as both a monitoring system and a digital intervention, could encourage positive lifestyle change and support healthier child growth trajectories.
Sections du résumé
BACKGROUND
BACKGROUND
To measure trends in child growth and combat rising levels of obesity, Manchester University NHS Foundation Trust and the University of Manchester have developed Children's Health and Monitoring Programme (CHAMP). CHAMP collects an annual measurement for primary school children (aged 4 to 11) in Manchester, England, and offers feedback of Body Mass Index (BMI) results to parents via a secure website. No similar digital tool exists that both provides high resolution data on the trajectory of child growth and acts as a feedback and monitoring system. This study investigates how effectively this intervention engaged with parents and supported the reduction of childhood obesity.
METHODS
METHODS
Anonymised CHAMP registration and BMI data (UK1990) were collected between September 2013 and March 2017 from a total of 63,337 children. BMI change over time was compared in matched cohorts of 24,551 children, whose parents had and had not registered with the CHAMP website. Qualitative focus groups and interviews were used to explore perspectives among 29 key informants (parents, school and healthcare professionals) from six schools in Manchester.
RESULTS
RESULTS
Overweight children whose parents had not registered with the CHAMP website gained a median of 0.14 BMI centile between measurements, whilst children of CHAMP-registered parents reduced their BMI by a median of 0.4 centile per year (P = 0.02). Normal weight children of registered parents decreased their BMI by 0.3 centile each year, whilst those not registered increased their BMI by 0.8 centile per year (P = 0.001). There was no significant association between registration and BMI centile change in children already classified as obese (P = 0.34). A qualitative, thematic analysis revealed that the annual measurement programme was widely supported by parents and staff. A range of psychological and behavioural impacts on families were reported as a result of the monitoring and feedback processes, in some cases prompting reflection and monitoring of health and lifestyle choices.
CONCLUSION
CONCLUSIONS
These early findings indicate that CHAMP, as both a monitoring system and a digital intervention, could encourage positive lifestyle change and support healthier child growth trajectories.
Identifiants
pubmed: 30866878
doi: 10.1186/s12889-019-6618-3
pii: 10.1186/s12889-019-6618-3
pmc: PMC6415344
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
300Subventions
Organisme : British Heart Foundation
ID : FS/12/81/29882
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_PC_13042
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/K006665/1
Pays : United Kingdom
Références
Health Educ Res. 2006 Dec;21(6):761-9
pubmed: 17093140
Obesity (Silver Spring). 2008 Mar;16(3):630-6
pubmed: 18239596
BMC Public Health. 2016 Aug 20;16:846
pubmed: 27544538
Eur J Epidemiol. 2016 May;31(5):513-25
pubmed: 26297214
Int J Prev Med. 2012 Jan;3(1):1-7
pubmed: 22506094
Cochrane Database Syst Rev. 2015 Dec 21;(12):CD012008
pubmed: 26690844
Cochrane Database Syst Rev. 2011 Dec 07;(12):CD001871
pubmed: 22161367
Circ Res. 2016 May 27;118(11):1752-70
pubmed: 27230640
Pediatr Diabetes. 2008 Jun;9(3 Pt 2):50-6
pubmed: 18540867
Bull World Health Organ. 2007 Sep;85(9):660-7
pubmed: 18026621
Int J Qual Stud Health Well-being. 2014 Oct 16;9:26152
pubmed: 25326092
Pediatrics. 2009 Sep;124 Suppl 1:S63-72
pubmed: 19720669
Pediatrics. 2008 Sep;122(3):e682-8
pubmed: 18762503
Pediatr Obes. 2012 Aug;7(4):284-94
pubmed: 22715120
JAMA. 2017 Jun 20;317(23):2427-2444
pubmed: 28632873
Adolesc Health Med Ther. 2016 Nov 14;7:125-146
pubmed: 27881930
Obes Rev. 2016 Feb;17(2):95-107
pubmed: 26696565
Gerontology. 2014;60(3):222-8
pubmed: 24434909
Arch Pediatr Adolesc Med. 2003 Aug;157(8):765-72
pubmed: 12912782
Exp Ther Med. 2016 Oct;12(4):2395-2399
pubmed: 27703502
Arch Dis Child. 1995 Jul;73(1):25-9
pubmed: 7639544
Public Health Nutr. 2014 May;17(5):987-97
pubmed: 24060095
BMJ. 2018 Feb 7;360:k507
pubmed: 29437669
BMC Public Health. 2014 Jun 03;14:549
pubmed: 24888972
Sci Rep. 2017 Feb 23;7:43422
pubmed: 28230104
Adm Policy Ment Health. 2015 Sep;42(5):533-44
pubmed: 24193818
Mayo Clin Proc. 2017 Feb;92(2):251-265
pubmed: 28065514
Health Serv Res. 2013 Dec;48(6 Pt 2):2134-56
pubmed: 24279835