ABSTRACT
Background
There is little information on the effects of parent-led interventions on promoting
obesity-specific parenting behaviours and reducing children’s obesity status among
socioeconomically vulnerable families.
Aim
We examined the effects of a parent-led childhood obesity management program on parenting
antecedent factors, parenting behaviours, children’s healthy lifestyle behaviours,
and children’s obesity status, based on the Theory of Planned Behaviour framework.
Methods
A randomised controlled trial was conducted (Trial no. KCT0006351KCT0006351). The
participants were 52 pairs of parents and their overweight/obese children who were
enrolled in either one of the Dream Start Centres or Community Child Centres in Seoul,
South Korea. They were randomly allocated into either the intervention group (n = 26)
or the control group (n = 26). The intervention group received a 12-week program that
consisted of multiple behavioural and environmental strategies implemented through
four intervention modes including home visits. The primary outcome was parenting behaviour;
secondary outcomes were parenting antecedent factors and children’s variables. Outcomes
were measured at baseline and after 12 weeks.
Findings
Compared to the control group, the intervention group showed significantly higher
overall scores of parenting behaviours with significantly increased levels of parenting
antecedent factors, higher percentages of recommended fruit and vegetable intake and
moderate physical activity (p < 0.05 for all), and lower body mass index z-scores among children (p < 0.001).
Discussion and conclusion
The parent-led childhood obesity management program may effectively improve parenting
behaviours for promoting children’s healthy eating and activity behaviours and reducing
children’s obesity status among socioeconomically vulnerable families.
Keywords
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Article info
Publication history
Published online: February 27, 2023
Accepted:
December 12,
2022
Received in revised form:
December 5,
2022
Received:
May 23,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Australian College of Nursing Ltd. Published by Elsevier Ltd.
