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Child-centred health dialogue for primary prevention of obesity in child health services – a feasibility study

Derwig, Mariette LU ; Tiberg, Irén LU ; Björk, J and Kristensson Hallström, Inger LU (2019) 26th European Congress on Obesity p.02-092
Abstract
Aims: The aim of this study was to test a Child-Centred Health Dialogue model for primary prevention of obesity for 4-year-old children in Child Health Services, for its feasibility and the responsiveness of its outcomes.
Methods: A feasibility study was set up with a non-randomised quasi-experimental cluster design comparing usual care with a structured multicomponent child-centred health dialogue consisting of two parts: 1) a universal part directed to all children and 2) a targeted part for families where the child is identified with overweight. Results: 203 children participated in child-centred health dialogue while 582 children received usual care. Nurses trained in the model were able to execute both the universal health... (More)
Aims: The aim of this study was to test a Child-Centred Health Dialogue model for primary prevention of obesity for 4-year-old children in Child Health Services, for its feasibility and the responsiveness of its outcomes.
Methods: A feasibility study was set up with a non-randomised quasi-experimental cluster design comparing usual care with a structured multicomponent child-centred health dialogue consisting of two parts: 1) a universal part directed to all children and 2) a targeted part for families where the child is identified with overweight. Results: 203 children participated in child-centred health dialogue while 582 children received usual care. Nurses trained in the model were able to execute both the universal health dialogue and the targeted part of the intervention. Tutorship enabled the nurses to reflect on and discuss their experiences, which strengthened their confidence and security. One year after the intervention fewer normal-weight 4-year-olds in the intervention group had developed overweight at the age of 5 compared to the control group and none had developed obesity. Conclusions: This study demonstrates that a child-centred, multicomponent, interactive intervention for the promotion of healthy lifestyles and primary prevention of obesity for all 4-year-old children participating in Child Health Services is feasible on a small scale. As almost all parents make use of Child Health Services in Sweden, the findings should be confirmed in a randomised controlled trial before the intervention can be implemented on a larger scale.
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author
; ; and
organization
publishing date
type
Contribution to conference
publication status
published
subject
keywords
Primary prevention, Child obesity, health promotion, Child centered
pages
02 - 092
conference name
26th European Congress on Obesity
conference location
Glasgow, United Kingdom
conference dates
2019-04-28 - 2019-05-01
DOI
10.1159/000497797
project
Child Centred Health Dialogue- a model to promote a healthy lifestyle in families and prevent overweight and obesity in preschool children.
LUC3 - Lund University Child Centered Care
language
English
LU publication?
yes
additional info
Obes Facts 2019;12:1–298, p. 213
id
091944a8-b0f0-46c0-841f-034060ae70e8
date added to LUP
2019-06-19 16:26:44
date last changed
2021-06-17 04:05:37
@misc{091944a8-b0f0-46c0-841f-034060ae70e8,
  abstract     = {{Aims: The aim of this study was to test a Child-Centred Health Dialogue model for primary prevention of obesity for 4-year-old children in Child Health Services, for its feasibility and the responsiveness of its outcomes.<br/>Methods: A feasibility study was set up with a non-randomised quasi-experimental cluster design comparing usual care with a structured multicomponent child-centred health dialogue consisting of two parts: 1) a universal part directed to all children and 2) a targeted part for families where the child is identified with overweight. Results: 203 children participated in child-centred health dialogue while 582 children received usual care. Nurses trained in the model were able to execute both the universal health dialogue and the targeted part of the intervention. Tutorship enabled the nurses to reflect on and discuss their experiences, which strengthened their confidence and security. One year after the intervention fewer normal-weight 4-year-olds in the intervention group had developed overweight at the age of 5 compared to the control group and none had developed obesity.  Conclusions: This study demonstrates that a child-centred, multicomponent, interactive intervention for the promotion of healthy lifestyles and primary prevention of obesity for all 4-year-old children participating in Child Health Services is feasible on a small scale. As almost all parents make use of Child Health Services in Sweden, the findings should be confirmed in a randomised controlled trial before the intervention can be implemented on a larger scale.<br/>}},
  author       = {{Derwig, Mariette and Tiberg, Irén and Björk, J and Kristensson Hallström, Inger}},
  keywords     = {{Primary prevention; Child obesity; health promotion; Child centered}},
  language     = {{eng}},
  pages        = {{02--092}},
  title        = {{Child-centred health dialogue for primary prevention of obesity in child health services – a feasibility study}},
  url          = {{http://dx.doi.org/10.1159/000497797}},
  doi          = {{10.1159/000497797}},
  year         = {{2019}},
}