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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, Jonas LU and Hallström, Inger LU (2021) In Scandinavian Journal of Public Health 49(4). p.384-392
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: In total, 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... (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: In total, 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 five compared with the control group, and none had developed obesity. The difference in overweight prevalence at follow-up did not reach statistical significance. 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 caregivers 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 journal
publication status
published
subject
keywords
child-centred, family therapy, health literacy, health promotion, preschool, Primary care, primary prevention obesity
in
Scandinavian Journal of Public Health
volume
49
issue
4
pages
9 pages
publisher
SAGE Publications
external identifiers
  • pmid:31854251
  • scopus:85077628854
ISSN
1403-4948
DOI
10.1177/1403494819891025
project
LUC3 - Lund University Child Centered Care
Child Centred Health Dialogue- a model to promote a healthy lifestyle in families and prevent overweight and obesity in preschool children.
language
English
LU publication?
yes
id
980d28d9-6297-4fea-a4ed-f3c9ae68f98e
date added to LUP
2020-01-23 12:46:33
date last changed
2024-03-20 03:21:36
@article{980d28d9-6297-4fea-a4ed-f3c9ae68f98e,
  abstract     = {{<p>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: In total, 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 five compared with the control group, and none had developed obesity. The difference in overweight prevalence at follow-up did not reach statistical significance. 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 caregivers 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.</p>}},
  author       = {{Derwig, Mariette and Tiberg, Irén and Björk, Jonas and Hallström, Inger}},
  issn         = {{1403-4948}},
  keywords     = {{child-centred; family therapy; health literacy; health promotion; preschool; Primary care; primary prevention obesity}},
  language     = {{eng}},
  month        = {{06}},
  number       = {{4}},
  pages        = {{384--392}},
  publisher    = {{SAGE Publications}},
  series       = {{Scandinavian Journal of Public Health}},
  title        = {{Child-Centred Health Dialogue for primary prevention of obesity in Child Health Services – a feasibility study}},
  url          = {{http://dx.doi.org/10.1177/1403494819891025}},
  doi          = {{10.1177/1403494819891025}},
  volume       = {{49}},
  year         = {{2021}},
}