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Changes in perceived parental self-efficacy after a Child-Centred Health Dialogue about preventing obesity

Derwig, Mariette LU ; Tiberg, Irén LU ; Björk, Jonas LU and Kristensson Hallström, Inger LU (2022) In Acta Paediatrica, International Journal of Paediatrics 111(10). p.1956-1965
Abstract

Aim: This randomised controlled trial evaluated changes in parental self-efficacy and children's weight, after a Child-Centred Health Dialogue about preventing obesity. Methods: We randomly assigned 37 Child Health Centres in Skåne county Sweden to provide usual care or the dialogue intervention. They included centres from high and low socioeconomic areas. The outcomes were changes in parental self-efficacy and any moderating effect on their children's body mass index 1 year later. Results: The baseline data were based on 1115 mothers and 869 fathers representing 1197 children (52% females) aged 4 years (3.9–4.2) with a standardised body mass index (zBMI) of 0.1 ± 0.9. The participation rates at follow-up, 1.1 ± 0.2 years after the... (More)

Aim: This randomised controlled trial evaluated changes in parental self-efficacy and children's weight, after a Child-Centred Health Dialogue about preventing obesity. Methods: We randomly assigned 37 Child Health Centres in Skåne county Sweden to provide usual care or the dialogue intervention. They included centres from high and low socioeconomic areas. The outcomes were changes in parental self-efficacy and any moderating effect on their children's body mass index 1 year later. Results: The baseline data were based on 1115 mothers and 869 fathers representing 1197 children (52% females) aged 4 years (3.9–4.2) with a standardised body mass index (zBMI) of 0.1 ± 0.9. The participation rates at follow-up, 1.1 ± 0.2 years after the intervention were 817 mothers and 508 fathers. Overall, parental self-efficacy had decreased by the 1-year follow-up. There was a significant intervention effect on maternal self-efficacy in promoting physical activity, however with unclear clinical relevance. Mothers' change in perceived self-efficacy in promoting a healthy diet seemed to moderate the intervention effect on zBMI change in children with zBMI > 0 with −0.01 (95% CI: −0.025 to −0.001; p = 0.03). Conclusion: Our study suggested a possible link between increased maternal self-efficacy in promoting a healthy diet and a favourable development of zBMI.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
child-centred, childhood obesity, family-based, parental self-efficacy, prevention
in
Acta Paediatrica, International Journal of Paediatrics
volume
111
issue
10
pages
1956 - 1965
publisher
Wiley-Blackwell
external identifiers
  • scopus:85132574282
  • pmid:35702925
ISSN
0803-5253
DOI
10.1111/apa.16453
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
id
f8e0be49-0230-4d2e-8116-8c8511e291ea
date added to LUP
2022-09-07 14:04:38
date last changed
2024-06-13 19:07:36
@article{f8e0be49-0230-4d2e-8116-8c8511e291ea,
  abstract     = {{<p>Aim: This randomised controlled trial evaluated changes in parental self-efficacy and children's weight, after a Child-Centred Health Dialogue about preventing obesity. Methods: We randomly assigned 37 Child Health Centres in Skåne county Sweden to provide usual care or the dialogue intervention. They included centres from high and low socioeconomic areas. The outcomes were changes in parental self-efficacy and any moderating effect on their children's body mass index 1 year later. Results: The baseline data were based on 1115 mothers and 869 fathers representing 1197 children (52% females) aged 4 years (3.9–4.2) with a standardised body mass index (zBMI) of 0.1 ± 0.9. The participation rates at follow-up, 1.1 ± 0.2 years after the intervention were 817 mothers and 508 fathers. Overall, parental self-efficacy had decreased by the 1-year follow-up. There was a significant intervention effect on maternal self-efficacy in promoting physical activity, however with unclear clinical relevance. Mothers' change in perceived self-efficacy in promoting a healthy diet seemed to moderate the intervention effect on zBMI change in children with zBMI &gt; 0 with −0.01 (95% CI: −0.025 to −0.001; p = 0.03). Conclusion: Our study suggested a possible link between increased maternal self-efficacy in promoting a healthy diet and a favourable development of zBMI.</p>}},
  author       = {{Derwig, Mariette and Tiberg, Irén and Björk, Jonas and Kristensson Hallström, Inger}},
  issn         = {{0803-5253}},
  keywords     = {{child-centred; childhood obesity; family-based; parental self-efficacy; prevention}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{1956--1965}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Acta Paediatrica, International Journal of Paediatrics}},
  title        = {{Changes in perceived parental self-efficacy after a Child-Centred Health Dialogue about preventing obesity}},
  url          = {{http://dx.doi.org/10.1111/apa.16453}},
  doi          = {{10.1111/apa.16453}},
  volume       = {{111}},
  year         = {{2022}},
}