Parenting and childhood obesity : Validation of a new questionnaire and evaluation of treatment effects during the preschool years

Autor: Sofia Ljung, Pernilla Sandvik, Karin Eli, Maria Somaraki, Anna Ek, Veronica Mildton, Paulina Nowicka
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Questionnaires
Pediatric Obesity
Psychometrics
Physiology
Emotions
Social Sciences
Pediatrics
obesity treatment
emotions and communication in parenting
preschoolers
randomized controlled trial
Fathers
Surveys and Questionnaires
Medicine and Health Sciences
Psychology
Public and Occupational Health
Early childhood
Child
Multidisciplinary
Nutrition and Dietetics
Parenting
Pediatrik
Näringslära
Physiological Parameters
Research Design
Child
Preschool
Medicine
Female
Clinical psychology
Research Article
Childhood Obesity
RJ
Science
Parenting Behavior
Physical activity
MEDLINE
Mothers
Body weight
Research and Analysis Methods
Childhood obesity
medicine
Humans
Obesity
Nutrition
Behavior
Survey Research
business.industry
Body Weight
Biology and Life Sciences
Physical Activity
medicine.disease
Diet
Food
business
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 9, p e0257187 (2021)
ISSN: 1932-6203
Popis: ObjectivesParenting is an integral component of obesity treatment in early childhood. However, the link between specific parenting practices and treatment effectiveness remains unclear. This paper introduces and validates a new parenting questionnaire and evaluates mothers’ and fathers’ parenting practices in relation to child weight status during a 12-month childhood obesity treatment trial.MethodsFirst, a merged school/clinical sample (n = 558, 82% mothers) was used for the factorial and construct validation of the new parenting questionnaire. Second, changes in parenting were evaluated using clinical data from the More and Less Study, a randomized controlled trial (RCT) with 174 children (mean age = 5 years, mean Body Mass Index Standard Deviation Score (BMI SDS) = 3.0) comparing a parent support program (with and without booster sessions) and standard treatment. Data were collected at four time points over 12 months. We used linear mixed models and mediation models to investigate associations between changes in parenting practices and treatment effects.FindingsThe validation of the questionnaire (9 items; responses on a 5-point Likert scale) revealed two dimensions of parenting (Cronbach’s alpha ≥0.7): setting limits to the child and regulating one’s own emotions when interacting with the child, both of which correlated with feeding practices and parental self-efficacy. We administered the questionnaire to the RCT participants. Fathers in standard treatment increased their emotional regulation compared to fathers in the parenting program (p = 0.03). Mothers increased their limit-setting regardless of treatment allocation (p = 0.01). No treatment effect was found on child weight status through changes in parenting practices.ConclusionTaken together, the findings demonstrate that the new questionnaire assessing parenting practices proved valid in a 12-month childhood obesity trial. During treatment, paternal and maternal parenting practices followed different trajectories, though they did not mediate treatment effects on child weight status. Future research should address the pathways whereby maternal and paternal parenting practices affect treatment outcomes, such as child eating behaviors and weight status.
Databáze: OpenAIRE
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