Motivational Interviewing to Prevent Childhood Obesity: A Cluster RCT
| Autor: | Christel Larsson, Benjamin Bohman, Margareta Blennow, Lars Forsberg, Nora Döring, Lena Hansson, Per Tynelius, Ata Ghaderi, Elinor Sundblom, Margaretha Magnusson, Berit L. Heitmann, Daniel Berglind, Finn Rasmussen |
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| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Adult Male medicine.medical_specialty Pediatric Obesity Waist Child Health Services Motivational interviewing Mothers Overweight/epidemiology Motivational Interviewing Overweight Childhood obesity law.invention Body Mass Index 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law 030225 pediatrics medicine Prevalence Humans 030212 general & internal medicine Exercise Sweden business.industry Infant Pediatric Obesity/prevention & control Feeding Behavior Anthropometry medicine.disease Intention to Treat Analysis Primary Prevention Socioeconomic Factors Relative risk Child Preschool Pediatrics Perinatology and Child Health Physical therapy Female medicine.symptom Waist Circumference business Body mass index Follow-Up Studies |
| Zdroj: | Döring, N, Ghaderi, A, Bohman, B, Heitmann, B L, Larsson, C, Berglind, D, Hansson, L, Sundblom, E, Magnusson, M, Blennow, M, Tynelius, P, Forsberg, L & Rasmussen, F 2016, ' Motivational interviewing to prevent childhood obesity : A cluster RCT ', Pediatrics, vol. 137, no. 5, e20153104 . https://doi.org/10.1542/peds.2015-3104 |
| ISSN: | 1098-4275 |
| DOI: | 10.1542/peds.2015-3104 |
| Popis: | OBJECTIVE: The objective was to evaluate a manualized theory-driven primary preventive intervention aimed at early childhood obesity. The intervention was embedded in Swedish child health services, starting when eligible children were 9 to 10 months of age and continuing until the children reached age 4. METHODS: Child health care centers in 8 Swedish counties were randomized into intervention and control units and included 1355 families with 1369 infants. Over ∼39 months, families in the intervention group participated in 1 group session and 8 individual sessions with a nurse trained in motivational interviewing, focusing on healthy food habits and physical activity. Families in the control group received care as usual. Primary outcomes were children’s BMI, overweight prevalence, and waist circumference at age 4. Secondary outcomes were children’s and mothers’ food and physical activity habits and mothers’ anthropometrics. Effects were assessed in linear and log-binominal regression models using generalized estimating equations. RESULTS: There were no statistically significant differences in children’s BMI (β = –0.11, 95% confidence interval [CI]: –0.31 to 0.08), waist circumference (β = –0.48, 95% CI: –0.99 to 0.04), and prevalence of overweight (relative risk = 0.95, 95% CI: 0.69 to 1.32). No significant intervention effects were observed in mothers’ anthropometric data or regarding mothers’ and children’s physical activity habits. There was a small intervention effect in terms of healthier food habits among children and mothers. CONCLUSIONS: There were no significant group differences in children’s and mothers’ anthropometric data and physical activity habits. There was, however, some evidence suggesting healthier food habits, but this should be interpreted with caution. |
| Databáze: | OpenAIRE |
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