Pilot of ‘Families for Health’ : community-based family intervention for obesity

Article English OPEN
Robertson, Wendy ; Friede, Tim ; Blissett, Jackie ; Rudolf, Mary C. J. ; Wallis, Maybelle ; Stewart-Brown, Sarah L. (2008)

Objective - To develop and evaluate ‘Families for Health’ - a new community based family intervention for childhood obesity.\ud Design – Programme development, pilot study and evaluation using intention-to-treat analysis.\ud Setting – Coventry, England\ud Participants – 27 overweight or obese children aged 7-13 years (18 girls, 9 boys) and their parents, from 21 families.\ud Intervention – ‘Families for Health’ is a 12 week programme with parallel groups for parents and children, addressing parenting, lifestyle change and social & emotional development.\ud Main Outcome Measures – Primary: change in baseline BMI z-score at end of programme (3 months) and 9 month follow-up. Attendance, drop-out, parents’ perception of programme, child’s quality of life and self esteem, parental mental health, parent-child relationships and lifestyle changes were also measured. Results: Attendance rate was 62%, with 18 of the 27 (67%) children completing the\ud programme. For the 22 children with follow-up data (including 4 drop-outs), BMI z-score was reduced by -0.18 (95%CI -0.30 to -0.05) at end of programme and by -0.21 (-0.35 to -0.07) at 9 months. Statistically significant improvements were observed in children’s quality of life and lifestyle (reduced sedentary behaviour, increased steps and reduced exposure to unhealthy foods), child-parent relationships and parents’ mental health. Fruit and vegetable consumption, participation in moderate/vigorous exercise and children’s self-esteem did not change significantly. Topics on parenting skills, activity\ud and food were rated as helpful and were used with confidence by the majority of parents.\ud Conclusions\ud Families for Health is a promising new childhood obesity intervention. Definitive evaluation of its clinical effectiveness by randomised controlled trial is now required.
  • References (40)
    40 references, page 1 of 4

    1. Health Survey for England 2005, from 'Statistics on obesity, physical activity and diet, England 2006', The Information Centre

    2. Department of Health (2004) Public Health White Paper, Choosing Health: Making healthier choices easier.

    3. Ebbeling CB,Pawlak DB,Ludwig DS Childhood obesity:public-health crisis,common sense cure. Lancet 2002;360:473-82

    4. Reilly JJ, Methven E, McDowell ZC, Hacking B, Alexander D, Stewart L, Kelnar CJH Health consequences of obesity. Arch Dis Child 2003; 88: 748-752.

    5. Summerbell CD, Ashton V, Campbell KJ, Edmunds L, Kelly S, Waters E. Interventions for treating obesity in children (Cochrane Review). In: The Cochrane Library, Issue 4, 2003. Chichester, UK: John Wiley & Sons, Ltd.

    6. McLean N, Griffin S, Toney K, Hardeman W Family involvement in weight control, weight maintenance and weight-loss interventions: a systemtaic review of randomised trials. Int J Obes Relat Metab Disord 2003; 27 (9): 987-1005.

    7. National Institute for Health and Clinical Excellence's (NICE) (2006) Obesity: the prevention, identification, assessment and management of overweight and obesity in adults and children. NICE clinical guideline 43. http://www.nice.org.uk/CG043

    8. Epstein LH, Valoski A, Wing RR, McCurley J. Ten-year outcomes of behavioural family-based treatment for childhood obesity. Health Psychology 1994; 13: 373-383.

    9. Golan M, Crow S Targetting parents exclusively in the treatment of childhood obesity: long-term results. Obesity Research 2004; 12: 357-361.

    10. Israel AC, Stolmaker L, Andrian CAG The effects of training parents in general child management skills on a behavioural weight loss program for children. Behavior Therapy 1985; 16: 169-180.

  • Related Research Results (1)
  • Metrics
    0
    views in OpenAIRE
    0
    views in local repository
    145
    downloads in local repository

    The information is available from the following content providers:

    From Number Of Views Number Of Downloads
    Warwick Research Archives Portal Repository - IRUS-UK 0 145
Share - Bookmark