Using the Intervention Mapping protocol to develop a family-based intervention for improving lifestyle habits among overweight and obese children: study protocol for a quasi-experimental trial

Tonje Holte Stea, Tommy Haugen, Sveinung Berntsen, Vigdis Guttormsen, Nina Cecilie Øverby, Kristin Haraldstad, Eivind Meland, Eirik Abildsnes, Tonje Holte Stea, Tommy Haugen, Sveinung Berntsen, Vigdis Guttormsen, Nina Cecilie Øverby, Kristin Haraldstad, Eivind Meland, Eirik Abildsnes

Abstract

Background: In light of the high prevalence of childhood overweight and obesity, there is a need of developing effective prevention programs to address the rising prevalence and the concomitant health consequences. The main aim of the present study is to systematically develop and implement a tailored family-based intervention for improving lifestyle habits among overweight and obese children, aged 6-10 years old, enhancing parental self-efficacy, family engagement and parent-child interaction. A subsidiary aim of the intervention study is to reduce the prevalence of overweight and obesity among those participating in the intervention study.

Methods/design: The Intervention Mapping protocol was used to develop a tailored family-based intervention for improving lifestyle habits among overweight and obese children. In order to gather information on local opportunities and barriers, interviews with key stakeholders and a 1-year pilot study was conducted. The main study has used a quasi-experimental controlled design. Locally based Healthy Life Centers and Public Health Clinics are responsible for recruiting families and conducting the intervention. The effect of the study will be measured both at completion of the 6 months intervention study and 6 and 18 months after the intervention period. An ecological approach was used as a basis for developing the intervention. The behavioral models and educational strategies include individual family counselling meetings, workshops focusing on regulation of family life, nutrition courses, and physical activity groups providing tailored information and practical learning sessions. Parents will be educated on how to use these strategies at home, to further support their children in improving their behaviors.

Discussion: A systematic and evidence-based approach was used for development of this family-based intervention study targeting overweight and obese children, 6-10 years old. This program, if feasible and effective, may be adjusted to local contexts and implemented in all municipal health care institutions in Norway.

Trial registration: NCT02247219 . Prospectively registered on October 26, 2014.

Keywords: Childhood obesity; Energy balance related behavior; Intervention Mapping protocol; Parental involvement.

Figures

Fig. 1
Fig. 1
Study design describing pre- and post-testing

References

    1. Lobstein T, Baur L, Uauy R. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5(Suppl 1):4–104. doi: 10.1111/j.1467-789X.2004.00133.x.
    1. Juliusson PB, Eide GE, Roelants M, Waaler PE, Hauspie R, Bjerknes R. Overweight and obesity in Norwegian children: prevalence and socio-demographic risk factors. Acta Paediatr. 2010;99(6):900–5. doi: 10.1111/j.1651-2227.2010.01730.x.
    1. Norwegian Institute of Public Health . Barn, miljø og helse. Risiko- og helsefremmende faktorer. [Children’s Health and the Environment Report.] Oslo: Folkehelseinstituttet; 2016.
    1. Norwegian Ministry of Health and Care Services . Samhandlingsreformen: Rett behandling - på rett sted - til rett tid. [The Coordination Reform. Proper treatment - at the right place and right time.] Oslo: Helse- og omsorgsdepartementet, St.meld.nr.47; 2009.
    1. Waxman A, Norum KR. WHO global strategy on diet, physical activity and health. Food Nutr Bull. 2004;25(3):292–302. doi: 10.1177/156482650402500310.
    1. The Norwegian Directorate of Health . Nasjonale faglige retningslinjer for veiing og måling i helsestasjons- og- skolehelsetjenesten. [National guidelines for measuring height and weight in primary health care service and school health services.] Oslo: Helsedirektoratet; 2010.
    1. The Norwegian Directorate of Health . Nasjonale faglige retningslinjer for primærhelsetjenesten. Forebygging og behandling av overvekt og fedme hos barn og unge. [National guideline for the prevention, identification and treatment of overweight and obesity in children and adolescents.] Oslo: Helsedirektoratet; 2010.
    1. Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. JAMA. 2003;289(14):1813–9. doi: 10.1001/jama.289.14.1813.
    1. Wardle J, Cooke L. The impact of obesity on psychological well-being. Best Pract Res Clin Endocrinol Metab. 2005;19(3):421–440. doi: 10.1016/j.beem.2005.04.006.
    1. Fonseca H, Matos MG, Guerra A, Pedro JG. Are overweight and obese adolescents different from their peers? Int J Pediatr Obes. 2009;4(3):166–74. doi: 10.1080/17477160802464495.
    1. Wabitsch M. Overweight and obesity in European children: definition and diagnostic procedures, risk factors and consequences for later health outcome. Eur J Pediatr. 2000;159(Suppl 1):8–13. doi: 10.1007/PL00014368.
    1. Procter KL. The aetiology of childhood obesity: a review. Nutr Res Rev. 2007;20(1):29–45. doi: 10.1017/S0954422407746991.
    1. Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure. Lancet. 2002;360(9331):473–82. doi: 10.1016/S0140-6736(02)09678-2.
    1. Daniels SR, Arnett DK, Eckel RH, Gidding SS, Hayman LL, Kumanyika S, Robinson TN, Scott BJ, StJeor S, Williams CL. Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation. 2005;111(15):1999–2012. doi: 10.1161/01.CIR.0000161369.71722.10.
    1. Glavin K, Roelants M, Strand BH, Júlíusson PB, Lie KK, Helseth S, Hovengen R. Important periods of weight development in childhood: a population-based longitudinal study. BMC Public Health. 2014;14:160. doi: 10.1186/1471-2458-14-160.
    1. Sundblom E, Petzold M, Rasmussen F, Callmer E, Lissner L. Childhood overweight and obesity prevalences levelling off in Stockholm but socioeconomic differences persist. Int J Obes (Lond) 2008;32(10):1525–30. doi: 10.1038/ijo.2008.104.
    1. Grøholt EK, Stigum H, Nordhagen R. Overweight and obesity among adolescents in Norway: cultural and socio-economic differences. J Public Health (Oxf) 2008;30(3):258–65. doi: 10.1093/pubmed/fdn037.
    1. Guo SS, Huang C, Maynard LM, Demerath E, Towne B, Chumlea WC, Siervogel RM. Body mass index during childhood, adolescence and young adulthood in relation to adult overweight and adiposity: the Fels Longitudinal Study. Int J Obes Relat Metab Disord. 2000;24(12):1628–35. doi: 10.1038/sj.ijo.0801461.
    1. Guo SS, Wu W, Chumlea WC, Roche AF. Predicting overweight and obesity in adulthood from body mass index values in childhood and adolescence. Am J Clin Nutr. 2002;76(3):653–8.
    1. Whitaker RC, Wright JA, Pepe M, Seidel KD, Dietz WH. Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 1997;337(13):869–73. doi: 10.1056/NEJM199709253371301.
    1. Reilly JJ, Methven E, McDowell ZC, Hacking B, Alexander D, Stewart L, Kelnar CJH. Health consequences of obesity. Arch Dis Child. 2003;88(9):748–52. doi: 10.1136/adc.88.9.748.
    1. Trasande L, Elbel B. The economic burden placed on healthcare systems by childhood obesity. Expert Rev Pharmacoecon Outcomes Res. 2012;12(1):39–45. doi: 10.1586/erp.11.93.
    1. Chan M. WHO Director-General addresses childhood obesity commission. Opening remarks at the second meeting of the high-level Commission on Ending Childhood Obesity. Geneva, Switzerland, 2015. (). Assessed 20 Nov 2015.
    1. Dietz W. The obesity epidemic in young children: reduce television viewing and promote playing. BMJ. 2001;322(7282):313–4. doi: 10.1136/bmj.322.7282.313.
    1. Danielsen YS, Juliusson PB, Nordhus IH, Kleiven M, Meltzer HM, Olsson SJ, Pallesen S. The relationship between life-style and cardio-metabolic risk indicators in children: the importance of screen time. Acta Paediatr. 2011;100(2):253–9. doi: 10.1111/j.1651-2227.2010.02098.x.
    1. Bronfennbrenner U. The ecology of human development: experiments by nature and design. Cambridge: Harvard University Press; 1977.
    1. Golan M. Parents as agents of change in childhood obesity – from research to practice. Int J Pediatr Obes. 2006;1(2):66–76. doi: 10.1080/17477160600644272.
    1. Davison KK, Lawson HA, Coatsworth JD. The Family-centered Action Model of Intervention Layout and Implementation (FAMILI): the example of childhood obesity. Health Promot Pract. 2012;13(4):454–61. doi: 10.1177/1524839910377966.
    1. Elvsaas I-KØ, Juvet LK, Giske L, Fure B. Effectiveness of interventions for overweight or obesity in children and adolescents. Report from the Norwegian Institute of Public Health. 2016.
    1. Brug J, Oenema A, Ferreira I. Theory, evidence and Intervention Mapping to improve behavior nutrition and physical activity interventions. Int J Behav Nutr Phys Act. 2005;2(1):2. doi: 10.1186/1479-5868-2-2.
    1. Bartholomew Eldrigde LK, Markham CM, Ruiter RAC, Fernàndez ME, Kok G, Parcel GS. Planning health promotion programs: an Intervention Mapping approach. 4. Hoboken: Wiley; 2016.
    1. The Norwegian Directorate of Health . Veileder for kommunale frisklivssentraler. Etablering og organisering. [Recommendations for establishing and organizing municipal Healthy Living Centres.] Oslo: Helsedirektoratet; 2013.
    1. Malterud K. Systematic text condensation: a strategy for qualitative analysis. Scand J Public Health. 2012;40(8):795–805. doi: 10.1177/1403494812465030.
    1. Leech RM, McNaughton SA, Timperio A. Clustering of diet, physical activity and sedentary behaviour among Australian children: cross-sectional and longitudinal associations with overweight and obesity. Int J Obes (Lond) 2015;39(7):1079–85. doi: 10.1038/ijo.2015.66.
    1. Fuller-Tyszkiewicz M, Skouteris H, Hardy LL, Halse C. The associations between TV viewing, food intake, and BMI. A prospective analysis of data from the Longitudinal Study of Australian Children. Appetite. 2012;59(3):945–8. doi: 10.1016/j.appet.2012.09.009.
    1. Mushtaq MU, Gull S, Mushtaq K, Shahid U, Shad MA, Akram J. Dietary behaviors, physical activity and sedentary lifestyle associated with overweight and obesity, and their socio-demographic correlates, among Pakistani primary school children. Int J Behav Nutr Phys Act. 2011;8:130. doi: 10.1186/1479-5868-8-130.
    1. De Bourdeaudhuij I, Verloigne M, Maes L, Van Lippevelde W, Chinapaw MJ, Te Velde SJ, Manios Y, Androutsos O, Kovacs E, Dössegger A, Brug J. Associations of physical activity and sedentary time with weight and weight status among 10- to 12-year-old boys and girls in Europe: a cluster analysis within the ENERGY project. Pediatr Obes. 2013;8(5):367–75. doi: 10.1111/j.2047-6310.2012.00117.x.
    1. Wilkie HJ, Standage M, Gillison FB, Cumming SP, Katzmarzyk PT. Multiple lifestyle behaviours and overweight and obesity among children aged 9-11 years: results from the UK site of the International Study of Childhood Obesity, Lifestyle and the Environment. BMJ Open. 2016;6(2):e010677. doi: 10.1136/bmjopen-2015-010677.
    1. de Jong E, Stocks T, Visscher TL, HiraSing RA, Seidell JC, Renders CM. Association between sleep duration and overweight: the importance of parenting. Int J Obes (Lond) 2012;36(10):1278–84. doi: 10.1038/ijo.2012.119.
    1. Morano M, Rutigliano I, Rago A, Pettoello-Mantovani M, Campanozzi A. A multicomponent, school-initiated obesity intervention to promote healthy lifestyles in children. Nutrition. 2016;32(10):1075–80. doi: 10.1016/j.nut.2016.03.007.
    1. De Miguel-Etayo P, Bueno G, Garagorri JM, Moreno LA. Interventions for treating obesity in children. World Rev Nutr Diet. 2013;108:98–106. doi: 10.1159/000351493.
    1. Xu H, Wen LM, Rissel C. Associations of parental influences with physical activity and screen time among young children: a systematic review. J Obes. 2015;2015:546925. doi: 10.1155/2015/546925.
    1. Saelens BE, Lozano P, Scholz K. A randomized clinical trial comparing delivery of behavioral pediatric obesity treatment using standard and enhanced motivational approaches. J Pediatr Psychol. 2013;38(9):954–64. doi: 10.1093/jpepsy/jst054.
    1. Nyberg G, Norman Å, Sundblom E, Zeebari Z, Elinder LS. Effectiveness of a universal parental support programme to promote health behaviours and prevent overweight and obesity in 6-year-old children in disadvantaged areas, the Healthy School Start Study II, a cluster-randomised controlled trial. Int J Behav Nutr Phys Act. 2016;13(1):4. doi: 10.1186/s12966-016-0327-4.
    1. Lindsay AC, Sussner KM, Kim J, Gortmaker S. The role of parents in preventing childhood obesity. Future Child. 2006;16(1):169–86. doi: 10.1353/foc.2006.0006.
    1. Fuemmeler BF, Yang C, Costenzo P, Hoyle RH, Siegler IC, Williams RB, Østbye T. Parenting styles and body mass index trajectories from adolescence to adulthood. Health Psychol. 2012;31(4):441–9. doi: 10.1037/a0027927.
    1. Luttikhuis OH, Baur L, Jansen H, Shrewsbury VA, O’Malley C, Stolk RP and Summerbell CD. Interventions for treating obesity in children. Cochrane Database Syst Rev. 2009(1): Art. No.: CD001872. DOI: 10.1002/14651858.CD001872.pub2.
    1. The Norwegian Directorate of Health . Ernæringskompetanse i helse- og omsorgstjenesten. [Nutritional Competence in the Health and Care Services] Oslo: Helsedirektoratet; 2012.
    1. Miller WR. Motivational interviewing: research, practice, and puzzles. Addict Behav. 1996;21:835–42. doi: 10.1016/0306-4603(96)00044-5.
    1. Michie S, Abraham C. Interventions to change health behaviours: evidence-based or evidence-inspired? Psychol Health. 2004;19(1):29–49. doi: 10.1080/0887044031000141199.
    1. Michie S, Prestwich A. Are interventions theory-based? Development of a theory coding scheme. Health Psychol. 2010;29:1–8. doi: 10.1037/a0016939.
    1. Ryan RM, Deci EL. Active human nature: self-determination theory and the promotion and maintenance of sport, exercise, and health. In: Hagger MS, Chatzisarantis NLD, editors. Intrinsic motivation and self-determination in exercise and sport. Champaign: Human Kinetics; 2007. pp. 1–19.
    1. Ryan R, Patrick H, Deci EL, Williams GC. Facilitating health behavior change and its maintenance: interventions based on self-determination theory. Eur Health Psychol. 2008;10:2–5.
    1. Deci EL, Ryan RM. The “what” and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychol Inq. 2000;11:227–68. doi: 10.1207/S15327965PLI1104_01.
    1. Patric H, Williams G. Self-determination theory; its application to health behavior and complementarity with motivational interviewing. Int J Behav Nutr Phys Act. 2012;9:18. doi: 10.1186/1479-5868-9-18.
    1. Williams GC, Grow VM, Freedman ZR, Ryan RM, Deci EL. Motivational predictors of weight loss and weight-loss maintenance. J Pers Soc Psychol. 1996;70:115–26. doi: 10.1037/0022-3514.70.1.115.
    1. Vansteenkiste M, Williams GC, Resnicow K. Toward systematic integration between self-determination theory and motivational interviewing as examples of top-down and bottom-up intervention development: autonomy or volition as a fundamental theoretical principle. Int J Behav Nutr Phys Act. 2012;9:23. doi: 10.1186/1479-5868-9-23.
    1. Amstrong MJ, Mottershead TA, Ronksley PE, Sigal RJ, Campbell TS, Hemmelgarn BR. Motivational interviewing to improve weight loss in overweight and/or obese patients: a systematic review and meta-analysis of randomized controlled trials. Obes Rev. 2011;12:709–23.
    1. Abildsnes E, Meland E, Samdal GB, Stea TH, Mildestvedt T. Stakeholders” expectations of healthy life centers: a focus group study. Scand J Public Health. 2016. Epub ahead of print.
    1. Oude Luttikhuis H, Baur L, Jansen H, Shrewsbury VA, O’Malley C, Stolk RP, Summerbell CD. Interventions for treating obesity in children. Cochrane Database Syst Rev. 2009;1:CD001872.
    1. Lloyd AB, Lubans DR, Plotnikoff RC, Collins CE, Morgan PJ. Maternal and paternal parenting practices and their influence on children’s adiposity, screen-time, diet and physical activity. Appetite. 2014;79:149–57. doi: 10.1016/j.appet.2014.04.010.

Source: PubMed

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