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Engaging Children to Support Parental Weight Loss: A Randomized Trial

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Title: Engaging Children to Support Parental Weight Loss: A Randomized Trial
Language: English
Authors: Winston, Ginger (ORCID 0000-0001-7873-5777), Sifat, Munjireen, Phillips, Erica, Dietz, William, Wikner, Emily, Barrow, Maya, Khurana, Kunal, Charlson, Mary
Source: Health Education & Behavior. Oct 2019 46(5):755-762.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Peer Reviewed: Y
Page Count: 8
Publication Date: 2019
Document Type: Journal Articles
Reports - Research
Descriptors: Children, Eating Habits, Parent Child Relationship, Parents, Intervention, Body Weight, Compliance (Psychology), Exercise, Body Composition, Body Height, Preadolescents, Adolescents, Social Support Groups, Physical Activity Level, Program Effectiveness, Family Environment, Predictor Variables
Geographic Terms: District of Columbia
DOI: 10.1177/1090198119853005
ISSN: 1090-1981
Abstract: Background: Despite evidence that social network members influence the eating behaviors of adults, no study to date has had the primary aim of examining children as support partners for parents in a weight loss intervention. Aim: To evaluate parent adherence with eating/exercise goals and weight loss in a 6-month study engaging children as support partners. Method: Adults with obesity (body mass index = 30 kg/m2, n = 102) and at least one child =12 years were randomized to a child support or control group. In the child support group, children enrolled with their parent and engaged in a supportive behavior 2 days/week. In the control group, there was no enrolled child support. Parents in both groups selected a healthy eating strategy and daily step goal. Results: There was no difference in weight loss between the child support and control groups (-5.97 vs. -5.42 lbs, p = 0.81). In the child support group, 30% of children did not engage in the study. The majority of parents whose children did not engage withdrew from the study. In secondary analyses, parent adherence with eating/exercise goals increased with the days of child support (p < 0.001). For all participants, low chaos in the home environment (p < 0.04) and increased parent adherence with follow-ups (p < 0.008) predicted weight loss. Conclusions. We found no treatment effect of child support on weight loss. Active child support of eating/exercise goals appeared to facilitate goal adherence, while anticipated but unrealized child support may have had iatrogenic consequences. Further investigation of family-focused weight loss interventions is warranted.
Abstractor: As Provided
Entry Date: 2019
Accession Number: EJ1228854
Database: ERIC
FullText Text:
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PubType: Academic Journal
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  Data: Engaging Children to Support Parental Weight Loss: A Randomized Trial
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  Data: English
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Winston%2C+Ginger%22&quot;&gt;Winston, Ginger&lt;/searchLink&gt; (ORCID &lt;externalLink term=&quot;https://orcid.org/0000-0001-7873-5777&quot;&gt;0000-0001-7873-5777&lt;/externalLink&gt;)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sifat%2C+Munjireen%22&quot;&gt;Sifat, Munjireen&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Phillips%2C+Erica%22&quot;&gt;Phillips, Erica&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Dietz%2C+William%22&quot;&gt;Dietz, William&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wikner%2C+Emily%22&quot;&gt;Wikner, Emily&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Barrow%2C+Maya%22&quot;&gt;Barrow, Maya&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Khurana%2C+Kunal%22&quot;&gt;Khurana, Kunal&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Charlson%2C+Mary%22&quot;&gt;Charlson, Mary&lt;/searchLink&gt;
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
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  Data: 8
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Children%22&quot;&gt;Children&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Eating+Habits%22&quot;&gt;Eating Habits&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Parent+Child+Relationship%22&quot;&gt;Parent Child Relationship&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Parents%22&quot;&gt;Parents&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Intervention%22&quot;&gt;Intervention&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Body+Weight%22&quot;&gt;Body Weight&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Compliance+%28Psychology%29%22&quot;&gt;Compliance (Psychology)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Exercise%22&quot;&gt;Exercise&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Body+Composition%22&quot;&gt;Body Composition&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Body+Height%22&quot;&gt;Body Height&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Preadolescents%22&quot;&gt;Preadolescents&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Adolescents%22&quot;&gt;Adolescents&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Social+Support+Groups%22&quot;&gt;Social Support Groups&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Physical+Activity+Level%22&quot;&gt;Physical Activity Level&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Program+Effectiveness%22&quot;&gt;Program Effectiveness&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Family+Environment%22&quot;&gt;Family Environment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Predictor+Variables%22&quot;&gt;Predictor Variables&lt;/searchLink&gt;
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  Data: 10.1177/1090198119853005
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  Data: 1090-1981
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Despite evidence that social network members influence the eating behaviors of adults, no study to date has had the primary aim of examining children as support partners for parents in a weight loss intervention. Aim: To evaluate parent adherence with eating/exercise goals and weight loss in a 6-month study engaging children as support partners. Method: Adults with obesity (body mass index = 30 kg/m2, n = 102) and at least one child =12 years were randomized to a child support or control group. In the child support group, children enrolled with their parent and engaged in a supportive behavior 2 days/week. In the control group, there was no enrolled child support. Parents in both groups selected a healthy eating strategy and daily step goal. Results: There was no difference in weight loss between the child support and control groups (-5.97 vs. -5.42 lbs, p = 0.81). In the child support group, 30% of children did not engage in the study. The majority of parents whose children did not engage withdrew from the study. In secondary analyses, parent adherence with eating/exercise goals increased with the days of child support (p &lt; 0.001). For all participants, low chaos in the home environment (p &lt; 0.04) and increased parent adherence with follow-ups (p &lt; 0.008) predicted weight loss. Conclusions. We found no treatment effect of child support on weight loss. Active child support of eating/exercise goals appeared to facilitate goal adherence, while anticipated but unrealized child support may have had iatrogenic consequences. Further investigation of family-focused weight loss interventions is warranted.
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  Data: 2019
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  Data: EJ1228854
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1228854
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  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1177/1090198119853005
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 755
    Subjects:
      – SubjectFull: Children
        Type: general
      – SubjectFull: Eating Habits
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      – SubjectFull: Parent Child Relationship
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      – SubjectFull: Parents
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      – SubjectFull: Intervention
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      – SubjectFull: Body Weight
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      – SubjectFull: Compliance (Psychology)
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      – SubjectFull: Exercise
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      – SubjectFull: Body Composition
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      – SubjectFull: Body Height
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      – SubjectFull: Preadolescents
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      – SubjectFull: Social Support Groups
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      – SubjectFull: Predictor Variables
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      – TitleFull: Engaging Children to Support Parental Weight Loss: A Randomized Trial
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