Two-Year Outcomes of the Enabling Mothers to Prevent Pediatric Obesity through Web-Based Education and Reciprocal Determinism (EMPOWER) Randomized Control Trial

Autor/inn/en	Knowlden, Adam P.; Conrad, Eric
Titel	Two-Year Outcomes of the Enabling Mothers to Prevent Pediatric Obesity through Web-Based Education and Reciprocal Determinism (EMPOWER) Randomized Control Trial
Quelle	In: Health Education & Behavior, 45 (2018) 2, S.262-276 (15 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198117732604
Schlagwörter	Prevention; Obesity; Mothers; Parent Education; Web Based Instruction; Child Health; Intervention; Program Effectiveness; Child Behavior; Behavior Modification; Health Education; Statistical Analysis; Longitudinal Studies; Multivariate Analysis; Pretests Posttests; Ohio (Cincinnati) + Suchen Sie Ihr Suchwort? Prävention; Vorbeugung; Adipositas; Mother; Mutter; Parents education; Elternbildung; Elternschule; Web Based Training; Behaviour modification; Verhaltensänderung; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung; Statistische Analyse; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Multivariate Analyse
Abstract	Background: Childhood overweight and obesity is a public health epidemic with far-reaching medical, economic, and quality of life consequences. Brief, web-based interventions have received increased attention for their potential to combat childhood obesity. The purpose of our study was to evaluate a web-based, maternal-facilitated childhood obesity prevention intervention dubbed Enabling Mothers to Prevent Pediatric Obesity Through Web-Based Education and Reciprocal Determinism (EMPOWER), for its capacity to elicit sustained effects at the 2-year postintervention follow-up mark. Method: Two interventions were evaluated using a randomized controlled trial design. The experimental, EMPOWER arm received a social cognitive theory intervention (n = 29) designed to improve four maternal-facilitated behaviors in children (fruit and vegetable consumption, physical activity, sugar-free beverage intake, screen time). The active control arm received a knowledge-based intervention dubbed Healthy Lifestyles (n = 28), which also targeted the same four behaviors. Results: We identified a significant group-by-time interaction of small effect size for child fruit and vegetable consumption (p = 0.033; Cohen's f = 0.139) in the EMPOWER group. The construct of maternal-facilitated environment was positively associated to improvements in child fruit and vegetable behavior. We also found significant main effects for child physical activity (p = 0.024; Cohen's f = 0.124); sugar-free beverage intake (p < 0.001; Cohen's f = 0.321); and screen time (p < 0.001; Cohen's f = 0.303), suggesting both groups improved in these behaviors over time. Conclusions: The EMPOWER arm of the trial resulted in an overall increase of 1.680 daily cups of fruits and vegetables consumed by children, relative to the comparison group (p < .001, 95% confidence interval = [1.113, 2.248]). Web-based maternal-facilitated interventions can induce sustained effects on child behaviors. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01