One-Year Efficacy Testing of Enabling Mothers to Prevent Pediatric Obesity through Web-Based Education and Reciprocal Determinism (EMPOWER) Randomized Control Trial

Autor/inn/en	Knowlden, Adam; Sharma, Manoj
Titel	One-Year Efficacy Testing of Enabling Mothers to Prevent Pediatric Obesity through Web-Based Education and Reciprocal Determinism (EMPOWER) Randomized Control Trial
Quelle	In: Health Education & Behavior, 43 (2016) 1, S.94-106 (13 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198115596737
Schlagwörter	Prevention; Obesity; Health Behavior; Child Behavior; Social Cognition; Life Style; Mothers; Pediatrics; Web Based Instruction; Intervention; Control Groups; Experimental Groups; Coping; Self Control; Self Efficacy; Physical Activity Level; Eating Habits; Food; Television Viewing; Family Environment; Program Effectiveness; Children; Young Children; Validity; Measures (Individuals); Structural Equation Models; Parent Child Relationship; Multivariate Analysis; Pretests Posttests + Suchen Sie Ihr Suchwort? Prävention; Vorbeugung; Adipositas; Health behaviour; Gesundheitsverhalten; Soziale Kognition; Lebensstil; Mother; Mutter; Klinische Sozialpädiatrie; Web Based Training; Bewältigung; Selbstbeherrschung; Self-efficacy; Selbstwirksamkeit; Ernährungsgewohnheit; Essgewohnheit; Lebensmittel; Fernsehkonsum; Familienmilieu; Child; Kind; Kinder; Frühe Kindheit; Gültigkeit; Messdaten; Parents-child relationship; Parent-child-relation; Parent-child relationship; Eltern-Kind-Beziehung; Multivariate Analyse
Abstract	Background: The purpose of this study was to evaluate the efficacy of the Enabling Mothers to Prevent Pediatric Obesity through Web-Based Education and Reciprocal Determinism (EMPOWER) intervention at 1-year, postintervention follow-up. Method: A mixed between-within subjects design was used to evaluate the trial. Independent variables included a two-level, group assignment: EMPOWER (experimental intervention) based on social cognitive theory (SCT) as well as a knowledge-based intervention Healthy Lifestyles (active control intervention). Dependent variables were evaluated across four levels of time: baseline (Week 0), posttest (Week 4), 1-month follow-up (Week 8), and 1-year follow-up (Week 60). Dependent variables included five maternal-facilitated SCT constructs (environment, emotional coping, expectations, self-control, and self-efficacy) as well as four child behaviors (minutes of child physical activity, cups of fruits and vegetables consumed, 8-ounce glasses of sugar-sweetened beverages consumed, and minutes of screen time). Null hypotheses implied no significant group-by-time interactions for the dependent variables under investigation. Results: A significant group-by-time interaction for child fruit and vegetable consumption was found in the experimental group (p = 0.012) relative to the control group. At 1 year, results suggested an overall increase of 1.847 cups of fruits and vegetables (95% confidence interval = 1.207-2.498) in the experimental group (p < 0.001). Analysis suggested changes in the maternal-facilitated home environment accounted for 13.3% of the variance in the change in child fruit and vegetable consumption. Improvements in child physical activity, sugar-free beverage intake, and screen time first detected at 1-month follow-up in both groups were no longer significant at 1-year follow-up. Conclusions: An online family-and-home-based intervention was efficacious for improving child fruit and vegetable consumption. Follow-up booster sessions may assist in maintaining treatment effects. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01