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Evaluating parents and adult caregivers as "agents of change" for treating obese children: Evidence for parent behavior change strategies and research gaps: A scientific statement from the American heart association

UNSPECIFIED (2012) Evaluating parents and adult caregivers as "agents of change" for treating obese children: Evidence for parent behavior change strategies and research gaps: A scientific statement from the American heart association. Circulation, 125 (9). 1186 - 1207. ISSN 0009-7322

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Abstract

This scientific statement addresses parents and adult caregivers (PACs) as "agents of change" for obese children, evaluating the strength of evidence that particular parenting strategies can leverage behavior change and reduce positive energy balance in obese youth. The statement has 3 specific aims. The first is to review core behavior change strategies for PACs as used in family-based treatment programs and to provide a resource list. The second is to evaluate the strength of evidence that greater parental " involvement" in treatment is associated with better reductions in child overweight. The third is to identify research gaps and new opportunities for the field. This review yielded limited and inconsistent evidence from randomized controlled clinical trials that greater PAC involvement necessarily is associated with better child outcomes. For example, only 17% of the intervention studies reported differential improvements in child overweight as a function of parental involvement in treatment. On the other hand, greater parental adherence with core behavior change strategies predicted better child weight outcomes after 2 and 5 years in some studies. Thus, the literature lacks conclusive evidence that one particular parenting strategy or approach causally is superior to others in which children have a greater focus in treatment. A number of research gaps were identified, including the assessment of refined parenting phenotypes, cultural tailoring of interventions, examination of family relationships, and incorporation of new technologies. A conceptual model is proposed to stimulate research identifying the determinants of PAC feeding and physical activity parenting practices, the results of which may inform new treatments. The statement addresses the need for innovative research to advance the scope and potency of PAC treatments for childhood obesity. © 2012 American Heart Association, Inc.


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Details

Item Type: Article
Status: Published
Date: 6 March 2012
Date Type: Publication
Journal or Publication Title: Circulation
Volume: 125
Number: 9
Page Range: 1186 - 1207
DOI or Unique Handle: 10.1161/cir.0b013e31824607ee
Schools and Programs: School of Nursing > Nursing
Refereed: Yes
ISSN: 0009-7322
Article Type: Review
MeSH Headings: Adult; American Heart Association; Attitude to Health; Caregivers--psychology; Child; Child Psychology; Health Promotion--methods; Health Promotion--standards; Humans; Obesity--psychology; Obesity--therapy; Parenting--psychology; Parents--psychology; United States
PubMed ID: 22271754
Date Deposited: 20 Sep 2012 20:38
Last Modified: 05 Jan 2019 14:56
URI: http://d-scholarship.pitt.edu/id/eprint/14268

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