The Impact of a Family-Based Assessment and Intervention Healthy Lifestyle Programme on Health Knowledge and Beliefs of Children with Obesity and Their Families
Objective: To determine the impact of a family-based assessment-and-intervention healthy lifestyle programme on health knowledge and beliefs of children and families affected by obesity. Second, to compare the health knowledge of the programme cohort to those of a national cohort in Aotearoa/New Zea...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-10-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/20/4363 |
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| author | Dayna T. Te’o Cervantée E. K. Wild Esther J. Willing Lisa E. Wynter Niamh A. O’Sullivan Paul L. Hofman Sarah E. Maessen José G. B. Derraik Yvonne C. Anderson |
| author_facet | Dayna T. Te’o Cervantée E. K. Wild Esther J. Willing Lisa E. Wynter Niamh A. O’Sullivan Paul L. Hofman Sarah E. Maessen José G. B. Derraik Yvonne C. Anderson |
| author_sort | Dayna T. Te’o |
| collection | DOAJ |
| description | Objective: To determine the impact of a family-based assessment-and-intervention healthy lifestyle programme on health knowledge and beliefs of children and families affected by obesity. Second, to compare the health knowledge of the programme cohort to those of a national cohort in Aotearoa/New Zealand (NZ). Design: This mixed-methods study collected health knowledge and health belief data in a questionnaire at baseline and 12-, 24-, and 60-month follow-up assessments. Health knowledge over time was compared with baseline knowledge and with data from a nationally representative survey. A data-driven subsumption approach was used to analyse open-text responses to health belief questions across the study period. Setting: Taranaki region, a mixed urban–rural setting in NZ. Participants: Participants (caregiver/child dyads) from the Whānau Pakari randomised trial. Results: A greater proportion of the cohort correctly categorised foods and drinks as healthy or unhealthy at 12 months compared to baseline for most questionnaire items. Retention of this health knowledge was evident at 24- and 60-month follow-ups. More than twice as many participants correctly reported physical activity recommendations at follow-up compared to baseline (<i>p</i> < 0.001). Health knowledge of participants was similar to the national survey cohort at baseline, but surpassed it at 12 and 24 months. Participant beliefs around healthy lifestyles related to physical functioning, mental and emotional wellbeing, and enhancement of appearance, and gained greater depth and detail over time. Conclusions: This study demonstrates the important role that community-level healthy lifestyle programmes can have in knowledge-sharing and health promotion. |
| first_indexed | 2024-03-09T19:38:49Z |
| format | Article |
| id | doaj.art-84e7fac28bf147c19c7a662f19ec688e |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-09T19:38:49Z |
| publishDate | 2022-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-84e7fac28bf147c19c7a662f19ec688e2023-11-24T01:45:24ZengMDPI AGNutrients2072-66432022-10-011420436310.3390/nu14204363The Impact of a Family-Based Assessment and Intervention Healthy Lifestyle Programme on Health Knowledge and Beliefs of Children with Obesity and Their FamiliesDayna T. Te’o0Cervantée E. K. Wild1Esther J. Willing2Lisa E. Wynter3Niamh A. O’Sullivan4Paul L. Hofman5Sarah E. Maessen6José G. B. Derraik7Yvonne C. Anderson8Department of Paediatrics, Taranaki Base Hospital, Taranaki District Health Board, David Street, New Plymouth 4310, New ZealandDepartment of Paediatrics: Child and Youth Health, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandKōhatu—Centre for Hauora Māori, Division of Health Sciences, University of Otago, Dunedin 9016, New ZealandDepartment of Paediatrics, Taranaki Base Hospital, Taranaki District Health Board, David Street, New Plymouth 4310, New ZealandDepartment of Paediatrics, Taranaki Base Hospital, Taranaki District Health Board, David Street, New Plymouth 4310, New ZealandLiggins Institute, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandDepartment of Paediatrics: Child and Youth Health, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandDepartment of Paediatrics: Child and Youth Health, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandDepartment of Paediatrics: Child and Youth Health, Faculty of Medical and Health Sciences, University of Auckland, Private Bag 92019, Auckland 1142, New ZealandObjective: To determine the impact of a family-based assessment-and-intervention healthy lifestyle programme on health knowledge and beliefs of children and families affected by obesity. Second, to compare the health knowledge of the programme cohort to those of a national cohort in Aotearoa/New Zealand (NZ). Design: This mixed-methods study collected health knowledge and health belief data in a questionnaire at baseline and 12-, 24-, and 60-month follow-up assessments. Health knowledge over time was compared with baseline knowledge and with data from a nationally representative survey. A data-driven subsumption approach was used to analyse open-text responses to health belief questions across the study period. Setting: Taranaki region, a mixed urban–rural setting in NZ. Participants: Participants (caregiver/child dyads) from the Whānau Pakari randomised trial. Results: A greater proportion of the cohort correctly categorised foods and drinks as healthy or unhealthy at 12 months compared to baseline for most questionnaire items. Retention of this health knowledge was evident at 24- and 60-month follow-ups. More than twice as many participants correctly reported physical activity recommendations at follow-up compared to baseline (<i>p</i> < 0.001). Health knowledge of participants was similar to the national survey cohort at baseline, but surpassed it at 12 and 24 months. Participant beliefs around healthy lifestyles related to physical functioning, mental and emotional wellbeing, and enhancement of appearance, and gained greater depth and detail over time. Conclusions: This study demonstrates the important role that community-level healthy lifestyle programmes can have in knowledge-sharing and health promotion.https://www.mdpi.com/2072-6643/14/20/4363pediatricobesitycommunityrandomized clinical trialhealth promotionhealth literacy |
| spellingShingle | Dayna T. Te’o Cervantée E. K. Wild Esther J. Willing Lisa E. Wynter Niamh A. O’Sullivan Paul L. Hofman Sarah E. Maessen José G. B. Derraik Yvonne C. Anderson The Impact of a Family-Based Assessment and Intervention Healthy Lifestyle Programme on Health Knowledge and Beliefs of Children with Obesity and Their Families Nutrients pediatric obesity community randomized clinical trial health promotion health literacy |
| title | The Impact of a Family-Based Assessment and Intervention Healthy Lifestyle Programme on Health Knowledge and Beliefs of Children with Obesity and Their Families |
| title_full | The Impact of a Family-Based Assessment and Intervention Healthy Lifestyle Programme on Health Knowledge and Beliefs of Children with Obesity and Their Families |
| title_fullStr | The Impact of a Family-Based Assessment and Intervention Healthy Lifestyle Programme on Health Knowledge and Beliefs of Children with Obesity and Their Families |
| title_full_unstemmed | The Impact of a Family-Based Assessment and Intervention Healthy Lifestyle Programme on Health Knowledge and Beliefs of Children with Obesity and Their Families |
| title_short | The Impact of a Family-Based Assessment and Intervention Healthy Lifestyle Programme on Health Knowledge and Beliefs of Children with Obesity and Their Families |
| title_sort | impact of a family based assessment and intervention healthy lifestyle programme on health knowledge and beliefs of children with obesity and their families |
| topic | pediatric obesity community randomized clinical trial health promotion health literacy |
| url | https://www.mdpi.com/2072-6643/14/20/4363 |
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