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Promotion of family routines and positive parent-child interactions for obesity prevention: protocol for the 3 pillars study randomized controlled trial

Marsh, Samantha, Gerritsen, Sarah, Taylor, Rachael, Galland, Barbara, Parag, Varsha and Maddison, Ralph 2019, Promotion of family routines and positive parent-child interactions for obesity prevention: protocol for the 3 pillars study randomized controlled trial, JMIR research protocols, vol. 8, no. 4, pp. 1-13, doi: 10.2196/12792.

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Title Promotion of family routines and positive parent-child interactions for obesity prevention: protocol for the 3 pillars study randomized controlled trial
Author(s) Marsh, Samantha
Gerritsen, Sarah
Taylor, Rachael
Galland, Barbara
Parag, Varsha
Maddison, RalphORCID iD for Maddison, Ralph orcid.org/0000-0001-8564-5518
Journal name JMIR research protocols
Volume number 8
Issue number 4
Article ID e12792
Start page 1
End page 13
Total pages 13
Publisher JMIR Publications
Place of publication Toronto, Ont.
Publication date 2019-04
ISSN 1929-0748
Keyword(s) New Zealand
child, preschool
family routines
health behavior
parent-child relations
parenting
pediatric obesity
randomized controlled trial
screen time
sleep
Summary Background: Childhood obesity is a challenging public health issue, with 30% of children aged 2 to 4 years classified as being overweight or obese in New Zealand. This is concerning, given that up to 90% of obese 3-year-old children are overweight or obese by the time they reach adolescence. Interventions that target this age range often fail to demonstrate long-term effectiveness and primarily focus on traditional weight-related behaviors, including diet and physical activity. However, research suggests that targeting nontraditional weight-related behaviors, such as sleep, screen time, and family meals, may be a more effective approach in this age group, given the immense challenges in changing traditional weight-related behaviors in the long term.

Objective: The aim of the proposed study was to develop and pilot the 3 Pillars Study (3PS), a 6-week program for parents of New Zealand toddlers and preschoolers aged 2 to 4 years to promote positive parent-child interactions during 3 family routines, specifically adequate sleep, regular family meals, and restricted screen time.

Methods: Screen time at the end of the 6-week program is the primary endpoint. The effects of the program on screen time, frequency of family meals, parent feeding practices, diet quality, and sleep duration will be piloted using a randomized controlled trial, with outcomes compared between the active intervention group and a wait-list control group at 6 weeks (at the end of the program) and 12 weeks (at final follow-up). We aim to recruit 50 participants (25 per arm). Eligibility criteria include parents of children aged 2 to 4 years who are currently exceeding screen use recommendations (ie, greater than 1 hour of screen time per day). The 3PS program involves a half-day workshop, run by a community worker trained to deliver the program content, and 6-week access to a study website that contains in-depth information about the program. All participants will also receive a study pack, which includes resources to encourage engagement in the 3 family routines promoted by the program. Study data will be collected in REDCap. All statistical analyses will be performed using SAS version 9.4 and have been specified a priori in a statistical analysis plan prepared by the study statistician.

Results: Trial recruitment opened in July 2018. Final follow-up was completed in December 2018, with trial findings expected to be available in early 2019.

Conclusions: Findings from this pilot study will provide relevant data to inform the design of a larger effectiveness study of the 3PS program.

Trial Registration: Australian New Zealand Clinical Trials Register ACTRN12618000823279; https://www.anzctr.org. au/Trial/Registration/TrialReview.aspx?id=375004 (Archived by WebCite at http://www.webcitation.org/773CALeTK)

International Registered Report Identifier (IRRID): DERR1-10.2196/12792
Language eng
DOI 10.2196/12792
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, Samantha Marsh, Sarah Gerritsen, Rachael Taylor, Barbara Galland, Varsha Parag, Ralph Maddison
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30121016

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.