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    Digital technology to facilitate proactive assessment of obesity risk during infancy (ProAsk): a feasibility study

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    Authors
    Redsell, Sarah A
    Rose, Jennie
    Weng, Stephen
    Ablewhite, Joanne
    Swift, Judy Anne
    Siriwardena, Aloysius Niroshan
    Nathan, Dilip
    Wharrad, Heather J
    Atkinson, Pippa
    Watson, Vicki
    McMaster, Fiona
    Lakshman, Rajalakshmi
    Glazebrook, Cris
    Show allShow less
    Affiliation
    Anglia Ruskin University
    University of Nottingham
    University of Lincoln
    Nottingham University Hospitals Trust
    Cambridgeshire and Peterborough Public Health Directorate
    Issue Date
    2017-09-06
    
    Metadata
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    Abstract
    To assess the feasibility and acceptability of using digital technology for Proactive Assessment of Obesity Risk during Infancy (ProAsk) with the UK health visitors (HVs) and parents. Multicentre, pre- and post-intervention feasibility study with process evaluation. Rural and urban deprived settings, UK community care. 66 parents of infants and 22 HVs. ProAsk was delivered on a tablet device. It comprises a validated risk prediction tool to quantify overweight risk status and a therapeutic wheel detailing motivational strategies for preventive parental behaviour. Parents were encouraged to agree goals for behaviour change with HVs who received motivational interviewing training. We assessed recruitment, response and attrition rates. Demographic details were collected, and overweight risk status. The proposed primary outcome measure was weight-for-age z-score. The proposed secondary outcomes were parenting self-efficacy, maternal feeding style, infant diet and exposure to physical activity/sedentary behaviour. Qualitative interviews ascertained the acceptability of study processes and intervention fidelity. HVs screened 324/589 infants for inclusion in the study and 66/226 (29%) eligible infants were recruited. Assessment of overweight risk was completed on 53 infants and 40% of these were identified as above population risk. Weight-for-age z-score (SD) between the infants at population risk and those above population risk differed significantly at baseline (−0.67 SD vs 0.32 SD). HVs were able to collect data and calculate overweight risk for the infants. Protocol adherence and intervention fidelity was a challenge. HVs and parents found the information provided in the therapeutic wheel appropriate and acceptable. Study recruitment and protocol adherence were problematic. ProAsk was acceptable to most parents and HVs, but intervention fidelity was low. There was limited evidence to support the feasibility of implementing ProAsk without significant additional resources. A future study could evaluate ProAsk as a HV-supported, parent-led intervention.
    Citation
    Redsell, S.A., Rose, J., Weng, S., Ablewhite, J., Swift, J.A., Siriwardena, A.N., Nathan, D., Wharrad, H.J., Atkinson, P., Watson, V. and McMaster, F., 2017. Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study. BMJ open, 7(9), pp. 1-15.
    Publisher
    BMJ
    Journal
    BMJ Open
    URI
    http://hdl.handle.net/10545/625001
    DOI
    10.1136/bmjopen-2017-017694
    Additional Links
    https://bmjopen.bmj.com/content/7/9/e017694.full?ijkey=hb92pnkxDsHzwR2&keytype=ref
    Type
    Article
    Language
    en
    ISSN
    2044-6055
    EISSN
    2044-6055
    ae974a485f413a2113503eed53cd6c53
    10.1136/bmjopen-2017-017694
    Scopus Count
    Collections
    School of Nursing and Professional Practice

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