A set of pedagogical recommendations for improving the integrated approach to childhood obesity

Abstract Background Studies increasingly emphasize the importance of the parents’ role in interventions designed to prevent overweight in children. The aim of this study was to develop a unified set of recommendations for healthy parenting practices that can be applied by all professionals who work with children age 4-13 years and can contribute to strengthening the integrated approach to childhood overweight. Methods A modified Delphi procedure was used to reach consensus regarding what these pedagogical recommendations should encompass. The 30 panelists were professionals and researchers who work with children in the domains of health care, overweight, parenting, education, nutrition, and/or sports. The procedure consisted of: i) extracting existing pedagogical recommendations from national guidelines and professional protocols, ii) appraising and prioritizing these recommendations in terms of relevance through two rounds of questionnaires, and iii) meeting to discuss and approve the set of recommendations. Results Consensus was reached for one set of eleven pedagogical theme-based recommendations designed to support and instruct parents how to stimulate healthy energy balance-related behaviors in their child. Each recommendation contained information regarding: i) which behaviors are important, ii) why this is important, and iii) how parents can stimulate this behavior by applying parenting skills. The eleven themes were: modeling, positive parenting, breakfast, varied diet, sugar-sweetened beverages, snacks, physical activity, playing sports, quantity of screen time, screen time during meals, and sleep. Conclusions We developed a set of recommendations for healthy parenting that can be used by various professionals working with children age 4-13 and can contribute to creating an integrated approach to childhood overweight. We also developed a web-based app called “Recommendations for Healthy Parenting” as a convenient tool for following these recommendations. Key messages Our set of recommendations for healthy parenting can be used by various professionals who work with school-aged children, thereby helping strengthen the integrated approach to childhood overweight. We developed and released a Dutch web app entitled “11 Recommendations for Healthy Parenting” to provide a convenient tool for easily communicating these recommendations to parents.

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An integrated approach to individual and collaborative learning in a web-based learning environment

10.3115/1150240.1150297 ◽

1999 ◽

Cited By ~ 9

Author(s):

Sadhana Puntambekar

Keyword(s):

Collaborative Learning ◽

Learning Environment ◽

Integrated Approach ◽

Web Based ◽

Web Based Learning

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Operationalizing the 2018 World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) Cancer Prevention Recommendations: A Standardized Scoring System (P13-034-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz036.p13-034-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Marissa Shams-White ◽

Alice Bender ◽

Nigel Brockton ◽

Susannah Brown ◽

Lisa Kahle ◽

...

Keyword(s):

Cancer Research ◽

Cancer Prevention ◽

Past Research ◽

Healthy Weight ◽

National Guidelines ◽

Physically Active ◽

Supplement Use ◽

Funding Sources ◽

Sweetened Beverages ◽

Definition Of

Abstract Objectives To develop a standardized AICR/WCRF Score that measures adherence to the 2018 WCRF/AICR Cancer Prevention Recommendations and provide guidance for its application in research. Methods Each of the updated 2018 WCRF/AICR Cancer Prevention Recommendations and the associated goals and statements of advice were examined to inform the definition of a new Score. For each of the weight, physical activity, diet, and breastfeeding-specific recommendations, components and subcomponents were created. Standards for scoring each component were established based on quantitative guidance specified in the recommendations; however, if no specificity was provided, other guidelines (e.g., national guidelines), past research that operationalized 2007 WCRF/AICR recommendations, and expert panel advice were evaluated. Results The proposed AICR/WCRF Score includes eight of the ten WCRF/AICR 2018 recommendations: 1) Be a healthy weight, 2) Be physically active, 3) Eat a diet rich in whole grains, vegetables, fruits, and beans, 4) Limit consumption of fast foods and other processed foods high in fat, starches, or sugars, 5) Limit consumption of red and processed meats, 6) Limit consumption of sugar-sweetened beverages, 7) Limit alcohol consumption, and, optionally, 8) For mothers: breastfeed your baby, if you can. Each of the components are worth one point: 1, 0.5, and 0 points for fully, partially, and not meeting the recommendations, respectively (total Score: 0–7 or 8 points). Two recommendations were not included in the Score due to uncertain intent of supplement use (Do not use supplements for cancer prevention) and the redundancy of the dependent components in the final recommendation (After a cancer diagnosis: follow our Recommendations, if you can). Additional guidance will stress the importance of taking into account other risk factors, such as smoking, in relevant models using the new Score. Conclusions The AICR/WCRF Score is a practical tool operationalizing the 2018 recommendations. Future studies are needed to further examine how adherence to the Score relates to cancer risk and mortality in various populations. Funding Sources None.

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Psychometric properties of instruments to measure parenting practices and children’s movement behaviors in low-income families from Brazil

BMC Medical Research Methodology ◽

10.1186/s12874-021-01320-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Widjane Sheila Ferreira Goncalves ◽

Rebecca Byrne ◽

Pedro Israel Cabral de Lira ◽

Marcelo Tavares Viana ◽

Stewart G. Trost

Keyword(s):

Physical Activity ◽

Internal Consistency ◽

Screen Time ◽

Parenting Practices ◽

Concurrent Validity ◽

Retest Reliability ◽

Culturally Adapted ◽

Total Movement ◽

Objectively Measured ◽

Test Retest Reliability

Abstract Background Childhood obesity has increased remarkably in low and middle-income (LMIC) countries. Movement behaviors (physical activity, screen time, and sleep) are crucial in the development of overweight and obesity in young children. Yet, few studies have investigated the relationship between children’s movement behaviors and parenting practices because validated measures for use among families from LMIC are lacking. This study evaluated the psychometric properties of previously validated measures of young children’s physical activity, screen time, and sleep and parenting practices, translated and culturally adapted to Brazilian families. Methods A total of 78 parent-child dyads completed an interviewer-administered survey twice within 7 days. Child physical activity, sedentary time and sleep were concurrently measured using a wrist-worn accelerometer. Internal consistency and test-retest reliability was assessed using McDonald’s Omega and Intraclass Correlation Coefficients (ICC’s). Concurrent validity was evaluated by calculating Spearman correlations between parent reported child behaviors and accelerometer measured behaviors. Results Seventeen of the 19 parenting practices scales exhibited acceptable internal consistency reliability (Ω ≥ 0.70). Test-retest reliability ICC’s were acceptable and ranged from 0.82 - 0.99. Parent reported child physical activity was positively correlated with objectively measured total movement (rho= 0.29 - 0.46, p < .05) and energetic play (rho= 0.29 – 0.40, p < .05). Parent reported child screen time was positively correlated with objectively measured sedentary time; (rho = 0.26, p < .05), and inversely correlated with total movement (rho = - 0.39 – - 0.41, p < .05) and energetic play (rho = - 0.37 – - 0.41, p < .05). Parent reported night-time sleep duration was significantly correlated with accelerometer measured sleep duration on weekdays (rho = 0.29, p < .05), but not weekends. Conclusions Measurement tools to assess children’s movement behaviors and parenting practices, translated and culturally adapted for use in Brazilian families, exhibited acceptable evidence of concurrent validity, internal consistency, and test-retest reliability.

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Evaluation of Food-Intake Behavior in a Healthy Population: Personalized vs. One-Size-Fits-All

Nutrients ◽

10.3390/nu12092819 ◽

2020 ◽

Vol 12 (9) ◽

pp. 2819

Author(s):

Femke P. M. Hoevenaars ◽

Charlotte M. M. Berendsen ◽

Wilrike J. Pasman ◽

Tim J. van den Broek ◽

Emmanuel Barrat ◽

...

Keyword(s):

Food Intake ◽

Whole Grains ◽

Dietary Advice ◽

Controlled Clinical Trial ◽

Healthy Population ◽

National Guidelines ◽

Sweetened Beverages ◽

Gender And Age ◽

Health Initiatives ◽

Added Salt

In public health initiatives, generic nutrition advice (GNA) from national guidelines has a limited effect on food-intake improvement. Personalized nutrition advice (PNA) may enable dietary behavior change. A monocentric, randomized, parallel, controlled clinical trial was performed in males (n = 55) and females (n = 100) aged 25 to 70 years. Participants were allocated to control, GNA or PNA groups. The PNA group consisted of automatically generated dietary advice based on personal metabolic health parameters, dietary intake, anthropometric and hemodynamic measures, gender and age. Participants who received PNA (n = 51) improved their nutritional intake status for fruits P (p < 0.0001), whole grains (p = 0.008), unsalted nuts (p < 0.0001), fish (p = 0.0003), sugar-sweetened beverages (p = 0.005), added salt (p = 0.003) and less unhealthy choices (p = 0.002), whereas no improvements were observed in the control and GNA group. PNA participants were encouraged to set a goal for one or multiple food categories. Goal-setting led to greater improvement of food categories within the PNA group including; unsalted nuts (p < 0.0001), fruits (p = 0.0001), whole grains (p = 0.005), fish (p = 0.0001), dairy (p = 0.007), vegetables (p = 0.01) and unhealthy choices (p = 0.02). In a healthy population, participants receiving PNA changed their food-intake behavior more favorably than participants receiving GNA or no advice. When personal goals were set, nutritional behavior was more prone to change.

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A Newsletter/Text Message Intervention Promoting Beverage-Related Parenting Practices: Pilot Test Results

Health Promotion Practice ◽

10.1177/1524839918779381 ◽

2018 ◽

Vol 20 (6) ◽

pp. 897-904 ◽

Cited By ~ 1

Author(s):

Arwa Zahid ◽

Marla Reicks

Keyword(s):

Rural Areas ◽

Parenting Practices ◽

Text Message ◽

Text Messages ◽

Potential Health ◽

Sugar Sweetened Beverage ◽

Sweetened Beverages ◽

Reduce Sugar ◽

Text Message Intervention ◽

Home Availability

Positive beverage parenting practices may reduce sugar-sweetened beverage consumption by children and prevent potential health problems. An online newsletter/text message intervention was conducted with parents of children 6 to 12 years to improve beverage parenting practices. Newsletters and text messages were sent weekly over a 4-week period providing gain-framed messages encouraging parenting practices including role modeling and controlling home beverage availability. Pre–post surveys included measures of home availability of beverages and parent beverage intake as an indication of parenting practices. Parents were primarily White, well-educated, and female. About one third lived in rural areas. Results from 100 parents with pre–post data from baseline to 4 weeks showed decreased reported home availability of regular soda pop (p = .008), decreased parent intake of sweetened beverages (p = .004), and decreased parent-reported child intake of regular soft drinks (p = .001), and sweetened juice drink beverages (p < .0001). Most parents (82%) reported reading all three newsletters and indicated that the information provided was relevant (93%). A brief newsletter/text message intervention may be a positive and convenient approach to promote positive beverage parenting practices.

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Multidisciplinary consensus recommendations for the management of non-spine bone metastases: Results of a modified Delphi process in a community-academic partnership.

Journal of Clinical Oncology ◽

10.1200/jco.2021.39.15_suppl.e24092 ◽

2021 ◽

Vol 39 (15_suppl) ◽

pp. e24092-e24092

Author(s):

Noah J Mathis ◽

Jonathan T. Yang ◽

Maksim Vaynrub ◽

Ernesto Santos Martin ◽

Rupesh Kotecha ◽

...

Keyword(s):

Bone Metastases ◽

A Priori ◽

Multidisciplinary Treatment ◽

Local Therapy ◽

Delphi Process ◽

National Guidelines ◽

Consensus Recommendations ◽

Modified Delphi ◽

Pain Specialist ◽

Strongly Agree

e24092 Background: Local therapy for bone metastases is becoming increasingly complex, but national guidelines remain limited. We leveraged a community-academic partnership to develop consensus recommendations for multidisciplinary treatment of non-spine bone metastases which are generalizable to diverse practice settings. Methods: We convened a group of 15 physicians (9 radiation oncologists, 2 orthopaedic surgeons, 2 medical oncologists, 1 interventional radiologist, 1 interventional pain specialist) treating bone metastases across 4 institutions from Apr 2020-Feb 2021. We distributed a survey to identify questions warranting consensus development in the treatment of non-spine bone metastases. A literature review was conducted to inform answer statements, and evidence was rated using the Strength of Recommendation Taxonomy. A modified Delphi process was employed to reach consensus defined (a priori) as ³75% of respondents indicating “agree” or “strongly agree”. Results: A total of 16 questions were identified, including indications for multidisciplinary discussion or referral (n=4), appropriate use and duration of RT (n=4), and handling of systemic therapies during RT (n=5). After 2 rounds of modified Delphi process, consensus has been reached on 9 questions (see Table). Strength of Recommendation was rated A (1/9, 11%), B (5/9, 56%), or C (3/9, 33%). Conclusions: Our consensus process provides guidance for management of non-spine bone metastases that expands upon current guidelines. We also highlight areas where prospective trials are needed, including the role of RT prior to stabilization surgery and the selection of patients for ablative treatment. [Table: see text]

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Can Parenting Practices Moderate the Relationship between Reward Sensitivity and Adolescents’ Consumption of Snacks and Sugar-Sweetened Beverages?

Nutrients ◽

10.3390/nu12010178 ◽

2020 ◽

Vol 12 (1) ◽

pp. 178 ◽

Cited By ~ 2

Author(s):

Wendy Van Lippevelde ◽

Leentje Vervoort ◽

Jolien Vangeel ◽

Lien Goossens

Keyword(s):

Parenting Practices ◽

Reward Sensitivity ◽

Sugar Sweetened Beverages ◽

Cross Sectional ◽

Moderation Effect ◽

Sweetened Beverages ◽

Daily Intakes ◽

Reported Data ◽

The Impact ◽

The Relationship

Background: Reward sensitivity has been associated with adolescents’ intake of unhealthy snacks and sugar-sweetened beverages. However, so far, there are no studies published describing the impact of parenting practices on this relationship. The present study will, therefore, investigate whether food parenting practices can moderate the association between reward sensitivity and diet intakes. Method: A cross-sectional research study was conducted among 14- to 16-year old Flemish adolescents (n = 867, age 14.7 ± 0.8 y, 48.1% boys) and a subset of their parents (n = 131), collecting data on daily intakes, reward sensitivity, and food parenting practices. Linear regression was used to assess the moderation effect of parenting practices (both adolescent- and parent-reported) on the relationship between reward sensitivity, and diet using SPSS 25.0. Results: In the main analysis (adolescent-reported), no significant moderation effects were found for parenting practices on the relationship between reward sensitivity and diet. However, the sensitivity analysis (parent-reported) showed a moderation effect for health-reducing parenting practices on the association between reward sensitivity and unhealthy snack intake (β = 0.297, 95% CI = 0.062, 0.531, p = 0.01). Conclusion: Given the difference in the effect of parenting practices between the adolescent- and parent-reported data, our inconclusive findings warrant more research in larger adolescent-parent dyad samples.

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Trust in Virtual Communities

Information Security and Ethics ◽

10.4018/978-1-59904-937-3.ch165 ◽

2008 ◽

pp. 2500-2504

Author(s):

Eun G. Park

Keyword(s):

Virtual Communities ◽

Virtual Community ◽

Integrated Approach ◽

Future Research ◽

Trust Building ◽

Web Based ◽

Trust Establishment ◽

Cultural Aspects ◽

Definition Of ◽

Technical Solutions

Trust is one of the key factors that emerged as a significant concept in virtual communities. Trust is so complicated that it is hard to define in one standardized way. Trust issues have evolved into two major ways in the fields of virtual community and security. Among a huge literature concerning trust in virtual communities, a majority of literature addresses technical solutions on trust-building by providing new Web-based applications. They range from human users authorization, semantic Web, agent technologies and access control of network to W3C standardization for content trust and security. Some examples include AT&T’s Policymaker or IBM’s Trust Establishment Module (Blaze, Feigenbaum, & Lacy, 1996; Herzberg, 2000). Only a minority deals with understanding the concept of trust and sources of trust-building from social and cultural aspects. It appears to miss the essence of trust in virtual communities, although an integrated approach is needed for building trust in communication and the use of virtual communities. This article aims to present the definition of trust and relevant concepts for recognizing sources of trust-building in virtual communities. This article also presents future research implications for further development on trust and trust-building in virtual communities.

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Trust in Virtual Communities

Encyclopedia of Virtual Communities and Technologies ◽

10.4018/978-1-59140-563-4.ch088 ◽

2011 ◽

pp. 449-451

Author(s):

Eun G. Park

Keyword(s):

Virtual Communities ◽

Virtual Community ◽

Integrated Approach ◽

Future Research ◽

Trust Building ◽

Web Based ◽

Trust Establishment ◽

Cultural Aspects ◽

Definition Of ◽

Technical Solutions

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An Integrated Approach to 3D Web Visualization of Cultural Heritage Heterogeneous Datasets

Remote Sensing ◽

10.3390/rs11212508 ◽

2019 ◽

Vol 11 (21) ◽

pp. 2508 ◽

Cited By ~ 3

Author(s):

Argyro-Maria Boutsi ◽

Charalabos Ioannidis ◽

Sofia Soile

Keyword(s):

Cultural Heritage ◽

Programming Languages ◽

Large Scale ◽

User Interaction ◽

Holistic Approach ◽

Integrated Approach ◽

3D Models ◽

Data Interoperability ◽

Web Based ◽

3D Scene

The evolution of the high-quality 3D archaeological representations from niche products to integrated online media has not yet been completed. Digital archives of the field often lack multimodal data interoperability, user interaction and intelligibility. A web-based cultural heritage archive that compensates for these issues is presented in this paper. The multi-resolution 3D models constitute the core of the visualization on top of which supportive documentation data and multimedia content are spatial and logical connected. Our holistic approach focuses on the dynamic manipulation of the 3D scene through the development of advanced navigation mechanisms and information retrieval tools. Users parse the multi-modal content in a geo-referenced way through interactive annotation systems over cultural points of interest and automatic narrative tours. Multiple 3D and 2D viewpoints are enabled in real-time to support data inspection. The implementation exploits front-end programming languages, 3D graphic libraries and visualization frameworks to handle efficiently the asynchronous operations and preserve the initial assets’ accuracy. The choice of Greece’s Meteora, UNESCO world site, as a case study accounts for the platform’s applicability to complex geometries and large-scale historical environments.

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