scholarly journals Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250231
Author(s):  
Ana Isabel Gomes ◽  
Ana Isabel Pereira ◽  
Magda Sofia Roberto ◽  
Klara Boraska ◽  
Luisa Barros
Keyword(s):  
Systematic Review ◽  
Behavior Change ◽  
Meta Analysis ◽  
Feeding Practices ◽  
Controlled Trials ◽  
Feeding Behaviors ◽  
Web Based ◽  
Parental Practices ◽  
Parental Feeding Practices ◽  
Parental Feeding

Web-based parent interventions designed to promote children’s healthy eating patterns can enhance parents’ engagement and facilitate behavior change. However, it is still unclear how much the existing programs focus on changing parental feeding practices, and if so, which behavioral methodologies are used and how effective these interventions are in changing these parental behaviors. This systematic review and meta-analysis studied randomized controlled trials of web-based interventions targeting parents of 0-12-year-old children, aiming to promote children’s healthy diet or prevent nutrition-related problems and reporting parental feeding behaviors as one of the outcomes. We conducted an electronic search in four databases from the earliest publication date until February 2020. Of the 1271 records found, we retained twelve studies about nine programs, comprising 1766 parents that completed the baseline evaluation. We found recent interventions, mainly directed to parents of young children, with small, non-clinical samples, and mostly theory-based. The programs were heterogeneous regarding the type of intervention delivered and its duration. The most assessed parental feeding practices were Restriction, Pressure to eat, and Food availability/accessibility. The behavior change techniques Instruction on how to perform the behavior, Demonstration of the behavior, and Identification of self as role model were frequently used. Meta-analytic results indicated that most programs’ effects were small for the evaluated parental practices, except for Food availability/accessibility that benefited the intervention group only when all follow-up measurements were considered. The development of high-quality and controlled trials with larger samples is needed to determine with greater certainty the interventions’ impact on parental feeding behaviors. The more frequent inclusion of measures to evaluate parental practices to support children’s autonomy and of self-regulatory strategies as intervention components should be considered when designing programs.

scholarly journals Parental considerations during complementary feeding in higher income countries: a systematic review of qualitative evidence

2021 ◽  
pp. 1-31
Author(s):  
Eleni Spyreli ◽  
Michelle C. McKinley ◽  
Moira Dean
Keyword(s):  
Systematic Review ◽  
Care Setting ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Complementary Foods ◽  
Eligibility Criteria ◽  
Parental Experiences ◽  
Parental Feeding Practices ◽  
Parental Feeding ◽  
Qualitative Literature

Abstract Objective Worldwide data suggest a clash between parental complementary feeding practices and recommendations. Understanding the circumstances under which parents form their feeding practices is a crucial step to improve such practices. This paper aimed to systematically review the existing qualitative literature and synthesise the factors that parents take into consideration in relation to complementary feeding. Design A systematic review was undertaken. Four electronic databases were searched for qualitative studies published after 2001 exploring parental experiences during complementary feeding. A framework that included authors’ outcomes of interest was used to extract and synthesise study findings. The Standards for Reporting Qualitative Research were used to critically assess the included studies. Setting Upper-middle- and high-income countries. Participants Parents with a child below the age of 3 years. Results A total of 47 studies met the eligibility criteria and were included in this systematic review. The themes were organised into three main categories: 1) factors related to introduction of complementary foods; 2) factors related to the type of complementary foods; and 3) factors related to both timing and type. The selected literature highlights: prevalent baby cues that prompt parents to introduce solid foods; parents’ views on the recommended timing of complementary feeding; factors that drive the choice of complementary foods; and perceived value in advice received from health professionals and grandmothers. Conclusions This systematic review indicates factors that can be barriers to complying with the complementary feeding guidelines and therefore, its findings are pertinent to improving parental feeding practices through intervention studies and through infant feeding education in a primary care setting. PROSPERO registration ID: CRD42017067091

scholarly journals Factors Associated with Feeding Problems in Young Children with Gastrointestinal Diseases

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 741
Author(s):  
Katerina Sdravou ◽  
Elpida Emmanouilidou-Fotoulaki ◽  
Athanasia Printza ◽  
Elias Andreoulakis ◽  
Stavroula Beropouli ◽  
...  
Keyword(s):  
Young Children ◽  
Pediatric Population ◽  
Feeding Practices ◽  
Gastrointestinal Diseases ◽  
Feeding Problems ◽  
Feeding Behaviors ◽  
Parental Feeding Practices ◽  
Factors Associated ◽  
Parental Feeding ◽  
Mealtime Environment

Feeding problems are associated with the consumption of a limited amount or restricted variety of foods and often occur in children with gastrointestinal diseases. The majority of studies to date do not use valid and reliable measurements to detect feeding problems. The aim of this cross-sectional study was to assess behavioral and skill-based feeding problems in young children with gastrointestinal diseases by using a well-established parent-reported feeding measure and identify demographic, anthropometric, and environmental factors associated with maladaptive feeding behaviors in this pediatric population. Parents completed the Greek version of the Behavioral Pediatrics Feeding Assessment Scale (BPFAS) and self-reported questionnaires assessing mealtime environment and parental feeding practices. It was found that 18.6% of the sample had abnormal Total Frequency Score (TFS) (frequency of problematic feeding behaviors) and 39.5% had abnormal Total Problem Score (TPS) (number of behaviors perceived as problematic by parents). Younger children, with lower body mass index, lower birth weight, and only children were more likely to have feeding problems. The study showed that parent-reported feeding problems are increased in young children with gastrointestinal diseases and are associated with specific aspects of mealtime environment and parental feeding practices.

Web-based physical activity interventions: a systematic review and meta-analysis of randomized controlled trials

Public Health ◽  
2017 ◽  
Vol 152 ◽  
pp. 36-46 ◽  
Author(s):  
Leila Jahangiry ◽  
Mahdieh Abbasalizad Farhangi ◽  
Sakineh Shab-Bidar ◽  
Fatemeh Rezaei ◽  
T. Pashaei
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Randomized Controlled Trials ◽  
Meta Analysis ◽  
Controlled Trials ◽  
Web Based ◽  
Randomized Controlled ◽  
Physical Activity Interventions

scholarly journals eHealth interventions for reducing cardiovascular disease risk in men: a systematic review and meta-analysis

2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
J Mcmahon ◽  
DR Thompson ◽  
MC Pascoe ◽  
K Brazil ◽  
CF Ski
Keyword(s):  
Systematic Review ◽  
Cardiovascular Disease ◽  
Behavior Change ◽  
Systematic Reviews ◽  
Meta Analysis ◽  
Database Search ◽  
Controlled Trials ◽  
Cochrane Central Register ◽  
Cvd Risk ◽  
Meta Analyses

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Department for the Economy (DfE) studentships Background. Men remain at a higher risk of developing cardiovascular disease (CVD) than women and behavioral risk factor modification is an important preventive measure. However, engaging men in behavior change interventions is challenging. eHealth interventions have the potential to address this gap, though their effectiveness for reducing CVD risk in men is unclear. Purpose. To conduct a systematic review and meta-analysis to evaluate the effectiveness of eHealth interventions for reducing CVD risk in men. Methods. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and principles laid out by the Cochrane Handbook for Systematic Reviews of Interventions. A search of published randomised controlled trials (RCTs) with no date restrictions up to July 2020 was conducted across five electronic databases: Cochrane Central register of Controlled Trials (CENTRAL), Medline, CINAHL Plus, PsycINFO and SCOPUS. Reference lists of relevant systematic reviews and meta-analyses were manually searched for additional trials not identified during the database search. Eligible studies were RCTs that focused on the use of eHealth to improve a minimum of two major CVD related risk factors in males aged 18 years or older. Results. A total of 3168 records were retrieved from the online database search, with nine trials meeting the inclusion criteria following screening and full-text assessment. Study quality ranged from low to unclear, with one trial at a high risk of bias. Compared to those in a control group or receiving printed materials, participants randomised to an eHealth intervention had statistically significant improvements in BMI (Z=-2.75, p = 0.01), body weight (Z=-3.25, p = 0.01), waist circumference (Z=-2.30, p = 0.02) and systolic (Z=-3.57, p = 0.01) and diastolic (Z=-3.56, p = 0.01) blood pressure. Though less evident, there were also improvements in physical activity and diet in favour of the intervention group. Conclusion. This was the first systematic review and meta-analysis conducted on the effectiveness of eHealth interventions for reducing CVD risk in men. This review suggests that eHealth interventions can reduce CVD risk in adult men through behavior change. However, we were unable to determine the association between intervention characteristics and outcomes. Also, overall, participant adherence to the intervention was poor. Both of these issues should be considered in future studies.

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