Parent Stress as a Consideration in Childhood Obesity Prevention: Results from the Guelph Family Health Study, a Pilot Randomized Controlled Trial

Parents’ stress is independently associated with increased child adiposity, but parents’ stress may also interfere with childhood obesity prevention programs. The disruptions to the family dynamic caused by participating in a behaviour change intervention may exacerbate parent stress and undermine overall intervention efficacy. This study explored how family stress levels were impacted by participation in a home-based obesity prevention intervention. Data were collected from 77 families (56 fathers, 77 mothers) participating in the Guelph Family Health Study (GFHS), a pilot randomized control trial of a home-based obesity prevention intervention. Four measures of stress were investigated: general life stress, parenting distress, depressive symptoms, and household chaos. Multiple linear regression was used to compare the level of stress between the intervention and control groups at post-intervention and 1-year follow-up, adjusted for baseline stress. Analyses for mothers and fathers were stratified, except for household chaos which was measured at the family level. Results indicate no significant differences between intervention and control groups for any stress measure at any time point, indicating a neutral effect of the GFHS intervention on family stress. Future work should investigate the components of family-based intervention protocols that make participation minimally burdensome and consider embedding specific stress-reduction messaging to promote family health and wellbeing.

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Guelph Family Health Study’s Home-Based Obesity Prevention Intervention Increases Fibre and Fruit Intake in Preschool-Aged Children

Canadian Journal of Dietetic Practice and Research ◽

10.3148/cjdpr-2017-036 ◽

2018 ◽

Vol 79 (2) ◽

pp. 86-90 ◽

Cited By ~ 5

Author(s):

Julia A. Mirotta ◽

Gerarda A. Darlington ◽

Andrea C. Buchholz ◽

Jess Haines ◽

David W.L. Ma ◽

...

Keyword(s):

Obesity Prevention ◽

Family Health ◽

Home Visits ◽

Health Study ◽

Control Group ◽

Fruit Intake ◽

Health Educator ◽

Prevention Intervention ◽

Home Based ◽

Preschool Aged Children

Purpose: The Guelph Family Health Study (GFHS) pilot was designed to examine the feasibility and effectiveness of a home-based obesity prevention intervention on health behaviours and obesity risk. The objective of this analysis was to determine the effect of the 6-month intervention on preschool-aged children’s dietary intakes. Methods: Families with children aged 1.5–5 years old were randomized to receive one of the following: 4 home visits with a health educator as well as tailored emails and mailed incentives (4HV; n = 19 children); 2 home visits with a health educator as well as tailored emails and mailed incentives (2HV; n = 14 children); or general health advice through emails (control; n = 12 children). Three-day food records were completed by parents for their children before and after the 6-month intervention and analyzed for 3-day average intakes of energy, nutrients, and MyPlate food groups. Results: After the 6-month intervention, the 4HV group had significantly higher fibre intake and the 4HV and 2HV groups had significantly higher fruit intake, both compared with the control group. Conclusions: This study provides support for a home-based intervention approach to improve the diet quality of preschool-aged children.

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Guelph Family Health Study: pilot study of a home-based obesity prevention intervention

Can J Public Health ◽

10.17269/s41997-018-0072-3 ◽

2018 ◽

Vol 109 (4) ◽

pp. 549-560 ◽

Cited By ~ 10

Author(s):

Jess Haines ◽

◽

Sabrina Douglas ◽

Julia A. Mirotta ◽

Carley O’Kane ◽

...

Keyword(s):

Pilot Study ◽

Obesity Prevention ◽

Family Health ◽

Health Study ◽

Prevention Intervention ◽

Home Based

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Effectiveness of family involvement activities in pre-school education

Global Journal of Guidance and Counseling in Schools Current Perspectives ◽

10.18844/gjgc.v9i3.4489 ◽

2019 ◽

Vol 9 (3) ◽

pp. 131-137

Author(s):

Pembe Aytaç ◽

Nur Demirbas-Celik ◽

Duygu Kiracioglu

Keyword(s):

Family Involvement ◽

School Education ◽

Home School ◽

Control Group ◽

Control Groups ◽

Family Activities ◽

School Based ◽

Home Based ◽

The Family ◽

And Control

The purpose of this research was to examine the effectiveness of family activities which are improved for the families. In this research, content improved family involvement activities were applied to the families whose children continue their pre-school mothers’ and fathers’ family involvement were compared. Research’s experiment group includes the parents of 16 students who continue their pre-school education. Control group includes the parents of 10 students. Family Involvement Questionnaire (FIQ) has been used to test the effectiveness of family involvement activities. This FIQ measures the family involvement as school-based involvement, home–school conferencing and home-based involvement. In data analyses, the Mann–Whitney U test has been used. FIQ has been answered by all the parents from experiment group and 10 mothers and 6 fathers from the control group. The result of analyses has shown that there is no difference between experiment and control groups’ family involvements. In the experiment group, mothers’ home–school conferencing permanent involvement scores are higher than the fathers’ home–school conferencing involvement scores. The results of the research have been argued, and the suggestions were given to pre-school teachers and related research workers. Keywords: Family involvement, home–school conferencing, pre-school education.

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A randomized home-based childhood obesity prevention pilot intervention has favourable effects on parental body composition: preliminary evidence from the Guelph Family Health Study

BMC Obesity ◽

10.1186/s40608-019-0231-y ◽

2019 ◽

Vol 6 (1) ◽

Cited By ~ 1

Author(s):

Owen Krystia ◽

◽

Tory Ambrose ◽

Gerarda Darlington ◽

David W. L. Ma ◽

...

Keyword(s):

Body Composition ◽

Childhood Obesity ◽

Obesity Prevention ◽

Family Health ◽

Preliminary Evidence ◽

Health Study ◽

Childhood Obesity Prevention ◽

Home Based ◽

Pilot Intervention

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Relations Entre la Personne Agee et sa Famille Lors de L'admission en Centre D'accueil: Evaluation D'un Programme de Soutien

Canadian Journal of Community Mental Health ◽

10.7870/cjcmh-1983-0013 ◽

1983 ◽

Vol 2 (2) ◽

pp. 29-42

Author(s):

Mireille Ducros ◽

Louise Lévesque

Keyword(s):

Nursing Home ◽

Family Member ◽

Support Program ◽

Personne Âgée ◽

Control Groups ◽

Elderly Individuals ◽

Home Based ◽

Aged Person ◽

The Family ◽

And Control

A support program was offered to elderly individuals and their family during the admission period in a nursing home. Based on crises intervention and theoretical notions of family functioning, the program consists of two sessions before admission, one, the day of admission and two others, following the admission. The first and third sessions were held with the aged person and the family, the second and fourth with the family alone and the fifth was a session with a group of admitted elderly individuals. Nineteen aged persons and a family member of each of the nineteen families were part of the experimental and control groups.

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Communication between the elderly person and the Family Health Team: is there integrality?

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692013000400008 ◽

2013 ◽

Vol 21 (4) ◽

pp. 884-890 ◽

Cited By ~ 4

Author(s):

Rita Tereza de Almeida ◽

Suely Itsuko Ciosak

Keyword(s):

Elderly People ◽

Healthcare Professionals ◽

Elderly Person ◽

Family Health ◽

The Elderly ◽

Communication Process ◽

Innovative Technology ◽

Family Health Program ◽

The Family ◽

And Control

OBJECTIVE: to verify the forms of communication used in four Primary Health Units with Family Health Program teams in Porto Feliz, São Paulo, and how they impact in the care and control of the health of elderly people. METHOD: this qualitative study sought to capture the communication between elderly people and healthcare professionals. Interviews were conducted with 20 elderly people of both sexes. RESULTS: from the discourses and observations, assertive communication and blocked communication emerged as the central analysis themes, the verbal and nonverbal elements of which, unveiled subjectivity of the communication process, of the local culture and of the psychosocial factors positively and negatively contributing to the healthcare for elderly people. The nursing teams of the Family Health Strategy showed forms of communication that favored the adherence of the elderly people to the care and control of their health. Negatives aspects did not have completely prejudicial consequences, however, should be avoided, in order to facilitate integral care to elderly people. CONCLUSION: it is worth reinforcing the need for improvement of the nursing team and other healthcare professionals regarding health communication as an innovative technology, bringing credibility to the health promotion and prevention programs with elderly users.

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Nurses’ experiences of home visiting new parents in rural and regional communities in Australia: a descriptive qualitative study

Journal of Children s Services ◽

10.1108/jcs-07-2015-0023 ◽

2016 ◽

Vol 11 (3) ◽

pp. 204-216 ◽

Cited By ~ 3

Author(s):

Jennifer Anne Fraser ◽

Marie Hutchinson ◽

Jessica Appleton

Keyword(s):

Home Visiting ◽

Family Health ◽

Content Type ◽

Complex Needs ◽

Nursing Role ◽

South Wales ◽

Home Based ◽

The Family ◽

Universal Health ◽

The Way

Purpose Child and family health (CAFH) services in Australia initially provide at least one nurse-home-visit following the birth of a child. Planning and referral then commences for the on-going provision of appropriate services to families. Unfortunately, services in rural and regional communities in Australia can be fragmented and poorly resourced. Little is known about CAFH nurses’ experiences of working with families in these communities. The purpose of this paper is to examine the way CAFH nurses work within a universal health service model that may be compromised by isolation, discontinuity and fragmentation. Design/methodology/approach Focus groups with 26 CAFH nurses from five rural, two regional and one urban community in New South Wales (NSW), Australia were conducted. A secondary, thematic analysis of the qualitative data were undertaken to reflect on change and continuity in the field of universal CAFH services. Analysis was driven by two key research questions: How do CAFH nurses experience their role in universal home-based CAFH services within rural and regional areas of Australia and, what unique factors are present in rural and regional areas that impact on their CAFH nursing role? Findings The experience of the CAFH nurses as presented by these data revealed a role that was family centred and concerned for the welfare of the family, yet compromised by the need to meet the disproportionately complex needs of families in the absence of a strong network of services. The opportunity to present the findings provides insight into the way in which families engage with available services in isolated communities. CAFH nurses in the study attempted to maintain service integrity by adapting to the unique context of their work. Originality/value It is important to understand the mechanisms through which CAFH nurses operate to work effectively with families referred to their service. This paper describes the way in which CAFH nurses work with families not meeting the threshold for more intensive and targeted home-visiting service delivery in rural and regional communities of NSW, Australia.

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Atuação de enfermeiros da Estratégia Saúde da Família na prevenção e controle do HIV e sífilis durante o pré-natal

Revista de Saúde Coletiva da UEFS ◽

10.13102/rscdauefs.v11i1.5944 ◽

2021 ◽

Vol 11 (1) ◽

pp. e5944

Author(s):

Jeferson Silva Pereira ◽

Geice Carla Alves Anjos ◽

Ana Fátima Souza Melo De Andrade ◽

Taciana Silveira Passos

Keyword(s):

Family Health ◽

Ministry Of Health ◽

Chi Square ◽

Prenatal Consultation ◽

Hiv Test ◽

The Family ◽

Chi Square Test ◽

Rapid Tests ◽

And Control ◽

Primary Care Nursing

Este trabalho teve como objetivo avaliar as práticas dos enfermeiros das equipes de saúde da família durante as consultas de pré-natal, na prevenção e controle do HIV e sífilis gestacional. Estudo transversal, descritivo e exploratório, com aplicação de questionário estruturado a 27 enfermeiros atuantes em unidades de saúde da zona urbana do município de Aracaju, Sergipe, entre setembro e outubro de 2019. A distribuição das variáveis foi analisada por meio do teste de qui-quadrado de Pearson. Constatou-se que 85,2% dos enfermeiros conheciam o manual do ministério da saúde para consulta de pré-natal e 96,3% o utilizavam, porém, 25,9% solicitavam os testes rápidos no período inadequado e 18,5% conduziam erroneamente o tratamento para gestantes com teste para HIV. Houve maior proporção de conduta assertiva dos profissionais que fizeram capacitação há menos de um ano quanto aos testes rápidos de HIV (p=0,001) e sífilis (p=0,046), testes não treponêmicos solicitados no pré-natal (p=0,003), mês que devem ser solicitados o exame de VDRL e o HIV (p=0,046) e trimestre da gestação que oferece o teste de HIV (p=0,046). Evidenciou-se a importância de capacitações sobre à temática para a proporção de atuação condizente com os manuais preconizados pelos Ministério da Saúde na Estratégia de Saúde da Família. ABSTRACTThis study aimed to evaluate the practices of nurses in family health teams, during prenatal consultations, in the prevention and control of HIV and gestational syphilis. Crosssectional study, descriptive and exploratory study, with the application of a structured questionnaire, to 27 nurses working in health units in the urban area of the municipality of Aracaju, Sergipe, between September and October 2019. The distribution of variables was analyzed using Pearson’s chi-square test. It was found that 85.2% of nurses knew the Ministry of Health for prenatal consultation and 96.3% used it, however, 25.9% requested rapid tests in the wrong period and 18.5% conducted erroneously treatment for pregnant women with an HIV test. There was a greater proportion of assertive conduct among professionals who had been trained less than a year ago regarding rapid tests for HIV (p = 0.001) and syphilis (p = 0.046), non treponemal tests requested in prenatal care (p = 0.003), month that the VDRL and HIV test (p = 0.046) and trimester of pregnancy that offers the HIV test (p = 0.046) should be requested. The importance of training on the theme was evidenced for the proportion of performance consistent with the manuals recommended by the Ministry of Health in the Family Health Strategy.Keywords: HIV; Gestational syphilis; Primary care nursing; Prenatal. RESUMENEste estudio tuvo como objetivo evaluar las prácticas de los enfermeros en los equipos de salud de la familia durante las consultas prenatales, en la prevención y control del VIH y la sífilis gestacional. Estudio transversal, descriptivo y exploratorio, con la aplicación de un cuestionario estructurado a 27 enfermeros que laboran en unidades de salud del área urbana del municipio de Aracaju, Sergipe, entre septiembre y octubre de 2019. La distribución de variables se analizó mediante la prueba de Chi Cuadrado de Pearson. Se encontró que el 85,2% de las enfermeras conocía el manual del Ministerio de Salud para la consulta prenatal y el 96,3% lo usaba, sin embargo, el 25,9% solicitó pruebas rápidas en el período inadecuado y el 18,5% realizó erróneamente tratamiento a gestantes con prueba de VIH. Hubo una mayor proporción de conducta asertiva por parte de profesionales que se habían formado hace menos de un año en cuanto a pruebas rápidas de VIH (p = 0,001) y sífilis (p = 0,046), pruebas no treponémicas solicitadas en atención prenatal (p = 0,003), mes en que se debe solicitar la prueba VDRL y VIH (p = 0,046) y trimestre de embarazo que ofrece la prueba VIH (p = 0,046). Se resaltó la importancia de la capacitación en el tema por la proporción de desempeño acorde con los manuales recomendados por el Ministerio de Salud en la Estrategia Salud de la Familia.Palabras clave: Sífilis gestacional; Enfermería de atención primaria; Prenatal.

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The Effectiveness of the Native Training Model Designed Based on Lazarus Theory and Behavioral Planning Theory in the Consolidation of Family Functioning: A case study

Journal of Community Health Research ◽

10.18502/jchr.v9i2.3406 ◽

2020 ◽

Author(s):

Jallal Iranizadeh ◽

Hassan Zarei Mahmoodabadi ◽

Saeed Vaziri ◽

Seyed Alireza Afshani

Keyword(s):

Family Functioning ◽

Analysis Of Covariance ◽

Planning Theory ◽

Training Intervention ◽

Control Group ◽

Control Groups ◽

Significant Difference ◽

The Family ◽

And Control ◽

Experimental Group

Introduction: Recently, consolidation of family functioning is considered as one of the most important solutions for elevating and strengthening marital life. Therefore, benefiting from family strengthening approaches is so truly significant. This research aims at investigating the effectiveness of the native model based on Lazarus theory and behavioral planning theory on the consolidation of family functioning. Method: This research is a quasi-experimental study with a pretest-posttest design and control group. The population includes all the couples referring to counseling and psychotherapy centers of Yazd Province, in Iran, 2019. Purposive sampling was used to select 34 couples who have the inclusion criteria, and they were randomly assigned to experimental and control groups. The couples answered the family consolidation questionnaire designed by Movahed et al. The experimental group received 11 sessions of interventions extracted from the localized Lazarus model and behavioral planning theory. Finally, data analysis was done by SPSS version 16 and an analysis of covariance (ANCOVA). The significance level of research was considered to be α=0.05 Findings: The results showed that there is a significant difference between the estimated mean score of the family consolidation in the experimental and control groups. Also, the findings suggest that compared with the control group, the posttest scores of the performance, problem-solving, relationship, emotional involvement, emotional support, role play, behavioral control, media, and superstition have been improved in the experimental group. This significant difference results from the training intervention. However, the variable of religious beliefs has not changed significantly. Conclusion: The training intervention done by the model has developed based on Lazarus theory and behavioral planning theory which can consolidate the family functioning.

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