Primary prevention of childhood obesity through counselling sessions at Swedish child health centres

design, methods and baseline sample characteristics of the PRIMROSE cluster-randomised trial

Nora Döring, Lena M Hansson, Elina Scheers Andersson, Benjamin Bohman, Maria Westin, Margaretha Magnusson, Christel Larsson, Elinor Sundblom, Mikaela Willmer, Margareta Blennow, Berit L Heitmann, Lars Forsberg, Sanna Wallin, Per Tynelius, Ata Ghaderi, Finn Rasmussen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

BACKGROUND: Childhood obesity is a growing concern in Sweden. Children with overweight and obesity run a high risk of becoming obese as adults, and are likely to develop comorbidities. Despite the immense demand, there is still a lack of evidence-based comprehensive prevention programmes targeting pre-school children and their families in primary health care settings. The aims are to describe the design and methodology of the PRIMROSE cluster-randomised controlled trial, assess the relative validity of a food frequency questionnaire, and describe the baseline characteristics of the eligible young children and their mothers.

METHODS/DESIGN: The PRIMROSE trial targets first-time parents and their children at Swedish child health centres (CHC) in eight counties in Sweden. Randomisation is conducted at the CHC unit level. CHC nurses employed at the participating CHC received training in carrying out the intervention alongside their provision of regular services. The intervention programme, starting when the child is 8-9 months of age and ending at age 4, is based on social cognitive theory and employs motivational interviewing. Primary outcomes are children's body mass index and waist circumference at four years. Secondary outcomes are children's and mothers' eating habits (assessed by a food frequency questionnaire), and children's and mothers' physical activity (measured by accelerometer and a validated questionnaire), and mothers' body mass index and waist circumference.

DISCUSSION: The on-going population-based PRIMROSE trial, which targets childhood obesity, is embedded in the regular national (routine) preventive child health services that are available free-of-charge to all young families in Sweden. Of the participants (n = 1369), 489 intervention and 550 control mothers (75.9%) responded to the validated physical activity and food frequency questionnaire at baseline (i.e., before the first intervention session, or, for children in the control group, before they reached 10 months of age). The food frequency questionnaire showed acceptable relative validity when compared with an 8-day food diary. We are not aware of any previous RCT, concerned with the primary prevention of childhood obesity through sessions at CHC that addresses healthy eating habits and physical activity in the context of a routine child health services programme.

TRIAL REGISTRATION: ISRCTN16991919.

OriginalsprogEngelsk
TidsskriftB M C Public Health
Vol/bind14
Sider (fra-til)1-13
ISSN1471-2458
DOI
StatusUdgivet - 2014

Fingeraftryk

Pediatric Obesity
Primary Prevention
Counseling
Mothers
Child Health Services
Food
Exercise
Body Mass Index
Preventive Health Services
Motivational Interviewing
Child Health
Diet Records
Random Allocation
Comorbidity
Primary Health Care
Randomized Controlled Trials
Parents
Nurses
Surveys and Questionnaires
Control Groups

Citer dette

Döring, Nora ; Hansson, Lena M ; Andersson, Elina Scheers ; Bohman, Benjamin ; Westin, Maria ; Magnusson, Margaretha ; Larsson, Christel ; Sundblom, Elinor ; Willmer, Mikaela ; Blennow, Margareta ; Heitmann, Berit L ; Forsberg, Lars ; Wallin, Sanna ; Tynelius, Per ; Ghaderi, Ata ; Rasmussen, Finn. / Primary prevention of childhood obesity through counselling sessions at Swedish child health centres : design, methods and baseline sample characteristics of the PRIMROSE cluster-randomised trial. I: B M C Public Health. 2014 ; Bind 14. s. 1-13.
@article{cc7aab1437e449ad83bcecf9db5cd463,
title = "Primary prevention of childhood obesity through counselling sessions at Swedish child health centres: design, methods and baseline sample characteristics of the PRIMROSE cluster-randomised trial",
abstract = "BACKGROUND: Childhood obesity is a growing concern in Sweden. Children with overweight and obesity run a high risk of becoming obese as adults, and are likely to develop comorbidities. Despite the immense demand, there is still a lack of evidence-based comprehensive prevention programmes targeting pre-school children and their families in primary health care settings. The aims are to describe the design and methodology of the PRIMROSE cluster-randomised controlled trial, assess the relative validity of a food frequency questionnaire, and describe the baseline characteristics of the eligible young children and their mothers.METHODS/DESIGN: The PRIMROSE trial targets first-time parents and their children at Swedish child health centres (CHC) in eight counties in Sweden. Randomisation is conducted at the CHC unit level. CHC nurses employed at the participating CHC received training in carrying out the intervention alongside their provision of regular services. The intervention programme, starting when the child is 8-9 months of age and ending at age 4, is based on social cognitive theory and employs motivational interviewing. Primary outcomes are children's body mass index and waist circumference at four years. Secondary outcomes are children's and mothers' eating habits (assessed by a food frequency questionnaire), and children's and mothers' physical activity (measured by accelerometer and a validated questionnaire), and mothers' body mass index and waist circumference.DISCUSSION: The on-going population-based PRIMROSE trial, which targets childhood obesity, is embedded in the regular national (routine) preventive child health services that are available free-of-charge to all young families in Sweden. Of the participants (n = 1369), 489 intervention and 550 control mothers (75.9{\%}) responded to the validated physical activity and food frequency questionnaire at baseline (i.e., before the first intervention session, or, for children in the control group, before they reached 10 months of age). The food frequency questionnaire showed acceptable relative validity when compared with an 8-day food diary. We are not aware of any previous RCT, concerned with the primary prevention of childhood obesity through sessions at CHC that addresses healthy eating habits and physical activity in the context of a routine child health services programme.TRIAL REGISTRATION: ISRCTN16991919.",
author = "Nora D{\"o}ring and Hansson, {Lena M} and Andersson, {Elina Scheers} and Benjamin Bohman and Maria Westin and Margaretha Magnusson and Christel Larsson and Elinor Sundblom and Mikaela Willmer and Margareta Blennow and Heitmann, {Berit L} and Lars Forsberg and Sanna Wallin and Per Tynelius and Ata Ghaderi and Finn Rasmussen",
year = "2014",
doi = "10.1186/1471-2458-14-335",
language = "English",
volume = "14",
pages = "1--13",
journal = "B M C Public Health",
issn = "1471-2458",
publisher = "BioMed Central",

}

Döring, N, Hansson, LM, Andersson, ES, Bohman, B, Westin, M, Magnusson, M, Larsson, C, Sundblom, E, Willmer, M, Blennow, M, Heitmann, BL, Forsberg, L, Wallin, S, Tynelius, P, Ghaderi, A & Rasmussen, F 2014, 'Primary prevention of childhood obesity through counselling sessions at Swedish child health centres: design, methods and baseline sample characteristics of the PRIMROSE cluster-randomised trial', B M C Public Health, bind 14, s. 1-13. https://doi.org/10.1186/1471-2458-14-335

Primary prevention of childhood obesity through counselling sessions at Swedish child health centres : design, methods and baseline sample characteristics of the PRIMROSE cluster-randomised trial. / Döring, Nora; Hansson, Lena M; Andersson, Elina Scheers; Bohman, Benjamin; Westin, Maria; Magnusson, Margaretha; Larsson, Christel; Sundblom, Elinor; Willmer, Mikaela; Blennow, Margareta; Heitmann, Berit L; Forsberg, Lars; Wallin, Sanna; Tynelius, Per; Ghaderi, Ata; Rasmussen, Finn.

I: B M C Public Health, Bind 14, 2014, s. 1-13.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Primary prevention of childhood obesity through counselling sessions at Swedish child health centres

T2 - design, methods and baseline sample characteristics of the PRIMROSE cluster-randomised trial

AU - Döring, Nora

AU - Hansson, Lena M

AU - Andersson, Elina Scheers

AU - Bohman, Benjamin

AU - Westin, Maria

AU - Magnusson, Margaretha

AU - Larsson, Christel

AU - Sundblom, Elinor

AU - Willmer, Mikaela

AU - Blennow, Margareta

AU - Heitmann, Berit L

AU - Forsberg, Lars

AU - Wallin, Sanna

AU - Tynelius, Per

AU - Ghaderi, Ata

AU - Rasmussen, Finn

PY - 2014

Y1 - 2014

N2 - BACKGROUND: Childhood obesity is a growing concern in Sweden. Children with overweight and obesity run a high risk of becoming obese as adults, and are likely to develop comorbidities. Despite the immense demand, there is still a lack of evidence-based comprehensive prevention programmes targeting pre-school children and their families in primary health care settings. The aims are to describe the design and methodology of the PRIMROSE cluster-randomised controlled trial, assess the relative validity of a food frequency questionnaire, and describe the baseline characteristics of the eligible young children and their mothers.METHODS/DESIGN: The PRIMROSE trial targets first-time parents and their children at Swedish child health centres (CHC) in eight counties in Sweden. Randomisation is conducted at the CHC unit level. CHC nurses employed at the participating CHC received training in carrying out the intervention alongside their provision of regular services. The intervention programme, starting when the child is 8-9 months of age and ending at age 4, is based on social cognitive theory and employs motivational interviewing. Primary outcomes are children's body mass index and waist circumference at four years. Secondary outcomes are children's and mothers' eating habits (assessed by a food frequency questionnaire), and children's and mothers' physical activity (measured by accelerometer and a validated questionnaire), and mothers' body mass index and waist circumference.DISCUSSION: The on-going population-based PRIMROSE trial, which targets childhood obesity, is embedded in the regular national (routine) preventive child health services that are available free-of-charge to all young families in Sweden. Of the participants (n = 1369), 489 intervention and 550 control mothers (75.9%) responded to the validated physical activity and food frequency questionnaire at baseline (i.e., before the first intervention session, or, for children in the control group, before they reached 10 months of age). The food frequency questionnaire showed acceptable relative validity when compared with an 8-day food diary. We are not aware of any previous RCT, concerned with the primary prevention of childhood obesity through sessions at CHC that addresses healthy eating habits and physical activity in the context of a routine child health services programme.TRIAL REGISTRATION: ISRCTN16991919.

AB - BACKGROUND: Childhood obesity is a growing concern in Sweden. Children with overweight and obesity run a high risk of becoming obese as adults, and are likely to develop comorbidities. Despite the immense demand, there is still a lack of evidence-based comprehensive prevention programmes targeting pre-school children and their families in primary health care settings. The aims are to describe the design and methodology of the PRIMROSE cluster-randomised controlled trial, assess the relative validity of a food frequency questionnaire, and describe the baseline characteristics of the eligible young children and their mothers.METHODS/DESIGN: The PRIMROSE trial targets first-time parents and their children at Swedish child health centres (CHC) in eight counties in Sweden. Randomisation is conducted at the CHC unit level. CHC nurses employed at the participating CHC received training in carrying out the intervention alongside their provision of regular services. The intervention programme, starting when the child is 8-9 months of age and ending at age 4, is based on social cognitive theory and employs motivational interviewing. Primary outcomes are children's body mass index and waist circumference at four years. Secondary outcomes are children's and mothers' eating habits (assessed by a food frequency questionnaire), and children's and mothers' physical activity (measured by accelerometer and a validated questionnaire), and mothers' body mass index and waist circumference.DISCUSSION: The on-going population-based PRIMROSE trial, which targets childhood obesity, is embedded in the regular national (routine) preventive child health services that are available free-of-charge to all young families in Sweden. Of the participants (n = 1369), 489 intervention and 550 control mothers (75.9%) responded to the validated physical activity and food frequency questionnaire at baseline (i.e., before the first intervention session, or, for children in the control group, before they reached 10 months of age). The food frequency questionnaire showed acceptable relative validity when compared with an 8-day food diary. We are not aware of any previous RCT, concerned with the primary prevention of childhood obesity through sessions at CHC that addresses healthy eating habits and physical activity in the context of a routine child health services programme.TRIAL REGISTRATION: ISRCTN16991919.

U2 - 10.1186/1471-2458-14-335

DO - 10.1186/1471-2458-14-335

M3 - Journal article

VL - 14

SP - 1

EP - 13

JO - B M C Public Health

JF - B M C Public Health

SN - 1471-2458

ER -