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

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Resumo: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.
Autores principais:Gomes, Ana Isabel
Outros Autores:Scott, Jane Anne; Pereira, Ana Isabel; Roberto, Magda Sofia; Boraska, Klara; Barros, Luísa
Assunto:Meta-analysis Randomized controlled trials Database searching Electronic information resource searching Role models
Ano:2021
País:Portugal
Tipo de documento:artigo
Tipo de acesso:acesso aberto
Instituição associada:Universidade de Lisboa
Idioma:inglês
Origem:Repositório da Universidade de Lisboa
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author Gomes, Ana Isabel
author2 Scott, Jane Anne
Pereira, Ana Isabel
Roberto, Magda Sofia
Boraska, Klara
Barros, Luísa
author2_role author
author
author
author
author
author_facet Gomes, Ana Isabel
Scott, Jane Anne
Pereira, Ana Isabel
Roberto, Magda Sofia
Boraska, Klara
Barros, Luísa
author_role author
contributor_name_str_mv Repositório Científico de Acesso Aberto da ULisboa
country_str PT
creators_json_txt [{\"Person.name\":\"Gomes, Ana Isabel\",\"Person.identifier.orcid\":\"0000-0002-8597-2516\"},{\"Person.name\":\"Scott, Jane Anne\"},{\"Person.name\":\"Pereira, Ana Isabel\",\"Person.identifier.orcid\":\"0000-0003-4532-6947\"},{\"Person.name\":\"Roberto, Magda Sofia\",\"Person.identifier.orcid\":\"0000-0003-4127-561X\"},{\"Person.name\":\"Boraska, Klara\"},{\"Person.name\":\"Barros, Luísa\",\"Person.identifier.orcid\":\"0000-0002-5075-0104\"}]
datacite.contributors.contributor.contributorName.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
datacite.creators.creator.creatorName.fl_str_mv Gomes, Ana Isabel
Scott, Jane Anne
Pereira, Ana Isabel
Roberto, Magda Sofia
Boraska, Klara
Barros, Luísa
datacite.date.Accepted.fl_str_mv 2021-04-28T00:00:00Z
datacite.date.available.fl_str_mv 2024-02-29T10:35:58Z
datacite.date.embargoed.fl_str_mv 2024-02-29T10:35:58Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Meta-analysis
Randomized controlled trials
Database searching
Electronic information resource searching
Role models
datacite.titles.title.fl_str_mv Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis
dc.contributor.none.fl_str_mv Repositório Científico de Acesso Aberto da ULisboa
dc.creator.none.fl_str_mv Gomes, Ana Isabel
Scott, Jane Anne
Pereira, Ana Isabel
Roberto, Magda Sofia
Boraska, Klara
Barros, Luísa
dc.date.Accepted.fl_str_mv 2021-04-28T00:00:00Z
dc.date.available.fl_str_mv 2024-02-29T10:35:58Z
dc.date.embargoed.fl_str_mv 2024-02-29T10:35:58Z
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv http://hdl.handle.net/10451/63026
dc.language.none.fl_str_mv eng
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Meta-analysis
Randomized controlled trials
Database searching
Electronic information resource searching
Role models
dc.title.fl_str_mv Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description 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.
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eu_rights_str_mv openAccess
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id ul_d5f7cccc45bf1aae84eff85dee033d2d
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instname_str Universidade de Lisboa
language eng
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oai_identifier_str oai:repositorio.ulisboa.pt:10451/63026
organization_str_mv urn:organizationAcronym:ul
person_str_mv Gomes, Ana Isabel
Gomes, Ana Isabel
https://www.ciencia-id.pt/9C1A-99FF-1725
9C1A-99FF-1725
http://orcid.org/0000-0002-8597-2516
0000-0002-8597-2516
Scott, Jane Anne
Pereira, Ana Isabel
Pereira, Ana Isabel
https://www.ciencia-id.pt/6717-8FFA-034E
6717-8FFA-034E
http://orcid.org/0000-0003-4532-6947
0000-0003-4532-6947
Roberto, Magda Sofia
Roberto, Magda Sofia
https://www.ciencia-id.pt/5412-3675-0AF5
5412-3675-0AF5
http://orcid.org/0000-0003-4127-561X
0000-0003-4127-561X
Boraska, Klara
Barros, Luísa
Barros, Luísa
https://www.ciencia-id.pt/F013-9DED-D16C
F013-9DED-D16C
http://orcid.org/0000-0002-5075-0104
0000-0002-5075-0104
publishDate 2021
reponame_str Repositório da Universidade de Lisboa
repository_id_str urn:repositoryAcronym:ul
service_str_mv urn:repositoryAcronym:ul
spelling engpt_PTWeb-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.application/pdfpt_PTChanging parental feeding practices through web-based interventions: A systematic review and meta-analysisPersonalGomes, Ana IsabelDSpacehttp://dspace.org/items/452b7924-a3e4-45e6-8035-f92c76eb4eb4DSpacehttp://dspace.org/items/452b7924-a3e4-45e6-8035-f92c76eb4eb4Fernandes GomesAna IsabelCiência IDhttps://www.ciencia-id.pt9C1A-99FF-1725ORCIDhttp://orcid.org0000-0002-8597-2516Scopus Author IDhttps://www.scopus.com57191972334Scott, Jane AnnePersonalPereira, Ana IsabelDSpacehttp://dspace.org/items/9b128164-5c8d-4f3d-b1b4-03eaec716943DSpacehttp://dspace.org/items/9b128164-5c8d-4f3d-b1b4-03eaec716943PereiraAnaCiência IDhttps://www.ciencia-id.pt6717-8FFA-034EORCIDhttp://orcid.org0000-0003-4532-6947Researcher IDhttps://www.researcherid.comK-6633-2014Scopus Author IDhttps://www.scopus.com9234675400PersonalRoberto, Magda SofiaDSpacehttp://dspace.org/items/19607c73-3873-483c-8c6b-e615718ef789DSpacehttp://dspace.org/items/19607c73-3873-483c-8c6b-e615718ef789RobertoMagda SofiaCiência IDhttps://www.ciencia-id.pt5412-3675-0AF5ORCIDhttp://orcid.org0000-0003-4127-561XResearcher IDhttps://www.researcherid.comY-3294-2018Scopus Author IDhttps://www.scopus.com55315466800Scopus Author IDhttps://www.scopus.com57189321674Boraska, KlaraPersonalBarros, LuísaDSpacehttp://dspace.org/items/68294097-e41b-4cb6-a3e6-0a04f19f2b21DSpacehttp://dspace.org/items/68294097-e41b-4cb6-a3e6-0a04f19f2b21Torres Queiroz de BarrosMaria LuísaCiência IDhttps://www.ciencia-id.ptF013-9DED-D16CORCIDhttp://orcid.org0000-0002-5075-0104HostingInstitutionOrganizationalRepositório Científico de Acesso Aberto da ULisboae-mailmailto:repositorio@reitoria.ulisboa.ptrepositorio@reitoria.ulisboa.ptDOIIsPartOf10.1371/journal.pone.02502312024-02-29T10:35:58Z2021-04-282024-01-26T20:25:12Z2021-04-28T00:00:00ZHandlehttp://hdl.handle.net/10451/63026http://purl.org/coar/access_right/c_abf2open accessMeta-analysisRandomized controlled trialsDatabase searchingElectronic information resource searchingRole models1697676 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.ulisboa.pt/bitstreams/45efb783-a46a-4ee3-840c-cc2c2c69d025/downloadPLOS ONE164e250231
spellingShingle Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis
Gomes, Ana Isabel
Meta-analysis
Randomized controlled trials
Database searching
Electronic information resource searching
Role models
status SINGLETON
subject.fl_str_mv Meta-analysis
Randomized controlled trials
Database searching
Electronic information resource searching
Role models
title Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis
title_full Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis
title_fullStr Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis
title_full_unstemmed Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis
title_short Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis
title_sort Changing parental feeding practices through web-based interventions: A systematic review and meta-analysis
topic Meta-analysis
Randomized controlled trials
Database searching
Electronic information resource searching
Role models
topic_facet Meta-analysis
Randomized controlled trials
Database searching
Electronic information resource searching
Role models
url http://hdl.handle.net/10451/63026
visible 1