Evidence map›Paper›PMID 30866878›Full record

ArticleBMC public health2019

Engaging parents using web-based feedback on child growth to reduce childhood obesity: a mixed methods study.

Rinita Dam, Heather Anne Robinson, Sarah Vince-Cain, Gill Heaton, Adam Greenstein, Matthew Sperrin, Lamiece Hassan

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Parents' Experiences of Communication With School Nurses About Their Child's Weight Development in Sweden.The Journal of school nursing : the official publication of the National Association of School Nurses · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Development of obesity from childhood to adolescents.Pediatric endocrinology, diabetes, and metabolism · 2021
    Article
  6. Disruption of Pressure-Induced CaHypertension (Dallas, Tex. : 1979) · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Rinita DamRadcliffe Department of Medicine, Medical Sciences Division, John Radcliffe Hospital, University of Oxford, Oxford, OX3 9DU, UK. rinita.dam@rdm.ox.ac.uk.ORCID https://orcid.org/0000-0002-4620-7088
Heather Anne RobinsonDivision of Informatics, Imaging and Data Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Sarah Vince-CainManchester University NHS Foundation Trust, Manchester, UK.
Gill HeatonManchester University NHS Foundation Trust, Manchester, UK.
Adam GreensteinDivision of Cardiovascular Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Matthew SperrinDivision of Informatics, Imaging and Data Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Lamiece HassanDivision of Informatics, Imaging and Data Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
University of Manchester · GBManchester University NHS Foundation Trust · GBManchester Academic Health Science Centre · GB

Funding

British Heart Foundation FS/12/81/29882Medical Research Council MC_PC_13042Medical Research Council MR/K006665/1
6 · The paper itself

Abstract

backgroundTo measure trends in child growth and combat rising levels of obesity, Manchester University NHS Foundation Trust and the University of Manchester have developed Children's Health and Monitoring Programme (CHAMP). CHAMP collects an annual measurement for primary school children (aged 4 to 11) in Manchester, England, and offers feedback of Body Mass Index (BMI) results to parents via a secure website. No similar digital tool exists that both provides high resolution data on the trajectory of child growth and acts as a feedback and monitoring system. This study investigates how effectively this intervention engaged with parents and supported the reduction of childhood obesity.

methodsAnonymised CHAMP registration and BMI data (UK1990) were collected between September 2013 and March 2017 from a total of 63,337 children. BMI change over time was compared in matched cohorts of 24,551 children, whose parents had and had not registered with the CHAMP website. Qualitative focus groups and interviews were used to explore perspectives among 29 key informants (parents, school and healthcare professionals) from six schools in Manchester.

resultsOverweight children whose parents had not registered with the CHAMP website gained a median of 0.14 BMI centile between measurements, whilst children of CHAMP-registered parents reduced their BMI by a median of 0.4 centile per year (P = 0.02). Normal weight children of registered parents decreased their BMI by 0.3 centile each year, whilst those not registered increased their BMI by 0.8 centile per year (P = 0.001). There was no significant association between registration and BMI centile change in children already classified as obese (P = 0.34). A qualitative, thematic analysis revealed that the annual measurement programme was widely supported by parents and staff. A range of psychological and behavioural impacts on families were reported as a result of the monitoring and feedback processes, in some cases prompting reflection and monitoring of health and lifestyle choices.

conclusionThese early findings indicate that CHAMP, as both a monitoring system and a digital intervention, could encourage positive lifestyle change and support healthier child growth trajectories.

Indexed as

Child DevelopmentFeedbackInternetAdultBody Mass IndexChildChild, PreschoolEnglandFemaleFocus GroupsHumansMaleParentsPediatric ObesityProgram EvaluationQualitative ResearchBody mass indexDigital interventionHealth educationMixed methods studyPaediatric obesityParents

Identifiers

PMID30866878
PMCPMC6415344
OpenAlexW2943828156

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.