Evidence map›Paper›PMID 30866879›Full record

ArticleBMC public health2019

Proactive Assessment of Obesity Risk during Infancy (ProAsk): a qualitative study of parents' and professionals' perspectives on an mHealth intervention.

Jennie Rose, Cris Glazebrook, Heather Wharrad, A Niroshan Siriwardena, Judy Anne Swift, Dilip Nathan, Stephen Franklin Weng, Pippa Atkinson, Joanne Ablewhite, Fiona McMaster and 2 more

Registry-linked trialAbstract 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. It is linked to trial NCT02314494 (A Feasibility Study of an Interactive, Educational Programme to Facilitate Proactive Assessment of Overweight Risk During Infancy), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02314494 completednot on this map

A Feasibility Study of an Interactive, Educational Programme to Facilitate Proactive Assessment of Overweight Risk During Infancy

TypeobservationalSponsorAnglia Ruskin UniversityRan2015 to 2016Enrolled83ConditionsChildhood ObesityArmsProAsk
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

Jennie RoseFaculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, East Road Campus, Cambridge, England. Jennie.Rose@anglia.ac.uk.ORCID http://orcid.org/0000-0003-0242-6999
Cris GlazebrookInstitute of Mental Health, University of Nottingham Innovation Park, Nottingham, England.
Heather WharradSchool of Health Sciences, University of Nottingham, Nottingham, England.
A Niroshan SiriwardenaCommunity and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, England.
Judy Anne SwiftDivision of Nutritional Sciences, School of Biosciences, University of Nottingham, Nottingham, England.
Dilip NathanNottingham University Hospitals Trust, Nottingham, England.
Stephen Franklin WengDivision of Primary Care, University of Nottingham, Nottingham, England.
Pippa AtkinsonNottingham City Care Partnership, Nottingham, England.
Joanne AblewhiteInstitute of Mental Health, University of Nottingham Innovation Park, Nottingham, England.
Fiona McMasterFaculty of Medical Sciences, Anglia Ruskin University, Cambridge, England.
Vicki WatsonNottingham City Care Partnership, Nottingham, England.
Sarah Anne RedsellFaculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, East Road Campus, Cambridge, England.

Funding

Medical Research Council MR/M009327/1Medical Research Council (UK) PHIND 01/14-15
6 · The paper itself

Abstract

backgroundPrevention of childhood obesity is a public health priority. Interventions that establish healthy growth trajectories early in life promise lifelong benefits to health and wellbeing. Proactive Assessment of Obesity Risk during Infancy (ProAsk) is a novel mHealth intervention designed to enable health professionals to assess an infant's risk of future overweight and motivate parental behaviour change to prevent childhood overweight and obesity. The aim of this study was to explore parents' and health professionals' experiences of the overweight risk communication and behaviour change aspects of this mHealth intervention.

methodsThe study was conducted in four economically deprived localities in the UK. Parents (N = 66) were recruited to the ProAsk feasibility study when their infant was 6-8 weeks old. Twenty two health visitors (HVs) used a hand-held tablet device to deliver ProAsk to parents when their infants were 3 months old. Parents (N = 12) and HVs (N = 15) were interviewed when infants in the study were 6 months old. Interview data were transcribed and analysed thematically using an inductive, interpretative approach.

resultsFour key themes were identified across both parent and health visitor data: Engaging and empowering with digital technology; Unfamiliar technology presents challenges and opportunity; Trust in the risk score; Resistance to targeting. Most participants found the interactivity and visual presentation of information on ProAsk engaging. Health visitors who were unfamiliar with mobile technology drew support from parents who were more confident using tablet devices. There was evidence of resistance to targeting infants at greatest risk of future overweight and obesity, and both parents and health visitors drew on a number of reasons why a higher than average overweight risk score might not apply to a particular infant.

conclusionsAn mHealth intervention actively engaged parents, enabling them to take ownership of the process of seeking strategies to reduce infant risk of overweight. However, cognitive and motivational biases that prevent effective overweight risk communication are barriers to targeting an intervention at those infants most at risk.

trial registrationNCT02314494 . Date registered 11th December 2014.

Indexed as

Attitude of Health PersonnelTelemedicineEnglandFeasibility StudiesFemaleHumansInfantMaleNurses, Community HealthParentsPediatric ObesityQualitative ResearchRisk AssessmentChildhood obesityHealth visitorInfantmHealthParentsPredictionPreventionRisk communication

Identifiers

PMID30866879
PMCPMC6417230

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Registered trials

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.