Evidence map›Paper›PMID 39945123›Full record

Trial reportBritish journal of health psychology2025

Mechanisms and outcomes of a very low intensity intervention to improve parental acknowledgement and understanding of childhood overweight/obesity, embedded in the National Child Measurement Programme: A sub-study within a large cluster Randomized Controlled Trial (MapMe2).

Elizabeth H Evans, Christopher M Jones, Ashley Adamson, Angela R Jones, Laura Basterfield, João Paulo de Aguiar Greca, Letitia Sermin-Reed, Maddey Patterson, Lorraine McSweeney, Raenhha Dhami and 7 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of health psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Trial
  2. 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

17 authors.

Elizabeth H EvansDepartment of Psychology, Durham University, Durham, UK.ORCID 0000-0002-3432-3778
Christopher M JonesDepartment for Prevention of Cardiovascular and Metabolic Diseases, Center for Preventive Medicine and Digital Health (CPD), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.ORCID 0000-0002-3182-8244
Ashley AdamsonHuman Nutrition and Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Angela R JonesHuman Nutrition and Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Laura BasterfieldHuman Nutrition and Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
João Paulo de Aguiar GrecaHuman Nutrition and Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Letitia Sermin-ReedHuman Nutrition and Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Maddey PattersonHuman Nutrition and Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Lorraine McSweeneyHuman Nutrition and Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Raenhha DhamiDepartment for Prevention of Cardiovascular and Metabolic Diseases, Center for Preventive Medicine and Digital Health (CPD), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Louisa EllsSchool of Health, Obesity Institute, Leeds Beckett University, Leeds, UK.
Alison GahaganDepartment of Health and Social Care, Office for Health Improvement and Disparities, London, UK.
Tomos RobinsonHuman Nutrition and Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Mohadeseh Shojaei ShahrokhabadiHuman Nutrition and Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Dawn TeareHuman Nutrition and Exercise Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Martin J TovéeNorthumbria University, Newcastle upon Tyne, UK.ORCID 0000-0001-9642-4462
Vera Araújo SoaresDepartment for Prevention of Cardiovascular and Metabolic Diseases, Center for Preventive Medicine and Digital Health (CPD), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Funding

National Institute for Health and Care Research
6 · The paper itself

Abstract

objectivesParental underdetection of child underweight and overweight/obesity may negatively affect children's longer-term health. We examined psychological/behavioural mechanisms of a very low-intensity intervention to improve acknowledgement and understanding of child weight after feedback from a school-based weight monitoring programme.

designThis sub-study was nested within a larger 3-arm cluster-RCT (1:1:1; N = 57,300). Parents in all groups received written postal feedback on their child's weight classification. Intervention participants received an enhanced feedback letter with computer-generated photorealistic images depicting children of different weight classifications, and access to a website about supporting healthy weight, once (intervention one) or twice (intervention two; repeated 6 months after first 'dose').

methodsA quantitative process and outcome evaluation using baseline and 12-month BMI z-scores of an opt-in sub-sample of 502 children aged 4-5 and 10-11. Children completed dietary reports, used accelerometers (MVPA), and self-reported self-esteem; 10-11-year-olds also self-reported quality of life and dietary restraint. Parents reported perceptions of child's weight classification, and their intentions, self-efficacy, action planning and coping planning for child physical activity, dietary intake; parents of 4-5-year-olds reported their child's quality of life.

resultsNeither intervention differentially improved parental acknowledgement or understanding of weight classification at follow-up, although parents in all groups reported better acknowledgement after receiving feedback. The interventions did not affect behavioural/psychological determinants, weight outcomes, children's self-esteem, dietary restraint or quality of life.

conclusionsThe interventions neither improved parental acknowledgement of child weight, child BMI z-scores and their psychological/behavioural determinants, nor worsened psycho-social sequelae.

Indexed as

Health Knowledge, Attitudes, PracticeOverweightParentsPediatric ObesityBody Mass IndexChildChild, PreschoolFemaleHumansMaleSelf Conceptchild obesityparental perceptionsweight monitoring

Identifiers

PMID39945123
PMCPMC11822560

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.