Evidence map›Paper›PMID 40524171›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2025

Six-month intervention effect of a digital movement behavior intervention on parent- and child intermediary outcomes-results from the Let's Grow randomized controlled trial.

Johanna Sandborg, Katherine L Downing, Liliana Orellana, Rachael W Taylor, Lisa M Barnett, Valerie Carson, Kylie D Hesketh

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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 synthesis or guideline pooled it.

  1. Pooled it
  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

7 authors.

Johanna SandborgInstitute for Physical Activity and Nutrition, Deakin University, Faculty of Health, Geelong, VIC, Australia.
Katherine L DowningInstitute for Physical Activity and Nutrition, Deakin University, Faculty of Health, Geelong, VIC, Australia.
Liliana OrellanaBiostatistics Unit, Faculty of Health, Deakin University, Geelong, VIC, Australia.
Rachael W TaylorDepartment of Medicine, University of Otago, Dunedin, New Zealand.
Lisa M BarnettInstitute for Physical Activity and Nutrition, Deakin University, Faculty of Health, Geelong, VIC, Australia.
Valerie CarsonFaculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada.
Kylie D HeskethInstitute for Physical Activity and Nutrition, Deakin University, Faculty of Health, Geelong, VIC, Australia. kylie.hesketh@deakin.edu.au.

Funding

Heart Foundation Future Leader Fellowship 105929National Health and Medical Research Council GNT 1162980
6 · The paper itself

Abstract

backgroundParental-focused interventions often aim to improve child health behaviors by changing parenting practices and cognitions and supporting child skill development. These intermediary outcomes serve as milestones that indicate progress towards achieving the ultimate intervention goal; however, the impact on these is rarely reported. The aim of this study was to investigate the effect of a digital intervention, intended to help parents promote healthy movement behaviors in toddlers on these intermediary outcomes.

methodsThis study utilized data from the Let's Grow trial (n = 1165). Participants were recruited Australia-wide and randomized to usual care (routine child healthcare visits) or intervention (usual care plus Let's Grow app) following baseline assessment. Participants with data on at least one intermediary outcome (assessed via an online survey) at baseline and mid-intervention (6-months) were included (usual care, n = 618; intervention, n = 547). These included parental cognitions (knowledge, self-efficacy, confidence) and behaviors (co-participation, role modelling, family rules and routines, screens in child's bedroom), and child developmental skills (motor skills, emotional regulation). Linear regression compared between-group outcomes. We also explored whether changes in the intermediary outcomes were associated with intervention engagement (Web app analytics).

resultsThe intervention group had higher knowledge of child movement behaviors (mean difference = 0.41, P = 0.002) compared to control. This difference was driven by knowledge in physical activity (mean differences 0.12, P = 0.028) and sleep (mean difference 0.27, P = 0.003) topics. No significant effect was observed for the other intermediary outcomes. Higher engagement was associated with improvements in parental knowledge of child movement behaviors and physical activity, confidence, ease of parenting, family rules for movement behaviors and screen time, and less parental screen time (all P ≤ 0.039).

conclusionsWhile Let's Grow positively influenced physical activity and sleep knowledge at the mid-intervention point, our findings suggests that parents might need more time or support to improve cognitions and behaviors related to children's sedentary behavior/screen time and child developmental skills. Further clarity on whether the observed changes translate into differential impacts on child movement behaviors will be reported following trial conclusion. Engagement appears to enhance intervention effects, highlighting the importance of strategies to optimize engagement.

trial registrationACTRN12620001280998; U1111-1252-0599.

Indexed as

ExerciseHealth BehaviorHealth PromotionParentingParentsAdultAustraliaChild BehaviorChild DevelopmentChild, PreschoolFemaleHealth Knowledge, Attitudes, PracticeHumansInfantMaleMobile ApplicationsConfidenceEmotional regulationKnowledgeMediatorsMHealthMotor skillsMovement behaviorsParenting practicesSelf-efficacy

Identifiers

PMID40524171
PMCPMC12172252

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.