Evaluating Intervention Programs Targeting Parents to Manage Childhood Overweight and Obesity: A Systematic Review Using the RE-AIM Framework

J Pediatr Nurs. 2015 Nov-Dec;30(6):877-87. doi: 10.1016/j.pedn.2015.05.004. Epub 2015 Jun 27.

Abstract

Intervention programs targeting parents to manage childhood overweight and obesity have emerged based on parents influence on the health behaviors of their children. The purpose of this review was to systematically evaluate intervention programs targeting parents to manage childhood overweight and obesity using the Reach, Efficacy, Adopt, Implementation, and Maintenance (RE-AIM) framework. There was a moderate risk of bias across all studies. The overall proportion of studies (n=7) reporting on each dimension of the RE-AIM framework ranged from 78.6% (reach) to 23.8% (maintenance). The majority of intervention programs demonstrated improvement in child BMI. However intervention programs did not reach families of diverse race/ethnicity, were provided by highly trained professionals, and demonstrated high attrition, thus limiting generalizability.

Keywords: Childhood overweight and obesity; Program targeting parents; RE-AIM framework; Systematic review.

Publication types

  • Evaluation Study
  • Research Support, N.I.H., Extramural
  • Review
  • Systematic Review

MeSH terms

  • Adolescent
  • Behavior Therapy / methods
  • Body Mass Index*
  • Child
  • Child, Preschool
  • Diet, Reducing / methods
  • Disease Management
  • Health Education / organization & administration*
  • Humans
  • Life Style
  • Male
  • Overweight / prevention & control
  • Overweight / therapy
  • Parents / education*
  • Pediatric Obesity / prevention & control
  • Pediatric Obesity / therapy*
  • Program Evaluation
  • Risk Assessment
  • Weight Loss