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document
Feasibility of an obesity intervention for paediatric primary care targeting parenting and children : Helping HAND . BACKGROUND The primary care setting offers the opportunity to reach children and parents to encourage healthy lifestyle behaviours , and improve weight status among children . OBJECTIVE Test the feasibility of Helping HAND ( Healthy Activity and Nutrition Directions ) , an obesity intervention for 5- to 8-year-old children in primary care clinics . METHODS A randomized controlled pilot study of Helping HAND , a 6-month intervention , targeted children with body mass index 85-99 % tile and their parents . Intervention group attended monthly sessions and self-selected child behaviours and parenting practices to change . Control group received regular paediatric care and was wait-listed for Helping HAND . Session completion , participant satisfaction , child anthropometrics , dietary intake , physical activity , TV viewing and behaviour-specific parenting practices were measured pre and post intervention . RESULTS Forty parent-child dyads enrolled : 82.5 % were Hispanic , 80 % had a girl and 65 % reported income ≤ $ 30 , 000/year . There was 20 % attrition from Helping HAND ( attended < 4/6 sessions ) . Families self-selected 4.35 ( SD 1.75 ) behaviours to target during the 6-month programme and each of the seven behaviours was selected by 45-80 % of the families . There were no between group differences in the child 's body mass index z-score , dietary intake or physical activity post intervention . Intervention group viewed 14.9 ( SE 2.3 ) h/week of TV post intervention versus control group 23.3 ( SE 2.4 ) h/week ( P < 0.05 ) . CONCLUSION Helping HAND is feasible , due to low attrition , good programme attendance , and clinically relevant improvements in some child and parenting behaviours .
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Intervention_Educational
obesity intervention
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Intervention_Educational
Helping HAND
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Intervention_Educational
monthly sessions and self-selected child behaviours and parenting practices
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Intervention_Educational
regular paediatric care and was wait-listed for Helping HAND
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Outcome_Mental
Session completion , participant satisfaction , child anthropometrics , dietary intake , physical activity , TV viewing and behaviour-specific parenting practices
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Participant_Age
parenting and children
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Participant_Age
children
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Participant_Age
parents
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Participant_Age
5- to 8-year-old children
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Participant_Age
children
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Participant_Condition
body mass index
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Participant_Age
parents
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Participant_Sample-size
Forty parent-child
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Participant_Sex
girl