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dc.contributor.authorEsdaile, Emmaen_US
dc.contributor.authorHernandez, Emelyen_US
dc.contributor.authorMoores, Carly Jen_US
dc.contributor.authorVidgen, Helen Aen_US
dc.date.accessioned2019-07-03T04:52:37Z
dc.date.available2019-07-03T04:52:37Z
dc.date.issued2019-06-14
dc.identifier.citationEsdaile, E., Hernandez, E., Moores, C. J., & Vidgen, H. A. (2019). Enrolment of families with overweight children into a program aimed at reducing childhood obesity with and without a weight criterion: a natural experiment. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-6894-yen_US
dc.identifier.issn1471-2458
dc.identifier.urihttp://hdl.handle.net/2328/39271
dc.description© The Author(s). 2019 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_US
dc.description.abstractBACKGROUND: Difficulties engaging families with overweight children to enrol into programs aimed at reducing childhood obesity have been well documented. During the implementation of the Parenting, Eating and Activity for Child Health Program (PEACH™) over a large geographical area (Queensland (QLD), Australia), a natural experiment developed. This experiment provided an opportunity to observe if there was a difference in enrolment for families with overweight children with a weight criterion (referred to as the period with a Targeted Eligibility Criterion (TEC)) compared to when a weight criterion was removed (the period referred to as Universal Eligibility Criterion (UEC)). We also examined the eligibility criterion’s relationship with attendance, parental concern about their child’s weight, estimation of overweight and obesity from parent-reported data. METHODS: A secondary analysis of baseline data from 926 overweight/obese children from 817 families enrolled in PEACH™ QLD was performed. Analyses were adjusted to control for the presence of clustered data. Bivariate statistics were performed using Pearson chi-square test with the second-order Rao-Scott correction, and Mann–Whitney U-test for non-parametric continuous variables. Generalized Estimating Equations (GEE) explored the association between weight status-based eligibility criteria and enrolment of overweight children. GEE were adjusted for sex, age and socioeconomic index and stratified for weight category. RESULTS: Compared to obese children, overweight children were almost twice as likely to be enrolled when the program did not have weight status-based eligibility criteria (during UEC period) (OR = 1.90 (CI 95% 1.35–2.68, p <  0.001)). Parents of overweight children enrolled during the UEC period were more likely to regard their child’s weight as less of a concern than during the TEC period (UEC 67% vs. TEC 45%, p = 0.036). Children whose parent-reported data underestimated their weight category were more likely to be enrolled while the program did not have weight-related eligibility criteria OR = 2.27 (CI 1.38–3.70, p <  0.01). Program session attendance did not appear to be impacted by the changes in eligibility criteria. CONCLUSIONS: The omission of weight criteria for healthy lifestyle programs is a consideration for health professionals and decision-makers alike when encouraging the enrolment of children who are overweight into healthy lifestyle programs.en_US
dc.language.isoenen_US
dc.publisherBMCen_US
dc.rights© The Author(s). 2019en_US
dc.subjectChildhood obesityen_US
dc.subjectPrimary schoolen_US
dc.subjectHealthy lifestyle programen_US
dc.subjectEngagementen_US
dc.subjectEligibilityen_US
dc.titleEnrolment of families with overweight children into a program aimed at reducing childhood obesity with and without a weight criterion: a natural experimenten_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.1186/s12889-019-6894-yen_US
dc.date.updated2019-06-20T05:43:36Z
dc.language.rfc3066en
dc.rights.holderThe Author(s).en_US
local.contributor.authorOrcidLookupEsdaile, Emma: https://orcid.org/0000-0002-9166-1001en_US
local.contributor.authorOrcidLookupMoores, Carly J: https://orcid.org/0000-0003-0762-7482en_US


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