Improving child weight management uptake through enhanced National Child Measurement Programme parental feedback letters: A randomised controlled trial

This single-blind, pragmatic, cluster randomised controlled trial aims to investigate uptake of children's weight management services in response to enhanced National Child Measurement Programme (NCMP) letters providing weight status feedback to parents in three English counties in 2015. Parent...

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Bibliographic Details
Published in:Preventive medicine 2019-04, Vol.121, p.128-135
Main Authors: Sallis, A., Porter, L., Tan, K., Howard, R., Brown, L., Jones, A., Ells, L., Adamson, A., Taylor, R., Vlaev, I., Chadborn, T.
Format: Article
Language:English
Subjects:
Behaviour change
Behavioural insights
Body Mass Index
Body Weight
Child
Childhood obesity
Correspondence as Topic
Feedback
Female
Health Promotion - methods
Humans
Male
NCMP
Parent-Child Relations
Parents - psychology
Pediatric Obesity - prevention & control
Prompts
Social Norms
Surveys and Questionnaires
United Kingdom
Uptake
Weight management
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Summary:This single-blind, pragmatic, cluster randomised controlled trial aims to investigate uptake of children's weight management services in response to enhanced National Child Measurement Programme (NCMP) letters providing weight status feedback to parents in three English counties in 2015. Parents of 2642 overweight or very overweight (obese) children aged 10–11 years received an intervention or control letter informing them of their child's weight status. Intervention letters included (i) a visual tool to help weight status recognition, (ii) a social norms statement, and for very overweight children, (iii) a prepopulated booking form for weight management services. The primary outcome was weight management service enrolment. Additional outcome measures included attendance at and contact made with weight management services, and a number of self-report variables. A small effect was observed, with intervention parents being significantly more likely to enrol their children in weight management services (4.33% of Intervention group) than control parents (2.19% of Control group) in both unadjusted (OR = 2.08, p = .008) and adjusted analyses (AOR = 2.48, p = .001). A similar picture emerged for contact with services (4.80% Intervention vs. 2.41% Control; OR = 2.10, p = .003; AOR = 2.46, p 
ISSN:0091-7435
1096-0260
DOI:10.1016/j.ypmed.2019.01.023