A systematic review of internet-based family intervention for childhood obesity
Ahmad, Norliza and Mohd Zulkefli, Nor Afiah and Baharom, Anisah and Minhat, Halimatus Sakdiah and Mukhtar, Firdaus and Mohd Shariff, Zalilah and Lye, Munn Sann (2014) A systematic review of internet-based family intervention for childhood obesity. World Journal of Medical Sciences, 11 (1). pp. 144-152. ISSN 1817-3055; ESSN: 1990-4061
Official URL: http://www.idosi.org/wjms/wjms11%281%2914.htm
Background: Family based interventions for childhood obesity has been demonstrated to be effective over the past several decades but parents are difficult to engage. Internet-based family intervention could be an alternative to face to face family intervention in meeting the barriers identified from parents. Objectives: This review provides an overview of internet-based family intervention for obese children, focusing on effectiveness and attrition rates. Methods: Randomized controlled trial studies published between January 2004 and March 2014 were selected from six electronic databases. Intervention using internet or web-based which involved parents of 2 to 17 years old and lifestyles and behavior modification were included. Intervention characteristics were reviewed and salient features were extracted. Results: Five related randomized controlled trials were included. Four of five studies found significant adiposity and behavioral changes. Attrition rates ranged from 2% to 47%. Intervention characteristics that could contributed to intervention effectiveness were theory based, used of more behavioral techniques and interactive features like online self-monitoring and e-mail contact with counselors. One of the factors that could have influence on attrition rates was monetary incentives. Parents’ empowerment and parenting aspects were lacking in the internet-based family intervention for parents. Conclusions: internet-based intervention has a short term impact on adiposity and behavioral changes and has the potential to minimize parents’ attrition in family based intervention. Improving the intervention elements in internet-based family intervention might improve effectiveness and attrition rates.
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