title: Using intervention mapping to develop a family-based childhood weight management programme.
abstract: OBJECTIVE
  To develop, implement and evaluate a family-based childhood weight management programme.
  
  
  METHODS
  Programme development utilized Bartholomew's Intervention Mapping framework. This six step structured approach provides planners with a framework that links determinants of health behaviours with performance objectives and strategies to be incorporated into programme design. Using this process a needs analysis and literature review were undertaken, a steering group formed, six focus groups (with a total of n = 47 pupils) were completed and six interviews took place with parents. The determinants were combined with relevant theories to develop the programme. Y W8? is a 12 week course for families with children aged 8-13 years designed to assist with weight management. Participants' height, weight and physical activity levels along with self-esteem scores for children are recorded pre- and post-intervention and at three, six and 12 month follow-up. This paper documents post-course results at 12 weeks.
  
  
  RESULTS
  Preliminary results showed children (mean pre-BMI = 28.48 (±4.44), mean post-BMI = 27.48 (±4.45; P = <0.001) and parents (mean pre-BMI = 30.77 (±6.21), mean post-BMI = 30.41 (±6.17; P = 0.017) decreased their BMI over the 12 weeks. These results compare favourably with similar programmes in the UK.
  
  
  CONCLUSIONS
  Intervention mapping was a useful approach for developing a theory based intervention. Results suggest Y W8? improves the body mass index (BMI) of children and parents at 12 weeks. Further work, including a randomized controlled trial (RCT), will confirm this, investigate the longer-term effectiveness and determine how the effects are mediated by psychological processes.
authors: Child Nutrition and Obesity, Telford and Wrekin Community Health Services, Colliers Way, Old Park, Telford, UK. helen.pittson@telfordpct.nhs.uk
authors: Helen
authors: H
authors: Pittson
authors: Louise
authors: L
authors: Wallace
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D017144:Focus Groups; D005500:Follow-Up Studies; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D009765:Obesity / Q000517:prevention & control*; D010287:Parent-Child Relations; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation; D036301:Qualitative Research; D006113:United Kingdom