title: Predictors of health-related behaviour change in parents of overweight children in England.
abstract: OBJECTIVE
  Providing parents with information about their child's overweight status (feedback) could prompt them to make lifestyle changes for their children. We assessed whether parents of overweight children intend to or change behaviours following feedback, and examined predictors of these transitions.
  
  
  METHODS
  We analysed data from a cohort of parents of children aged 4-5 and 10-11 years participating in the National Child Measurement Programme in five areas of England, 2010-2011. Parents of overweight children (body mass index ≥91st centile) with data at one or six months after feedback were included (n=285). The outcomes of interest were intention to change health-related behaviours and positive behaviour change at follow-up. Associations between respondent characteristics and outcomes were assessed using logistic regression analysis.
  
  
  RESULTS
  After feedback, 72.1% of parents reported an intention to change; 54.7% reported positive behaviour change. Intention was associated with recognition of child overweight status (OR 11.20, 95% CI 4.49, 27.93). Parents of older and non-white children were more likely to report behaviour changes than parents of younger or white children. Intention did not predict behaviour change.
  
  
  CONCLUSIONS
  Parental recognition of child overweight predicts behavioural intentions. However, intentions do not necessarily translate into behaviours; interventions that aim to change intentions may have limited benefits.
authors: Department of Non-communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, UK. Electronic address: minhae.park@lshtm.ac.uk.
authors: Min Hae
authors: MH
authors: Park
authors: Department of Non-communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, UK; NIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle, University Hospitals Bristol Education Centre, Bristol, UK.
authors: Catherine L
authors: CL
authors: Falconer
authors: Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, UK.
authors: Helen
authors: H
authors: Croker
authors: Child Health Unit, School of Public Health, Imperial College London, UK.
authors: Sonia
authors: S
authors: Saxena
authors: Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, UK.
authors: Anthony S
authors: AS
authors: Kessel
authors: Department of General and Adolescent Pediatrics, Institute of Child Health, University College London, UK.
authors: Russell M
authors: RM
authors: Viner
authors: Department of Non-communicable Disease Epidemiology, London School of Hygiene & Tropical Medicine, UK.
authors: Sanjay
authors: S
authors: Kinra
mesh_terms: D000328:Adult; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D004739:England / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D015438:Health Behavior; D006293:Health Promotion / Q000706:statistics & numerical data*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D017063:Outcome Assessment, Health Care; D050177:Overweight / Q000453:epidemiology / Q000517:prevention & control; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D063766:Pediatric Obesity / Q000453:epidemiology / Q000517:prevention & control*; D011320:Primary Health Care / Q000706:statistics & numerical data; D012044:Regression Analysis; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: Behaviour change; Childhood obesity; Stages of change; Weight feedback