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dc.contributor.authorRedsell, SAen
dc.contributor.authorRose, Jen
dc.contributor.authorWeng, Sen
dc.contributor.authorAblewhite, Jen
dc.contributor.authorSwift, JAen
dc.contributor.authorSiriwardena, ANen
dc.contributor.authorNathan, Den
dc.contributor.authorWharrad, HJen
dc.contributor.authorAtkinson, Pen
dc.contributor.authorWatson, Ven
dc.contributor.authorMcMaster, Fen
dc.contributor.authorLakshman, Rajalakshmien
dc.contributor.authorGlazebrook, Cen
dc.date.accessioned2017-12-18T11:49:05Z
dc.date.available2017-12-18T11:49:05Z
dc.date.issued2017-09-01en
dc.identifier.issn2044-6055
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/270264
dc.description.abstractOBJECTIVE: To assess the feasibility and acceptability of using digital technology for Proactive Assessment of Obesity Risk during Infancy (ProAsk) with the UK health visitors (HVs) and parents. DESIGN: Multicentre, pre- and post-intervention feasibility study with process evaluation. SETTING: Rural and urban deprived settings, UK community care. PARTICIPANTS: 66 parents of infants and 22 HVs. INTERVENTION: ProAsk was delivered on a tablet device. It comprises a validated risk prediction tool to quantify overweight risk status and a therapeutic wheel detailing motivational strategies for preventive parental behaviour. Parents were encouraged to agree goals for behaviour change with HVs who received motivational interviewing training. OUTCOME MEASURES: We assessed recruitment, response and attrition rates. Demographic details were collected, and overweight risk status. The proposed primary outcome measure was weight-for-age z-score. The proposed secondary outcomes were parenting self-efficacy, maternal feeding style, infant diet and exposure to physical activity/sedentary behaviour. Qualitative interviews ascertained the acceptability of study processes and intervention fidelity. RESULTS: HVs screened 324/589 infants for inclusion in the study and 66/226 (29%) eligible infants were recruited. Assessment of overweight risk was completed on 53 infants and 40% of these were identified as above population risk. Weight-for-age z-score (SD) between the infants at population risk and those above population risk differed significantly at baseline (-0.67 SD vs 0.32 SD). HVs were able to collect data and calculate overweight risk for the infants. Protocol adherence and intervention fidelity was a challenge. HVs and parents found the information provided in the therapeutic wheel appropriate and acceptable. CONCLUSION: Study recruitment and protocol adherence were problematic. ProAsk was acceptable to most parents and HVs, but intervention fidelity was low. There was limited evidence to support the feasibility of implementing ProAsk without significant additional resources. A future study could evaluate ProAsk as a HV-supported, parent-led intervention. TRIAL REGISTRATION NUMBER: NCT02314494 (Feasibility Study Results).
dc.description.sponsorshipThis work was supported by the Medical Research Council – Public Health Intervention Development Scheme, grant number PHIND 01/14-15.
dc.languageengen
dc.publisherBMJ Publishing Group
dc.rightsAttribution 4.0 International*
dc.rightsAttribution 4.0 Internationalen
dc.rightsAttribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.subjectcommunity child healthen
dc.subjectpreventive medicineen
dc.subjectpublic healthen
dc.titleDigital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility studyen
dc.typeArticle
prism.issueIdentifier9en
prism.numbere017694en
prism.publicationDate2017en
prism.publicationNameBMJ Openen
prism.volume7en
dc.identifier.doi10.17863/CAM.17112
dcterms.dateAccepted2017-07-24en
rioxxterms.versionofrecord10.1136/bmjopen-2017-017694en
rioxxterms.versionVoR*
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/en
rioxxterms.licenseref.startdate2017-09-01en
dc.contributor.orcidLakshman, Rajalakshmi [0000-0001-6748-5960]
dc.identifier.eissn2044-6055
rioxxterms.typeJournal Article/Reviewen
pubs.funder-project-idMRC (MC_UU_12015/2)
pubs.funder-project-idMRC (MC_EX_UU_MR/J000361/1)
pubs.funder-project-idWellcome Trust (099415/Z/12/Z)
pubs.funder-project-idMedical Research Council (MR/M009327/1)


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International