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Online Behavioral Screener with Tailored Obesity Prevention Messages: Application to a Pediatric Clinical Setting
- Source :
- Nutrients, Vol 13, Iss 223, p 223 (2021), Nutrients, Volume 13, Issue 1
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- Obesity prevention involves promoting healthy eating and physical activity across all children. Can we leverage technology to feasibly survey children&rsquo<br />s health behaviors and deliver theory-based and user-tailored messages for brief clinical encounters? We assessed the acceptability and utility of an online pediatric-adapted liking survey (PALS) and tailored messages among children receiving non-urgent care in a pediatric emergency department (PED). Two hundred and forty-five children (average age = 10 years, racially/ethnically diverse, 34% overweight/obese from measured indices, 25% of families reporting food insecurity) and their parents/caregivers participated. Each reported the child&rsquo<br />s activity and behaviors using the online PALS and received two to three messages tailored to the responses (aligned with elaboration likelihood and transtheoretical models) to motivate behavioral improvements or reinforce healthy behaviors. Most children and parents (&gt<br />90%) agreed the PALS was easy to complete, encouraging thought about their own/child&rsquo<br />s behaviors. The child&rsquo<br />s PALS responses appeared reasonable (fair-to-good child&ndash<br />parent intraclass correlations). Most children and parents (&ge<br />75%) reported the tailored messages to be helpful and favorable for improving or maintaining the targeted behavior. Neither message type (motivating/reinforcing) nor favorability responses varied significantly by the child&rsquo<br />s weight or family&rsquo<br />s food security status. In summary, children and parents found the PALS with tailored messages acceptable and useful. The message types and responses could help focus brief clinical encounters.
- Subjects :
- Male
Parents
Pediatric emergency
Pediatric Obesity
Adolescent
Health Behavior
Physical activity
physical activity
Healthy eating
lcsh:TX341-641
Health Promotion
Overweight
Article
03 medical and health sciences
0302 clinical medicine
Surveys and Questionnaires
030225 pediatrics
eHealth
medicine
Message type
Humans
030212 general & internal medicine
Child
Exercise
Obesity prevention
Internet
Nutrition and Dietetics
message tailoring
fungi
food and beverages
pediatric obesity prevention
Telemedicine
humanities
Food insecurity
Patient Satisfaction
Child, Preschool
Female
medicine.symptom
Psychology
diet
lcsh:Nutrition. Foods and food supply
Food Science
Clinical psychology
Subjects
Details
- Language :
- English
- ISSN :
- 20726643
- Volume :
- 13
- Issue :
- 223
- Database :
- OpenAIRE
- Journal :
- Nutrients
- Accession number :
- edsair.doi.dedup.....0227209af90968575dc5e722d2266ad7