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4 results

  • Reduction in intake of discretionary foods and drinks among Danish schoolchildren: dietary results from the real-life cluster-randomised controlled trial ‘Are You Too Sweet?’

  • Sidse Marie Sidenius Bestle, Anne Dahl Lassen, Anja Pia Biltoft-Jensen, Jeppe Matthiessen, Sarah Jegsmark Gibbons, Bodil Just Christensen, Bjarne Kjær Ersbøll, Ellen Trolle
  • Journal:
    Public Health Nutrition / Volume 27 / Issue 1 / 2024
    Published online by Cambridge University Press:
    26 March 2024, e111
    • Article
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  • Objective:

    To evaluate the effectiveness of the multicomponent intervention trial ‘Are You Too Sweet?’ in reducing discretionary foods and drinks intake among young schoolchildren.

    Design:

    The study was a 3·5-month two-arm cluster-randomised controlled trial among primary schoolchildren and their families. School health nurses provided guidance to families regarding discretionary foods and drinks for the children. Moreover, families were given a variety of knowledge- and capability-building materials to utilise at home. Dietary intake was assessed using a web-based 7-d dietary record. Linear mixed regression models were used to estimate intervention effects as changes in child intake of discretionary foods and drinks and sugar between groups.

    Setting:

    Six schools from a Danish municipality were randomised to the intervention group (n 4) or the control group (n 2).

    Participants:

    A total of 153 children aged 5–7 years.

    Results:

    No significant reduction in the children’s intake of total discretionary foods and drinks or discretionary foods alone was observed between the intervention and control group, while a decreased intake of discretionary drinks of 40·9 % (P = 0·045) was observed compared with control. Secondary subgroup analysis showed that children of parents with shorter educational level significantly reduced their intake of added sugar by 2·9 E% (P = 0·002).

    Conclusion:

    The results of this study indicate that multicomponent interventions involving school health nurses may have some effects in reducing, especially, discretionary drinks.

  • Chapter 16 - Working with Parents with Depression in Family Intervention

  • from Part IV - Family Intervention for Children at Risk Due to Family Dysfunction or Past Adversity
  • Edited by Jennifer L. Allen, University of Bath, David J. Hawes, University of Sydney, Cecilia A. Essau, Roehampton University, London
  • Book:
    Family-Based Intervention for Child and Adolescent Mental Health
    Published online:
    18 February 2021
    Print publication:
    11 March 2021, pp 207-224

  • Summary

    Parental depression is associated with maladaptive cognitive, academic, socio-emotional and psychological outcomes in offspring. Children with a depressed parent are three to four times more likely to be diagnosed with depression than children with non-depressed parents, making parental depression a significant risk factor in the onset of childhood depression. Preventive interventions aim to reduce the likelihood that depressive symptoms will onset by decreasing risk factors and increasing protective factors. In family-based preventive interventions for children who are at risk for depression due to parental depressive symptoms, clinicians aim to build resilience in children by addressing risk and protective factors. Such intervention programs have been shown to effectively reduce depressive symptoms in children. This chapter summarizes the effects of parental depression on children, risk and protective factors associated with resilience and the family-based preventive interventions used to mitigate the effects of parental depression on children and presents an example case study highlighting one of these preventive interventions. Finally, the chapter reviews essential clinical competencies for productive work in family-based depression preventive interventions.

  • Chapter 18 - Working with Families of Children Who Have Experienced Maltreatment

  • from Part IV - Family Intervention for Children at Risk Due to Family Dysfunction or Past Adversity
  • Edited by Jennifer L. Allen, University of Bath, David J. Hawes, University of Sydney, Cecilia A. Essau, Roehampton University, London
  • Book:
    Family-Based Intervention for Child and Adolescent Mental Health
    Published online:
    18 February 2021
    Print publication:
    11 March 2021, pp 242-257

  • Summary

    Child maltreatment is a universal public health issue. It is well established that parenting is implicated in both risk and resilience for child abuse and neglect. Thus, family-based interventions are significant for preventing and treating the psychological and developmental impact of child maltreatment. The aim of this chapter is to outline core competencies that clinicians should aspire to develop and strengthen to provide effective practice with families of children at risk for or exposed to maltreatment. To this end, we discuss scientific principles and evidence-informed strategies using a framework of three overarching competency domains underpinning therapeutic work in this field: (1) conceptualizing child maltreatment, (2) promoting wellbeing in families of children at risk for or exposed to maltreatment and (3) scientific and professional issues. We conclude by demonstrating the clinician competencies using a case illustration of a child presenting with complex trauma.

  • Parents make the difference: a randomized-controlled trial of a parenting intervention in Liberia

  • Part of
  • E. S. Puffer, E. P. Green, R. M. Chase, A. L. Sim, J. Zayzay, E. Friis, E. Garcia-Rolland, L. Boone
  • Journal:
    Global Mental Health / Volume 2 / 2015
    Published online by Cambridge University Press:
    04 August 2015, e15
    • Article
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      • Open access
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  • Background.

    The objective of this study was to evaluate the impact of a brief parenting intervention, ‘Parents Make the Difference‘(PMD), on parenting behaviors, quality of parent-child interactions, children's cognitive, emotional, and behavioral wellbeing, and malaria prevention behaviors in rural, post-conflict Liberia.

    Methods.

    A sample of 270 caregivers of children ages 3–7 were randomized into an immediate treatment group that received a 10-session parent training intervention or a wait-list control condition (1:1 allocation). Interviewers administered baseline and 1-month post-intervention surveys and conducted child-caregiver observations. Intent-to-treat estimates of the average treatment effects were calculated using ordinary least squares regression. This study was pre-registered at ClinicalTrials.gov (NCT01829815).

    Results.

    The program led to a 55.5% reduction in caregiver-reported use of harsh punishment practices (p < 0.001). The program also increased the use of positive behavior management strategies and improved caregiver–child interactions. The average caregiver in the treatment group reported a 4.4% increase in positive interactions (p < 0.05), while the average child of a caregiver assigned to the treatment group reported a 17.5% increase (p < 0.01). The program did not have a measurable impact on child wellbeing, cognitive skills, or household adoption of malaria prevention behaviors.

    Conclusions.

    PMD is a promising approach for preventing child abuse and promoting positive parent-child relationships in low-resource settings.