A systematic review of children's dietary interventions with parents as change agents: Application of the RE-AIM framework.

Abstract:

INTRODUCTION:Interventions targeting children's dietary behavior often include strategies that target parents as implementation agents of change, though parent involvement on intervention effectiveness is unclear. The present study systematically assessed (1) reporting of reach, effectiveness, adoption, implementation and maintenance (RE-AIM) of child dietary intervention studies with parents as change agents and (2) evaluated within these studies the comparative effectiveness of interventions with and without a parent component. METHODS:The search was conducted in PubMed, PsycINFO, and Cochrane Library. Eligible studies were required to include a condition with a parental component, a comparison/control group, and target a child dietary behavior outcome. Forty-nine articles met criteria. Raters extracted RE-AIM and parent implementation information for each study. RESULTS:Effectiveness (72.5%) was the highest reported RE-AIM element, followed by reach (27.5%), adoption (12.5%), implementation (10%), and maintenance (2.5%). Median reporting of parent implementation was highest for adoption and enactment (20%), followed by receipt (7.5%), and maintenance (2.5%). Six studies tested comparative effectiveness of parental involvement on child dietary outcomes. CONCLUSION:Current RE-AIM reporting among children's dietary interventions is inchoate. The contribution of parental involvement on intervention effectiveness remains unclear. Increased focus should be placed on reporting of external validity information, to enable better translation of research to practical applications.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Schlechter CR,Rosenkranz RR,Guagliano JM,Dzewaltowski DA

doi

10.1016/j.ypmed.2016.08.030

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

233-243

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(16)30239-0

journal_volume

91

pub_type

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