Proactive Assessment of Obesity Risk during Infancy (ProAsk): a qualitative study of parents’ and professionals’ perspectives on an mHealth intervention

Rose, Jennie and Glazebrook, Cris and Wharrad, Heather and Siriwardena, A. Niroshan and Swift, Judy Anne and Nathan, Dilip and Weng, Stephen Franklin and Atkinson, Pippa and Ablewhite, Joanne and McMaster, Fiona and Watson, Vicki and Redsell, Sarah Anne (2019) Proactive Assessment of Obesity Risk during Infancy (ProAsk): a qualitative study of parents’ and professionals’ perspectives on an mHealth intervention. BMC Public Health, 19 (1). ISSN 1471-2458

Full content URL: http://doi.org/10.1186/s12889-019-6616-5

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Proactive Assessment of Obesity Risk during Infancy (ProAsk): a qualitative study of parents’ and professionals’ perspectives on an mHealth intervention

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Abstract

Background
Prevention of childhood obesity is a public health priority. Interventions that establish healthy growth trajectories early in life promise lifelong benefits to health and wellbeing. Proactive Assessment of Obesity Risk during Infancy (ProAsk) is a novel mHealth intervention designed to enable health professionals to assess an infant’s risk of future overweight and motivate parental behaviour change to prevent childhood overweight and obesity. The aim of this study was to explore parents’ and health professionals’ experiences of the overweight risk communication and behaviour change aspects of this mHealth intervention.

Methods
The study was conducted in four economically deprived localities in the UK. Parents (N = 66) were recruited to the ProAsk feasibility study when their infant was 6–8 weeks old. Twenty two health visitors (HVs) used a hand-held tablet device to deliver ProAsk to parents when their infants were 3 months old. Parents (N = 12) and HVs (N = 15) were interviewed when infants in the study were 6 months old. Interview data were transcribed and analysed thematically using an inductive, interpretative approach.

Results
Four key themes were identified across both parent and health visitor data: Engaging and empowering with digital technology; Unfamiliar technology presents challenges and opportunity; Trust in the risk score; Resistance to targeting. Most participants found the interactivity and visual presentation of information on ProAsk engaging. Health visitors who were unfamiliar with mobile technology drew support from parents who were more confident using tablet devices. There was evidence of resistance to targeting infants at greatest risk of future overweight and obesity, and both parents and health visitors drew on a number of reasons why a higher than average overweight risk score might not apply to a particular infant.

Conclusions
An mHealth intervention actively engaged parents, enabling them to take ownership of the process of seeking strategies to reduce infant risk of overweight. However, cognitive and motivational biases that prevent effective overweight risk communication are barriers to targeting an intervention at those infants most at risk.

Trial registration
NCT02314494. Date registered 11th December 2014.

Keywords:childhood obesity, infant, prediction, prevention, parents, health visitor, risk communication, mhealth
Subjects:B Subjects allied to Medicine > B712 Health Visiting
A Medicine and Dentistry > A300 Clinical Medicine
Divisions:College of Social Science > School of Health & Social Care
ID Code:35604
Deposited On:08 Apr 2019 12:39

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