The role of family-related factors in the effects of the UP4FUN school-based family-focused intervention targeting screen time in 10- to 12-year-old children: the ENERGY project

BMC Public Health

Lea Maes⁵  Johannes Brug⁹  Mai JM ChinAPaw⁷  Éva Kovács¹  Monika Grillenberger²  Yannis Manios⁴  Frøydis Nordgård Vik⁶  Nanna Lien⁸  Ilse De Bourdeaudhuij³  Maartje M van Stralen⁹  Maïté Verloigne³  Elling Bere⁶  Wendy Van Lippevelde⁵ 

[1] Department of Paediatrics, University of Pécs, Vasvári Pál str. 4., Pécs 7622, Hungary;Max Rubner-Institut, Federal Research Institute for Nutrition and Food, Haid-und-Neu-Str., Karlsruhe 976131, Germany;Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, Ghent 9000, Belgium;Department of Nutrition and Dietetics, Harokopio University, 70 El. Venizelou, Kallithea, Athens 17671, Greece;Department of Public Health, Ghent University, De Pintelaan 185A, Watersportlaan 2, Ghent 9000, Belgium;Department of Public Health, Sport and Nutrition, University of Agder, Postboks 422 N-4604, Kristiansand, Norway;Department of Epidemiology and Biostatistics and the EMGO Institute for Health & Care Research, VU University Medical Center, Van der Boechorstraat 7, Amsterdam 1081 BT, The Netherlands;Department of Nutrition, University of Oslo, Blindern, P.O. Box 1046, Oslo 0316, Norway;Department of Public and Occupational Health and EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorstraat 7, Amsterdam 1081 BT, The Netherlands

关键词: Computer;    Television;    Obesity prevention;    Screen time;    Children;    Parents;   

Others  :  1128296
DOI  :  10.1186/1471-2458-14-857

 received in 2013-12-11, accepted in 2014-07-17,  发布年份 2014

【 摘 要 】

Background

Screen-related behaviours are highly prevalent in schoolchildren. Considering the adverse health effects and the relation of obesity and screen time in childhood, efforts to affect screen use in children are warranted. Parents have been identified as an important influence on children’s screen time and therefore should be involved in prevention programmes. The aim was to examine the mediating role of family-related factors on the effects of the school-based family-focused UP4FUN intervention aimed at screen time in 10- to 12-year-old European children (n child–parent dyads = 1940).

Methods

A randomised controlled trial was conducted to test the six-week UP4FUN intervention in 10- to 12-year-old children and one of their parents in five European countries in 2011 (n child–parent dyads = 1940). Self-reported data of children were used to assess their TV and computer/game console time per day, and parents reported their physical activity, screen time and family-related factors associated with screen behaviours (availability, permissiveness, monitoring, negotiation, rules, avoiding negative role modeling, and frequency of physically active family excursions). Mediation analyses were performed using multi-level regression analyses (child-school-country).

Results

Almost all TV-specific and half of the computer-specific family-related factors were associated with children’s screen time. However, the measured family-related factors did not mediate intervention effects on children’s TV and computer/game console use, because the intervention was not successful in changing these family-related factors.

Conclusion

Future screen-related interventions should aim to effectively target the home environment and parents’ practices related to children’s use of TV and computers to decrease children’s screen time.

Trial registration

The study is registered in the International Standard Randomised Controlled Trial Number Register (registration number: ISRCTN34562078).

【 授权许可】

   
2014 Van Lippevelde et al.; licensee BioMed Central Ltd.

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