Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study
Objective: To assess the feasibility and acceptability of using digital technology for Proactive Assessment of Obesity Risk during Infancy (ProAsk) with the UK health visitors (HVs) and parents. Design: Multicentre, pre- and post-intervention feasibility study with process evaluation. Setting:...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
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BMJ Publishing Group Ltd
2017
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| Online Access: | https://eprints.nottingham.ac.uk/45745/ |
| _version_ | 1848797186323644416 |
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| author | Redsell, Sarah A. Rose, Jennie Weng, Stephen Ablewhite, Joanne Swift, Judy A. Siriwardena, Aloysius Niroshan Nathan, Dilip Wharrad, Heather J. Atkinson, Pippa Watson, Vicky McMaster, Fiona Lakshman, Rajalakshmi Glazebrook, Cris |
| author_facet | Redsell, Sarah A. Rose, Jennie Weng, Stephen Ablewhite, Joanne Swift, Judy A. Siriwardena, Aloysius Niroshan Nathan, Dilip Wharrad, Heather J. Atkinson, Pippa Watson, Vicky McMaster, Fiona Lakshman, Rajalakshmi Glazebrook, Cris |
| author_sort | Redsell, Sarah A. |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Objective: To assess the feasibility and acceptability of using digital technology for Proactive Assessment of Obesity Risk during Infancy (ProAsk) with the UK health visitors (HVs) and parents.
Design: Multicentre, pre- and post-intervention feasibility study with process evaluation.
Setting: Rural and urban deprived settings, UK community care.
Participants: 66 parents of infants and 22 HVs.
Intervention: ProAsk was delivered on a tablet device. It comprises a validated risk prediction tool to quantify overweight risk status and a therapeutic wheel detailing motivational strategies for preventive parental behaviour. Parents were encouraged to agree goals for behaviour change with HVs who received motivational interviewing training.
Outcome measures: We assessed recruitment, response and attrition rates. Demographic details were collected, and overweight risk status. The proposed primary outcome measure was weight-for-age z-score. The proposed secondary outcomes were parenting self-efficacy, maternal feeding style, infant diet and exposure to physical activity/sedentary behaviour. Qualitative interviews ascertained the acceptability of study processes and intervention fidelity.
Results: HVs screened 324/589 infants for inclusion in the study and 66/226 (29%) eligible infants were recruited. Assessment of overweight risk was completed on 53 infants and 40% of these were identified as above population risk. Weight-for-age z-score (SD) between the infants at population risk and those above population risk differed significantly at baseline (−0.67 SD vs 0.32 SD). HVs were able to collect data and calculate overweight risk for the infants. Protocol adherence and intervention fidelity was a challenge. HVs and parents found the information provided in the therapeutic wheel appropriate and acceptable.
Conclusion: Study recruitment and protocol adherence were problematic. ProAsk was acceptable to most parents and HVs, but intervention fidelity was low. There was limited evidence to support the feasibility of implementing ProAsk without significant additional resources. A future study could evaluate ProAsk as a HV-supported, parent-led intervention.
Trial registration: number NCT02314494 (Feasibility Study Results) |
| first_indexed | 2025-11-14T19:59:52Z |
| format | Article |
| id | nottingham-45745 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| last_indexed | 2025-11-14T19:59:52Z |
| publishDate | 2017 |
| publisher | BMJ Publishing Group Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | nottingham-457452020-05-04T19:03:48Z https://eprints.nottingham.ac.uk/45745/ Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study Redsell, Sarah A. Rose, Jennie Weng, Stephen Ablewhite, Joanne Swift, Judy A. Siriwardena, Aloysius Niroshan Nathan, Dilip Wharrad, Heather J. Atkinson, Pippa Watson, Vicky McMaster, Fiona Lakshman, Rajalakshmi Glazebrook, Cris Objective: To assess the feasibility and acceptability of using digital technology for Proactive Assessment of Obesity Risk during Infancy (ProAsk) with the UK health visitors (HVs) and parents. Design: Multicentre, pre- and post-intervention feasibility study with process evaluation. Setting: Rural and urban deprived settings, UK community care. Participants: 66 parents of infants and 22 HVs. Intervention: ProAsk was delivered on a tablet device. It comprises a validated risk prediction tool to quantify overweight risk status and a therapeutic wheel detailing motivational strategies for preventive parental behaviour. Parents were encouraged to agree goals for behaviour change with HVs who received motivational interviewing training. Outcome measures: We assessed recruitment, response and attrition rates. Demographic details were collected, and overweight risk status. The proposed primary outcome measure was weight-for-age z-score. The proposed secondary outcomes were parenting self-efficacy, maternal feeding style, infant diet and exposure to physical activity/sedentary behaviour. Qualitative interviews ascertained the acceptability of study processes and intervention fidelity. Results: HVs screened 324/589 infants for inclusion in the study and 66/226 (29%) eligible infants were recruited. Assessment of overweight risk was completed on 53 infants and 40% of these were identified as above population risk. Weight-for-age z-score (SD) between the infants at population risk and those above population risk differed significantly at baseline (−0.67 SD vs 0.32 SD). HVs were able to collect data and calculate overweight risk for the infants. Protocol adherence and intervention fidelity was a challenge. HVs and parents found the information provided in the therapeutic wheel appropriate and acceptable. Conclusion: Study recruitment and protocol adherence were problematic. ProAsk was acceptable to most parents and HVs, but intervention fidelity was low. There was limited evidence to support the feasibility of implementing ProAsk without significant additional resources. A future study could evaluate ProAsk as a HV-supported, parent-led intervention. Trial registration: number NCT02314494 (Feasibility Study Results) BMJ Publishing Group Ltd 2017-09-01 Article PeerReviewed Redsell, Sarah A., Rose, Jennie, Weng, Stephen, Ablewhite, Joanne, Swift, Judy A., Siriwardena, Aloysius Niroshan, Nathan, Dilip, Wharrad, Heather J., Atkinson, Pippa, Watson, Vicky, McMaster, Fiona, Lakshman, Rajalakshmi and Glazebrook, Cris (2017) Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study. BMJ Open, 7 . e017694/1-e017694/15. ISSN 2044-6055 Digital Technology; Proactive Assessment; Obesity; Infancy http://bmjopen.bmj.com/content/7/9/e017694 doi:10.1136/bmjopen-2017-017694 doi:10.1136/bmjopen-2017-017694 |
| spellingShingle | Digital Technology; Proactive Assessment; Obesity; Infancy Redsell, Sarah A. Rose, Jennie Weng, Stephen Ablewhite, Joanne Swift, Judy A. Siriwardena, Aloysius Niroshan Nathan, Dilip Wharrad, Heather J. Atkinson, Pippa Watson, Vicky McMaster, Fiona Lakshman, Rajalakshmi Glazebrook, Cris Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study |
| title | Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study |
| title_full | Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study |
| title_fullStr | Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study |
| title_full_unstemmed | Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study |
| title_short | Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study |
| title_sort | digital technology to facilitate proactive assessment of obesity risk during infancy (proask): a feasibility study |
| topic | Digital Technology; Proactive Assessment; Obesity; Infancy |
| url | https://eprints.nottingham.ac.uk/45745/ https://eprints.nottingham.ac.uk/45745/ https://eprints.nottingham.ac.uk/45745/ |