Title
The effectiveness of lifestyle triple P in the Netherlands: A randomized controlled trial
Author
Gerards, S.M.P.L.
Dagnelie, P.C.
Gubbels, J.S.
van Buuren, S.
Hamers, F.J.M.
Jansen, M.W.J.
van der Goot, O.H.M.
de Vries, N.K.
Sanders, M.R.
Kremers, S.P.J.
Publication year
2015
Abstract
Introduction Lifestyle Triple P is a general parenting intervention which focuses on preventing further excessive weight gain in overweight and obese children. The objective of the current study was to assess the effectiveness of the Lifestyle Triple P intervention in the Netherlands. Method We used a parallel randomized controlled design to test the effectiveness of the intervention. In total, 86 child-parent triads (children 4-8 years old, overweight or obese) were recruited and randomly assigned (allocation ratio 1:1) to the Lifestyle Triple P intervention or the control condition. Parents in the intervention condition received a 14-week intervention consisting of ten 90-minute group sessions and four individual telephone sessions. Primary outcome measure was the children' s body composition (BMI z-scores, waist circumference and skinfolds). The research assistant who performed the measurements was blinded for group assignment. Secondary outcome measures were the children's dietary behavior and physical activity level, parenting practices, parental feeding style, parenting style, and parental self-efficacy. Outcome measures were assessed at baseline and 4 months (shortterm) and 12 months (long-term) after baseline. Multilevel multiple regression analyses were conducted to determine the effect of the intervention on primary and secondary outcome measures. Results No intervention effects were found on children's body composition. Analyses of secondary outcomes showed positive short-term intervention effects on children's soft-drink consumption and parental responsibility regarding physical activity, encouragement to eat, psychological control, and efficacy and satisfaction with parenting. Longer-term intervention effects were found on parent 's report of children's time spent on sedentary behavior and playing outside, parental monitoring food intake, and responsibility regarding nutrition. Conclusion Although the Lifestyle Triple P intervention showed positive effects on some parent reported child behaviors and parenting measures, no effects were visible on children's body composition or objectively measured physical activity. Several adjustments of the intervention content are recommended, for example including a booster session. © 2015 Gerards et al.
Subject
Life
LS - Life Style
ELSS - Earth, Life and Social Sciences
Healthy for Life
Health
Healthy Living
Body composition
Body mass
Child
Child nutrition
Child parent relation
Controlled study
Dietary intake
Family counseling
Female
Fluid intake
Food intake
Group therapy
Human
Major clinical study
Male
Netherlands
Obesity
Outcome assessment
Parallel design
Parent counseling
Parental attitude
Physical activity
Psychological aspect
Randomized controlled trial
Satisfaction
Sedentary lifestyle
Self concept
Skinfold thickness
Soft drink
Telemedicine
Waist circumference
To reference this document use:
http://resolver.tudelft.nl/uuid:f43cfde3-9d82-4aae-9410-f251837ebfa0
DOI
https://doi.org/10.1371/journal.pone.0122240
TNO identifier
525589
ISSN
1932-6203
Source
PLoS ONE, 10 (4), e122240
Document type
article