Journal
OBESITY REVIEWS
Volume 17, Issue 4, Pages 345-360Publisher
WILEY
DOI: 10.1111/obr.12362
Keywords
Family; physical activity; interventions
Categories
Funding
- Medical Research Council [MC_UU_12015/7]
- Centre for Diet and Activity Research, a UKCRC Public Health Research Centre of Excellence - British Heart Foundation
- Cancer Research UK
- Economic and Social Research Council
- Medical Research Council
- National Institute for Health Research
- Wellcome Trust [RES-590-28-0002]
- NIHR [NIHR-PDF-2012-05-157]
- ESRC [ES/G007462/1] Funding Source: UKRI
- MRC [MC_UU_12015/6, MC_UU_12015/7, MR/K023187/1, MC_UP_1001/2] Funding Source: UKRI
- Economic and Social Research Council [ES/G007462/1] Funding Source: researchfish
- Medical Research Council [MC_UU_12015/6, MR/K023187/1, MC_UU_12015/7, MC_UP_1001/2] Funding Source: researchfish
- National Institute for Health Research [PDF-2012-05-157, CL-2007-18-012, 10/1008/07] Funding Source: researchfish
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ObjectiveFamily-based interventions represent a potentially valuable route to increasing child physical activity (PA) in children. A dual meta-analysis and realist synthesis approach examined existing interventions to assist those developing programmes to encourage uptake and maintenance of PA in children. DesignStudies were screened for inclusion based on including participants aged 5-12years, having a substantive aim of increasing PA by engaging the family and reporting on PA outcome. Duplicate data extraction and quality assessment were conducted. Meta-analysis was conducted in STATA. Realist synthesis included theory development and evidence mapping. ResultsForty-seven studies were included, of which three received a strong' quality rating, 21 moderate' and 23 weak'. The meta-analysis (19 studies) demonstrated a significant small effect in favour of the experimental group (standardized mean difference: 0.41; 95%CI 0.15-0.67). Sensitivity analysis, removing one outlier, reduced this to 0.29 (95%CI 0.14-0.45). Realist synthesis (28 studies) provided insight into intervention context (particularly, family constraints, ethnicity and parental motivation), and strategies to change PA (notably, goal-setting and reinforcement combined). ConclusionThis review provides key recommendations to inform policy makers and other practitioners in developing evidence-based interventions aimed at engaging the family to increase PA in children, and identifies avenues for future research.
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