Family-based interventions to increase physical activity in children: a systematic review, meta-analysis and realist synthesis

Brown, H E, Atkin, A J, Panter, J, Wong, G, Chinapaw, M J M and van Sluijs, E M F (2016) Family-based interventions to increase physical activity in children: a systematic review, meta-analysis and realist synthesis. Obesity Reviews, 17 (4). pp. 345-360. ISSN 1467-7881

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Abstract

Objective: Family-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.  Design: Studies were screened for inclusion based on including participants aged 5-12 years, 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.  Results: Forty-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).  Conclusion: This 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.

Item Type: Article
Additional Information: © 2016 World Obesity.
Uncontrolled Keywords: family,physical activity,interventions
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: Pure Connector
Date Deposited: 09 Feb 2017 09:35
Last Modified: 08 Oct 2020 23:46
URI: https://ueaeprints.uea.ac.uk/id/eprint/62389
DOI: 10.1111/obr.12362

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