Table 1.
Parent- and Child-Reported, Obesity-Related Outcomes of Interest | Measures & Source | Reported By: | |
---|---|---|---|
Parent | Child | ||
Health-Related Quality of Life Intervention goals: Improve parent- and child-report of child health-related quality of life |
• Health-Related Quality of Life: Parents report their child's quality of life using the 4 subscales of the PedsQL-4.0; children report their own quality of life using the child version of the PedsQL validated among children ages 8 and over.32,33 | X | X |
Social and Emotional Wellness Intervention goals: Assist parents in finding people, places, and resources to help reduce parent and child stress and improve parental empowerment related to their child's healthy body weight |
• Perceived Stress: Parent and child report of the amount of general stress in their life; major predictor for suicide in Nurses' Health Study.41 | X | X |
• Parental Resource Empowerment- Parent report of knowledge of, ability to access, and comfort accessing resources, as well as knowledge of the strategies needed to identify new resources, and ability to obtain those resources.34 | X | ||
Sleep Routines and Behaviors Intervention goals: Meet age-appropriate recommendations for sleep duration to; promote a regular bedtime; adopt a calming nighttime routine |
• Sleep duration: Parent report of average amount of daily sleep their children obtained including naps from the Pediatric Sleep Questionnaire.42-45 | X | |
• Regular bedtime: Parent and child report of typical bedtime on weekdays and weekend days.46 | X | X | |
Screen time Intervention goals: Limit screen-viewing and gaming time to < 2 hours/day |
• TV and video viewing: Average daily hours spent watching TV or videos.47 | X | X |
• Gaming: Average daily hours spent playing games on media such as television, desktop computers, laptops, portable DVD players, iPads, or smartphones48 | X | ||
Diet Quality Intervention goals: Reduce sugar-sweetened beverages; replace non-nutritive snacks with fruits and vegetables; reduce fast food intake. |
• Sugar-sweetened beverage and fruit & vegetable intake: fruit, vegetable, sugar-sweetened beverage (i.e., regular (not diet) sodas or soft drinks, including Malta, Penafiel, or Sumol, punch, Kool-Aid, Tampico, sports drinks, Goya juice or other fruit-flavored drinks) and water consumption are assessed using six questions drawn from the School Physical Activity and Nutrition monitoring system.49,50 | X | X |
• Fast food intake: Modified question adapted from the Growing Up Today Study 51; associated with BMI. | X | X | |
Physical activity Intervention goals: Increase the number of days that child is physically active for at least 60 minutes. |
• Physical activity: Youth Risk Behavior Survey; examines the number of days in the past 7 days the child was physically active for a total of at least 60 minutes.52 | X | X |
Quality of Obesity-Related Health Care Services Intervention goals: Improve the quality of obesity-related health care services provided by primary care provider. |
• Quality of Obesity-Related Health Care Services: Assessed using 8 modified questions from the Patient Assessment of Chronic Illness Care.35 | X | |
Exploratory Obesity-Related Outcomes That Matter Most to Parents & Children Intervention goals: Improve weight-related outcomes that matter most to children and parents |
• Exploratory questions: Five closed-ended questions for parents and children about the weight-related outcomes that mattered most to them. We asked parents, “How important is it to you for your child to...”, and asked children ages 8-12 years, “How important is it to you to...”. The items were: (1) not be overweight; (2) not be bullied or teased; (3) fit into clothing for children his or her age; (4) be accepted by other children his or her age; and (5) avoid health problems like diabetes or heart disease. | X | X |