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An evaluation of ‘Families for Health’ : a new family-based intervention for the management of childhood obesity

By Wendy Robertson


Objectives - To develop and pilot a community-based family programme,\ud ‘Families for Health’, for intervention with overweight and obese children aged\ud 7-11 years.\ud Intervention – ‘Families for Health’ is a 12-week programme, with parallel\ud groups for parents and children, combining support for parenting, lifestyle\ud change, as well as social & emotional development.\ud Design of the Evaluation – Pilot study using mixed-methods comprising:\ud process evaluation; outcome evaluation involving a ‘before and after’ evaluation\ud and triangulation with interview data; economic evaluation (cost-outcome\ud description); users and providers perspectives.\ud Setting – Leisure Centre, Coventry, England\ud Participants – 27 overweight or obese children aged 7-13 years (18 girls, 9\ud boys) and their parents, from 21 families.\ud Process Evaluation – Two groups were run, and were delivered as planned.\ud Recruitment was difficult, although most effective via the media. Attendance\ud rate was 62%, with 18(67%) children completing the programme.\ud Outcome Evaluation – Primary outcome was change in the BMI z-score from\ud baseline. For 22 children with follow-up data, BMI z-score was significantly\ud reduced by -0.18 (95% CI -0.30 to -0.05, p=0.008) at the end of the programme,\ud and was sustained to 9-months (-0.21) and 2-years (-0.23). There were also\ud significant improvements in the children’s quality-of-life, eating and activity\ud environment, child-parent relationships and parent’s mental health. Fruit and\ud vegetable consumption, participation in moderate/vigorous exercise, and\ud children’s self-esteem did not change significantly. Interview data illustrated the\ud changes made by the families, particularly to their eating environment.\ud User and Provider Perspectives – The group-based parenting approach was\ud received well, providing the ‘tools’ for parents to become ‘agents of change’ in\ud the family. Suggested changes to the programme include providing follow-up\ud sessions and a greater focus on physical activity.\ud Economic Evaluation - Costs to run ‘Families for Health’ were £517 per family\ud or £402 per child, in-line with other group-based obesity management or\ud parenting interventions.\ud Conclusion - ‘Families for Health’ is a promising new intervention for the\ud management of childhood obesity

Topics: RJ
OAI identifier: oai:wrap.warwick.ac.uk:3785

Suggested articles



  1. (2006a) Obesity in childhood and adolescence: evidence based clinical and public health perspectives.
  2. (2006b) Diagnostic accuracy of the BMI for age in paediatrics.
  3. (1997). (2nd Edition). Methods for the economic evaluation of healthcare programmes.
  4. (2004). (Eds.) Evaluating health promotion.
  5. (1989). 40-year follow-up of overweight children.
  6. (1990). A center-based program for exercise change among black-American families.
  7. (2007). A comparison of direct vs. self-report measures for assessing height, weight and body mass index: a systematic review.
  8. (2009). A comparison of indirect versus direct measures for assessing physical activity in the pediatric population: A systematic review.
  9. (2000). A framework for development and evaluation of RCTs for complex interventions to improve health.
  10. (1979). A method for assessing age-standardised weight-for-height in children seen cross-sectionally.
  11. (2006). A new approach to assessing health benefit from obesity interventions in children and adolescents: the assessing cost-effectiveness in obesity project.
  12. (2006). A qualitative investigation into the levers and barriers to weight loss in children: opinions of obese children.
  13. A randomized controlled trial.
  14. (2002). A study to explore the perceptions, strategies and help seeking behaviours of the parents of overweight children, for the NHS Executive SE Region,
  15. (2005). A timely meeting: objective measurement of physical activity.
  16. (2007). Accelerometers and pedometers: methodology and clinical application.
  17. (2000). Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls.
  18. (2005). Adult socioeconomic, educational, social, and psychological outcomes of childhood obesity: a national birth cohort study.
  19. (2001). An annotated cost questionnaire for completion by patients.
  20. (2007). An evaluation of the Family Links Nurturing Programme delivered on behalf of Parenting Education and Nurturing Support (PENS).
  21. (1997). Analysing qualitative data.
  22. (1998). Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults.
  23. (2007). Barriers to integrating quantitative and qualitative research.
  24. (2000). Behaviour problems and parent education programs.
  25. (1975). Belief, attitude, intention, and behavior: An introduction to theory and research.
  26. (2009). BMI screening and surveillance: an international perspective.
  27. (2006). Body fat reference curves for children.
  28. (2004). Body image, weight control and body weight.
  29. (1995). Body Mass Index reference curves for the UK,
  30. (2005). Calibration of accelerometer output for children.
  31. (2001). Census Statistics. http://www.coventry.gov.uk/ccm/navigation/community-and-living/coventrystatistics/2001-census-statistics/ (accessed 9/12/2009) Coventry Health Profile
  32. (2003). Central overweight and obesity in British youth aged 11-16 years: cross sectional surveys of waist circumference.
  33. (2004). Changes in the atherogenic risk factor profile according to degree of weight loss.
  34. (2004). Chapter 3: Evaluating according to purpose and resources. Strengthening the evidence base incrementally. In: Thorogood M and Coombes Y. (Eds.) Evaluating health promotion.
  35. (2004). Chapter 4: Economic evaluation of health promotion interventions, p41-56. In: Thorogood M and Coombes Y. (Eds.) Evaluating health promotion.
  36. (2004). Chapter 6: Applying process evaluation: learning from two research projects.
  37. (1997). Child to adult body mass index in the 1958 British birth cohort: associations with parental obesity.
  38. (2003). Child- and parent- targeted interventions: The Memphis GEMS pilot study.
  39. (1992). Child-Parent Relationship scale.,
  40. (2007). Childhood body-mass index and the risk of coronary heart disease in adulthood.
  41. (1998). Childhood obesity and adult cardiovascular mortality: a 57-y follow-up study based on the Boyd Orr cohort.
  42. (2000). Childhood obesity and self-esteem.
  43. (2007). Childhood obesity: an overview.
  44. (2007). Childhood obesity: should primary school children be routinely screened? A systematic review and discussion of the evidence.
  45. (2008). Childhood overweight and obeity: is the gap closing the wrong way?
  46. (2008). Childhood overweight and the built environment: Making technology part of the solution rather than part of the problem.
  47. (2008). Childhood overweight and the relationship between parent behaviours, parenting style, and family functioning.
  48. (1999). Childhood predictors of adult obesity: a systematic review.
  49. (2008). Children, television viewing, and weight status: summary and recommendations from an expert panel meeting.
  50. (2004). Children, the feeding relationship and weight.
  51. (2005). Children’s residential weight-loss programs can work: a prospective cohort study of short-term outcomes for overweight and obese children.
  52. (2008). Childrens Centre Practice Guidance. Section 6: Parenting and Family Support (p33). www.surestart.gov.uk/publications/?Document=1500 (accessed 7.7.2008)
  53. (1981). Cited in Beattie A
  54. (2007). Clinical measure of adiposity and percentage fat loss: which measure most accurately reflects fat loss and what should we aim for?
  55. (2006). Clinical significance vs. statistical significance in childhood obesity weight management programmes.
  56. (2008). Comparison of parent-only vs family-based interventions for overweight children in underserved rural settings. Arch Pediatr Adolesc Med,
  57. (1994). Competing paradigms in qualitative research. Chapter 6. In:-
  58. (2005). Conducting accelerometer-based activity assessments in field-based research.
  59. (1996). Coronary risk factors measured in children and young adult life are associated with coronary artery calcification in young adults: The Muscatine Study.
  60. (2001). Cost-effectiveness of group and mixed family-based treatment for childhood obesity.
  61. (1995). Cross-sectional stature and weight reference curves for the UK,
  62. Crow S (2004b) Targeting parents exclusively in the treatment of childhood obesity: long-term results.
  63. (2003). Dance and reducing television viewing to prevent weight gain in African-American girls: The Stanford GEMS pilot study.
  64. (1993). Data analysis strategies for mixed-method evaluation designs.
  65. Database of Systematic Reviews,
  66. de Charro F (2001) EQ-5D: a measure of health status from the EuroQol Group.
  67. (2000). Decreasing sedentary behaviors in treating pediatric obesity.
  68. (1996). Delivering the goods, showing our stuff: The case for a constructivist paradigm for health promotion research and practice.
  69. (2000). Deprivation and childhood obesity: a cross sectional study of 20,973 children in Plymouth,
  70. (2005). Descriptive epidemiology and health consequences of childhood obesity.
  71. (2002). Development and validation of the Day in the Life Questionnaire (DILQ) as a measure of fruit and vegetable questionnaire for 7-9 year olds.
  72. (2006). Development of adiposity in adolescence: five year longitudinal study of an ethnically and socioeconomically diverse sample of young people
  73. (1965). Development sequence in small groups.
  74. (2005). Dietetic management of pediatric overweight: development and description of a practical and evidence-based behavioral approach.
  75. (2007). Dietetics: The Journal of the Dietitians Association of Australia. http://www.accessmylibrary.com/coms2/summary_0286-33023081_ITM (accessed 9/12/2009) Golley
  76. (2002). Do multiple outcome measures require p-value adjustment?
  77. (1985). Do we fatten our children at the television set? Obesity and television viewing in children and adolescents.
  78. (2001). Does the BMI reflect body fat in obese children and adolescents? A study using the TOBEC method.
  79. (2008). Early life determinants of physical activity in 11 to 12 year olds: cohort study.
  80. (2005). Early life risk factors for obesity in childhood: cohort study.
  81. (2006). Eating behaviour and obesity.
  82. (2002). Eating in the absence of hunger and overweight in girls from 5 to 7 y of age.
  83. (2004). Editorial. Making public health interventions more evidence based.
  84. (2000). Editorial. The role of theory in evidence-based health promotion practice.
  85. (1992). Education and Skills (2005a) Extended schools: Access to opportunities and services for all. A prospectus. (p16) www.teachernet.gov.uk/_doc/8509/Extended-schools%20prospectus.pdf (accessed 9/12/2009)
  86. (2007). Effectiveness of interventions to promote physical activity in children and adolescents: systematic review of controlled trials
  87. (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey.
  88. (2006). Estimated burden of paediatric obesity and co-morbidities in Europe. Part 2. Numbers of children with indicators of obesity-related disease.
  89. (2007). Ethnic and gender differences in body fat in British schoolchildren as measured by DXA.
  90. (2009). Evaluation of ‘Families for Health’ in Warwickshire.
  91. (2009). Evaluation of active and passive recruitment methods used in randomized controlled trials targeting pediatric obesity.
  92. (2008). Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment.
  93. (2004). Evidence-based public health : moving beyond randomized trials.
  94. (2006). Exercise therapy as a treatment for psychopathologic conditions in oese and morbidly obese adolescents: a randomised, controlled trial.
  95. (2008). Faking it: social desirability response bias in self-report research',
  96. (2003). Family involvement in weight control, weight maintenance and weight-loss interventions: a systematic review of randomised trials.
  97. (2005). Family Links Pilot Evaluation Study.
  98. (2001). Family social class, maternal body mass index, childhood body mass index, and age at menarche as predictors of adult obesity.
  99. (2007). Family-focused weight management program for five- to nine-year-olds incorporating parenting skills training with healthy lifestyle information to support behaviour modification.
  100. (1996). Fat distribution and cardiovascular risk factors in obese adolescent girls: importance of the intraabdominal fat depot.
  101. (2005). Feasibility of using accelerometers to measure physical activity in young adolescents.
  102. Fewtrell MS (2008) Is body composition important for paediatricians?
  103. (2001). Foot-to-foot bioelectrical impedance analysis: a valuable tool for the measurement of body composition in children.
  104. (2000). Framework for design and evaluation of complex interventions to improve health.
  105. (1986). From analysis to synthesis. Theories of health education.
  106. (2003). Getting worse: the stigmatisation of obese children.
  107. (2002). Girls and boys BMI charts. Harlow Printing Ltd,
  108. (2009). Glossary. www.ohe.org/page/glossary.cfm (accesed 9/12/09) Office for National Statistics
  109. (2009). Glossary. www.worldbank.org/hsr/class/module1/glossary.htm (accessed 9/12/09) World Health Organisation
  110. (2000). Gold (undated) Exchange rates from dollars to pounds 2001. www.taxfreegold.co.uk/2001forexrates.html (accessed 9/12/2009) Taylor RW,
  111. (2003). Group based parenting programmes can reduce behaviour problems of children aged 3-12 years. What Works for Children group.
  112. (2003). Group-based parent-training programmes for improving emotional and behavioural adjustment in 0-3 year old children.
  113. (2007). Growth around puberty as predictor of adult obesity.
  114. (1996). Guidelines for authors and peer reviewers of economic submissions to the BMJ.
  115. (2005). Hampshire Educational Psychology Service, Hampshire County Council. www.familylinks.org.uk/nurturing/research.htm (accessed 9/12/2009) NSW Department of Community Services
  116. (2003). Health consequences of obesity.
  117. (1996). Health of the Nation: A Progress Report.
  118. (1999). Health on the Streets Team, Bradford and Airedale (teaching)
  119. (2000). Health Promotion – Foundations for Practice. London: Bailliere Tindall.
  120. (2004). Health Promotion in Context. Environmental Health Journal,
  121. (2005). Health-related quality of life of overweight and obese children.
  122. (2003). Health-related quality of life of severely obese children and adolescents.
  123. (2009). Healthy Weight, Healthy Lives: National Child Measurement Programme Guidance for Primary Care Trusts 2009/10. www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_1 03360.pdf (accessed 9/12/2009)
  124. (1974). Historical Origins of the Health Belief Model.
  125. (2007). How do parents’ childfeeding behaviours influence child weight? Implications for childhood obesity policy.
  126. (2004). Impact of a general practice based group parenting programme: quantitative and qualitative results from a controlled trial at 12 months.
  127. (2008). Improving the reporting of public health intervention research: advancing TREND and CONSORT.
  128. (2004). Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement.
  129. (1992). In search of how people change.
  130. (1994). Increasing inequalities in the health of the nation.
  131. (2006). Integrating quantitative and qualitative research: How is it done?
  132. (2004). Integrative approaches to qualitative and quantitative. London: Health Development Agency.379 Dowda
  133. (2007). International comparisons of obesity trends, determinants and responses. Evidence Review. Foresight Tackling Obesities: Future Choices.
  134. (2004). Intervention-related bias in reporting of food intake by fifth-grade children participating in an obesity prevention study.
  135. (2005). Interventions for preventing obesity in children.
  136. (2003). Interventions for treating obesity in children (Cochrane Review). In: The Cochrane Library,
  137. (2009). Interventions for treating obesity in children.
  138. (2008). Is sleep duration associated with childhood obesity? A systematic review and meta-analysis.
  139. (2008). Is the obesity epidemic exaggerated?
  140. Lawlor DA (2008a) Obesity in children. Part 1: Epidemiology, measurement, risk factors, and screening.
  141. (2005). Lessons from an unsuccessful local attempt to tackle childhood overweight and obesity.
  142. (2004). Letter: Des Jarlais et al respond.
  143. (1992). Long term morbidity and mortality of overweight adolescents. A follow-up of the Harvard Growth Study of 1922-1935.
  144. (1985). Manual for the Self-Perception Profile for Children,
  145. (2005). Maternal weight status modulates the effects of restriction on daughters’ eating and weight.
  146. (2007). Measurements and definitions of obesity in childhood and adolescence: a field guide for the uninitiated.
  147. (2008). Measuring the school impact on child obesity.
  148. (1998). Mixed methodology. Combining Qualitative and Quantitative Approaches.
  149. (2007). Mixed methods sampling: a typology with examples.
  150. (1979). Mixing qualitative and quantitative methods: Triangulation in action. In:
  151. (2009). MTI accelerometer analysis software (MAHUffe) www.mrc-epid.cam.ac.uk/Research/PA/Downloads.html (accessed 9/12/09) Mulvihill C, Quigley R
  152. (2008). Nurturing Parenting Program
  153. (2005). Obesity among children under 11. Publications Statistics. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/D H_4109245 (accessed 9/12/2009) Kazdin A, Siegel T, Bass D
  154. (2005). Obesity and the facts. An analysis of data from the Health Survey for England 2003. Oxford: Social Issues Research Centre.396 Speiser
  155. (1998). Obesity evaluation and treatment: Expert Committee Recommendations.
  156. (2003). Obesity prevention in preschool NativeAmerican children: Apilot study using home visiting.
  157. (2004). Obesity. Third Report of Session 2003-04. Volume 1. http://www.publications.parliament.uk/pa/cm200304/cmselect/cmhealth/23/23.pdf (accessed 9/12/2009) Hughes
  158. (2007). Objective measurement of levels and patterns of physical activity.
  159. (1998). Our healthier nation. Can be achieved if the demands allow it.
  160. (2005). Overweight and obesity trends from 1974 to 2003 in English children: what is the role of socioeconomic factors?
  161. (2006). Parental correlates of physical activity in children and early adolescents.
  162. (2004). Parental feeding attitudes and styles and child body mass index: Prospective analysis of a gene-environment interaction.
  163. (2005). Parenting and Public Health. Briefing Statement. Faculty of Public Health,
  164. (2007). Parenting programmes for preventing tobacco, alcohol or drug misuse in children <18: a systematic review.
  165. (2003). Parenting style and adolescent fruit consumption.
  166. (1993). Parenting style as context: An integrative model.
  167. (2006). Parenting styles and overweight status in first grade.
  168. (2008). Parenting UK website, www.parentinguk.org (accessed 9/12/2009)
  169. (2004). Parents are key players in the prevention and treatment of weight related problems.
  170. (2006). Parents as agents of change in childhood obesity – from research to practice.
  171. (1998). Parents as the exclusive agents of change in the treatment of childhood obesity.
  172. (1997). Pediatric obesity: an overview of etiology and treatment. Pediatr Clin North Am, 44, 339-36.395 Scottish Intercollegiate Guidelines Network.
  173. (1998). PedsQL Pediatric quality of life inventory. Version 4. www.pedsql.org/pedsql13.html (accessed 9/12/2009) Varni
  174. (2006). Physical activity and change in body mass index from adolescence to mid-adulthood in the 1958 British cohort.
  175. (1991). Practical Statistics for Medical Research. (1 st Edition),
  176. (1997). Predicting obesity in young adulthood from childhood and parental obesity.
  177. (2006). Predictive validity of three ActiGraph energy expenditure equations for children.
  178. (2003). Press release. Weight Watchers announces new position on enrolment of children and adolescents. www.weightwatchers.com/about/prs/wwi_template.aspx?GCMSID=1003161 (accessed 25/4/2010) Weight Watchers UK
  179. (2001). Prevalence and trends in overweight and obesity in three cross sectional studies of British children,
  180. (2004). Prevalence of overweight and obesity among young people in Great Britain.
  181. (2006). Preventing child obesity – an art and a science. Obesity Reviews,
  182. (2005). Prevention of child obesity: ‘First, do no harm’.
  183. (2005). Prevention of childhood obesity.
  184. (2002). Process evaluation for public health interventions and research (Chapter 1) In: Process evaluation for public health interventions and research. Steckler A, Linnan L. (Editors) 1 st Edition,
  185. (2002). Psychosocial correlates of physical activity and sedentary leisure habits in young adolescents: The teens eating for energy and nutrition at school study.
  186. (1993). Qualitative data analysis for applied policy research. In Bryman A, Burgess R (Eds.) Analysing qualitative data.
  187. (2006). R&D annual reports by NHS organisations in England for 2006. Y23 Q12: Trends Treatment and
  188. (2005). Racial differences in the tracking of childhood BMI to adulthood.
  189. (2008). Randomised controlled trial (RCT) and economic evaluation of the Family Links Nurturing Programme. ISRCTN Register : 13919732 www.controlled-trials.com/ISRCTN13919732/stewart-brown (accessed 9/12/2009)
  190. (2008). Randomized, controlled trial of a bestpractice individualized behavioural program for treatment of childhood overweight: Scottish Childhood Overweight Treatment Trial (SCOTT).
  191. (2004). Rapid assessment of well-being:
  192. (1993). Real World Research. A Resource for Social Scientists and Practitioner-Researchers.
  193. (2006). Recognition and management of childhood overweight and obesity by clinicians.
  194. (1999). Relation of circumferences and skinfold thicknesses to lipid and insulin concentrations in children and adolescents: the Bogalusa Heart Study.
  195. (2004). Relationship between media use, body fatness and physical activity in children and youth: a meta-analysis.
  196. (2001). Relationship of childhood obesity to coronary heart disease risk factors in adulthood: The Bogalusa Heart Study.
  197. (1998). Reliability and validity of the family eating and activity habits questionnaire.
  198. (2005). Research and validation report of…The Nurturing Parenting Programs. (dated 09/28/05) http://www.nurturingparenting.com/research_validation/a4_main_r&v_article.pdf (accessed 9/12/2009)374 Beattie A.
  199. (1978). Respondent Burden. University of Chicago. http://www.amstat.org/sections/SRMS/proceedings/papers/1978_007.pdf (accessed 9/12/2009)
  200. (1990). Rethinking health education theory.
  201. (1999). Review of the field: current trends; concepts and issues in Parenting Education and Support, New opportunties. Eds: Wolfendale S, Einzig H,
  202. (2002). Revisiting the quantitative-qualitative debate. Implications for mixed-methods research. In:
  203. (1999). Saving Lives: Our Healthier Nation.
  204. (1988). Secular trends of obesity in early life: The Bogalusa Heart Study.
  205. (1999). Self-esteem changes in children enrolled in weight management programs.
  206. Shahar DR (2006a) Childhood obesity treatment: targeting parents exclusively v. parents and children.
  207. Sherry B (2004a) Parent-child feeding strategies and their relationships to child eating and weight status.
  208. (1998). Smoking Kills. A White Paper on Tobacco.
  209. (1993). Social and economic consequences of overweight in adolescence and young adulthood.
  210. (1995). Social desirability bias in dietary self-report may compromise the validity of dietary intake measures.
  211. (2008). Socioeconomic status and adiposity in childhood: A systematic review of cross-sectional studies 1990-2005.
  212. (2007). Socioeconomic status and obesity.
  213. (1989). Socioeconomic ststus and obesity; a review of the literature.
  214. (2009). Standard Evaluation Framework for weight management interventions. National Obesity Observatory. www.noo.org.uk/uploads/doc/vid_3534_NOOSEFreportJuly09.pdf (accessed 9/12/2009) Robinson TN.
  215. (2006). Statistics on obesity, physical activity and diet: England,
  216. (2003). Tables or tableaux? The challenges of writing and reading mixed methods studies. In:
  217. (2007). Television viewing and obesity: a prospective study in the 1958 British birth cohort.
  218. (1994). Ten-year outcomes of behavioural family-based treatment for childhood obesity.
  219. (2010). Terms and Conditions for Slimming World. www.slimmingworld.com/join/join_online.asp (accessed 24/4/2010)
  220. (2009). The application of psychological theory to nutrition behaviour change.
  221. (2001). The Balance of good health. Information for educators and communicators. http://www.food.gov.uk/multimedia/pdfs/bghbooklet.pdf (accessed 9/12/2009)
  222. (2002). The challenge of preventing and treating obesity in low-income, preschool children.
  223. (2001). The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials.
  224. (2009). The development of surveillance and screening for childhood obesity in the UK.
  225. (2001). The development of waist circumference percentiles in British children aged 5-16.9 years.
  226. (1992). The growth of health promotion theory and it rational reconstruction.
  227. (2004). The human obesity gene map: the 2003 update.
  228. (2005). The impact of obesity on psychological well-being.
  229. (2000). The influence of childhood weight and socioeconomic status on change in adult body mass index in a British national birth cohort.
  230. (2003). The life course of severe obesity: Does childhood overweight matter?
  231. (2007). The MEND RCT: Effectiveness on health outcomes in obese children.
  232. (1986). The moderator-mediator variable distinction in social psychology research: Conceptual, strategic, and statistical considerations.
  233. (1988). The multistage 20 metre shuttle run test for aerobic fitness.
  234. (2006). The Nurturing Programme for Schools. www.familylinks.org.uk/resources/index.htm (accessed 9/12/2009) Family Links Website
  235. (2003). The Parenting Puzzle: How to get the best out of family life.
  236. (1995). The Penguin dictionary of psychology. (2 nd ed.) London:
  237. (1978). The Research Act: A theoretical introduction to sociological methods.
  238. (2003). The self-perception profile for children (SPPC): a multiple-indicator multiple-wave analysis using LISREL. Personality and Individual Differences,
  239. (2003). Theoretical, Scientific and Clinical Foundations of the Triple P-Positive Parenting Program: A Population Approach to the Promotion of Parenting Competence.
  240. (2009). Tools to measure physical activity in local level weight management interventions: a rapid review. National Obesity Observatory. www.noo.org.uk/uploads/doc721_2_PA_measurement_tools_review.pdf (accessed 9/12/2009) Hoare
  241. (1989). Towards a conceptual framework for mixed-method evaluation designs. Educational Evaluation and Policy Analysis,
  242. (2008). Tracking of childhood overweight into adulthood: a systematic review of the literature.
  243. (2006). Tracking of overweight status from childhood to young adulthood; the Bogalusa Heart Study.
  244. (2004). TREND: An important step, but not enough.
  245. (1999). Tutorials in biostatistics. An introduction to hierarchical linear modelling.
  246. (2002). Type 2 diabetes in obese white children.
  247. (2006). UK National Screening Committee’s policy positions.
  248. (2001). Understanding parenting programmes: parents’ views.
  249. (2002). Unemployment and obesity among young adults in a northern Finland
  250. (2001). Use of the CONSORT statement and quality of reports of randomised trials: a comparative before-and-after evaluation.
  251. (1998). Using SAS PROC MIXED to fit multilevel models, hierarchical models, and individual growth models.
  252. (2002). Validation and calibration of physical activity monitors in children.
  253. (1997). Validation of an instrument for measurement of physical activity in youth.
  254. (2007). Validity of the leg-to-leg bioimpedance to estimate changes in body fat during weight loss and regain in overweight women: a comparison with multicompartment models.
  255. (2006). WATCH IT: a community based programme for obese children and adolescents.
  256. (2006). WATCH IT: obesity management for children: a qualitative exploration of the views of parents.
  257. (1985). What is health promotion?
  258. (2006). What use is the BMI?
  259. (2006). Who changes body mass between adolescence and adulthood? Factors predicting change in BMI between 16 year and 30 years in the 1970 British Birth Cohort.
  260. (1998). Why do we need randomised controlled trials to assess behavioural interventions?
  261. (1990). Why theorise? Ideology in health education.
  262. (2006). World Health Organisation
  263. (2001). Writing up qualitative research. 2 nd Edition.
  264. (2009). www.bristol.gov.uk/ccm/content/Leisure-Culture/Sports-Clubs-and-Centres/mend.en (accessed 9/12/2009) Britton A and Thorogood M

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