Evaluation of a feasibility study addressing risk factors for childhood obesity through home visits
Article first published online: 14 SEP 2009
© 2009 The Authors. Journal compilation © 2009 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 45, Issue 10, pages 577–581, October 2009
How to Cite
Wen, L. M., De Domenico, M., Elliott, D., Bindon, J. and Rissel, C. (2009), Evaluation of a feasibility study addressing risk factors for childhood obesity through home visits. Journal of Paediatrics and Child Health, 45: 577–581. doi: 10.1111/j.1440-1754.2009.01568.x
- Issue published online: 7 OCT 2009
- Article first published online: 14 SEP 2009
- Accepted for publication 12 March 2009.
- childhood overweight and obesity;
- health promotion
Aim: This pilot study aimed to explore the feasibility of addressing risk factors for childhood obesity through a home-based early intervention program.
Method: A pilot study was conducted with 56 first-time mothers, recruited through the antenatal and delivery units of an inner western Sydney hospital. The study offered five home visits by a community early childhood health nurse during the child's first year of life. At each visit, the intervention was tailored to the appropriate developmental stage of the child. One-to-one consultation was provided with a focus on sustained breastfeeding, appropriate introduction of solids, avoiding food rewards and promoting the drinking of water and the use of a cup. Both quantitative and qualitative methods were applied to assess the feasibility and acceptability of the program.
Results: The results indicate that the program was very well received by the participating mothers, with a retention rate of 95%. Compared with the state population average, the rate of breastfeeding at 12 months was significantly higher (36% vs. 18%, χ2= 8.21, P < 0.01), there was a lower rate of the introduction of solids before 4 months (2% vs. 13%, χ2= 8.73, P < 0.01), and there was a high rate of cup usage at 12 months (98%).
Conclusions: The early onset of childhood overweight and obesity requires health promotion intervention programs to commence as early as possible. A home-based intervention through multiple home visits is feasible in addressing the risk factors for childhood obesity.