The PONC Study:Preventing obesity in Norwegian children

– A community based psychosocial parent and nurse partnership intervention

Ann- Kristin Bjørnnes, Birgit Heckemann

Henk Verloo, Maria Rudkjær Mikkelsen,

Maria Svedbo Engström, Remco Ebben

5th July 2013

The European Academy of Nursing Science 2

Background

• A global health problem among children1

• Norway – 16 % children obese (aged 8)2

• Impact on individual and society3

• Risk factors– Overweight children → overweight adults

– Parents' beliefs, cultural norms and lack of knowledge4

1) Reilly & Kelly 2012, 2) Norwegian Institute of Public Health 2013, 3) WHO 2006 Singh et al 2006, 4) Robinson & Yardy 2012

.

“Childhood obesity prevention research must now move towards identifying how effective intervention

components can be embedded within health, education and care systems and achieve long term sustainable impacts.” (Waters et al 2011)

P Norwegian speaking parents (≥18) receiving standard care expecting their first child

I Individual and group sessions, apps/written material to help with shopping, cooking and daily planning. Start: during the 3rd trimester

C Standard care program

O Deviation from normal WHO growth chart until age 2

D Action research

 

What is the effect of a psychosocial intervention for Norwegian speaking first time parents aimed at preventing overweight /obesity for children aged 6 months up to 2 years measured by WHO growth chart?

The European Academy of Nursing Science 3

Research Question

The European Academy of Nursing Science 4

Theory of Planned Behaviour

AttitudesLack of knowledgeand awareness

Subjective normsSocial environmentcommunity, culture

Perceivedbehavioural controlNo control of time, controlling child's food intake

Behavioural intentions Behaviour

Ajzen, 1991

AttitudesIndividual sessionsGroup sessions

Subjective norms

Group sessions

Perceived behavioural controlWritten material/app

The European Academy of Nursing Science 5

Action research

The European Academy of Nursing Science 6

Ambition

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