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C.H.A.M.P. Families: A Needs Assessment for the Development of a Parent-Focused Advocacy Network
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Abstracts / Can J Diabetes 39 (2015) S38eS74
P3.20
P3.22
Beyond Weight: The Development of a Health Screening Tool for Children and Youth IAN T. PATTON*1, AMY MCPHERSON 2 1 University of Toronto, Bowmanville, ON, Canada 2 Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
Validation of Parent-Reported Physical and Sedentary Activity by Accelerometry in Young Children HRISHOV SARKER*1, LAURA ANDERSON 2, CORNELIA BORKHOFF 2, KATHLEEN ABREO 2, MARK TREMBLAY 3, GERALD LEBOVIC 4, JONATHON MAGUIRE 2, PATRICIA PARKIN 2, CATHERINE BIRKEN 2 1 Dept. of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC, Canada 2 Pediatric Outcomes Research Team (PORT), Division of Pediatric Medicine, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada 3 Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada 4 The Applied Health Research Centre of the Li Ka Shing Knowledge Institute of St. Michael’s Hospital, University of Toronto, Toronto, ON, Canada
Objective: This study sought to collect opinions from health care practitioners about the development of a user friendly screening tool for children addressing limitations with the use of body mass index (BMI) in paediatric populations. Specifically, we explored 1) the importance of proposed items to include; and 2) the barriers to implementation of the tool in different healthcare environments. Methods: An anonymous online survey was distributed to Canadian health care practitioners with an interest in paediatric health care through several health organizations. Results: The survey had 217 responses (23% physician, 37% dietitian, 12% nurses). Nutritional items were highly endorsed, for example, 87% stated that collecting information on sugar sweetened beverages is essential. Activity and sedentary behaviors were also identified as important, for example, 91% claimed information on screen-time was essential. Time was the most noted barrier to implementation of the tool (61%) with specialized training (42%) being another noted barrier. Some survey participants identified the ability to effect meaningful change with the information collected by the tool might also be a barrier to implementation. Conclusions: The results show that many healthcare professionals working with children believe that it is essential to include information on health factors other than just BMI to provide some context around anthropometric assessment. In further development of the tool, care must be taken to ensure that the tool is in fact quick to implement so as to address the time barrier. The tool also needs to ensure that the results of screening a child are meaningful and actionable.
P3.21 C.H.A.M.P. Families: A Needs Assessment for the Development of a Parent-Focused Advocacy Network KRISTEN REILLY*, SHAUNA BURKE Western University, London, ON, Canada Background: Political advocacy is recommended as a viable means to address disparities in nutritional and physical literacy, however, it is an understudied concept and few resources exist to empower parents to become advocates for the health of their families. The purpose of the proposed research is 3-fold: 1) to assess baseline levels of nutritional, physical, and political literacy among families; 2) investigate parent and stakeholder support for the development of a parent-focused advocacy network; and 3) employ a community-based participatory approach to develop and implement the network. Methods: Six focus groups (n ¼ 6-10 individuals per group) with children aged 8-16 and their parents will be conducted to ascertain perceptions and attitudes about the development of a parent-led advocacy network targeting political, nutritional, and physical literacy. Two additional assessments conducted with children will measure baseline levels of nutritional and physical literacy. Data will be collected and analyzed by April 2015. An environmental scan will identify stakeholders (e.g., educators, politicians, health professionals), and a stakeholder meeting will be held to share findings and discuss prospective partnerships. Stakeholders will complete an evaluation form related to the value of the information discussed, the feasibility of an advocacy network, and whether they would be interested in continuing their involvement. Significance: The goal of this research is not to advocate for individuals, but rather, to support the development of an informed, civically engaged community equipped with the resources necessary to advocate for the health of their children and families.
Background: Physical activity in early childhood may be important for the prevention of childhood obesity. It is unknown if parent-reported physical and sedentary activity correlate with direct measures in preschoolers. Objective: To compare parent-reported physical and sedentary activity and directly measured physical activity and sedentary activity using accelerometers in young children. Methods: From 2013 to 2014, 117 healthy children aged 5 years and under were recruited from the TARGet Kids! primary care research network. Eighty-seven wore Actical accelerometers for at least 4 days. Average daily physical activity was defined as the sum of activity 100 counts per minute, and sedentary activity as the sum of activity <100 counts/min, during waking hours. Parents reported daily physical activity (including unstructured free play in and out of school, and structured activities) and sedentary behaviours (including screen time, stroller time, time in motor vehicle). Spearman correlation coefficients and Bland-Altman plots were used to compare parent-reported measures to accelerometer data. Results: The correlation between parent-reported and directly measured total physical activity was rho¼0.39 (95% CI: 0.19, 0.56). The correlations between types of physical activity (unstructured activity in and out of school/daycare, and structured activity) and accelerometer were rho¼0.30 (0.09, 0.49); rho¼0.42 (0.23, 0.58); rho¼0.26 (0.05, 0.46), respectively. Parent-reported and objectively measured total sedentary behaviour were not correlated, rho¼0.10 (-0.12, 0.33) Conclusions: Parent-reported measures of unstructured free play and structured activity may be valid for the relative measurement of physical activity among young children. Further research is needed to adequately capture sedentary activity in young children.
P4.01 Food Advertising Watched by Adolescent Girls in Saudi Arabia ELHAM A. ALJAALY King Abdul-Aziz University, Jeddah, Saudi Arabia Background: The foods advertised on Middle East Arab television channels are generally nutrient-poor foods and fast foods are highly promoted on these channels. The study aimed to explore the nature and contents of food advertisements aired on popular television channels most watched by Jeddah adolescent girls Methods: The content of 288 hours of television programming was videotaped in 2009. All product advertisements were abstracted from the programmes and analysed quantitatively in terms of frequency, duration, type, means and ways of delivering the message to the viewers. Foods advertised classified as food/beverages high in fat, salt/sugar (HFSS) and non- HFSS foods according to the nutrient profiling model described by the Food Standards Agency (FSA - UK 2005). Results: Saudi adolescent girls (13-18 years) could watch up to 21aired product advertisements for every hour they watch TV. Food
Abstracts / Can J Diabetes 39 (2015) S38eS74
P3.20
P3.22
Beyond Weight: The Development of a Health Screening Tool for Children and Youth IAN T. PATTON*1, AMY MCPHERSON 2 1 University of Toronto, Bowmanville, ON, Canada 2 Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada
Validation of Parent-Reported Physical and Sedentary Activity by Accelerometry in Young Children HRISHOV SARKER*1, LAURA ANDERSON 2, CORNELIA BORKHOFF 2, KATHLEEN ABREO 2, MARK TREMBLAY 3, GERALD LEBOVIC 4, JONATHON MAGUIRE 2, PATRICIA PARKIN 2, CATHERINE BIRKEN 2 1 Dept. of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, QC, Canada 2 Pediatric Outcomes Research Team (PORT), Division of Pediatric Medicine, Department of Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada 3 Children’s Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada 4 The Applied Health Research Centre of the Li Ka Shing Knowledge Institute of St. Michael’s Hospital, University of Toronto, Toronto, ON, Canada
Objective: This study sought to collect opinions from health care practitioners about the development of a user friendly screening tool for children addressing limitations with the use of body mass index (BMI) in paediatric populations. Specifically, we explored 1) the importance of proposed items to include; and 2) the barriers to implementation of the tool in different healthcare environments. Methods: An anonymous online survey was distributed to Canadian health care practitioners with an interest in paediatric health care through several health organizations. Results: The survey had 217 responses (23% physician, 37% dietitian, 12% nurses). Nutritional items were highly endorsed, for example, 87% stated that collecting information on sugar sweetened beverages is essential. Activity and sedentary behaviors were also identified as important, for example, 91% claimed information on screen-time was essential. Time was the most noted barrier to implementation of the tool (61%) with specialized training (42%) being another noted barrier. Some survey participants identified the ability to effect meaningful change with the information collected by the tool might also be a barrier to implementation. Conclusions: The results show that many healthcare professionals working with children believe that it is essential to include information on health factors other than just BMI to provide some context around anthropometric assessment. In further development of the tool, care must be taken to ensure that the tool is in fact quick to implement so as to address the time barrier. The tool also needs to ensure that the results of screening a child are meaningful and actionable.
P3.21 C.H.A.M.P. Families: A Needs Assessment for the Development of a Parent-Focused Advocacy Network KRISTEN REILLY*, SHAUNA BURKE Western University, London, ON, Canada Background: Political advocacy is recommended as a viable means to address disparities in nutritional and physical literacy, however, it is an understudied concept and few resources exist to empower parents to become advocates for the health of their families. The purpose of the proposed research is 3-fold: 1) to assess baseline levels of nutritional, physical, and political literacy among families; 2) investigate parent and stakeholder support for the development of a parent-focused advocacy network; and 3) employ a community-based participatory approach to develop and implement the network. Methods: Six focus groups (n ¼ 6-10 individuals per group) with children aged 8-16 and their parents will be conducted to ascertain perceptions and attitudes about the development of a parent-led advocacy network targeting political, nutritional, and physical literacy. Two additional assessments conducted with children will measure baseline levels of nutritional and physical literacy. Data will be collected and analyzed by April 2015. An environmental scan will identify stakeholders (e.g., educators, politicians, health professionals), and a stakeholder meeting will be held to share findings and discuss prospective partnerships. Stakeholders will complete an evaluation form related to the value of the information discussed, the feasibility of an advocacy network, and whether they would be interested in continuing their involvement. Significance: The goal of this research is not to advocate for individuals, but rather, to support the development of an informed, civically engaged community equipped with the resources necessary to advocate for the health of their children and families.
Background: Physical activity in early childhood may be important for the prevention of childhood obesity. It is unknown if parent-reported physical and sedentary activity correlate with direct measures in preschoolers. Objective: To compare parent-reported physical and sedentary activity and directly measured physical activity and sedentary activity using accelerometers in young children. Methods: From 2013 to 2014, 117 healthy children aged 5 years and under were recruited from the TARGet Kids! primary care research network. Eighty-seven wore Actical accelerometers for at least 4 days. Average daily physical activity was defined as the sum of activity 100 counts per minute, and sedentary activity as the sum of activity <100 counts/min, during waking hours. Parents reported daily physical activity (including unstructured free play in and out of school, and structured activities) and sedentary behaviours (including screen time, stroller time, time in motor vehicle). Spearman correlation coefficients and Bland-Altman plots were used to compare parent-reported measures to accelerometer data. Results: The correlation between parent-reported and directly measured total physical activity was rho¼0.39 (95% CI: 0.19, 0.56). The correlations between types of physical activity (unstructured activity in and out of school/daycare, and structured activity) and accelerometer were rho¼0.30 (0.09, 0.49); rho¼0.42 (0.23, 0.58); rho¼0.26 (0.05, 0.46), respectively. Parent-reported and objectively measured total sedentary behaviour were not correlated, rho¼0.10 (-0.12, 0.33) Conclusions: Parent-reported measures of unstructured free play and structured activity may be valid for the relative measurement of physical activity among young children. Further research is needed to adequately capture sedentary activity in young children.
P4.01 Food Advertising Watched by Adolescent Girls in Saudi Arabia ELHAM A. ALJAALY King Abdul-Aziz University, Jeddah, Saudi Arabia Background: The foods advertised on Middle East Arab television channels are generally nutrient-poor foods and fast foods are highly promoted on these channels. The study aimed to explore the nature and contents of food advertisements aired on popular television channels most watched by Jeddah adolescent girls Methods: The content of 288 hours of television programming was videotaped in 2009. All product advertisements were abstracted from the programmes and analysed quantitatively in terms of frequency, duration, type, means and ways of delivering the message to the viewers. Foods advertised classified as food/beverages high in fat, salt/sugar (HFSS) and non- HFSS foods according to the nutrient profiling model described by the Food Standards Agency (FSA - UK 2005). Results: Saudi adolescent girls (13-18 years) could watch up to 21aired product advertisements for every hour they watch TV. Food