21-NOV-2014
See Table 1 for theschedual of assessment measures that willbe administered to participants throughout the trial.
. Medical History andCurrent Medicationuse for both the child and parent will be completed by the parent at the screening ,post-treatment,and 6-month follow-up assessments.At the follow-up assessments this will include child and parent medication use at any point during the months preceding the assessment.
. Height and Weight will ba measured for both the child and parent during all assessments by trained reasearch personnel .Height without shoes will ba measured to the nearest 0.1 cm using a Harpendon stadiometeter.Weight will be measured the nearest 0.1 cmusing a Harparendon stadionmeter .Weight will be measured to the nearest 0.1 Kg using a calibrated and certified digit scale with one layer of clothing on, without shoes ,and with pockets emptied.Each measure will be completed three times,withthe average used for data analysis.
, Child Waist Circumgerence will be measured by a trained member of our reasearch team at the hipbone to the nearnest 0.1 cm.
. Chid Dietary Intake will be assessed via parent report using the Block Questionnaire for Ages 2 to 7 years -2004 Food Frequency Questionnaire to estimate child daily dietary intake.The food list for this questionnaire was developed from the USDA Nutrient Databased for Dietary Studies, version 1.0 Aslo,25% of the sample of parents will cmplete three 24-hour rrecalls of theirchild;s dietary intake over a 2-week period at each assessment using the multiple pass method .This method has been validated against doubly labeled water anddeemed accurate for young children .Daily caloric intake will becalculated using Minnesota Nutrient Data Systems software .Dietary recalls will becompleted by a menmber of the research team trained in the useof multiple pass methodology to assess dietary intake .Both menthods of assessing child dietary intake will be used to assess the validity of FFQ in the sample.
.Child Physical Activity and Energy Expenditure will be measured via the Actigraph Activity Monitor.Children will be asked to wear the actigraph for seven consecutive days,24 hours a day(except when bathing or swimming).Actigraphs provideinformation about energy expenditure andactivity levels .Reliability and validaity of the Actigraph have been documented in perschool age children.
.Child Television Time will be assessed witha seven daytelevision diary completed during the seven days following eachassessment, in conjunction with collection of actigraph data .This is a one-page questionnaire created for use in this study.Atte end of each day the parent will record how many hours/minutes their child spent watching television that day.
.Parental Feeding Practices willbe measured via parent report using the Comprehensive Freeding Practices Questionnaire.The CFPQ is a 49-intm questonnaire that assesses verbal and physical parent feeding strategies for children 2 to 8 years of age.Parents are asked how often they implment the strategies during meals ona 5-point Likert scale ranging from "Never" to "Always".The measure has 12 subscales and has good reliability and validaity.
.Child Behavioral Problems will be assessedby the Eyberg Child Behavior Inventory .TheECBI is a 36-item measure designed to assess parental report of behavioral problems in children ages 2 and older.It measures the number of difficult behavior problems and the frequency with which they occur and has good reliability and validity.
.Chid Mealtime Behavior will be measured using the Behavioral Pediatric Feeding Assessment Scale,which isa 33-item scalethat assesses the behavior of young chidren ,ages 1to 7years ,during mealtime.Via this measure parents will be asked how often their chid engages in various eating behaviors on a 5-pointLikert scale ranging from "Never " to "Always".Parentsthen indicate,''Yes"or'No'',if each behavior is a problem for them .The scale has adequate psychometric properties.
.The Home Food Environment assessed using the Home Food Inventory.The HFI examines the availability of various foods in the home and was designed for community -based behavioral nution and obesity research.The measure has demonstrated good construct and criterion validaity.
.Treatment Satisfaction willbe assessed during the post-treatment assessment for families who participated in the BFI.Parents will be ased to fill out a questionnaire assessing their satisfaction with various aspects of the program.
Barries to Treatment Participation will aslo completed by parents in the BFI group at the post-treatment assessment.They will complete a 15-item checklist regarding situations and events that may have made group participantion a challenge for their family.
3.10 Additional Measures of Treatment Adherence
Adherence to the BFI dietary and physical activity protocol and goals will be assessed via parent completion of monitoring forms and implemention of behavior change.Parents will ba asked to monitor their child's food for specific mealsona daily basis throughout the program.Parents will aslo track their personal dietary intake on their own food log.Parents will be trainedto complete the daily food log during the second treatment group session.At this time ,parents will be asked to monitor what they and their child eat and drink during one meal.The monitoring of additional meal and snacks,,as well as other lifestyle behaviors (such as physical activity and sedentary behaviors) will be incorporated into later sessions.The information obtained through monitoring will be usedby parents and interventionists to identify ways that children and parents can make changes to specific aspects of lifestyle behaviors, such as incoporating more fruits and vegetables,choosing healthier snacks, and identifying timesto engage in physiacl activity.
. Medical History andCurrent Medicationuse for both the child and parent will be completed by the parent at the screening ,post-treatment,and 6-month follow-up assessments.At the follow-up assessments this will include child and parent medication use at any point during the months preceding the assessment.
. Height and Weight will ba measured for both the child and parent during all assessments by trained reasearch personnel .Height without shoes will ba measured to the nearest 0.1 cm using a Harpendon stadiometeter.Weight will be measured the nearest 0.1 cmusing a Harparendon stadionmeter .Weight will be measured to the nearest 0.1 Kg using a calibrated and certified digit scale with one layer of clothing on, without shoes ,and with pockets emptied.Each measure will be completed three times,withthe average used for data analysis.
, Child Waist Circumgerence will be measured by a trained member of our reasearch team at the hipbone to the nearnest 0.1 cm.
. Chid Dietary Intake will be assessed via parent report using the Block Questionnaire for Ages 2 to 7 years -2004 Food Frequency Questionnaire to estimate child daily dietary intake.The food list for this questionnaire was developed from the USDA Nutrient Databased for Dietary Studies, version 1.0 Aslo,25% of the sample of parents will cmplete three 24-hour rrecalls of theirchild;s dietary intake over a 2-week period at each assessment using the multiple pass method .This method has been validated against doubly labeled water anddeemed accurate for young children .Daily caloric intake will becalculated using Minnesota Nutrient Data Systems software .Dietary recalls will becompleted by a menmber of the research team trained in the useof multiple pass methodology to assess dietary intake .Both menthods of assessing child dietary intake will be used to assess the validity of FFQ in the sample.
.Child Physical Activity and Energy Expenditure will be measured via the Actigraph Activity Monitor.Children will be asked to wear the actigraph for seven consecutive days,24 hours a day(except when bathing or swimming).Actigraphs provideinformation about energy expenditure andactivity levels .Reliability and validaity of the Actigraph have been documented in perschool age children.
.Child Television Time will be assessed witha seven daytelevision diary completed during the seven days following eachassessment, in conjunction with collection of actigraph data .This is a one-page questionnaire created for use in this study.Atte end of each day the parent will record how many hours/minutes their child spent watching television that day.
.Parental Feeding Practices willbe measured via parent report using the Comprehensive Freeding Practices Questionnaire.The CFPQ is a 49-intm questonnaire that assesses verbal and physical parent feeding strategies for children 2 to 8 years of age.Parents are asked how often they implment the strategies during meals ona 5-point Likert scale ranging from "Never" to "Always".The measure has 12 subscales and has good reliability and validaity.
.Child Behavioral Problems will be assessedby the Eyberg Child Behavior Inventory .TheECBI is a 36-item measure designed to assess parental report of behavioral problems in children ages 2 and older.It measures the number of difficult behavior problems and the frequency with which they occur and has good reliability and validity.
.Chid Mealtime Behavior will be measured using the Behavioral Pediatric Feeding Assessment Scale,which isa 33-item scalethat assesses the behavior of young chidren ,ages 1to 7years ,during mealtime.Via this measure parents will be asked how often their chid engages in various eating behaviors on a 5-pointLikert scale ranging from "Never " to "Always".Parentsthen indicate,''Yes"or'No'',if each behavior is a problem for them .The scale has adequate psychometric properties.
.The Home Food Environment assessed using the Home Food Inventory.The HFI examines the availability of various foods in the home and was designed for community -based behavioral nution and obesity research.The measure has demonstrated good construct and criterion validaity.
.Treatment Satisfaction willbe assessed during the post-treatment assessment for families who participated in the BFI.Parents will be ased to fill out a questionnaire assessing their satisfaction with various aspects of the program.
Barries to Treatment Participation will aslo completed by parents in the BFI group at the post-treatment assessment.They will complete a 15-item checklist regarding situations and events that may have made group participantion a challenge for their family.
3.10 Additional Measures of Treatment Adherence
Adherence to the BFI dietary and physical activity protocol and goals will be assessed via parent completion of monitoring forms and implemention of behavior change.Parents will ba asked to monitor their child's food for specific mealsona daily basis throughout the program.Parents will aslo track their personal dietary intake on their own food log.Parents will be trainedto complete the daily food log during the second treatment group session.At this time ,parents will be asked to monitor what they and their child eat and drink during one meal.The monitoring of additional meal and snacks,,as well as other lifestyle behaviors (such as physical activity and sedentary behaviors) will be incorporated into later sessions.The information obtained through monitoring will be usedby parents and interventionists to identify ways that children and parents can make changes to specific aspects of lifestyle behaviors, such as incoporating more fruits and vegetables,choosing healthier snacks, and identifying timesto engage in physiacl activity.
