Health belief model factors as predictors of parental misclassification of the weight of the preschool child.

<h4>Background</h4>Parental misperception and underestimation of their child's weight are documented in studies. Demographic factors like age and gender have been linked to misclassification. However, modifiable factors that could potentially frame future intervention and prevention...

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Autores principales:	Tanna Woods, Mary A Nies
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/91e0c9b302a24e979a2bdb9cd6bdbe5e
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spelling	oai:doaj.org-article:91e0c9b302a24e979a2bdb9cd6bdbe5e2021-12-02T20:08:21ZHealth belief model factors as predictors of parental misclassification of the weight of the preschool child.1932-620310.1371/journal.pone.0252981https://doaj.org/article/91e0c9b302a24e979a2bdb9cd6bdbe5e2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252981https://doaj.org/toc/1932-6203<h4>Background</h4>Parental misperception and underestimation of their child's weight are documented in studies. Demographic factors like age and gender have been linked to misclassification. However, modifiable factors that could potentially frame future intervention and prevention strategies have not been explored. This study aimed to assess factors that could predict parental misclassification of their preschool child's weight.<h4>Methods</h4>This was a cross-sectional study with 198 parents and their 2- to 5-year-old children who attended standalone preschools or childcare centers with preschools. Parents completed a questionnaire that asked about demographic features, personal and family health, and the assessment of their child's weight using the three most frequently utilized measures. Logistic regression was conducted to assess the association between parental factors and child weight classification status. Instruments included the Parental Self-Efficacy for Promoting Healthy Physical Activity and Dietary Behaviors in Children Scale (PSEPAD), the Obesity Risk Scale (ORK-10), and the Adolescent Obesity Risk Scale (AORK). Analyses included frequencies, chi-square tests, Kappa coefficients, and logistic regressions.<h4>Results</h4>Parents were least accurate (35.9%) identifying child weight when selecting a picture (κ = -.028, p = .42). The pictorial and Likert method (κ = -.032, p = .37) showed parental agreement with child weight was not significantly better than chance. Statistically, a significant agreement was found in the weight-reporting method (κ = .21). Two of the three HBM-related measures were significantly related to accurate classification. Logistic regression showed child sex, PSEPAD scores, and ORK-10 scores were statistically significant predictors in the Likert method. The model had no statistical significance for the pictorial or weight-reporting method.<h4>Conclusion</h4>Results indicate parents support intervening if aware of child weight problems. However, parents do not accurately recognize healthy versus unhealthy weights and report that health providers are not informing them of weight deviations. Further, important relationships between the HBM variables were identified. Results show barriers (self-efficacy) mediate the impact of perceived severity (knowledge) regarding the parental ability to assess child weight accurately. These relationships and incorporation of the HBM principles of barriers and severity into prevention/intervention strategies need further exploration.Tanna WoodsMary A NiesPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0252981 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tanna Woods Mary A Nies Health belief model factors as predictors of parental misclassification of the weight of the preschool child.
description	<h4>Background</h4>Parental misperception and underestimation of their child's weight are documented in studies. Demographic factors like age and gender have been linked to misclassification. However, modifiable factors that could potentially frame future intervention and prevention strategies have not been explored. This study aimed to assess factors that could predict parental misclassification of their preschool child's weight.<h4>Methods</h4>This was a cross-sectional study with 198 parents and their 2- to 5-year-old children who attended standalone preschools or childcare centers with preschools. Parents completed a questionnaire that asked about demographic features, personal and family health, and the assessment of their child's weight using the three most frequently utilized measures. Logistic regression was conducted to assess the association between parental factors and child weight classification status. Instruments included the Parental Self-Efficacy for Promoting Healthy Physical Activity and Dietary Behaviors in Children Scale (PSEPAD), the Obesity Risk Scale (ORK-10), and the Adolescent Obesity Risk Scale (AORK). Analyses included frequencies, chi-square tests, Kappa coefficients, and logistic regressions.<h4>Results</h4>Parents were least accurate (35.9%) identifying child weight when selecting a picture (κ = -.028, p = .42). The pictorial and Likert method (κ = -.032, p = .37) showed parental agreement with child weight was not significantly better than chance. Statistically, a significant agreement was found in the weight-reporting method (κ = .21). Two of the three HBM-related measures were significantly related to accurate classification. Logistic regression showed child sex, PSEPAD scores, and ORK-10 scores were statistically significant predictors in the Likert method. The model had no statistical significance for the pictorial or weight-reporting method.<h4>Conclusion</h4>Results indicate parents support intervening if aware of child weight problems. However, parents do not accurately recognize healthy versus unhealthy weights and report that health providers are not informing them of weight deviations. Further, important relationships between the HBM variables were identified. Results show barriers (self-efficacy) mediate the impact of perceived severity (knowledge) regarding the parental ability to assess child weight accurately. These relationships and incorporation of the HBM principles of barriers and severity into prevention/intervention strategies need further exploration.
format	article
author	Tanna Woods Mary A Nies
author_facet	Tanna Woods Mary A Nies
author_sort	Tanna Woods
title	Health belief model factors as predictors of parental misclassification of the weight of the preschool child.
title_short	Health belief model factors as predictors of parental misclassification of the weight of the preschool child.
title_full	Health belief model factors as predictors of parental misclassification of the weight of the preschool child.
title_fullStr	Health belief model factors as predictors of parental misclassification of the weight of the preschool child.
title_full_unstemmed	Health belief model factors as predictors of parental misclassification of the weight of the preschool child.
title_sort	health belief model factors as predictors of parental misclassification of the weight of the preschool child.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/91e0c9b302a24e979a2bdb9cd6bdbe5e
work_keys_str_mv	AT tannawoods healthbeliefmodelfactorsaspredictorsofparentalmisclassificationoftheweightofthepreschoolchild AT maryanies healthbeliefmodelfactorsaspredictorsofparentalmisclassificationoftheweightofthepreschoolchild
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Health belief model factors as predictors of parental misclassification of the weight of the preschool child.

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