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Erschienen in: Journal of Prevention 3/2024

06.03.2024 | Original Research

Parent Intention to Participate in an Online Intervention to Enhance Health Behavior Change Among Youth Treated with Psychotropic Medication Who are Overweight or Obese: An Application of the Theory of Planned Behavior

verfasst von: Kathryn A. Richardson, Elizabeth L. A. Punke, Barbara S. Dabrowski, Abby L. Teply, Johnathan Walker, Christine L. McKibbin

Erschienen in: Journal of Prevention | Ausgabe 3/2024

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Abstract

Youth with mental health disorders (MHD), particularly those who take psychotropic medications, are at increased risk of being overweight or obese (OW/OB) when compared to typical youth. Parents are important resources for interventions addressing OW/OB. However, parents of youth with MHD may face challenges that require interventions designed to address their needs. Prior to investing research funding in the development of interventions for this group, research is needed to understand factors associated with parents’ decisions to enroll in these programs. The theory of planned behavior (TPB) provided a framework for examining parents’ salient beliefs, direct attitudes, and intention to enroll in a hypothetical online healthy lifestyle intervention for their youth (ages 11–17) with OW/OB and treated with psychotropic medication. Parents who were enrolled in the study (n = 84) completed demographic questionnaires and a TPB questionnaire which was constructed for this study. A confirmatory factor analysis (CFA) of the direct attitude (i.e., attitude toward the behavior, subjective norm, perceived behavioral control) questions generally supported the three-factor model (i.e., RMSEA = .07, 90% CI .03–.11, p = .18; CFI = .96, SRMR = .06). Results from a multiple regression analysis demonstrated that direct attitudes predicted parent intention to participate in an online healthy lifestyle intervention for this sample of youth accounting for 84% of variance. In this preliminary study, the TPB appears to be a promising framework for understanding direct attitudes associated with parent intentions toward intervention participation in this population of youth. Interventions for parents of youth with OW/OB who are prescribed psychotropic medication should consider addressing these direct attitudes to improve intention.
Literatur
Zurück zum Zitat Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall. Ajzen, I., & Fishbein, M. (1980). Understanding attitudes and predicting social behavior. Prentice-Hall.
Zurück zum Zitat Anderson, J. C., & Gerbing, D. W. (1984). The effect of sampling error on convergence, improper solutions, and goodness-of-fit indices for maximum likelihood confirmatory factor analysis. Psychometrika, 49, 155–173.CrossRef Anderson, J. C., & Gerbing, D. W. (1984). The effect of sampling error on convergence, improper solutions, and goodness-of-fit indices for maximum likelihood confirmatory factor analysis. Psychometrika, 49, 155–173.CrossRef
Zurück zum Zitat Arguete, M. S., Huynh, H., Browne, B. L., Jurs, B., Flint, E., & McCutcheon, L. E. (2019). How serious is the ‘carelessness’ problem on Mechanical Turk? International Journal of Social Research Methodology, 22, 441–449.CrossRef Arguete, M. S., Huynh, H., Browne, B. L., Jurs, B., Flint, E., & McCutcheon, L. E. (2019). How serious is the ‘carelessness’ problem on Mechanical Turk? International Journal of Social Research Methodology, 22, 441–449.CrossRef
Zurück zum Zitat Bioque, M., Garcia-Portilla, M. A. P., Garcia-Rizo, C., Cabrera, B., Lobo, A., Gonzalez-Pinto, A., Diaz-Caneja, C. M., Corripio, I., Vieta, E., Castro-Fornieles, J., Bobes, J., Gutierrez-Fraile, M., Rodriguez-Jimenez, R., Mezquida, G., Llerena, A., Saiz-Ruiz, J., Bernardo, M., & PE Group. (2018). Evolution of metabolic risk factors over a two-year period in a cohort of first episodes of psychosis. Schizophrenia Research, 193, 188–196. https://doi.org/10.1016/j.schres.2017.06.032CrossRef Bioque, M., Garcia-Portilla, M. A. P., Garcia-Rizo, C., Cabrera, B., Lobo, A., Gonzalez-Pinto, A., Diaz-Caneja, C. M., Corripio, I., Vieta, E., Castro-Fornieles, J., Bobes, J., Gutierrez-Fraile, M., Rodriguez-Jimenez, R., Mezquida, G., Llerena, A., Saiz-Ruiz, J., Bernardo, M., & PE Group. (2018). Evolution of metabolic risk factors over a two-year period in a cohort of first episodes of psychosis. Schizophrenia Research, 193, 188–196. https://​doi.​org/​10.​1016/​j.​schres.​2017.​06.​032CrossRef
Zurück zum Zitat Bitsko, R. H., Claussen, A. H., Lichstein, J., Black, L. I., Jones, S. E., Danielson, M. L., Hoenig, J. M., Davis Jack, S. P., Brody, D. J., Gyawali, S., Maenner, M. J., Warner, M., Holland, K. M., Perou, R., Crosby, A. E., Blumberg, S. J., Avenevoli, S., Kaminski, J. W., & Ghandour, R. M. (2022). Mental health surveillance among children - United States. MMWR Supplements, 71, 1–42. https://doi.org/10.15585/mmwr.su7102a1CrossRefPubMedPubMedCentral Bitsko, R. H., Claussen, A. H., Lichstein, J., Black, L. I., Jones, S. E., Danielson, M. L., Hoenig, J. M., Davis Jack, S. P., Brody, D. J., Gyawali, S., Maenner, M. J., Warner, M., Holland, K. M., Perou, R., Crosby, A. E., Blumberg, S. J., Avenevoli, S., Kaminski, J. W., & Ghandour, R. M. (2022). Mental health surveillance among children - United States. MMWR Supplements, 71, 1–42. https://​doi.​org/​10.​15585/​mmwr.​su7102a1CrossRefPubMedPubMedCentral
Zurück zum Zitat Bourassa, K. A., McKibbin, C., Hartung, C. M., Bartholomew, K. L., Lee, A. A., Stevens, A. E., Buxton, Y., Slosser, A. E., & Kitchen Andren, K. A. (2017). Barriers and facilitators of obesity management in families of youth with emotional and behavioral disorders. Journal of Health Psychology, 22, 1469–1479. https://doi.org/10.1177/1359105316630136CrossRefPubMed Bourassa, K. A., McKibbin, C., Hartung, C. M., Bartholomew, K. L., Lee, A. A., Stevens, A. E., Buxton, Y., Slosser, A. E., & Kitchen Andren, K. A. (2017). Barriers and facilitators of obesity management in families of youth with emotional and behavioral disorders. Journal of Health Psychology, 22, 1469–1479. https://​doi.​org/​10.​1177/​1359105316630136​CrossRefPubMed
Zurück zum Zitat Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). The Guildford Press. Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). The Guildford Press.
Zurück zum Zitat Centers for Disease Control. (2008). National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2007. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control. Centers for Disease Control. (2008). National diabetes fact sheet: general information and national estimates on diabetes in the United States, 2007. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control.
Zurück zum Zitat Daads, M. R., Sicouri, G., Piotrowska, P. J., Collins, D., Hawes, A. J., Mout, C., Lenroot, R. K., Frick, P. J., Anderson, V., Kimonis, E. R., & Tully, L. A. (2023). Keeping parents involved: Predicting attrition in self-directed online program for childhood conduct problems. Journal of Clinical & Adolescent Psychology, 48, 881–803. https://doi.org/10.1080/15374416.2018.1485109CrossRef Daads, M. R., Sicouri, G., Piotrowska, P. J., Collins, D., Hawes, A. J., Mout, C., Lenroot, R. K., Frick, P. J., Anderson, V., Kimonis, E. R., & Tully, L. A. (2023). Keeping parents involved: Predicting attrition in self-directed online program for childhood conduct problems. Journal of Clinical & Adolescent Psychology, 48, 881–803. https://​doi.​org/​10.​1080/​15374416.​2018.​1485109CrossRef
Zurück zum Zitat DeVillis, R. F. (2017). Scale development: Theory and applications (4th ed.). Sage. DeVillis, R. F. (2017). Scale development: Theory and applications (4th ed.). Sage.
Zurück zum Zitat Grudin, R., Vigerland, S., Ahlen, J., Widstrom, H., Unger, I., Serlachius, E., & Engberg, H. (2023). Therapy without a therapist? The experiences of adolescents and their parents of online behavioural activation for depression with and without therapist support. European Child & Adolescent Psychiatry. https://doi.org/10.1007/s00787-023-02142-7CrossRef Grudin, R., Vigerland, S., Ahlen, J., Widstrom, H., Unger, I., Serlachius, E., & Engberg, H. (2023). Therapy without a therapist? The experiences of adolescents and their parents of online behavioural activation for depression with and without therapist support. European Child & Adolescent Psychiatry. https://​doi.​org/​10.​1007/​s00787-023-02142-7CrossRef
Zurück zum Zitat Guideline Development Panel for Treatment of Obesity. (2020). Summary of the clinical practice guideline for multicomponent behavioral treatment of obesity and overweight in children and adolescents. American Psychologist, 75(2), 178–188. https://doi.org/10.1037/amp0000530CrossRef Guideline Development Panel for Treatment of Obesity. (2020). Summary of the clinical practice guideline for multicomponent behavioral treatment of obesity and overweight in children and adolescents. American Psychologist, 75(2), 178–188. https://​doi.​org/​10.​1037/​amp0000530CrossRef
Zurück zum Zitat Jensen, K. G., Correll, C. U., Ruda, D., Klauber, D. G., Stentebjerg-Olesen, M., Fagerlund, B., Jepsen, J. R. M., Fink-Jensen, A., & Pagsberg, A. K. (2017). Pretreatment cardiometabolic status in youth with early-onset psychosis: Baseline results from the TEA trial. Journal of Clinical Psychiatry, 78(8), e1035–e1046. https://doi.org/10.4088/JCP.15m10479CrossRefPubMed Jensen, K. G., Correll, C. U., Ruda, D., Klauber, D. G., Stentebjerg-Olesen, M., Fagerlund, B., Jepsen, J. R. M., Fink-Jensen, A., & Pagsberg, A. K. (2017). Pretreatment cardiometabolic status in youth with early-onset psychosis: Baseline results from the TEA trial. Journal of Clinical Psychiatry, 78(8), e1035–e1046. https://​doi.​org/​10.​4088/​JCP.​15m10479CrossRefPubMed
Zurück zum Zitat Jensen-Doss, A., Patel, Z. S., Casline, E., Mora Ringle, V. A., & Timpano, K. R. (2022). Using Mechanical Turk to study parents and children: An examination of data quality and representativeness. Journal of Clinical Child and Adolescent Psychology, 51, 428–442.CrossRefPubMed Jensen-Doss, A., Patel, Z. S., Casline, E., Mora Ringle, V. A., & Timpano, K. R. (2022). Using Mechanical Turk to study parents and children: An examination of data quality and representativeness. Journal of Clinical Child and Adolescent Psychology, 51, 428–442.CrossRefPubMed
Zurück zum Zitat Kitzmann, K. M., Dalton, W. T., 3rd., Stanley, C. M., Beech, B. M., Reeves, T. P., Buscemi, J., Egli, C. J., Gamble, H. L., & Midgett, E. L. (2010). Lifestyle interventions for youth who are overweight: A meta-analytic review. Health Psychology, 29(1), 91–101. https://doi.org/10.1037/a0017437CrossRefPubMed Kitzmann, K. M., Dalton, W. T., 3rd., Stanley, C. M., Beech, B. M., Reeves, T. P., Buscemi, J., Egli, C. J., Gamble, H. L., & Midgett, E. L. (2010). Lifestyle interventions for youth who are overweight: A meta-analytic review. Health Psychology, 29(1), 91–101. https://​doi.​org/​10.​1037/​a0017437CrossRefPubMed
Zurück zum Zitat Klein, C. C., Topalian, A. G., Starr, B., Welge, J., Blom, T., Starr, C., Deetz, I., Turner, H., Sage, J., Utecht, J., Fornari, V., Patino Duran, L., Higdon, C., Sutton, J. J., Sorter, M. T., Correll, C. U., & DelBello, M. P. (2020). The importance of second-generation antipsychotic-related weight gain and adherence barriers in youth with bipolar disorders: Patient, parent, and provider perspectives. Journal of Child and Adolescent Psychopharmacology, 30(6), 376–380. https://doi.org/10.1089/cap.2019.0184CrossRefPubMed Klein, C. C., Topalian, A. G., Starr, B., Welge, J., Blom, T., Starr, C., Deetz, I., Turner, H., Sage, J., Utecht, J., Fornari, V., Patino Duran, L., Higdon, C., Sutton, J. J., Sorter, M. T., Correll, C. U., & DelBello, M. P. (2020). The importance of second-generation antipsychotic-related weight gain and adherence barriers in youth with bipolar disorders: Patient, parent, and provider perspectives. Journal of Child and Adolescent Psychopharmacology, 30(6), 376–380. https://​doi.​org/​10.​1089/​cap.​2019.​0184CrossRefPubMed
Zurück zum Zitat Moradi, M., Mozaffari, H., Askari, M., & Azadbakht, L. (2022). Association between overweight/obesity with depression, anxiety, low self-esteem, and body dissatisfaction in children and adolescents: A systematic review and meta-analysis of observational studies. Critical Reviews in Food Science and Nutrition, 62(2), 555–570. https://doi.org/10.1080/10408398.2020.1823813CrossRefPubMed Moradi, M., Mozaffari, H., Askari, M., & Azadbakht, L. (2022). Association between overweight/obesity with depression, anxiety, low self-esteem, and body dissatisfaction in children and adolescents: A systematic review and meta-analysis of observational studies. Critical Reviews in Food Science and Nutrition, 62(2), 555–570. https://​doi.​org/​10.​1080/​10408398.​2020.​1823813CrossRefPubMed
Zurück zum Zitat Richardson, K. A., McKibbin, C. L., Dabrowski, B. S., Punke, E., & Hartung, C. M. (2022). Parent intention to enroll in an online intervention to enhance health behavior change among youth treated with psychotropic mediation who are overweight or obese: An elicitation study. International Journal of Environmental Research and Public Health, 19, 8057. https://doi.org/10.3390/ijerph19138057CrossRefPubMedPubMedCentral Richardson, K. A., McKibbin, C. L., Dabrowski, B. S., Punke, E., & Hartung, C. M. (2022). Parent intention to enroll in an online intervention to enhance health behavior change among youth treated with psychotropic mediation who are overweight or obese: An elicitation study. International Journal of Environmental Research and Public Health, 19, 8057. https://​doi.​org/​10.​3390/​ijerph19138057CrossRefPubMedPubMedCentral
Zurück zum Zitat Roberts, R. E., & Duong, H. (2016). Do anxiety disorders play a role in adolescent obesity? Annals of Behavioral Medicine, 50, 613–621.CrossRefPubMed Roberts, R. E., & Duong, H. (2016). Do anxiety disorders play a role in adolescent obesity? Annals of Behavioral Medicine, 50, 613–621.CrossRefPubMed
Zurück zum Zitat Tabachnik, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). California State University. Tabachnik, B. G., & Fidell, L. S. (2013). Using multivariate statistics (6th ed.). California State University.
Metadaten
Titel
Parent Intention to Participate in an Online Intervention to Enhance Health Behavior Change Among Youth Treated with Psychotropic Medication Who are Overweight or Obese: An Application of the Theory of Planned Behavior
verfasst von
Kathryn A. Richardson
Elizabeth L. A. Punke
Barbara S. Dabrowski
Abby L. Teply
Johnathan Walker
Christine L. McKibbin
Publikationsdatum
06.03.2024
Verlag
Springer US
Erschienen in
Journal of Prevention / Ausgabe 3/2024
Print ISSN: 2731-5533
Elektronische ISSN: 2731-5541
DOI
https://doi.org/10.1007/s10935-024-00773-3

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