TY - JOUR
T1 - Parent-based interventions to improve multiple lifestyle risk behaviors among adolescents
T2 - A systematic review and meta-analysis
AU - Champion, Katrina E.
AU - Gardner, Lauren A.
AU - McCann, Karrah
AU - Hunter, Emily
AU - Parmenter, Belinda
AU - Aitken, Tess
AU - Chapman, Cath
AU - Spring, Bonnie
AU - Thornton, Louise
AU - Slade, Tim
AU - Teesson, Maree
AU - Newton, Nicola C.
N1 - Funding Information:
This review is funded by the PREMISE National Health and Medical Research Council (NHMRC) Centre of Research Excellence (APP11349009), the Paul Ramsay Foundation, and an NHMRC Early Career Fellowship to KC ( APP1120641 ), NHMRC Career Development Fellowship to NN ( APP1166377 ) and NHMRC Investigator Grant to MT ( APP1195284 ). The funders played no role in the design of this study, the collection, analysis, and interpretation of data or in writing this manuscript.
Publisher Copyright:
© 2022
PY - 2022/11
Y1 - 2022/11
N2 - Lifestyle risk behaviors often co-occur and are prevalent among adolescents. Parent-based interventions addressing risk behaviors concurrently have the potential to improve youth and parent outcomes. This systematic review evaluated the efficacy of parent-based interventions targeting multiple lifestyle risk behaviors among adolescents and parents. MEDLINE (Ovid), Embase (Ovid), PsycInfo (Ovid), Scopus, CINAHL, the Cochrane Database of Systematic Reviews (CDSR) and Cochrane Central Register of Controlled Trials (CENTRAL) were searched from 2010-May 2021. Eligible studies were randomised controlled trials (RCTs) of parent-based interventions addressing 2+ risk behaviors: alcohol use, smoking, poor diet, physical inactivity, sedentary behaviors, and poor sleep. Studies directly targeting parents, and that assessed adolescent outcomes (11–18 years) were eligible. Where possible, random-effects meta-analysis was conducted. From 11,975 identified records, 46 publications of 36 RCTs (n = 28,322 youth, n = 7385 parents) were eligible. Parent-based interventions were associated with improved adolescent moderate-to-vigorous physical activity (MVPA) [Odds Ratio (OR) = 1.82, 95% CI = 1.18, 2.81; p = 0.007], and reduced screen time (SMD = −0.39, 95% CI = -0.62, −0.16, p = 0.0009) and discretionary food intake (SMD = -0.18; 95% CI = −0.30, −0.06; p = 0.002) compared to controls. However, there was some evidence that interventions increased the odds of ever using tobacco in the medium-term (OR = 1.47, 95% CI = 0.99, 2.18, p = 0.06) and of past month tobacco use in the long-term (OR = 1.46, 95% CI = 1.12, 1.90; p = 0.005). Overall, the quality of evidence was moderate. Parent-based interventions targeting multiple risk behaviors improved adolescent MVPA, and reduced screen time discretionary food intake. Further research is needed to address sleep problems and increase intervention efficacy, particularly for alcohol and tobacco use.
AB - Lifestyle risk behaviors often co-occur and are prevalent among adolescents. Parent-based interventions addressing risk behaviors concurrently have the potential to improve youth and parent outcomes. This systematic review evaluated the efficacy of parent-based interventions targeting multiple lifestyle risk behaviors among adolescents and parents. MEDLINE (Ovid), Embase (Ovid), PsycInfo (Ovid), Scopus, CINAHL, the Cochrane Database of Systematic Reviews (CDSR) and Cochrane Central Register of Controlled Trials (CENTRAL) were searched from 2010-May 2021. Eligible studies were randomised controlled trials (RCTs) of parent-based interventions addressing 2+ risk behaviors: alcohol use, smoking, poor diet, physical inactivity, sedentary behaviors, and poor sleep. Studies directly targeting parents, and that assessed adolescent outcomes (11–18 years) were eligible. Where possible, random-effects meta-analysis was conducted. From 11,975 identified records, 46 publications of 36 RCTs (n = 28,322 youth, n = 7385 parents) were eligible. Parent-based interventions were associated with improved adolescent moderate-to-vigorous physical activity (MVPA) [Odds Ratio (OR) = 1.82, 95% CI = 1.18, 2.81; p = 0.007], and reduced screen time (SMD = −0.39, 95% CI = -0.62, −0.16, p = 0.0009) and discretionary food intake (SMD = -0.18; 95% CI = −0.30, −0.06; p = 0.002) compared to controls. However, there was some evidence that interventions increased the odds of ever using tobacco in the medium-term (OR = 1.47, 95% CI = 0.99, 2.18, p = 0.06) and of past month tobacco use in the long-term (OR = 1.46, 95% CI = 1.12, 1.90; p = 0.005). Overall, the quality of evidence was moderate. Parent-based interventions targeting multiple risk behaviors improved adolescent MVPA, and reduced screen time discretionary food intake. Further research is needed to address sleep problems and increase intervention efficacy, particularly for alcohol and tobacco use.
KW - Adolescents
KW - Parents
KW - Prevention
KW - Risk behaviors
UR - http://www.scopus.com/inward/record.url?scp=85138789878&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85138789878&partnerID=8YFLogxK
U2 - 10.1016/j.ypmed.2022.107247
DO - 10.1016/j.ypmed.2022.107247
M3 - Review article
C2 - 36075490
AN - SCOPUS:85138789878
VL - 164
JO - Preventive Medicine
JF - Preventive Medicine
SN - 0091-7435
M1 - 107247
ER -
