Correlates of Resource Empowerment among Parents of Children with Overweight or Obesity

Child Obes. 2017 Feb;13(1):63-71. doi: 10.1089/chi.2016.0136. Epub 2016 Nov 22.

Abstract

Background: Few studies have examined correlates of resource empowerment among parents of children with overweight or obesity.

Methods: We studied baseline data of 721 parent-child pairs participating in the Connect for Health randomized trial being conducted at six pediatric practices in Massachusetts. Parents completed the child weight management subscale (n = 5 items; 4-point response scale) of the Parent Resource Empowerment Scale; items were averaged to create a summary empowerment score. We used linear regression to examine the independent effects of child (age, sex, and race/ethnicity), parent/household characteristics (age, education, annual household income, BMI category, perceived stress, and their ratings of their healthcare quality), and neighborhood median household income, on parental resource empowerment.

Results: Mean (SD) child age was 7.7 years (2.9) and mean (SD) BMI z-score was 1.9 (0.5); 34% of children were white, 32% black, 22% Hispanic, 5% Asian, and 6% multiracial/other. The mean parental empowerment score was 2.95 (SD = 0.56; range = 1-4). In adjusted models, parents of older children [β -0.03 (95% CI: -0.04, -0.01)], Hispanic children [-0.14 (-0.26, -0.03)], those with annual household income less than $20,000 [-0.16 (-0.29, -0.02)], those with BMI ≥30.0 kg/m2 [-0.17 (-0.28, -0.07)], and those who reported receiving lower quality of obesity-related care [-0.05 (-0.07, -0.03)] felt less empowered about resources to support their child's healthy body weight.

Conclusions: Parental resource empowerment is influenced by parent and child characteristics as well as the quality of their obesity-related care. These findings could help inform equitable, family-centered approaches to improve parental resource empowerment.

Keywords: childhood; empowerment; obesity; overweight; parental resources.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • African Americans
  • Asian Americans
  • Body Mass Index
  • Child
  • Child, Preschool
  • Ethnic Groups
  • European Continental Ancestry Group
  • Female
  • Hispanic Americans
  • Humans
  • Income
  • Male
  • Massachusetts
  • Overweight / therapy*
  • Parents*
  • Patient Education as Topic
  • Patient Participation*
  • Pediatric Obesity / therapy*
  • Pediatrics
  • Quality of Health Care