{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T05:27:39Z","timestamp":1770269259432,"version":"3.49.0"},"reference-count":57,"publisher":"BMJ","issue":"9","funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council UK","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,7,24]]},"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the feasibility and acceptability of using digital technology for Proactive Assessment of Obesity Risk during Infancy (ProAsk) with the UK health visitors (HVs) and parents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Multicentre, pre- and post-intervention feasibility study with process evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Rural and urban deprived settings, UK community care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>66 parents of infants and 22 HVs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>ProAsk was delivered on a tablet device. It comprises a validated risk prediction tool to quantify overweight risk status and a therapeutic wheel detailing motivational strategies for preventive parental behaviour. Parents were encouraged to agree goals for behaviour change with HVs who received motivational interviewing training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome measures<\/jats:title>\n                    <jats:p>We assessed recruitment, response and attrition rates. Demographic details were collected, and overweight risk status. The proposed primary outcome measure was weight-for-age z-score. The proposed secondary outcomes were parenting self-efficacy, maternal feeding style, infant diet and exposure to physical activity\/sedentary behaviour. Qualitative interviews ascertained the acceptability of study processes and intervention fidelity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>HVs screened 324\/589 infants for inclusion in the study and 66\/226 (29%) eligible infants were recruited. Assessment of overweight risk was completed on 53 infants and 40% of these were identified as above population risk. Weight-for-age z-score (SD) between the infants at population risk and those above population risk differed significantly at baseline (\u22120.67 SD vs 0.32 SD). HVs were able to collect data and calculate overweight risk for the infants. Protocol adherence and intervention fidelity was a challenge. HVs and parents found the information provided in the therapeutic wheel appropriate and acceptable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Study recruitment and protocol adherence were problematic. ProAsk was acceptable to most parents and HVs, but intervention fidelity was low. There was limited evidence to support the feasibility of implementing ProAsk without significant additional resources. A future study could evaluate ProAsk as a HV-supported, parent-led intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>NCT02314494 (Feasibility Study Results)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-017694","type":"journal-article","created":{"date-parts":[[2017,9,7]],"date-time":"2017-09-07T20:10:11Z","timestamp":1504815011000},"page":"e017694","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":22,"title":["Digital technology to facilitate Proactive Assessment of Obesity Risk during Infancy (ProAsk): a feasibility study"],"prefix":"10.1136","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2176-2325","authenticated-orcid":false,"given":"Sarah A","family":"Redsell","sequence":"first","affiliation":[{"name":"Professor of Public Health, Faculty of Health, Social Care & Education, Anglia Ruskin University, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennie","family":"Rose","sequence":"additional","affiliation":[{"name":"Professor of Public Health, Faculty of Health, Social Care & Education, Anglia Ruskin University, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5281-9590","authenticated-orcid":false,"given":"Stephen","family":"Weng","sequence":"additional","affiliation":[{"name":"NIHR Research Fellow, Division of Primary Care, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne","family":"Ablewhite","sequence":"additional","affiliation":[{"name":"Research Fellow, Institute of Mental Health, University of Nottingham Innovation Park, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judy Anne","family":"Swift","sequence":"additional","affiliation":[{"name":"Division of Nutritional Sciences, Associate Professor of Behavioural Nutrition, School of Biosciences, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2484-8201","authenticated-orcid":false,"given":"Aloysius Niroshan","family":"Siriwardena","sequence":"additional","affiliation":[{"name":"Professor of Primary and Pre-hospital Health Care, Community and Health Research Unit, School of Health and Social Care, University of Lincoln, Lincoln, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dilip","family":"Nathan","sequence":"additional","affiliation":[{"name":"Consultant Paediatrician, Nottingham University Hospitals Trust, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6030-5648","authenticated-orcid":false,"given":"Heather J","family":"Wharrad","sequence":"additional","affiliation":[{"name":"Professor of e-Learning and Health Informatics, School of Health Sciences, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pippa","family":"Atkinson","sequence":"additional","affiliation":[{"name":"Lead Health Visitor for Infant Nutrition, Nottingham City Care Partnership, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicki","family":"Watson","sequence":"additional","affiliation":[{"name":"Specialist Public Health Dietician, Nottingham City Care Partnership, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"McMaster","sequence":"additional","affiliation":[{"name":"Senior Lecturer in Public Health, Faculty of Medical Sciences, Anglia Ruskin University, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6748-5960","authenticated-orcid":false,"given":"Rajalakshmi","family":"Lakshman","sequence":"additional","affiliation":[{"name":"Consultant in Public Medicine (Lead for Children), Cambridgeshire and Peterborough Public Health Directorate, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7459-9445","authenticated-orcid":false,"given":"Cris","family":"Glazebrook","sequence":"additional","affiliation":[{"name":"Professor of Health Psychology, Institute of Mental Health, University of Nottingham Innovation Park, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,9,6]]},"reference":[{"key":"2025120618365144000_7.9.e017694.1","unstructured":"UNICEF, WHO, The World Bank. 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