ISSN: 2222-6990
Open access
The purpose of this study is to explore the effect of AVG intervention on the parental support of overweight and obese male adolescents under a family-based parental involvement model. A cluster randomised controlled trial (C-RCT) was conducted with 12- to 14-year-old participants, divided into three groups: (1) Parental Involvement in Active Video Games (PIAVG), (2) Single Player Active Video Games (SPAVG), and (3) Control (watching TV-WTV). The intervention lasted for two weeks, during which changes in parental support levels were assessed at baseline and post-intervention. No significant changes were observed within the three groups. However, notably, the PIAVG group demonstrated slightly improvement in the measured outcomes than the WTV group in the inter-group comparison, but it has no statistical significance. The findings suggest that parental involvement in active video games enhances the effectiveness of such interventions, leading to better parent-child relationships among overweight and obese adolescents. This underscores the potential for family-based interventions to combat adolescent obesity in this population.
Ae, S., Ra, B., W, G., Ca, H., Ds, H., & Rl, N. (2018). Home-based exergaming among children with overweight and obesity: A randomized clinical trial. Pediatric Obesity, 13(11). https://doi.org/10.1111/ijpo.12438
Bates, C. R., Nicholson, L. M., Rea, E. M., Hagy, H. A., & Bohnert, A. M. (2021). Life Interrupted: Family Routines Buffer Stress during the COVID-19 Pandemic. Journal of Child and Family Studies, 30(11), 2641–2651. https://doi.org/10.1007/s10826-021-02063-6
Baylor College of Medicine. (2020). https://www.bcm.edu/bodycomplab/BMIapp/BMI-calculator-kids.html
Gao, Z., Pope, Z., Lee, J. E., & Quan, M. (2019). Effects of Active Video Games on Children’s Psychosocial Beliefs and School Day Energy Expenditure. Journal of Clinical Medicine, 8, 1268. https://doi.org/10.3390/jcm8091268
Hatfield, D. P., Must, A., Kennedy, W., Staiano, A. E., Slavet, J., Sabelli, R. A., Curtin, C., Bandini, L. G., Nauta, P., Stuetzle, C., & Bowling, A. B. (2023). GamerFit-ASD beta test: Adapting an evidence-based exergaming and telehealth coaching intervention for autistic youth. Frontiers in Pediatrics, 11, 1198000. https://doi.org/10.3389/fped.2023.1198000
Hazel, N. A., Oppenheimer, C. W., Technow, J. R., Young, J. F., & Hankin, B. L. (2014). Parent relationship quality buffers against the effect of peer stressors on depressive symptoms from middle childhood to adolescence. Developmental Psychology, 50(8), 2115–2123. https://doi.org/10.1037/a0037192
Hong, J.-T., Chen, S.-T., Tang, Y., Cao, Z.-B., Zhuang, J., Zhu, Z., Chen, P., & Liu, Y. (2020). Associations between various kinds of parental support and physical activity among children and adolescents in Shanghai, China: Gender and age differences. BMC Public Health, 20(1), 1161. https://doi.org/10.1186/s12889-020-09254-8
Hwang, J., Lee, I.-M., Fernandez, A. M., Hillman, C. H., & Lu, A. S. (2019). Exploring Energy Expenditure and Body Movement of Exergaming in Children of Different Weight Status. Pediatric Exercise Science, 31(4), 438–447. https://doi.org/10.1123/pes.2019-0006
Jure?ková, J., & Picek, J. (2007). Shapiro–Wilk-type test of normality under nuisance regression and scale. Computational Statistics & Data Analysis, 51(10), 5184–5191. https://doi.org/10.1016/j.csda.2006.08.026
Kellou, N., Sandalinas, F., Copin, N., & Simon, C. (2014). Prevention of unhealthy weight in children by promoting physical activity using a socio-ecological approach: What can we learn from intervention studies? Diabetes & Metabolism, 40(4), 258–271. https://doi.org/10.1016/j.diabet.2014.01.002
Liu, Y., Zhang, Y., Chen, S., Zhang, J., Guo, Z., & Chen, P. (2017). Associations between parental support for physical activity and moderate-to-vigorous physical activity among Chinese school children: A cross-sectional study. Journal of Sport and Health Science, 6(4), 410–415. https://doi.org/10.1016/j.jshs.2017.09.008
Llewellyn, A., Simmonds, M., Owen, C. G., & Woolacott, N. (2016). Childhood obesity as a predictor of morbidity in adulthood: A systematic review and meta-analysis. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity, 17(1), 56–67. https://doi.org/10.1111/obr.12316
Marker, A. M., & Staiano, A. E. (2015). Better Together: Outcomes of Cooperation Versus Competition in Social Exergaming. Games for Health Journal, 4(1), 25–30. https://doi.org/10.1089/g4h.2014.0066
McMichael, L., Fari?, N., Newby, K., Potts, H. W. W., Hon, A., Smith, L., Steptoe, A., & Fisher, A. (2020). Parents of Adolescents Perspectives of Physical Activity, Gaming and Virtual Reality: Qualitative Study. JMIR Serious Games, 8(3), e14920. https://doi.org/10.2196/14920
Moore, C. G., Carter, R. E., Nietert, P. J., & Stewart, P. W. (2011). Recommendations for planning pilot studies in clinical and translational research. Clinical and Translational Science, 4(5), 332–337. https://doi.org/10.1111/j.1752-8062.2011.00347.x
Nawaz, A., Skjæret, N., Helbostad, J. L., Vereijken, B., Boulton, E., & Svanaes, D. (2016). Usability and acceptability of balance exergames in older adults: A scoping review. Health Informatics Journal, 22(4), 911–931. https://doi.org/10.1177/1460458215598638
Peters, T., Richards, S., Bankhead, C., Ades, A., & Sterne, J. (2003). Comparison of methods for analysing cluster randomized trials: An example involving a factorial design. International Journal of Epidemiology, 32(5), 840–846. https://doi.org/10.1093/ije/dyg228
Prochaska, J. J., Rodgers, M. W., & Sallis, J. F. (2002). Association of parent and peer support with adolescent physical activity. Research Quarterly for Exercise and Sport, 73(2), 206–210. https://doi.org/10.1080/02701367.2002.10609010
Rhodes, R. E., Nwachukwu, N., & Quinlan, A. (2018). Family Exergaming: Correlates and Preferences. Games for Health Journal, 7(3), 188–196. https://doi.org/10.1089/g4h.2017.0177
Robinson, C. A., Cohen, A. K., Rehkopf, D. H., Deardorff, J., Ritchie, L., Jayaweera, R. T., Coyle, J. R., & Abrams, B. (2014). Pregnancy and post-delivery maternal weight changes and overweight in preschool children. Preventive Medicine, 60, 77–82. https://doi.org/10.1016/j.ypmed.2013.12.018
Song, Y., Ye, C., & Wang, L. (2022). Parent child relationship and suicidal ideation of junior high school students during the novel coronavirus pneumonia epidemic: Mediating effect of growth thinking and moderating effect of sedentary time. Chinese Journal of Health Psychology, 30(6), 801–807.
Staiano, A. E., Abraham, A. A., & Calvert, S. L. (2013a). Adolescent Exergame Play for Weight Loss and Psychosocial Improvement: A Controlled Physical Activity Intervention. Obesity (Silver Spring, Md.), 21(3), 598–601. https://doi.org/10.1038/oby.2012.143
Staiano, A. E., Abraham, A. A., & Calvert, S. L. (2013b). Adolescent exergame play for weight loss and psychosocial improvement: A controlled physical activity intervention. Obesity (Silver Spring, Md.), 21(3), 598–601. https://doi.org/10.1002/oby.20282
Vernadakis, N., Papastergiou, M., Zetou, E., & Antoniou, P. (2015). The impact of an exergame-based intervention on children’s fundamental motor skills. Computers & Education, 83, 90–102. https://doi.org/10.1016/j.compedu.2015.01.001
WHO. (2021). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Wüest, S., Borghese, N. A., Pirovano, M., Mainetti, R., van de Langenberg, R., & de Bruin, E. D. (2014). Usability and Effects of an Exergame-Based Balance Training Program. Games For Health Journal, 3(2), 106–114. https://doi.org/10.1089/g4h.2013.0093
Yang, J., Xiang, C., & Liu, X. (2019). Integrative Theory Perspective: The Path of Parental Support to Promote Physical Activity in Adolescents. Sports and Science, 40(2), 115–120. https://doi.org/10.13598/j.issn1004-4590.2019.02.014
Yuca, S. A., Cimbek, E. A., ?en, Y., Güvenç, O., Vatansev, H., Bu?rul, F., Gün, F., & Oran, B. (2017). The Relationship between Metabolic Parameters, Cardiac Parameters and MIC-1/GDF15 in Obese Children. Experimental and Clinical Endocrinology & Diabetes: Official Journal, German Society of Endocrinology [and] German Diabetes Association, 125(2), 86–90. https://doi.org/10.1055/s-0042-114220
Zhang, X. (2022). Household Chaos and Caregivers’ and Young Children’s Mental Health during the COVID-19 Pandemic: A Mediation Model. Journal of Child and Family Studies, 31(6), 1547–1557. https://doi.org/10.1007/s10826-022-02283-4
Mai, Y., Soh, K. G., & Saad, H. A. (2024). Effects of Active Video Games on Parental Support among Overweight and Obese Adolescents in China: A Pilot Study. International Journal of Academic Research in Business and Social Sciences, 14(9), 2371–2380.
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