Parental Self-Efficacy as a Predictor of Children’s Nutrition and the Potential Mediator Effect between the Health Promotion Program “Join the Healthy Boat” and Children’s Nutrition

Ricarda Möhler, Olivia Wartha, Jürgen Michael Steinacker, Bertram Szagun and Susanne Kobel
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Ricarda Möhler: Faculty Social Work, Health & Nursing, University of Applied Sciences Ravensburg-Weingarten, 88250 Weingarten, Germany
Olivia Wartha: Division of Sports and Rehabilitation Medicine, Department of Internal Medicine, University Hospital Ulm, 89075 Ulm, Germany
Jürgen Michael Steinacker: Division of Sports and Rehabilitation Medicine, Department of Internal Medicine, University Hospital Ulm, 89075 Ulm, Germany
Bertram Szagun: Faculty Social Work, Health & Nursing, University of Applied Sciences Ravensburg-Weingarten, 88250 Weingarten, Germany
Susanne Kobel: Division of Sports and Rehabilitation Medicine, Department of Internal Medicine, University Hospital Ulm, 89075 Ulm, Germany

IJERPH, 2020, vol. 17, issue 24, 1-16

Abstract: Overweight and obesity, as well as their associated risk factors for diseases, are already prevalent in childhood and, therefore, promoting healthy eating is important. Parental self-efficacy (PSE) and early health-promotion can be helpful in promoting healthy eating. The aim of this study was to examine the influence of PSE on children’s nutrition behavior and identify PSE as a mediator between an intervention and children’s nutrition. The kindergarten-based health-promotion program “Join the Healthy Boat” was evaluated in a randomized controlled trial with 558 children (4.7 ± 0.6 years; 52.3% male) participating at both times. Linear and logistic regressions as well as mediation analyses with potential covariates such as parental outcome expectancies or parental nutrition were carried out using questionnaire data. In children, PSE was positively associated with fruit and vegetable intake ( β = 0.237; p < 0.001) and showed a protective effect on soft drink consumption ( OR 0.728; p = 0.002). Parental nutrition was a stronger predictor of children’s intake of fruit, vegetables ( β = 0.451; p < 0.001), and soft drinks ( OR 7.188; p < 0.001). There was no mediator effect of PSE. However, outcome expectancies were associated with PSE ( β = 0.169; p = 0.032). In conclusion, interventions should promote self-efficacy, outcome expectancies, and healthy nutrition for parents as well in order to strengthen the healthy eating habits of children.

Keywords: parental self-efficacy; children; diet; nutrition; health promotion; overweight; obesity (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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