can anyone get the four articles to fit in the matrix of my poster?

first poster is how the matrix should look…….not the right references.

Second poster has all four references that should be in alphabetical order in the MATRIX of the poster.

Obesity is quickly becoming one of the most common chronic diseases among children. These rates have increased at an alarming rate and is a major public health problem because of related physical and psychological comorbidities, including type II diabetes, insulin resistance, metabolic syndrome, cardiovascular disease and mental health disorders. Dramatic increase in the number of overweight and obese children in recent years.
Studies indicate that children’s lives may be shortened as a result of this alarming health problem. Estimates state that for any degree of overweight/obesity, younger adults (20-30 years of age) may have greater years of life lost due to obesity than older adults. Childhood obesity has been determined to be an independent risk factor for adult overweight/obesity.
To combat childhood obesity, there is a great need for public health interventions as well as education parents regarding childhood obesity and its consequences. Parents differ on causation of obesity, and differ in focus on nutrition and physical exercise. Many parents in the research do not see obesity as a barrier to physical activity. The parents need to recognize their child as overweight. Prevention is the most effective method for dealing with this growing health concern. The evidence reviewed, confirmed that family-centered interventions were associated with short-term reduction in obesity and improved medical parameters. The goal should be to involve community resources and provider referrals. Nurse Practitioners have a unique role in being the best facilitators to deliver health messages and are able to educate parents and increase awareness about the causes and consequences of childhood obesity.
Parents of young children need to interact with their child’s primary healthcare provider for health advice and preventive health information during regularly scheduled physical examinations. It is up to the parents of these young children to combat intervention strategies such as:
a combination of nutritional and activity information, a cognitive-behavioral aspect to the intervention parent-directed activities
limiting sedentary child behaviors, provide positive approaches with children by parents and practitioners (e.g., emphasize positive rewards for healthy behaviors, encourage self-efficacy)
Future research is required to identify moderators and mediators to produce enduring changes in weight status of children.
The Objective was to determine in children who are at risk for becoming overweight or obese, does education with parental involvement on exercise and nutrition compared to individual education with the child alone decrease the risk of developing obesity and the health problems associated with obesity?
(P) In overweight, obese, or at risk young children (2-18years of age)
Is family centered education/treatment interventions
(C) versus control or comparison interventions
(O) more effective in decreasing childhood obesity and complications associated with it.
Background
Recommendations & Implications
A search was conducted in CHINAL, Pub Med, and Librarian at Mount Marty College. Advanced key search works comprised of the following; “childhood obesity”, “over weight”, “school-aged,” and “Parental involvement.” The search was limited to humans and English. Inclusion categories were Meta-Analysis, Practice Guideline, and Randomized Control Trials. Articles focusing on children aged 2-19 years of age.
Search Strategies
Article 1 Article 2 Article 3 Article 4
Article Citation Noori Akhtar-Danesh, Mahsid Dehghan, Katherine M Morrison, Sujeewa Fonseka Jessica Doolen, MSN, FNP (Lecturer), Patricia T. Alpert,
DrPH, APN, FAANP (Assistant Professor & Graduate Coordinator), & Sally K. Miller,
PhD, APN, FAANP (Assistant Professor & Chair)
Patrica Tucker, MA, Jennifer D. Irwin, PhD, Faculty of Health Sciences, University of Western Ontario, London, ON; Evidence-Based Practice Center Systematic Review Protocol

Background Intervention: Both group received information
Intervention: Research related trial Intervention: Ten semi-structured focus group interviews were conducted Intervention: School-based interventions
Purpose To investigate parents of young children for their perceptions on the causes of obesity, the impact of childhood obesity on health, and the barriers to successful prevention of childhood obesity To review the current research literature on parental perceptions about their children’s weight To determine the preschoolers’ dietary intake behaviors are described from the perspective of their parents To compare the effectiveness of obesity intervention programs for children and adolescents conducted in the United States and other developed countries
Methodology Intervention Period:6 months
Sample: 33 families (Conducted in two phases)
Outcome Measures: Parent & child changes in nutrition rate
Sample: Literature search using PubMed
Outcome Measures: Child BMI, self reported dietary and self perception
Sample: 71 families
Outcome Measures: Body weight, BMI height and healthy food choices
Follow Up: Immediately following the intervention and is planned for years
Outcome Measures: Change in prevalence of obesity, change in BMI or BMI distribution in the population and changes in adiposity or other weight measures
Key Findings Demonstration of desired behavior change
Increased intake of fruits & vegetables
No overall significant group differences were found for any of the measures
Parents were more likely to misperceive their child’s weight
Parents’ keen interest in their preschoolers’ eating habits may make them particularly receptive to learning about and facilitating healthy choices in more behaviorally appropriate ways School programs are effective in preventing childhood obesity supports the need for broader implementation of successful programs

Article 1 Article 2 Article 3

Article Citation N. Akhtar-Danesh, M. Dehghan, K M. Morrison, S.Fonseka. (2010). Parents’ perceptions and attitudes on childhood obesity: A Q-methodology study. Journal of the American Academy of Nurse Practitioners. 23(2011) 67-75. Wilfley, D. E., Van Buren, D. J., Reach, K. P., Walker, M. S., & Epstein, L. H. (2007). Lifestyle Interventions in the Treatment of Childhood Overweight: A meta-analytic review of randomized controlled trials… Health Psychology, 26(5), 521-532. doi: 10.1037/0278-6133.26.5.521. Kalarchian, M. A., Levine, M. D., Arslanian, S. A., Ewing, L. J., Houck, P. R., Ringham, R. M., … Macus, M. R. (2009). Family-based treatment of severe pediatric obesity: Randomized, controlled trial… Pediatrics, 124; 1060. doi: 101.1542/peds.2008-3727.
Level of Evidence Level I Level I Level I
Purpose of
Study

To investigate parents of young children for their perceptions on the causes of obesity, the impact of childhood obesity on health, and the barriers to successful prevention of childhood obesity.
To use meta-analytic techniques to quantitatively evaluate the efficacy of lifestyle interventions in the treatment of pediatric overweight by comparing lifestyle interventions with wait-list/no-treatment control groups or information/education only control groups. To find interventions that were associated with significant decrease of 7.58% in child overweight at 6 months (that attended 75% if sessions) compared with a 0.66% decrease with usual care.

Design/
Sample Size/

Q-Methodology was used to identify parents’ common attitudes and perceptions. The research method used subjective viewpoints that were analyzed using a combination of qualitative and quantitative techniques.
Sample: 33 families (Conducted in two phases)
Interviews with a small sample of parents so as to complete a questionnaire about views and attitudes towards childhood obesity.
Outcome Measures: Parent & child changes in nutrition rate and demonstration of desired behavior change
Strengths: this method is useful in research that explores human perceptions and interpersonal relationships.
Limitation: Results of Q-studies are not usually generalizable to the larger populations. The participants were homogenous in their education. Education may have played a role in the findings. 14 Randomized control trials targeting change in weight status were eligible, yielding 19 characteristics, interventions, and results. Standardized coding was used to extract information on design, participant characteristics, interventions, and results.
Population: Youth age 19 and younger.
Sample size= RCT’s with usable information (n=14)
Variables=age, treatment length, number of sessions, sample size, gender and type of weight outcome.
Outcome= lifestyle interventions for treatment of pediatric overweight produce significant and clinically meaningful changes in weight status in the short term compared with wait-list/information only
Limitations: These analysis have limited role for moderators and there was insufficient reporting of the design, implementation, and analysis in the studies used for this review..

A randomized, controlled trial at the University of Pittsburg Medical Center . 192 children ages 8-12 years of age with average BMI of 99.18. Families were randomly assigned to the family based intervention group or the usual care. Assessments were conducted at baseline, 6months, 12months, and 18months. M Researchers examined factors associated with changes in child percent overweight, and particularly session attendance. Variables are 1) child age between 8-12 years, 2) child BMI of greater-than or equal to 97th percentile, and 3) adult willingness to participate in the program with the child. Outcomes: significant short-term reductions in obesity and improvements in medical parameters
Limitation: study did not control for time and attendance, study had missing data on the medical outcomes.

Inclusion/ Exclusion
Criteria

Parents that attended a clinic for their well-baby check-up were included in the study. No difference in age, BMI, or education.
Children older than 3 were excluded.

The studies selected for inclusion was a RCT of lifestyle interventions focused on weight loss or weight control for youth age 19 or younger that compared an active treatment with either a wait-list/no-treatment control or with an information/education only control. Study results in English only, treatment duration of at least 4 weeks, and participants overweight at baseline.
Reviewers coded all studies for intervention and outcome data and resolved discrepancies through consultation and consensus with study authors
Exclusion criteria included 1) mental retardation 2) psychiatric symptoms requiring alternative treatment 3) genetic obesity syndrome 4) current obesity treatment 5) inability to engage in prescribed daily activity 6) medical conditions contraindicating usual care, and 7) use of medication known to affect body weight.

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Evidence Quality

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Level1 9

Level 2 1