Exercise & Training

Valuing Australian parent preferences for community-based nutrition and physical activity initiatives: a discrete choice experiment.

TL;DR

Parents preferred less costly community-based obesity prevention interventions that aim to address both healthy lifestyles and climate change, and were willing to pay an additional $3.97 per fortnight for convenient participation.

Key Findings

Parents preferred community-based obesity prevention interventions (CBOPIs) that aim to address both healthy lifestyles and climate change over those addressing obesity alone.

  • The preference for CBOPIs addressing both healthy lifestyles and climate change was statistically marginal (P = .086).
  • The finding suggests that incorporating climate change action into CBOPIs may increase parent support.
  • The study used an unlabelled 12-choice task discrete choice experiment with two CBOPI alternatives plus an opt-out alternative.
  • Sample consisted of n = 438 parents of primary-school-aged children across all Australian states and territories.

Parents preferred less costly CBOPIs.

  • Cost preference was statistically significant (P < .001).
  • Cost was one of six attributes used to describe CBOPIs in the discrete choice experiment.
  • Data were analysed using conditional logit models.

Parents preferred short-term, manageable disruptions to family schedules to accommodate CBOPI participation over no intervention.

  • The preference for short-term, manageable disruptions was statistically significant (P < .001).
  • Convenience was one of the six attributes describing CBOPIs, alongside cost, aim, involvement, effectiveness, and social opportunities.
  • Attributes were informed by a literature review of enablers and barriers to parent participation.

Parents were willing to pay an additional $3.97 per fortnight (approximately $104.00 per year) for CBOPI participation to be convenient.

  • Willingness-to-pay estimate for convenience was $3.97 per fortnight (standard error 1.380, P = .004).
  • This equates to approximately $104.00 per year.
  • Willingness-to-pay for attributes was estimated using conditional logit models.
  • The survey was electronically distributed during April–May 2024.

The discrete choice experiment used a D-efficient design with six CBOPI attributes to elicit parent preferences.

  • The six attributes were: cost, aim, involvement, effectiveness, convenience, and social opportunities.
  • An unlabelled 12-choice task design was used, incorporating two CBOPI alternatives plus an opt-out alternative.
  • Attributes were informed by a literature review of enablers and barriers to parent participation.
  • The survey was distributed to parents of primary-school-aged children in each Australian state and territory.

Have a question about this study?

Citation

Ward N, Thai T, Nichols M, Moodie M, Robinson K, Brown V. (2026). Valuing Australian parent preferences for community-based nutrition and physical activity initiatives: a discrete choice experiment.. Health promotion international. https://doi.org/10.1093/heapro/daag033