FNPA Screening Tool

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What is the FNPA?

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The FNPA tool is a simple screening tool designed to evaluate home obesogenic environments and parenting practices that may predispose youth to becoming overweight. The FNPA tool was developed in collaboration with researchers affiliated with the American Dietetic Association (now called the Academy of Nutrition Dietetics). Preliminary validation work was conducted by a Ph.D. student (Michelle Ihmels) and later refinements were made by another Ph.D. student (Karissa Peyer). Many other students and colleagues have also contributed to the refinement of the FNPA tool. 

Click here for details on the development and validation of the FNPA tool and other research studies by our team.
School Applications
The FNPA has utility for school-based screening for obesity prevention. Our research team has recently completed a 2 year NIH-funded research project that specifically evaluated the utility of incorporating the FNPA as part of school-based BMI Screening. Click here to see handout distributed to the schools. 
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Clinical Applications
A colleague at Geisinger Health Systems (Lisa Bailey Davis) has incorporated the FNPA directly into a parent portal to allow it to be incorporated into the EPIC-based electronic medical record to facilitate physician counseling. This work has been supported through a PCORI grant to Dr. Davis.

Addtional information is available at the user group page (www.myfnpa.org

Research Publications

  1. McCabe, C. F., Wood, G. C., Welk, G. J., Cook, A., Franceschelli-Hosterman, J., & Bailey-Davis, L. (2024). Home environment factors associated with child BMI changes during COVID-19 pandemic. International Journal of Behavioral Nutrition and Physical Activity, 21(1), 84.
  2. Bailey-Davis L, Moore AM, Poulsen MN, Dzewaltowski DA, Cummings S, DeCriscio LR, Hosterman JF, Huston D, Kirchner HL, Lutcher S, McCabe C, Welk GJ, Savage JS. Comparing enhancements to well-child visits in the prevention of obesity: ENCIRCLE cluster-randomized controlled trial. BMC Public Health. 2022 Dec 26;22(1):2429. doi: 10.1186/s12889-022-14827-w.  PMID: 36572870; PMCID: PMC9792161.
  3. Poulsen, M. N., Hosterman, J. F., Wood, G. C., Cook, A., Wright, L., Jamieson, S. T., ... & Bailey-Davis, L. (2022). Family-based telehealth initiative to improve nutrition and physical activity for children with obesity and its utility during COVID-19: a mixed methods evaluation. Frontiers in Nutrition, 9, 932514.
  4. Peyer, K., Bailey-Davis, Welk, G.J. (2020). Development, Applications, and Refinement of the Family Nutrition and Physical Activity (FNPA) Child Obesity Prevention Screening. Health Promotion Practice. DOI:https://doi.org/10.1177/1524839920922486
  5. Bailey‐Davis, L., Kling, S. M., Wood, G. C., Cochran, W. J., Mowery, J. W., Savage, J. S., ... & Welk, G. J. Feasibility of enhancing well‐child visits with family nutrition and physical activity risk assessment on body mass index. Obesity Science & Practice.
  6. Peyer, K. L., Welk, G. J., Eisenmann, J. C., & Saint-Maurice, P. F. (2019). Utility of the BMI50 and BMI85 in the Assessment of Short-and Long-Term Change in BMI among Children: A Descriptive Analysis. Measurement in Physical Education and Exercise Science, 1-8.
  7. Bailey-Davis, L., Peyer, K. L., Fang, Y., Kim, J. K., & Welk, G. J. (2017). Effects of Enhancing School-Based Body Mass Index Screening Reports with Parent Education on Report Utility and Parental Intent To Modify Obesity Risk Factors. Childhood Obesity, 13(2), 164-171.​
  8. Peyer, K. L., & Welk, G. J. (2017). Construct Validity of an Obesity Risk Screening Tool in Two Age Groups. International journal of environmental research and public health, 14(4), 419.
  9. Peyer, K., Welk, G. J., Bailey-Davis, L., & Chen, S. (2016). Relationships between County Health Rankings and child overweight and obesity prevalence: a serial cross-sectional analysis. BMC Public Health, 16(1), 1.
  10. Peyer, K. L., Welk, G.J., Bailey-Davis, L., Yang, S., & Kim, J. K. (2015). Factors Associated with Parent Concern for Child Weight and Parenting Behaviors. Childhood Obesity.
  11. Johnson R, Welk G, Saint-Maurice PF, Ihmels M. (2012). Parenting styles and home obesogenic environments. . 9(4):1411-26. PMID: 2269020.
  12. Ihmels, M.A., Welk, G.J., Eisenmann, J.C., Nusser, S.M., and Myers, E.F. (2009). Prediction of BMI change in young children with the family nutrition and physical activity (FNPA) screening tool. Annals of Behavioral Medicine 2009 Aug;38(1):60-68.
  13. Ihmels, M.A., Welk, G.J., Eisenmann, J.C., and Nusser, S. M. (2009). Development and preliminary validation of a Family Nutrition and Physical Activity (FNPA) screening tool. International Journal of Behavioral Nutrition and Physical Activity. 6:14. PMID: 19284631