Table 2:

Family-level mechanisms by themes

Mechanisms (family level)na
Family support118
 General support for physical activity (social, emotional, participatory, practical)31
 Parental support for health behaviours (diet, physical activity, oral health)22
 Autonomy support (being non-judgemental, empathic, responsive to food-related choices, sports and general self-management of health)19
 Support for healthy eating (fruit and vegetable intake, healthy diet)13
 Family participation (sports participation, parental engagement)13
 Social support from partner8
 Instrumental support (transport, purchase of equipment)8
 Emotional support (expressing positive emotions, encouragement)4
Parental supervision86
 Parenting style (authoritative, nurturance, structure)32
 Parental regulation (limit setting, monitoring, supervising, control)28
 Parenting strategy (rule setting, discipline, reward, encouragement)26
Modelling78
 Parental modelling of healthy eating (fruit and vegetable intake, calcium intake)37
 Parental modelling of physical activity34
 General modelling of health behaviours (older sibling or partner as role model, mainly for diet and physical activity)7
Feeding81
 Feeding practices (pressure to eat, restriction, monitoring)35
 Availability and accessibility of healthy food22
 Family meal characteristics (frequency, eating at a table, eating with parents, enjoyment)19
 Meal preparation (healthy meal preparation, family meal preparation)5
Health knowledge and awareness35
 Nutritional knowledge and education16
 General health knowledge (knowledge to influence healthy habits, health literacy, health education)9
 Physical activity knowledge and education4
 Oral health knowledge3
 Awareness of health risks2
 Awareness of child behaviour1
Family structure and function29
 Family cohesion8
 Family roles (spousal role, matriarchal role, parental role for providing meals)8
 Strength of family relationship (relationship quality)6
 Family routine4
 Family resilience and solidarity3
Family health culture28
 Family norms (subjective norms within the family, cultural traditions)22
 Family health climate (for physical activity and nutrition)3
 Family sports culture2
 Family values related to physical activity1
Family communication27
 Parental communication12
 Supportive communication (responsiveness, positive messages)8
 Family food discussion5
 Expressiveness (expressing of feelings, thoughts and opinions)2
Health attitudes and beliefs21
 Health attitudes (family attitudes towards physical activity, parental attitudes towards food)12
 Health beliefs (behavioural beliefs, normative beliefs)9
Mechanisms (family level)na
Family support118
 General support for physical activity (social, emotional, participatory, practical)31
 Parental support for health behaviours (diet, physical activity, oral health)22
 Autonomy support (being non-judgemental, empathic, responsive to food-related choices, sports and general self-management of health)19
 Support for healthy eating (fruit and vegetable intake, healthy diet)13
 Family participation (sports participation, parental engagement)13
 Social support from partner8
 Instrumental support (transport, purchase of equipment)8
 Emotional support (expressing positive emotions, encouragement)4
Parental supervision86
 Parenting style (authoritative, nurturance, structure)32
 Parental regulation (limit setting, monitoring, supervising, control)28
 Parenting strategy (rule setting, discipline, reward, encouragement)26
Modelling78
 Parental modelling of healthy eating (fruit and vegetable intake, calcium intake)37
 Parental modelling of physical activity34
 General modelling of health behaviours (older sibling or partner as role model, mainly for diet and physical activity)7
Feeding81
 Feeding practices (pressure to eat, restriction, monitoring)35
 Availability and accessibility of healthy food22
 Family meal characteristics (frequency, eating at a table, eating with parents, enjoyment)19
 Meal preparation (healthy meal preparation, family meal preparation)5
Health knowledge and awareness35
 Nutritional knowledge and education16
 General health knowledge (knowledge to influence healthy habits, health literacy, health education)9
 Physical activity knowledge and education4
 Oral health knowledge3
 Awareness of health risks2
 Awareness of child behaviour1
Family structure and function29
 Family cohesion8
 Family roles (spousal role, matriarchal role, parental role for providing meals)8
 Strength of family relationship (relationship quality)6
 Family routine4
 Family resilience and solidarity3
Family health culture28
 Family norms (subjective norms within the family, cultural traditions)22
 Family health climate (for physical activity and nutrition)3
 Family sports culture2
 Family values related to physical activity1
Family communication27
 Parental communication12
 Supportive communication (responsiveness, positive messages)8
 Family food discussion5
 Expressiveness (expressing of feelings, thoughts and opinions)2
Health attitudes and beliefs21
 Health attitudes (family attitudes towards physical activity, parental attitudes towards food)12
 Health beliefs (behavioural beliefs, normative beliefs)9

Supplementary File 8 provides the list of citations for this table.

an: counts of usage in studies.

Table 2:

Family-level mechanisms by themes

Mechanisms (family level)na
Family support118
 General support for physical activity (social, emotional, participatory, practical)31
 Parental support for health behaviours (diet, physical activity, oral health)22
 Autonomy support (being non-judgemental, empathic, responsive to food-related choices, sports and general self-management of health)19
 Support for healthy eating (fruit and vegetable intake, healthy diet)13
 Family participation (sports participation, parental engagement)13
 Social support from partner8
 Instrumental support (transport, purchase of equipment)8
 Emotional support (expressing positive emotions, encouragement)4
Parental supervision86
 Parenting style (authoritative, nurturance, structure)32
 Parental regulation (limit setting, monitoring, supervising, control)28
 Parenting strategy (rule setting, discipline, reward, encouragement)26
Modelling78
 Parental modelling of healthy eating (fruit and vegetable intake, calcium intake)37
 Parental modelling of physical activity34
 General modelling of health behaviours (older sibling or partner as role model, mainly for diet and physical activity)7
Feeding81
 Feeding practices (pressure to eat, restriction, monitoring)35
 Availability and accessibility of healthy food22
 Family meal characteristics (frequency, eating at a table, eating with parents, enjoyment)19
 Meal preparation (healthy meal preparation, family meal preparation)5
Health knowledge and awareness35
 Nutritional knowledge and education16
 General health knowledge (knowledge to influence healthy habits, health literacy, health education)9
 Physical activity knowledge and education4
 Oral health knowledge3
 Awareness of health risks2
 Awareness of child behaviour1
Family structure and function29
 Family cohesion8
 Family roles (spousal role, matriarchal role, parental role for providing meals)8
 Strength of family relationship (relationship quality)6
 Family routine4
 Family resilience and solidarity3
Family health culture28
 Family norms (subjective norms within the family, cultural traditions)22
 Family health climate (for physical activity and nutrition)3
 Family sports culture2
 Family values related to physical activity1
Family communication27
 Parental communication12
 Supportive communication (responsiveness, positive messages)8
 Family food discussion5
 Expressiveness (expressing of feelings, thoughts and opinions)2
Health attitudes and beliefs21
 Health attitudes (family attitudes towards physical activity, parental attitudes towards food)12
 Health beliefs (behavioural beliefs, normative beliefs)9
Mechanisms (family level)na
Family support118
 General support for physical activity (social, emotional, participatory, practical)31
 Parental support for health behaviours (diet, physical activity, oral health)22
 Autonomy support (being non-judgemental, empathic, responsive to food-related choices, sports and general self-management of health)19
 Support for healthy eating (fruit and vegetable intake, healthy diet)13
 Family participation (sports participation, parental engagement)13
 Social support from partner8
 Instrumental support (transport, purchase of equipment)8
 Emotional support (expressing positive emotions, encouragement)4
Parental supervision86
 Parenting style (authoritative, nurturance, structure)32
 Parental regulation (limit setting, monitoring, supervising, control)28
 Parenting strategy (rule setting, discipline, reward, encouragement)26
Modelling78
 Parental modelling of healthy eating (fruit and vegetable intake, calcium intake)37
 Parental modelling of physical activity34
 General modelling of health behaviours (older sibling or partner as role model, mainly for diet and physical activity)7
Feeding81
 Feeding practices (pressure to eat, restriction, monitoring)35
 Availability and accessibility of healthy food22
 Family meal characteristics (frequency, eating at a table, eating with parents, enjoyment)19
 Meal preparation (healthy meal preparation, family meal preparation)5
Health knowledge and awareness35
 Nutritional knowledge and education16
 General health knowledge (knowledge to influence healthy habits, health literacy, health education)9
 Physical activity knowledge and education4
 Oral health knowledge3
 Awareness of health risks2
 Awareness of child behaviour1
Family structure and function29
 Family cohesion8
 Family roles (spousal role, matriarchal role, parental role for providing meals)8
 Strength of family relationship (relationship quality)6
 Family routine4
 Family resilience and solidarity3
Family health culture28
 Family norms (subjective norms within the family, cultural traditions)22
 Family health climate (for physical activity and nutrition)3
 Family sports culture2
 Family values related to physical activity1
Family communication27
 Parental communication12
 Supportive communication (responsiveness, positive messages)8
 Family food discussion5
 Expressiveness (expressing of feelings, thoughts and opinions)2
Health attitudes and beliefs21
 Health attitudes (family attitudes towards physical activity, parental attitudes towards food)12
 Health beliefs (behavioural beliefs, normative beliefs)9

Supplementary File 8 provides the list of citations for this table.

an: counts of usage in studies.

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