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os pais desempenham um papel vital ao fornecer a seus filhos um ambiente e uma atmosfera positivos para garantir o desenvolvimento e estilos de vida saud&#225;veis&#46; Portanto&#44; os pais representam um alvo principal na promo&#231;&#227;o da sa&#250;de das crian&#231;as&#46;<a class="elsevierStyleCrossRefs" href="#bib0275"><span class="elsevierStyleSup">5&#8211;7</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Identificar os mecanismos subjacentes pelos quais os pais exercem a parentalidade saud&#225;vel &#233; fundamental para desenvolver interven&#231;&#245;es efetivas&#46; A parentalidade &#233; influenciada por v&#225;rias determinantes&#44; inclusive recursos pessoais dos pais&#44; caracter&#237;sticas da crian&#231;a e fontes sociais de estresse e apoio&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">8</span></a> A intera&#231;&#227;o entre essa am&#225;lgama de fatores modula a compet&#234;ncia dos pais&#46; A compet&#234;ncia dos pais foi definida como os sentimentos&#44; as capacidades e habilidades dos pais na educa&#231;&#227;o de seus filhos&#46;<a class="elsevierStyleCrossRefs" href="#bib0295"><span class="elsevierStyleSup">9&#44;10</span></a> A depender do desenvolvimento dessa compet&#234;ncia dos pais&#44; eles conseguir&#227;o promover estilos de vida saud&#225;veis em seus filhos&#46;<a class="elsevierStyleCrossRefs" href="#bib0295"><span class="elsevierStyleSup">9&#8211;12</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">H&#225; evid&#234;ncias que sugerem a necessidade de ajudar os pais a promover estilos de vida saud&#225;veis em seus filhos em uma estrutura de parentalidade positiva&#46;<a class="elsevierStyleCrossRefs" href="#bib0315"><span class="elsevierStyleSup">13&#8211;16</span></a> O objetivo desta an&#225;lise sistem&#225;tica foi explorar as evid&#234;ncias dispon&#237;veis em estudos intervencionistas direcionados aos pais de filhos entre dois e cinco anos para promover a compet&#234;ncia e as habilidades dos pais para obter estilos de vida saud&#225;veis para as crian&#231;as&#46; Esta an&#225;lise tamb&#233;m se prop&#244;s a analisar especificamente as interven&#231;&#245;es e os mecanismos subjacentes em detalhes&#44; al&#233;m de explorar seu impacto&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Fontes de dados</span><p id="par0020" class="elsevierStylePara elsevierViewall">As pesquisas foram feitas em v&#225;rias bases de dados&#44; inclusive PubMed&#44; Psycinfo&#44; Cinhal&#44; Web of Science&#44; Eric e Biblioteca Cochrane&#46; Os termos pesquisados inclu&#237;ram termos relacionados &#224; compet&#234;ncia dos pais e &#224;s estrat&#233;gias de interven&#231;&#227;o&#46; A saber&#58; <span class="elsevierStyleItalic">parentalidade&#44; compet&#234;ncia dos pais&#44; parentalidade positiva&#44; pr&#225;ticas de parentalidade&#44; estrat&#233;gias&#44; interven&#231;&#227;o&#44; planejamento&#44; programa&#44; tratamento e promo&#231;&#227;o da sa&#250;de</span>&#46; Todos eles foram combinados com os operadores booleanos E e OU&#46; As interven&#231;&#245;es consideradas nesta an&#225;lise foram as feitas mais em n&#237;vel de indiv&#237;duo do que em n&#237;vel de pol&#237;tica de sa&#250;de&#46; N&#227;o houve tentativa de busca por trabalhos n&#227;o publicados como disserta&#231;&#245;es e teses&#46; Tamb&#233;m n&#227;o foram estabelecidos limites com rela&#231;&#227;o ao ano de publica&#231;&#227;o&#46; Os trabalhos foram analisados em ingl&#234;s e espanhol&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Crit&#233;rios de inclus&#227;o e exclus&#227;o</span><p id="par0025" class="elsevierStylePara elsevierViewall">A an&#225;lise teve como foco estudos intervencionistas que buscaram aumentar o desenvolvimento da compet&#234;ncia dos pais ou quaisquer das capacidades que os pais precisam para promover estilos de vida saud&#225;veis entre seus filhos&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">9</span></a> Para isso&#44; os estudos eram inclu&#237;dos na an&#225;lise caso atendessem aos crit&#233;rios de inclus&#227;o&#46; Eles foram estabelecidos de acordo com diferentes caracter&#237;sticas&#44; como pode ser visto a seguir&#46;</p><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Tipo de participantes</span><p id="par0030" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">&#8226;</span><p id="par0035" class="elsevierStylePara elsevierViewall">M&#227;es ou pais &#40;ou ambos&#41; com filhos entre dois e cinco anos&#46;</p></li></ul></p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Tipo de interven&#231;&#227;o</span><p id="par0040" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">&#8226;</span><p id="par0045" class="elsevierStylePara elsevierViewall">Abordagem educacional&#44; motivacional&#44; de treinamento ou informativa com vistas &#224; compet&#234;ncia ou &#224;s habilidades dos pais&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">&#8226;</span><p id="par0050" class="elsevierStylePara elsevierViewall">O foco principal deve ser os pais&#44; independentemente do fato de a interven&#231;&#227;o tamb&#233;m envolver a participa&#231;&#227;o de crian&#231;as e&#47;ou professores&#46;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">&#8226;</span><p id="par0055" class="elsevierStylePara elsevierViewall">Interven&#231;&#245;es feitas em contextos relevantes para a inf&#226;ncia&#44; como casa&#44; escola&#44; servi&#231;os de sa&#250;de ou comunidade&#46;</p></li></ul></p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Tipo de medidas de resultado</span><p id="par0060" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="lis0015"><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">&#8226;</span><p id="par0065" class="elsevierStylePara elsevierViewall">Os estudos devem avaliar a compet&#234;ncia ou as habilidades dos pais em pelo menos uma de suas duas formas &#40;objetiva ou subjetiva&#41; antes e depois da interven&#231;&#227;o&#46;<a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">11</span></a></p></li></ul></p><p id="par0070" class="elsevierStylePara elsevierViewall">No que diz respeito aos crit&#233;rios de exclus&#227;o&#44; os estudos foram rejeitados quando n&#227;o eram intervencionistas&#59; n&#227;o forneciam resultados em termos de compet&#234;ncia dos pais&#59; inclu&#237;am pais cujos filhos n&#227;o tinham entre dois e cinco anos&#59; ou eram direcionados exclusivamente a pais de adolescentes ou indiv&#237;duos com problemas cr&#244;nicos&#44; pois seria mais prov&#225;vel que essas caracter&#237;sticas afetassem o desenvolvimento da interven&#231;&#227;o&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Extra&#231;&#227;o e s&#237;ntese de dados</span><p id="par0075" class="elsevierStylePara elsevierViewall">O exame inicial foi feito para identificar trabalhos que possivelmente atenderiam aos crit&#233;rios de inclus&#227;o com base em seus t&#237;tulos e resumos&#46; Foram obtidos os textos completos dos trabalhos relevantes&#46; Tamb&#233;m foram obtidos os textos completos de quaisquer trabalhos cuja inclus&#227;o n&#227;o estava clara&#46; Todos os trabalhos foram examinados para garantir que atendiam a todos os crit&#233;rios de inclus&#227;o&#46; Quaisquer incertezas foram resolvidas por discuss&#227;o&#46; O procedimento do fluxograma Prisma foi usado para garantir o rigor no processo de sele&#231;&#227;o&#46;<a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">17</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">Para analisar e sintetizar os dados dos 15 estudos inclu&#237;dos&#44;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;32</span></a> foram usadas tr&#234;s tabelas&#46; A <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a> fornece informa&#231;&#245;es gerais dos estudos&#44; inclusive autor&#44; ano de publica&#231;&#227;o&#44; pa&#237;s e nome do programa&#44; modelo&#44; participantes e contexto no qual o programa foi feito&#44; as principais caracter&#237;sticas de interven&#231;&#227;o&#44; dura&#231;&#227;o&#44; ferramentas de medi&#231;&#227;o&#44; vari&#225;veis e principais resultados&#46; A avalia&#231;&#227;o qualitativa foi considerada uma ferramenta&#8208;chave para esta an&#225;lise e incluiu dois componentes&#58; a adequa&#231;&#227;o das interven&#231;&#245;es em termos dos principais componentes que uma interven&#231;&#227;o de compet&#234;ncia dos pais deve ter e a qualidade metodol&#243;gica dos estudos&#46; Com rela&#231;&#227;o aos principais componentes de interven&#231;&#245;es&#44; analisamos se os artigos forneciam detalhes suficientes sobre a compet&#234;ncia ou as habilidades dos pais e a estrutura te&#243;rica usada&#59; inclu&#237;am uma avalia&#231;&#227;o objetiva e subjetiva da compet&#234;ncia&#59; tinham como foco a promo&#231;&#227;o da sa&#250;de e a parentalidade positiva&#59; inclu&#237;am contextos relevantes tanto dos pais quanto da inf&#226;ncia&#59; inclu&#237;am sess&#245;es em grupo com os pais&#59; e incentivavam o desenvolvimento de atividades familiares em casa &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46; Usamos uma adapta&#231;&#227;o do guia CASPe<a class="elsevierStyleCrossRef" href="#bib0415"><span class="elsevierStyleSup">33</span></a> para avalia&#231;&#227;o qualitativa metodol&#243;gica &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Resultados</span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Resultado da pesquisa</span><p id="par0085" class="elsevierStylePara elsevierViewall">Nossa pesquisa bibliografia encontrou 2&#46;282 artigos&#46; Ap&#243;s eliminar as repeti&#231;&#245;es&#44; 2&#46;267 resumos foram examinados&#46; Desses&#44; os textos completos de 41 artigos foram avaliados para elegibilidade&#46; Por fim&#44; 15 estudos atenderam aos crit&#233;rios de inclus&#227;o desta an&#225;lise&#46; Um resumo da literatura identificada em cada etapa do processo de pesquisa pode ser encontrado na <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>&#46; Vinte e seis textos completos foram rejeitados de acordo com os crit&#233;rios de exclus&#227;o&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Vis&#227;o geral dos trabalhos selecionados</span><p id="par0095" class="elsevierStylePara elsevierViewall">Mais da metade dos estudos inclu&#237;dos foi conduzida nos &#250;ltimos cinco anos &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Nove estudos foram conduzidos na Am&#233;rica do Norte&#44; quatro eram de origem europeia &#40;Su&#233;cia&#44; Inglaterra&#44; Espanha e Pa&#237;ses Baixos&#41; e dois eram asi&#225;ticos &#40;Hong Kong e Paquist&#227;o&#41;&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">O tamanho da amostra foi altamente vari&#225;vel entre os estudos&#44; variou de 49 a 840 participantes&#46; Na maioria dos estudos&#44; a amostra era de 100 a 200 participantes&#46; Embora a maioria dos estudos tivesse como foco ambos os pais &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>10&#41;&#44;<a class="elsevierStyleCrossRefs" href="#bib0350"><span class="elsevierStyleSup">20&#44;22&#8211;25&#44;27&#8211;31</span></a> quatro estudos<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;21&#44;26&#44;32</span></a> inclu&#237;am apenas m&#227;es em suas amostras e um estudo acabou por excluir os pais da an&#225;lise&#44; pois representavam apenas 6&#37; dos participantes&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> Apesar da inclus&#227;o de ambos os pais&#44; a representa&#231;&#227;o do sexo feminino foi acima de 90&#37; em todos os estudos&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Um ter&#231;o apresentou foco especial em situa&#231;&#245;es de vulnerabilidade&#58; fam&#237;lias de baixa renda&#44;<a class="elsevierStyleCrossRefs" href="#bib0375"><span class="elsevierStyleSup">25&#44;28&#44;31</span></a> fam&#237;lias desfavorecidas<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">30</span></a> ou m&#227;es em risco psicossocial&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a></p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Interven&#231;&#245;es</span><p id="par0110" class="elsevierStylePara elsevierViewall">A dura&#231;&#227;o das interven&#231;&#245;es variou de cinco semanas a oito meses&#44; apesar de&#44; em geral&#44; terem sido de curto prazo&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Os ambientes de interven&#231;&#227;o inclu&#237;am centros de atendimento&#44;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">23</span></a> centros familiares&#44;<a class="elsevierStyleCrossRefs" href="#bib0360"><span class="elsevierStyleSup">22&#44;27&#44;28&#44;32</span></a> centros de sa&#250;de comunit&#225;ria&#44;<a class="elsevierStyleCrossRefs" href="#bib0370"><span class="elsevierStyleSup">24&#44;31</span></a> centros de sa&#250;de prim&#225;rios<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> ou centros de servi&#231;o social&#44;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> bem como as casas das fam&#237;lias&#46;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;20&#44;21&#44;30</span></a> Em dois estudos&#44; as interven&#231;&#245;es foram feitas nos centros da inf&#226;ncia&#44; centros espec&#237;ficos que ofereciam apoio para jovens fam&#237;lias em &#225;reas desfavorecidas da Inglaterra &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">27</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">Sete estudos tinham um foco de preven&#231;&#227;o&#44;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;21&#44;23&#44;24&#44;27</span></a> ao passo que os oito estudos restantes tinham uma abordagem positiva de promo&#231;&#227;o da sa&#250;de&#46;<a class="elsevierStyleCrossRefs" href="#bib0360"><span class="elsevierStyleSup">22&#44;25&#44;26&#44;28&#8211;32</span></a> Apenas tr&#234;s dos estudos mencionaram explicitamente a parentalidade positiva&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;29&#44;32</span></a> Alguns adotaram uma perspectiva global e ajudaram os pais a desenvolver habilidades na educa&#231;&#227;o de crian&#231;as&#46; Contudo&#44; a maioria das interven&#231;&#245;es &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>10&#41; teve como foco estilos de vida espec&#237;ficos&#58; quatro com foco em dieta&#44; exerc&#237;cios e tempo de tela&#44;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;20&#44;26&#44;28</span></a> tr&#234;s com foco em dieta ou exerc&#237;cios&#44;<a class="elsevierStyleCrossRefs" href="#bib0385"><span class="elsevierStyleSup">27&#44;30&#44;31</span></a> uma com foco em exerc&#237;cios e tempo de tela<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">22</span></a> e duas com foco em um estilo de vida espec&#237;fico &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0365"><span class="elsevierStyleSup">23&#44;25</span></a> A maioria &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; usou o m&#233;todo de sess&#245;es em grupo para implantar seus programas&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;23&#44;24&#44;27&#8211;29&#44;31&#44;32</span></a> Quatro dos estudos usaram sess&#245;es familiares&#44;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;20&#44;21&#44;30</span></a> e o resto &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41; usou como base principal de seus programas o envio de informa&#231;&#245;es por e&#8208;mail<a class="elsevierStyleCrossRefs" href="#bib0360"><span class="elsevierStyleSup">22&#44;25&#44;26</span></a> &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Todos os estudos&#44; exceto cinco&#44; inclu&#237;am um componente de extens&#227;o&#44; envolveram atividades a serem feitas em casa<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;23&#8211;25&#44;27&#8211;32</span></a> para facilitar a pr&#225;tica das recomenda&#231;&#245;es oferecidas no planejamento &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">M&#233;todos de estudo</span><p id="par0125" class="elsevierStylePara elsevierViewall">Os modelos de estudo inclu&#237;am ensaios cl&#237;nicos randomizados controlados<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;20&#44;25&#8211;32</span></a> &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>11&#41; e estudos quase&#8208;experimentais<a class="elsevierStyleCrossRefs" href="#bib0355"><span class="elsevierStyleSup">21&#8211;24</span></a> &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#41;&#46; Dez estudos dividiram a amostra em dois grupos<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;19&#44;21&#8211;24&#44;26&#44;30&#8211;32</span></a> e um dividiu a amostra em quatro grupos&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">20</span></a> Quase metade era de estudos&#8208;piloto &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;22&#44;24&#44;28&#44;29&#44;32</span></a></p><p id="par0130" class="elsevierStylePara elsevierViewall">Os m&#233;todos de avalia&#231;&#227;o de compet&#234;ncia dos pais variaram entre os estudos&#46; A maioria incluiu um componente de avalia&#231;&#227;o subjetiva do resultado&#44;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;25&#44;27&#8211;32</span></a> usaram diversas escalas&#44; e tr&#234;s consideraram um componente de avalia&#231;&#227;o objetiva por meio de observa&#231;&#245;es com base em diretrizes&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;21&#44;23</span></a> Outros tr&#234;s estudos relataram avalia&#231;&#245;es por meio de grupos focais e registros para avaliar a satisfa&#231;&#227;o dos pais com o programa e como ele ajudou em sua parentalidade &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0370"><span class="elsevierStyleSup">24&#44;25&#44;29</span></a></p><p id="par0135" class="elsevierStylePara elsevierViewall">A autoefic&#225;cia dos pais foi a principal vari&#225;vel analisada em 12 estudos&#46;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;22&#44;24&#44;27&#8211;32</span></a> Diversas escalas ou question&#225;rios foram usados para avaliar essa vari&#225;vel&#44; inclusive a Escala de Autoefic&#225;cia dos Pais&#44; a Escala de Autoefic&#225;cia Geral&#44; a Ferramenta para Medir a Autoefic&#225;cia dos Pais&#44; a Escala de Efic&#225;cia dos Pais&#44; o Question&#225;rio de Cuidado da Crian&#231;a e o Question&#225;rio de Autoa&#231;&#227;o dos Pais &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">O acompanhamento dos estudos variou de oito semanas a 24 meses&#44; apesar de&#44; em geral&#44; ter sido de curto prazo&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Avalia&#231;&#227;o qualitativa</span><p id="par0145" class="elsevierStylePara elsevierViewall">A avalia&#231;&#227;o qualitativa dos estudos apresentou duas dimens&#245;es&#58; a adequa&#231;&#227;o conceitual da interven&#231;&#227;o e a abordagem metodol&#243;gica do estudo&#46; Nessa&#44; como pode ser visto na <a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#44; apenas tr&#234;s estudos mencionaram alguma refer&#234;ncia te&#243;rica especificamente a respeito da compet&#234;ncia dos pais&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;21&#44;29</span></a> Dez estudos fizeram refer&#234;ncia expl&#237;cita a habilidades dos pais<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;21&#44;24&#44;27&#8211;30&#44;32</span></a> e sete estudos desenvolveram aspectos como autoefic&#225;cia&#44; autorregula&#231;&#227;o ou pais como modelo&#44; usaram teorias com base em habilidades ou compet&#234;ncia dos pais&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;21&#8211;23&#44;26&#44;27&#44;29</span></a> Cinco dos estudos inclu&#237;dos mencionaram estilos de parentalidade que forneciam valores significativos para o desenvolvimento de um estilo autorit&#225;rio ou democr&#225;tico para educar crian&#231;as&#46;<a class="elsevierStyleCrossRefs" href="#bib0350"><span class="elsevierStyleSup">20&#44;21&#44;26&#44;27&#44;32</span></a> Apenas um estudo considerou as escolas um ambiente&#8208;chave&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">20</span></a> Dois estudos inclu&#237;am estrat&#233;gias para garantir a fidelidade da interven&#231;&#227;o proposta&#46; Mais especificamente&#44; isso foi feito atrav&#233;s do registro de algumas das sess&#245;es em grupo para avaliar a ades&#227;o do facilitador ao conte&#250;do do programa ou do uso de um guia para avaliar se as sess&#245;es eram feitas corretamente&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;29</span></a></p><p id="par0150" class="elsevierStylePara elsevierViewall">Em termos de qualidade metodol&#243;gica &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#44; quatro estudos foram considerados de alta qualidade&#46;<a class="elsevierStyleCrossRefs" href="#bib0350"><span class="elsevierStyleSup">20&#44;26&#44;30&#44;31</span></a> Oito estudos tinham qualidade moderada&#44; <a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;19&#44;23&#44;25&#44;27&#8211;29&#44;32</span></a> metade deles &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#41; n&#227;o tinha um grupo de compara&#231;&#227;o&#46;<a class="elsevierStyleCrossRefs" href="#bib0375"><span class="elsevierStyleSup">25&#44;27&#8211;29</span></a> Por fim&#44; tr&#234;s deles tinham baixa qualidade metodol&#243;gica&#46;<a class="elsevierStyleCrossRefs" href="#bib0355"><span class="elsevierStyleSup">21&#44;22&#44;24</span></a> Tanto a falta de um grupo de compara&#231;&#227;o quanto a n&#227;o randomiza&#231;&#227;o da amostra foram consideradas limita&#231;&#245;es importantes&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Resultados da interven&#231;&#227;o</span><p id="par0155" class="elsevierStylePara elsevierViewall">O principal objetivo da maioria dos estudos foi a autoefic&#225;cia dos pais&#46; Como sugere a <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#44; apesar de a autoefic&#225;cia dos pais ter sido alvo de 12 estudos&#44; apenas quatro a consideraram como vari&#225;vel de resultado e todos eles usaram diferentes medidas de resultado&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;24&#44;27&#44;29</span></a> Apenas o estudo de Martin et al&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> relatou uma maior autoefic&#225;cia dos pais na medi&#231;&#227;o p&#243;s&#8208;interven&#231;&#227;o no grupo de interven&#231;&#227;o &#40;5&#44;34 &#177; 0&#44;64&#41; em compara&#231;&#227;o com a medi&#231;&#227;o inicial do grupo de controle &#40;4&#44;49 &#177; 0&#44;54&#41;&#46; Aparentemente&#44; Kennett e Chislett<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">24</span></a> relataram um aumento significativo nas vari&#225;veis de pais que receberam o certificado ap&#243;s a interven&#231;&#227;o &#40;p&#243;s&#8208;interven&#231;&#227;o&#58; 37&#44;30 &#177; 4&#44;63&#44; acompanhamento&#58; 37&#44;00 &#177; 4&#44;39&#41;&#46; Enebrink et al&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> verificaram um aumento significativo nos componentes das pontua&#231;&#245;es de autoefic&#225;cia dos pais como regras e disciplina &#40;pr&#233;&#8208;interven&#231;&#227;o&#58; 42&#44;20 &#177; 9&#44;97&#59; p&#243;s&#8208;interven&#231;&#227;o&#58; 45&#44;94 &#177; 8&#44;58&#59; e acompanhamento&#58; 46&#44;80 &#177; 9&#44;36&#41; ou empatia e entendimento &#40;pr&#233;&#8208;interven&#231;&#227;o&#58; 49&#44;85 &#177; 7&#44;18&#59; p&#243;s&#8208;interven&#231;&#227;o&#58; 53&#44;69 &#177; 5&#44;40&#59; e acompanhamento&#58; 52&#44;41 &#177; 8&#44;22&#41;&#46; Por fim&#44; no quarto estudo&#44; as pontua&#231;&#245;es de autoefic&#225;cia dos pais aumentaram ao longo do tempo &#40;in&#237;cio&#58; 12&#44;55 &#177; 4&#44;26&#44; p&#243;s&#8208;interven&#231;&#227;o&#58; 14&#44;96 &#177; 2&#44;70 e acompanhamento 15&#44;34 &#177; 2&#44;72&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">27</span></a></p><p id="par0160" class="elsevierStylePara elsevierViewall">Outros tr&#234;s estudos relataram uma maior autoefic&#225;cia dos pais apenas com rela&#231;&#227;o a alguns componentes espec&#237;ficos&#46; Dois deles relacionados ao controle do tempo de TV &#40;grupo de interven&#231;&#227;o&#44; pr&#233;&#8208;interven&#231;&#227;o&#58; 3&#44;93 &#177; 0&#44;81&#59; p&#243;s&#8208;interven&#231;&#227;o&#58; 4&#44;05 &#177; 0&#44;82&#41;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">28</span></a> &#40;diferen&#231;a entre grupos no p&#243;s&#8208;interven&#231;&#227;o&#58; 3&#44;32&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">22</span></a> outros relacionados &#224; restri&#231;&#227;o das pr&#225;ticas de alimenta&#231;&#227;o dos pais &#40;grupo de interven&#231;&#227;o no p&#243;s&#8208;interven&#231;&#227;o&#58; &#8208;0&#44;32 &#177; 0&#44;61&#44; em compara&#231;&#227;o como grupo de controle no p&#243;s&#8208;interven&#231;&#227;o&#58; &#8208;0&#44;04 &#177; 0&#44;56&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">31</span></a> Tr&#234;s estudos n&#227;o encontraram altera&#231;&#245;es na autoefic&#225;cia dos pais<a class="elsevierStyleCrossRefs" href="#bib0350"><span class="elsevierStyleSup">20&#44;30&#44;31</span></a> e dois n&#227;o refletiram os resultados&#46;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;32</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">Quatro dos estudos avaliaram o senso de compet&#234;ncia dos pais&#46;<a class="elsevierStyleCrossRefs" href="#bib0355"><span class="elsevierStyleSup">21&#44;24&#44;26&#44;29</span></a> Apenas dois deles relataram efeitos da interven&#231;&#227;o significativos&#44; aqueles de qualidade baixa e moderada&#46; Dekovic et al&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">21</span></a> relataram pontua&#231;&#245;es mais elevadas no senso de compet&#234;ncia dos pais no grupo de interven&#231;&#227;o &#40;0&#44;01 &#177; 0&#44;01&#41; em compara&#231;&#227;o com o grupo de controle &#40;0&#44;03 &#177; 0&#44;01&#41;&#46; O estudo com apenas um grupo encontrou pontua&#231;&#245;es mais elevadas na autocompet&#234;ncia dos pais &#40;pr&#233;&#8208;interven&#231;&#227;o&#58; 47&#44;29 &#177; 7&#44;76&#59; p&#243;s&#8208;interven&#231;&#227;o&#58; 51&#44;02 &#177; 7&#44;11&#59; e acompanhamento 49&#44;86 &#177; 8&#44;93&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> Os outros dois estudos n&#227;o relataram altera&#231;&#245;es na autopercep&#231;&#227;o de compet&#234;ncia dos pais&#46;<a class="elsevierStyleCrossRefs" href="#bib0370"><span class="elsevierStyleSup">24&#44;26</span></a></p></span></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Discuss&#227;o</span><p id="par0175" class="elsevierStylePara elsevierViewall">Os resultados desta an&#225;lise sistem&#225;tica n&#227;o fornecem evid&#234;ncias de que as interven&#231;&#245;es analisadas fizeram uma diferen&#231;a significativa em termos de aprimorar a compet&#234;ncia dos pais para promo&#231;&#227;o da sa&#250;de das crian&#231;as&#46; Entretanto&#44; h&#225; v&#225;rias quest&#245;es que merecem aten&#231;&#227;o&#46; Nesta an&#225;lise&#44; pareceu haver uma tend&#234;ncia de que os estudos considerados metodologicamente consistentes n&#227;o encontrassem diferen&#231;as estatisticamente significativas nos principais resultados&#46; Isso pode ser devido parcialmente &#224; heterogeneidade das escalas usadas&#44; inclusive ferramentas n&#227;o validadas&#46; Tamb&#233;m pode ser que as interven&#231;&#245;es estivessem em seu est&#225;gio inicial de desenvolvimento&#46; Esse fato pode ter feito com que os pesquisadores se concentrassem no desenvolvimento conceitual em detrimento da qualidade metodol&#243;gica&#44; o que pode ter feito com que eles se enquadrassem no subgrupo de qualidade metodol&#243;gica moderada&#8208;baixa&#46; Um trabalho anterior indicou que isso &#233; comum e destacou a dificuldade de fazer essas interven&#231;&#245;es quando os componentes intr&#237;nsecos do indiv&#237;duo precisam primeiramente ser desenvolvidos e avaliados&#46;<a class="elsevierStyleCrossRef" href="#bib0420"><span class="elsevierStyleSup">34</span></a> Esse tipo de interven&#231;&#227;o&#44; que inclui a intera&#231;&#227;o de diversos componentes&#44; apresenta v&#225;rios desafios para os avaliadores&#44; inclusive dificuldades pr&#225;ticas e metodol&#243;gicas&#44; de acordo com a natureza das interven&#231;&#245;es complexas&#46;<a class="elsevierStyleCrossRef" href="#bib0425"><span class="elsevierStyleSup">35</span></a></p><p id="par0180" class="elsevierStylePara elsevierViewall">Estudos que avaliaram a autoefic&#225;cia dos pais forneceram detalhes limitados sobre as atividades de interven&#231;&#227;o&#46; De acordo com Bandura<a class="elsevierStyleCrossRefs" href="#bib0430"><span class="elsevierStyleSup">36&#44;37</span></a> e outros autores&#44;<a class="elsevierStyleCrossRef" href="#bib0440"><span class="elsevierStyleSup">38</span></a> para promover a autoefic&#225;cia &#233; necess&#225;rio considerar as quatro estrat&#233;gias a seguir&#58; as conquistas da execu&#231;&#227;o&#44; a experi&#234;ncia delegada&#44; a persuas&#227;o verbal e os estados fisiol&#243;gicos do indiv&#237;duo&#46; Nenhum dos estudos pareceu aplic&#225;&#8208;las&#46; A falta de explica&#231;&#227;o a respeito dos mecanismos de mudan&#231;a esperados dos indiv&#237;duos avaliados dificultou verificar se o efeito observado na autoefic&#225;cia dos pais foi uma consequ&#234;ncia direta da interven&#231;&#227;o&#46; Na avalia&#231;&#227;o da fidelidade e qualidade da implanta&#231;&#227;o&#44; esclarecer os mecanismos esperados e identificar outros fatores contextuais relevantes s&#227;o importantes aspectos para o desenvolvimento dessas interven&#231;&#245;es complexas&#44; as evid&#234;ncias dispon&#237;veis parecem limitadas nesses termos&#46;<a class="elsevierStyleCrossRef" href="#bib0445"><span class="elsevierStyleSup">39</span></a></p><p id="par0185" class="elsevierStylePara elsevierViewall">Al&#233;m disso&#44; a aus&#234;ncia de estimativas com rela&#231;&#227;o ao tamanho do efeito e a diversidade das medi&#231;&#245;es aplicadas nos estudos tornam as compara&#231;&#245;es entre os estudos desafiadoras&#46; Da mesma forma&#44; a falta de um grupo de controle adequado afeta a validade interna de alguns dos estudos inclu&#237;dos&#46;<a class="elsevierStyleCrossRefs" href="#bib0450"><span class="elsevierStyleSup">40&#44;41</span></a></p><p id="par0190" class="elsevierStylePara elsevierViewall">Outro aspecto que precisa ser destacado &#233; a conceitualiza&#231;&#227;o limitada observada em alguns dos estudos a respeito da compet&#234;ncia e das habilidades dos pais&#46; Essa &#225;rea de pesquisa pode ser considerada relativamente nova &#40;a maioria dos trabalhos inclu&#237;dos nesta an&#225;lise foi publicada nos &#250;ltimos sete anos&#41; e ainda parece n&#227;o haver um consenso sobre quais s&#227;o as habilidades necess&#225;rias para ser uma m&#227;e ou um pai competente&#46;<a class="elsevierStyleCrossRef" href="#bib0460"><span class="elsevierStyleSup">42</span></a> Isso pode explicar a variedade das habilidades abordadas nas interven&#231;&#245;es&#46; Mais especificamente&#44; a falta de teoriza&#231;&#227;o pode implicar o fato de a maioria dos estudos ter tido como foco habilidades pr&#225;ticas&#44; normalmente limitadas a recomenda&#231;&#245;es concretas sobre dieta ou exerc&#237;cios&#46; Isso&#44; al&#233;m de prejudicar a ado&#231;&#227;o de uma perspectiva global sobre a fun&#231;&#227;o dos pais e seus componentes&#44; implica que as interven&#231;&#245;es tenham tend&#234;ncia para uma metodologia informativa na qual os pais normalmente s&#227;o receptores passivos de informa&#231;&#245;es&#46;<a class="elsevierStyleCrossRefs" href="#bib0465"><span class="elsevierStyleSup">43&#44;44</span></a> H&#225; evid&#234;ncias que mostram que essa abordagem n&#227;o oferece os melhores resultados para a aquisi&#231;&#227;o de habilidades e comportamentos saud&#225;veis&#46;<a class="elsevierStyleCrossRefs" href="#bib0475"><span class="elsevierStyleSup">45&#44;46</span></a></p><p id="par0195" class="elsevierStylePara elsevierViewall">Em segundo lugar&#44; diversos estudos tiveram como base a autoefic&#225;cia dos pais ou a compet&#234;ncia percebida dos pais como um aspecto&#8208;chave de suas interven&#231;&#245;es com os pais&#46; Entretanto&#44; a falta de conceitualiza&#231;&#227;o mencionada implica que a autoefic&#225;cia dos pais e a compet&#234;ncia percebida sejam escolhidas isoladamente&#44; sem ser posicionadas em um conjunto de habilidades e sem uma estrutura que identifique um grupo de habilidades espec&#237;ficas&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">8</span></a> Como resultado&#44; n&#227;o h&#225; distin&#231;&#227;o clara entre os constructos da interven&#231;&#227;o&#44; ou os termos acabaram usados indistintamente&#46; Isso pode explicar a grande variedade de ferramentas usadas&#46; Al&#233;m disso&#44; a maioria dos estudos n&#227;o usou uma avalia&#231;&#227;o objetiva&#46;<a class="elsevierStyleCrossRefs" href="#bib0370"><span class="elsevierStyleSup">24&#44;25&#44;29</span></a> Isso de acordo com investiga&#231;&#245;es anteriores&#46;<a class="elsevierStyleCrossRefs" href="#bib0485"><span class="elsevierStyleSup">47&#44;48</span></a></p><p id="par0200" class="elsevierStylePara elsevierViewall">Conforme constatado nesta an&#225;lise&#44; as pesquisas sobre compet&#234;ncia dos pais de uma perspectiva de promo&#231;&#227;o da sa&#250;de atualmente florescem&#46; Isso &#233; oportuno devido &#224; necessidade cada vez maior de auxiliar os pais&#44; em um momento em que agendas cheias&#44; demandas profissionais e sociais deixam pouco espa&#231;o para um treinamento abrangente sobre as habilidades necess&#225;rias para a parentalidade&#46;<a class="elsevierStyleCrossRef" href="#bib0495"><span class="elsevierStyleSup">49</span></a> Tamb&#233;m coincide com o alto interesse internacional no desenvolvimento de interven&#231;&#245;es de promo&#231;&#227;o da sa&#250;de com m&#250;ltiplos componentes que v&#227;o al&#233;m das mensagens tradicionais de estilo de vida saud&#225;vel e est&#227;o mais perto de atender &#224;s necessidades intr&#237;nsecas dos pais&#44; como promulgado pelo Conselho Europeu nas recomenda&#231;&#245;es e pela Sociedade Americana para o Cuidado Positivo de crian&#231;as&#46;<a class="elsevierStyleCrossRefs" href="#bib0315"><span class="elsevierStyleSup">13&#44;50</span></a> A fim de avan&#231;ar as pesquisas nessa &#225;rea&#44; h&#225; v&#225;rias quest&#245;es decorrentes desta an&#225;lise que precisam ser consideradas em futuras pesquisas&#46; S&#227;o necess&#225;rios estudos mais rigorosos para contribuir para o desenvolvimento de interven&#231;&#245;es efetivas para promover as compet&#234;ncias dos pais&#46; Antes de projetar estudos de avalia&#231;&#227;o de grande escala&#44; deve ser dada aten&#231;&#227;o &#224; identifica&#231;&#227;o cuidadosa e abrangente de modelos conceituais e mecanismos de interven&#231;&#227;o para obter um entendimento mais abrangente da interven&#231;&#227;o a ser projetada&#46; Nesse processo&#44; tamb&#233;m deve ser dada aten&#231;&#227;o a m&#233;todos de avalia&#231;&#227;o&#46; Esses m&#233;todos devem incluir uma dimens&#227;o objetiva&#44; bem como ter como foco o uso de escalas validadas para a dimens&#227;o subjetiva&#46;</p></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Conclus&#227;o</span><p id="par0205" class="elsevierStylePara elsevierViewall">At&#233; onde sabemos&#44; esta &#233; a primeira an&#225;lise de interven&#231;&#245;es de sa&#250;de com foco na compet&#234;ncia dos pais para promover estilos de vida saud&#225;veis em crian&#231;as&#44; com foco na qualidade conceitual&#46; Ao identificar a autoefic&#225;cia dos pais como um componente&#8208;chave a ser considerado nas interven&#231;&#245;es dos pais&#44; ele oferece uma s&#237;ntese das evid&#234;ncias dispon&#237;veis e uma ideia para futuras pesquisas&#44; bem como recomenda&#231;&#245;es&#46;</p><p id="par0210" class="elsevierStylePara elsevierViewall">Encontramos evid&#234;ncias inconsistentes sobre a efic&#225;cia de programas para promo&#231;&#227;o da compet&#234;ncia e das habilidades dos pais no contexto de estilos de vida saud&#225;veis das crian&#231;as&#46; Futuros estudos devem assegurar uma estrutura te&#243;rica consistente para embasar a interven&#231;&#227;o e os m&#233;todos de avalia&#231;&#227;o&#46; &#201; necess&#225;rio avan&#231;ar o conhecimento sobre estrat&#233;gias para fortalecer os pais em seu papel de promo&#231;&#227;o da sa&#250;de das crian&#231;as&#46; A compet&#234;ncia e as habilidades dos pais precisam ser ampliadas na pr&#225;tica de promo&#231;&#227;o da sa&#250;de e na agenda de pesquisas&#46; H&#225; margem para aprimorar a colabora&#231;&#227;o interdisciplinar na implanta&#231;&#227;o de programas de parentalidade positiva&#46; S&#227;o necess&#225;rias mais evid&#234;ncias sobre a autoefic&#225;cia dos pais como um elemento central no desenvolvimento das compet&#234;ncias dos pais para a promo&#231;&#227;o de estilos de vida saud&#225;veis na inf&#226;ncia&#46;</p></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Limita&#231;&#245;es</span><p id="par0215" class="elsevierStylePara elsevierViewall">Apesar de todos os esfor&#231;os terem sido feitos para reduzir poss&#237;veis vieses nesta an&#225;lise&#44; alguns estudos podem ter sido ignorados como resultado do filtro de pesquisa em ingl&#234;s e espanhol&#46; Al&#233;m disso&#44; devido &#224;s ferramentas de medi&#231;&#227;o de resultados divergentes e prec&#225;rias&#44; n&#227;o conseguimos sintetizar os dados quantitativamente por meio de metan&#225;lise&#46; Contudo&#44; usamos o guia CASPe para minimizar a possibilidade de vi&#233;s&#46;</p></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">Conflitos de interesse</span><p id="par0220" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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            0 => "Parenting"
            1 => "Life style"
            2 => "Childhood"
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            0 => "Parentalidade"
            1 => "Estilo de vida"
            2 => "Inf&#226;ncia"
            3 => "Promo&#231;&#227;o de sa&#250;de"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To analyze the available evidence regarding the efficacy of interventions on parents whose children were aged 2&#8211;5 years to promote parental competence and skills for children&#39;s healthy lifestyles&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Source</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Articles published in English and Spanish&#44; available at PubMed&#44; Psycinfo&#44; CINAHL&#44; Web of Science&#44; Eric&#44; and Cochrane Library were reviewed&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Summary of the findings</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The literature search yielded 2282 articles&#46; Forty&#8208;one full texts were retrieved and assessed for inclusion using the PRISMA flow diagram&#46; Twenty&#8208;six articles were excluded&#44; as they did not meet the inclusion criteria&#46; In the end&#44; 15 studies were included&#46; The studies were conducted between 2003 and 2016&#44; nine in North America&#44; four in Europe&#44; and two in Asia&#46; Extracted data were synthesized in a tabular format&#46; CASPe guide was used to assess the quality of studies that was moderate overall&#46; Parental self&#8208;efficacy was the main construct assessed in most studies&#46; Four studies reported an increase in parental self&#8208;efficacy&#44; although most of them were studies without control groups&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Outcomes of interventions to improve parental competence in order to promote children&#39;s lifestyles are promising&#44; but inconsistent&#46; Additional studies with higher methodological and conceptual quality are needed&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Analisar as evid&#234;ncias dispon&#237;veis com rela&#231;&#227;o &#224; efic&#225;cia de interven&#231;&#245;es em pais de filhos entre dois e cinco anos para promover a compet&#234;ncia e as habilidades dos pais a respeito de estilos de vida saud&#225;veis para as crian&#231;as&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Fonte</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Foram analisados artigos publicados em PubMed&#44; Psycinfo&#44; CINAHL&#44; Web of Science&#44; Eric e Biblioteca Cochrane&#46; Ingl&#234;s e espanhol&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resumo dos achados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A pesquisa da literatura encontrou 2&#46;282 artigos&#59; 41 textos completos foram selecionados e avaliados para inclus&#227;o com o fluxograma Prisma&#59; 26 artigos foram exclu&#237;dos&#44; pois n&#227;o atendiam aos crit&#233;rios de inclus&#227;o&#46; Por fim&#44; 15 estudos foram inclu&#237;dos&#46; Os estudos foram feitos entre 2003 e 2016&#46; Nove estudos foram conduzidos na Am&#233;rica do Norte&#44; quatro eram de origem europeia e dois de origem asi&#225;tica&#46; Os dados extra&#237;dos foram sintetizados em formato de tabela&#46; O guia CASPe foi usado para avaliar a qualidade dos estudos&#44; que&#44; em geral&#44; foi moderada&#46; A autoefic&#225;cia dos pais foi o principal dado avaliado na maioria dos estudos&#46; Quatro estudos relataram um aumento na autoefic&#225;cia dos pais&#44; apesar de que a maioria era de estudos sem grupo de controle&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#245;es</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Os resultados de interven&#231;&#245;es para melhorar a compet&#234;ncia dos pais para promover os estilos de vida das crian&#231;as s&#227;o promissores&#44; por&#233;m incoerentes&#46; S&#227;o necess&#225;rios estudos adicionais com melhor qualidade metodol&#243;gica e conceitual&#46;</p></span>"
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        "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Como citar este artigo&#58; Ruiz&#8208;Zaldibar C&#44; Serrano&#8208;Monz&#243; I&#44; Mujika A&#46; Parental competence programs to promote positive parenting and healthy lifestyles in children&#58; a systematic review&#46; J Pediatr &#40;Rio J&#41;&#46; 2018&#59;94&#58;238&#8211;50&#46;</p>"
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          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">AF&#44; atividade f&#237;sica&#59; GC&#42;&#44; grupo de participantes receberam o certificado&#59; ECCR&#44; ensaio cl&#237;nico controlado e randomizado&#59; GC&#44; grupo de controle&#59; HENRY&#44; Sa&#250;de&#44; Exerc&#237;cio&#44; Nutri&#231;&#227;o para os Muito Jovens&#59; GI&#44; grupo de interven&#231;&#227;o&#59; NC&#44; grupos de participantes que n&#227;o receberam o certificado&#59; OPPS&#44; preven&#231;&#227;o da obesidade e apoio &#224; parentalidade&#59; PS&#44; grupo de apoio &#224; parentalidade&#46;</p>"
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                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Estudo&#44; projeto e dura&#231;&#227;o da interven&#231;&#227;o<br>Pa&#237;s<br>Nome do programa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Participantes e ambiente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Caracter&#237;sticas da interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Ferramentas<br>vari&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Resultados<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Harvey&#8208;Berino e Rourke<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">18</span></a> &#40;2003&#41;&#58;<br>&#8226; ECCR&#44; estudo&#8208;piloto<br>&#8226; 16 semanas<br>&#8226; EUA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; PS&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>20&#59; OPPS&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>19<br>&#8226; M&#227;es de crian&#231;as entre nove meses e tr&#234;s anos<br>&#8226; Comunidade ind&#237;gena&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Dois grupos receberam 11 sess&#245;es em casa<br>&#8226; PS&#58; apoio aos pais em geral&#46; Discuss&#245;es e conversas<br>&#8226; OPPS&#58; apoio aos pais com foco na obesidade&#46; Melhoria das habilidades dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Question&#225;rio de Alimenta&#231;&#227;o da Crian&#231;a<br><br>&#8226; Pr&#225;ticas de alimenta&#231;&#227;o restritivas<br>&#8226; Autoefic&#225;cia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br>NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mart&#237;n et al&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> &#40;2004&#41;&#58;<br>&#8226; Ensaio cl&#237;nico<br>&#8226; Oito meses<br>&#8226; Espanha<br>&#8226; Programa de apoio pessoal e familiar &#91;<span class="elsevierStyleItalic">Programa de apoyo personal y familiar</span>&#93;<br><br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>185&#59; GC n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>155<br>&#8226; M&#227;es de crian&#231;as at&#233; cinco anos<br>&#8226; Servi&#231;os sociais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; 21 sess&#245;es em grupo com base em&#58; vida cotidiana&#44; problemas de desenvolvimento&#44; situa&#231;&#245;es que mudam a vida familiar&#44; resolu&#231;&#227;o de conflitos e resposta a situa&#231;&#245;es dif&#237;ceis&#46;<br>&#8226; Programa experimental&#44; troca com outros pais<br>&#8226; GC&#58; sem interven&#231;&#227;o&#44; trabalho habitual&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">A&#231;&#227;o pessoal<br>&#8226; Autoefic&#225;cia<br>&#8226; Controle interno<br>&#8226; Acordo conjugal<br>&#8226; Dificuldade nos pap&#233;is&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br>&#8722;<br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Ayala et al&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">20</span></a> &#40;2010&#41;&#58;<br>&#8226; ECCR<br>&#8226; Sete meses<br>&#8226; EUA<br>&#8226; <span class="elsevierStyleItalic">Aventuras para Ni&#241;os</span> &#91;Aventuras para crian&#231;as&#93;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Micro&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>200&#59; Macro&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>214&#59; Macro<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>Micro&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>165&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>227<br>&#8226; Pais de crian&#231;as em idade pr&#233;&#8208;escolar<br>&#8226; Escolas e pr&#233;&#8208;escolas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Micro&#58; receberam a interven&#231;&#227;o em casa<br>&#8226; Macro&#58; foco em mudan&#231;as de ambiente e f&#237;sicas no envolvimento com a escola e a comunidade<br>&#8226; Macro<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>micro&#58; receberam a interven&#231;&#227;o em casa e mudan&#231;as no ambiente<br>&#8226; GC&#58; sem interven&#231;&#227;o&#44; trabalho habitual<br>&#8226; Apoio informativo&#44; instrumental e emocional<br>&#8226; Fornece materiais educacionais para melhorar estilos de vida saud&#225;veis<br>&#8226; Informa&#231;&#245;es sobre dieta&#44; tempo de TV e jogos ativos<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Autoefic&#225;cia percebida<br>&#8226; Controle de dieta e exerc&#237;cios<br>&#8226; Refor&#231;o da dieta e exerc&#237;cios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8722;<br>NS<br>NS<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Dekovic et al&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">21</span></a> &#40;2010&#41;&#58;<br>&#8226; Estudo quase&#8208;experimental<br>&#8226; Pa&#237;ses Baixos<br>&#8226; Home&#8208;Start<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>66&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>58<br>&#8226; M&#227;es de crian&#231;as com menos de seis anos<br>&#8226; Centros Home&#8208;Start&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; visitas domiciliares<br>&#8226; Apoio informativo &#40;ajudar a m&#227;e a encontrar servi&#231;os comunit&#225;rios&#41;&#44; instrumental &#40;servi&#231;o de bab&#225;&#41; e emocional &#40;ouvir os problemas da m&#227;e&#41;<br>&#8226; GC&#58; sem interven&#231;&#227;o&#44; trabalho habitual<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#205;ndice da Escala de Parentalidade<br>&#8226; Senso de compet&#234;ncia<br>Question&#225;rio de Parentalidade de Nijmegen<br>&#8226; Apoio &#224; parentalidade<br>Invent&#225;rio de Dimens&#245;es da Parentalidade<br>&#8226; Disciplina in&#225;bil&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Davison et al&#46;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">22</span></a> &#40;2011&#41;&#58;<br>&#8226; Estudo quase&#8208;experimental&#44; piloto<br>&#8226; EUA<br>&#8226; Fam&#237;lias ativas &#91;<span class="elsevierStyleItalic">Active families</span>&#93;<br><br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>442&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>398<br>&#8226; Fam&#237;lias com crian&#231;as entre dois e cinco anos<br>&#8226; Cl&#237;nica WIC<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; calend&#225;rios com informa&#231;&#245;es sobre recursos locais para atividade f&#237;sica &#40;eventos da comunidade&#44; mapas&#44; parques e parques infantis&#44; custos e instala&#231;&#245;es&#41;<br>&#8226; GC&#58; sem grupo de compara&#231;&#227;o equivalente&#44; sem interven&#231;&#227;o<br>&#8226; O programa de Fam&#237;lias Ativas &#233; parte do programa de Mulheres&#44; Neonatos e Crian&#231;as &#40;WIC&#41; que promove sa&#250;de e nutri&#231;&#227;o em fam&#237;lias com crian&#231;as em idade pr&#233;&#8208;escolar&#46;<br>&#8226; Antes da interven&#231;&#227;o&#44; um grupo focal foi feito para estudar as percep&#231;&#245;es dos pais sobre locais para praticar esportes na comunidade<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Pais confiantes nos limites da TV<br>&#8226; Pais confiantes em incentivar a AF&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&#47;&#8722;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sweitzer et al&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">23</span></a> &#40;2011&#41;&#58;<br>&#8226; Quase&#8208;experimental<br>&#8226; Cinco semanas<br>&#8226; EUA<br>&#8226; Almo&#231;o na mochila &#91;<span class="elsevierStyleItalic">Lunch is in the bag</span>&#93;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>81&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>51<br>&#8226; Pais de crian&#231;as entre tr&#234;s e cinco anos<br>&#8226; Centros de atendimento&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; atividades educacionais e motivacionais em comportamentos que apoiam refei&#231;&#245;es trazidas de casa&#46;<br>&#8226; Comunica&#231;&#227;o&#44; curr&#237;culo da classe e log&#237;stica do hor&#225;rio de buscar a crian&#231;a<br>&#8226; Construir componentes de rela&#231;&#245;es<br>&#8226; GC&#58; sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Expectativas de resultado em cereais integrais<br>&#8226; Normas subjetivas&#58; frutas&#44; cereais integrais e verduras<br>&#8226; Controle percebido&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br>&#8722;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Kennett e Chislett<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">24</span></a> &#40;2012&#41;&#58;<br>&#8226; Estudo quase&#8208;experimental&#44; piloto<br>&#8226; 12 semanas<br>&#8226; Canad&#225;<br>&#8226; Programa de Parentalidade Ningu&#233;m &#233; Perfeito &#91;<span class="elsevierStyleItalic">Nobody&#39;s Perfect</span>&#93;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GC&#42;&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>39&#59; NC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>34<br>&#8226; Pais de crian&#231;as com menos de cinco anos<br>&#8226; Comunidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GC&#42;&#58; sess&#245;es informativas em grupo<br>&#8226; Aprendizagem cooperativa&#58; discuss&#245;es em grupo&#44; compartilhamento de pensamentos e experi&#234;ncias<br>&#8226; Habilidades pr&#225;ticas<br>&#8226; Atividades de resolu&#231;&#227;o de problemas&#44; aprendizagem e constru&#231;&#227;o do conhecimento<br>&#8226; Materiais educacionais<br>&#8226; NC&#58; n&#227;o receberam o certificado porque n&#227;o compareceram &#224;s sess&#245;es&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Escala de Senso de Compet&#234;ncia dos Pais<br>&#8226; Senso de efic&#225;cia<br>&#8226; Senso de satisfa&#231;&#227;o<br>Escala de Efic&#225;cia dos Pais<br>&#8226; Efic&#225;cia dos pais<br>Escala de Desenvoltura dos Pais<br>&#8226; Desenvoltura da parentalidade<br>Escala de Intera&#231;&#227;o entre Pais e Filhos<br>&#8226; Parentalidade Afetiva&#47;positiva<br>&#8226; Parentalidade sem raiva&#47;n&#227;o punitiva<br>&#8226; Efic&#225;cia na rela&#231;&#227;o com a crian&#231;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><br>&#8722;<br>&#8722;<br><br>&#8722;<br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br>&#8722;<br><br>&#8722;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Lohse et al&#46;<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">25</span></a> &#40;2012&#41;&#58;<br>&#8226; Interven&#231;&#227;o de estudo descritiva<br>&#8226; Programa atualmente dispon&#237;vel virtualmente<br>&#8226; EUA<br>&#8226; Hora de Comer &#233; Hora da Fam&#237;lia &#91;<span class="elsevierStyleItalic">Mealtime is Family Time</span>&#93;<br><br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>147<br>&#8226; Pais de crian&#231;as entre dois e cinco anos<br>&#8226; Centros de atendimento&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; plataforma em website<br>&#8226; 17 slides sobre&#58; modelagem de pap&#233;is&#44; dieta&#44; comportamentos alimentares e de culin&#225;ria&#44; autonomia da crian&#231;a e lideran&#231;a dos pais<br>&#8226; Dois grupos focais ap&#243;s a interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Alimentando Seu Filho&#46;<br>Grupo focal&#44; transcri&#231;&#227;o e an&#225;lise&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">&#216;stbye et al&#46;<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">26</span></a> &#40;2012&#41;&#58;<br>&#8226; ECCR<br>&#8226; Oito meses<br>&#8226; EUA<br>&#8226; Crian&#231;as e Adultos Agora &#8211; Vencendo a Obesidade&#33; &#91;<span class="elsevierStyleItalic">Kids and Adults Now &#8211; Defeat Obesity&#33;</span>&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>200&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>200<br>&#8226; M&#227;es de crian&#231;as entre dois e cinco anos<br>&#8226; Recrutadas ap&#243;s o parto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; receberam e&#8208;mails com informa&#231;&#245;es&#44; sess&#245;es de coaching de 20&#8208;30 minutos por telefone com t&#233;cnicas de entrevista motivacionais&#44; autoefic&#225;cia e barreiras &#224; mudan&#231;a e uma sess&#227;o em grupo semiestruturada para refor&#231;o nutricional<br>&#8226; Informa&#231;&#245;es e instru&#231;&#245;es em estilos e habilidades de parentalidade&#44; gest&#227;o de estresse&#44; comportamentos saud&#225;veis&#44; rotinas&#44; ambiente domiciliar&#44; modelagem de pap&#233;is e estilos de alimenta&#231;&#227;o<br>&#8226; GC&#58; receberam uma carta por m&#234;s&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#205;ndice de Estresse dos Pais<br>&#8226; Compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br>&#8722;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Willis et al&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">27</span></a> &#40;2014&#41;&#58;<br>&#8226; Estudo intervencionista<br>&#8226; Oito semanas<br>&#8226; RU<br>&#8226; HENRY<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>60<br>&#8226; Fam&#237;lias de crian&#231;as em idade pr&#233;&#8208;escolar &#40;m&#233;dia 3&#44;32 DP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#44;04&#44; 22&#37; com menos de 12 meses&#41;<br>&#8226; Centros Infantis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; receberam diferentes sess&#245;es de tempo para a fam&#237;lia e tempo para os pais<br>&#8226; Tempo para a fam&#237;lia&#58; pais e crian&#231;as comem lanches saud&#225;veis e jogam jogos ativos<br>&#8226; Tempo para os pais&#58; sess&#245;es em grupo que exploram t&#243;picos dos pais &#40;habilidades de parentalidade&#44; tamanho das por&#231;&#245;es&#44; atividade f&#237;sica e jogos&#41;<br>&#8226; Sess&#245;es com base no compartilhamento de ideias e em estrat&#233;gias para apoiar as mudan&#231;as&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Medi&#231;&#227;o da Autoa&#231;&#227;o dos Pais<br>&#8226; Autoefic&#225;cia dos pais<br>&#8226; Estabelecimento de limites&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Jurkowski et al&#46;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">28</span></a> &#40;2014&#41;&#58;<br>&#8226; Estudo&#8208;piloto<br>&#8226; Seis semanas<br>&#8226; EUA<br>&#8226; <span class="elsevierStyleItalic">Head Start</span><br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>154<br>&#8226; Pais de crian&#231;as entre dois e cinco anos<br>&#8226; Centros Head Start<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; Os pais foram treinados como cofacilitadores do programa e conduziram sess&#245;es<br>&#8226; As sess&#245;es inclu&#237;am&#58; sess&#245;es de caf&#233; familiares com um especialista em nutri&#231;&#227;o e seis sess&#245;es em grupo que abordaram as necessidades pr&#225;ticas dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Autoefic&#225;cia dos pais&#58; dieta&#44; peso&#44; TV<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&#47;&#8722;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Enebrink et al&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> &#40;2015&#41;&#58;<br>&#8226; Estudo piloto<br>&#8226; 4 sess&#245;es<br>&#8226; Su&#233;cia<br>&#8226; ABC para os pais<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>104<br>&#8226; Pais de crian&#231;as entre 2 e 12 anos &#40;63&#44;5&#37; de 2 a 6 anos&#41;<br>&#8226; Centros de Atendimento&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; receberam sess&#245;es em grupo sobre parentalidade positiva<br>&#8226; Sess&#245;es psicoeducacionais e experimentais<br>&#8226; Desempenho de pap&#233;is e discuss&#227;o de situa&#231;&#245;es<br>&#8226; Acesso ao website&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ferramenta para medir a autoefic&#225;cia dos pais<br>&#8226; Empatia&#47;Entendimento<br>&#8226; Orienta&#231;&#245;es<br>&#8226; Regras&#47;Disciplina<br>&#8226; Autocompet&#234;ncia<br>&#8226; Conhecimento&#47;Experi&#234;ncia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Leung et al&#46;<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">30</span></a> &#40;2014&#41;&#58;<br>&#8226; ECCR<br>&#8226; 20 sess&#245;es<br>&#8226; Hong Kong<br>&#8226; Programa de Visitas Domiciliares<br>&#91;<span class="elsevierStyleItalic">Healthy Start</span>&#93;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>84&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>107<br>&#8226; Pais de crian&#231;as em idade pr&#233;&#8208;escolar &#40;m&#233;dia 3&#44;77 DP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;72 anos no grupo de controle e 3&#44;78 DP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;75 anos no grupo de interven&#231;&#227;o&#41;<br>&#8226; Pr&#233;&#8208;escolas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; 20 sess&#245;es que abrangeram estrat&#233;gias para promover o desenvolvimento da crian&#231;a na sa&#250;de f&#237;sica&#44; &#225;reas cognitivas e psicossociais<br>&#8226; Desempenho de pap&#233;is e minipalestras<br>&#8226; Atividades a serem feitas com os filhos<br>&#8226; Visitas domiciliares<br>&#8226; Materiais educacionais<br>&#8226; GC&#58; conversas com os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#205;ndice de Estresse dos Pais<br>&#8226; Estresse dos Pais<br>Escala de Autoefic&#225;cia Geral<br>&#8226; Autoefic&#225;cia<br>Question&#225;rio de Apoio Social Funcional Duke&#8208;UNC<br>&#8226; Apoio Social&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br>&#8722;<br><br>&#8722;<br><br>&#8722;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Haines et al&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">31</span></a> &#40;2016&#41;&#58;<br>&#8226; ECCR<br>&#8226; Nove semanas<br>&#8226; EUA<br>&#8226; Pais e Filhos Juntos &#91;<span class="elsevierStyleItalic">Parents and Tots Together</span>&#93;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>56&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>56<br>&#8226; Fam&#237;lias com crian&#231;as entre dois e cinco anos<br>&#8226; Centros de Sa&#250;de Comunit&#225;ria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; interven&#231;&#227;o para preven&#231;&#227;o da obesidade com base familiar por meio de sess&#245;es em grupo<br>&#8226; Material educacional<br>&#8226; Manual e DVD<br>&#8226; Li&#231;&#227;o de casa<br>&#8226; GC&#58; foram enviados materiais educacionais publicamente dispon&#237;veis sobre promo&#231;&#227;o da sa&#250;de&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Question&#225;rio de Parentalidade&#59; Question&#225;rio de Cuidado da Crian&#231;a<br>Autoefic&#225;cia dos pais&#58;<br>&#8226; Confian&#231;a na parentalidade em geral<br>&#8226; Pr&#225;ticas de parentalidade em geral&#58; afetividade<br>&#8226; Disciplina<br>&#8226; Restri&#231;&#227;o de pr&#225;ticas de alimenta&#231;&#227;o dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><br>&#8722;<br><br>&#8722;<br><br>&#8722;<br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Khowaja et al&#46;<a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">32</span></a> &#40;2016&#41;&#58;<br>&#8226; Ensaio cl&#237;nico&#44; estudo piloto<br>&#8226; Seis semanas<br>&#8226; Paquist&#227;o<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>30&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>30<br>&#8226; M&#227;es de crian&#231;as entre dois e cinco anos<br>&#8226; Centros de sa&#250;de da fam&#237;lia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI e GC&#58; discuss&#227;o em grupo&#44; autorreflex&#227;o&#44; desempenho de pap&#233;is&#44; v&#237;deos<br>&#8226; GI&#58; sess&#245;es em grupo com foco em habilidades de parentalidade positiva com um guia de parentalidade<br>&#8226; GC&#58; educa&#231;&#227;o de sa&#250;de para educa&#231;&#227;o dos filhos no dia a dia e pr&#225;ticas de cuidado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Escala de Parentalidade<br>&#8226; Laxismo<br>&#8226; Super&#8208;reatividade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Harvey&#8208;Berino e Rourke<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">18</span></a> &#40;2003&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Mart&#237;n et al&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> &#40;2004&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Ayala et al&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">20</span></a> &#40;2010&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Dekovic et al&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">21</span></a> &#40;2010&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Davison et al&#46;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">22</span></a> &#40;2011&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre habilidades dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou teorias com base em habilidades ou compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top">Estilos de vida&#58;</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Dieta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Exerc&#237;cio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Tempo de tela&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na promo&#231;&#227;o da sa&#250;de da crian&#231;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na parentalidade positiva&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre estilos de parentalidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu ambos os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu escolas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou sess&#245;es em grupo para os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incentivou o desenvolvimento de atividades familiares em casa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados objetivamente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados subjetivamente pela percep&#231;&#227;o dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Sweitzer et al&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">23</span></a> &#40;2011&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Kennett e Chislett<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">24</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Lohse et al&#46;<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">25</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#216;stbye et al&#46;<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">26</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Willis et al&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">27</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre habilidades dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou teorias com base em habilidades ou compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top">Estilos de vida&#58;</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Dieta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Exerc&#237;cio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Tempo de tela&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na promo&#231;&#227;o da sa&#250;de da crian&#231;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na parentalidade positiva&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre estilos de parentalidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu ambos os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu escolas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou sess&#245;es em grupo para os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incentivou o desenvolvimento de atividades familiares em casa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados objetivamente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados subjetivamente pela percep&#231;&#227;o dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab1745602.png"
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            2 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Jurkowski et al&#46;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">28</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Enebrink et al&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> &#40;2015&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Leung et al&#46;<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">30</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Haines et al&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">31</span></a> &#40;2016&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Khowaja et al&#46;<a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">32</span></a> &#40;2016&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre habilidades dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou teorias com base em habilidades ou compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top"><span class="elsevierStyleItalic">Estilos de vida&#58;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Dieta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Exerc&#237;cio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Tempo de tela&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na promo&#231;&#227;o da sa&#250;de da crian&#231;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na parentalidade positiva&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre estilos de parentalidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu ambos os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu escolas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou sess&#245;es em grupo para os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incentivou o desenvolvimento de atividades familiares em casa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados objetivamente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados subjetivamente pela percep&#231;&#227;o dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="left" valign="top" scope="col">Estudos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Quest&#245;es eliminat&#243;rias</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Quest&#245;es detalhadas</th><th class="td" title="table-head  " align="left" valign="top" scope="col">Qualidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">O estudo teve como base uma quest&#227;o claramente definida&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">A sele&#231;&#227;o dos participantes foi aleat&#243;ria&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Todos os participantes foram adequadamente considerados at&#233; o fim do estudo&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Os grupos eram semelhantes no in&#237;cio do ensaio cl&#237;nico&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Os grupos s&#227;o tratados igualmente&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Baixa<br>Moderada<br>Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Harvey&#8208;Berino e Rourke<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">18</span></a> &#40;2003&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim &#40;dados n&#227;o constam&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mart&#237;n et al&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> &#40;2004&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Ayala et al&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">20</span></a> &#40;2010&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o consta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Dekovic et al&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">21</span></a> &#40;2010&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o consta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Baixa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Davison et al&#46;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">22</span></a> &#40;2011&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Baixa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sweitzer et al&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">23</span></a> &#40;2011&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&#44; centros aleat&#243;rios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim &#40;dados n&#227;o constam&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o consta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Kennett e Chislett<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">24</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&#44; exceto o n&#237;vel de escolaridade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Baixa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Lohse et al&#46;<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">25</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">&#216;stbye et al&#46;<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">26</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Willis et al&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">27</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Jurkowski et al&#46;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">28</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Enebrink et al&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> &#40;2015&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Leung et al&#46;<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">30</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&#44; escolas aleat&#243;rias&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&#44; exceto visitas hospitalares e status do n&#250;cleo familiar antes da interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Haines et al&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">31</span></a> &#40;2016&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Khowaja et al&#46;<a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">32</span></a> &#40;2016&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&#44; exceto renda mensal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "pt" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Qualidade do estudo com base no guia CASPe</p>"
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      ]
    ]
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Artigo de revisão
Parental competence programs to promote positive parenting and healthy lifestyles in children: a systematic review
Programas de competência dos pais para promover parentalidade positiva e estilos de vida saudáveis em crianças: uma análise sistemática
Cayetana Ruiz‐Zaldibara,b,c,
Autor para correspondência
cruiz.9@unav.es

Autor para correspondência.
, Inmaculada Serrano‐Monzóa,b,c, Agurtzane Mujikaa,b,c
a Universidad de Navarra, Facultad de Enfermería, Pamplona, Espanha
b Universidad de Navarra, Grupo de Investigación IMPULS, Pamplona, Espanha
c Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Espanha
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os pais desempenham um papel vital ao fornecer a seus filhos um ambiente e uma atmosfera positivos para garantir o desenvolvimento e estilos de vida saud&#225;veis&#46; Portanto&#44; os pais representam um alvo principal na promo&#231;&#227;o da sa&#250;de das crian&#231;as&#46;<a class="elsevierStyleCrossRefs" href="#bib0275"><span class="elsevierStyleSup">5&#8211;7</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Identificar os mecanismos subjacentes pelos quais os pais exercem a parentalidade saud&#225;vel &#233; fundamental para desenvolver interven&#231;&#245;es efetivas&#46; A parentalidade &#233; influenciada por v&#225;rias determinantes&#44; inclusive recursos pessoais dos pais&#44; caracter&#237;sticas da crian&#231;a e fontes sociais de estresse e apoio&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">8</span></a> A intera&#231;&#227;o entre essa am&#225;lgama de fatores modula a compet&#234;ncia dos pais&#46; A compet&#234;ncia dos pais foi definida como os sentimentos&#44; 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interven&#231;&#227;o&#44; planejamento&#44; programa&#44; tratamento e promo&#231;&#227;o da sa&#250;de</span>&#46; Todos eles foram combinados com os operadores booleanos E e OU&#46; As interven&#231;&#245;es consideradas nesta an&#225;lise foram as feitas mais em n&#237;vel de indiv&#237;duo do que em n&#237;vel de pol&#237;tica de sa&#250;de&#46; N&#227;o houve tentativa de busca por trabalhos n&#227;o publicados como disserta&#231;&#245;es e teses&#46; Tamb&#233;m n&#227;o foram estabelecidos limites com rela&#231;&#227;o ao ano de publica&#231;&#227;o&#46; Os trabalhos foram analisados em ingl&#234;s e espanhol&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Crit&#233;rios de inclus&#227;o e exclus&#227;o</span><p id="par0025" class="elsevierStylePara elsevierViewall">A an&#225;lise teve como foco estudos intervencionistas que buscaram aumentar o desenvolvimento da compet&#234;ncia dos pais ou quaisquer das capacidades que os pais precisam para promover estilos de vida saud&#225;veis entre seus filhos&#46;<a class="elsevierStyleCrossRef" href="#bib0295"><span class="elsevierStyleSup">9</span></a> Para isso&#44; os estudos eram inclu&#237;dos na an&#225;lise caso atendessem aos crit&#233;rios de inclus&#227;o&#46; Eles foram estabelecidos de acordo com diferentes caracter&#237;sticas&#44; como pode ser visto a seguir&#46;</p><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Tipo de participantes</span><p id="par0030" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">&#8226;</span><p id="par0035" class="elsevierStylePara elsevierViewall">M&#227;es ou pais &#40;ou ambos&#41; com filhos entre dois e cinco anos&#46;</p></li></ul></p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Tipo de interven&#231;&#227;o</span><p id="par0040" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">&#8226;</span><p id="par0045" class="elsevierStylePara elsevierViewall">Abordagem educacional&#44; motivacional&#44; de treinamento ou informativa com vistas &#224; compet&#234;ncia ou &#224;s habilidades dos pais&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">&#8226;</span><p id="par0050" class="elsevierStylePara elsevierViewall">O foco principal deve ser os pais&#44; independentemente do fato de a interven&#231;&#227;o tamb&#233;m envolver a participa&#231;&#227;o de crian&#231;as e&#47;ou professores&#46;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">&#8226;</span><p id="par0055" class="elsevierStylePara elsevierViewall">Interven&#231;&#245;es feitas em contextos relevantes para a inf&#226;ncia&#44; como casa&#44; escola&#44; servi&#231;os de sa&#250;de ou comunidade&#46;</p></li></ul></p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Tipo de medidas de resultado</span><p id="par0060" class="elsevierStylePara elsevierViewall"><ul class="elsevierStyleList" id="lis0015"><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">&#8226;</span><p id="par0065" class="elsevierStylePara elsevierViewall">Os estudos devem avaliar a compet&#234;ncia ou as habilidades dos pais em pelo menos uma de suas duas formas &#40;objetiva ou subjetiva&#41; antes e depois da interven&#231;&#227;o&#46;<a class="elsevierStyleCrossRef" href="#bib0305"><span class="elsevierStyleSup">11</span></a></p></li></ul></p><p id="par0070" class="elsevierStylePara elsevierViewall">No que diz respeito aos crit&#233;rios de exclus&#227;o&#44; os estudos foram rejeitados quando n&#227;o eram intervencionistas&#59; n&#227;o forneciam resultados em termos de compet&#234;ncia dos pais&#59; inclu&#237;am pais cujos filhos n&#227;o tinham entre dois e cinco anos&#59; ou eram direcionados exclusivamente a pais de adolescentes ou indiv&#237;duos com problemas cr&#244;nicos&#44; pois seria mais prov&#225;vel que essas caracter&#237;sticas afetassem o desenvolvimento da interven&#231;&#227;o&#46;</p></span></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Extra&#231;&#227;o e s&#237;ntese de dados</span><p id="par0075" class="elsevierStylePara elsevierViewall">O exame inicial foi feito para identificar trabalhos que possivelmente atenderiam aos crit&#233;rios de inclus&#227;o com base em seus t&#237;tulos e resumos&#46; Foram obtidos os textos completos dos trabalhos relevantes&#46; Tamb&#233;m foram obtidos os textos completos de quaisquer trabalhos cuja inclus&#227;o n&#227;o estava clara&#46; Todos os trabalhos foram examinados para garantir que atendiam a todos os crit&#233;rios de inclus&#227;o&#46; Quaisquer incertezas foram resolvidas por discuss&#227;o&#46; O procedimento do fluxograma Prisma foi usado para garantir o rigor no processo de sele&#231;&#227;o&#46;<a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">17</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">Para analisar e sintetizar os dados dos 15 estudos inclu&#237;dos&#44;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;32</span></a> foram usadas tr&#234;s tabelas&#46; A <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a> fornece informa&#231;&#245;es gerais dos estudos&#44; inclusive autor&#44; ano de publica&#231;&#227;o&#44; pa&#237;s e nome do programa&#44; modelo&#44; participantes e contexto no qual o programa foi feito&#44; as principais caracter&#237;sticas de interven&#231;&#227;o&#44; dura&#231;&#227;o&#44; ferramentas de medi&#231;&#227;o&#44; vari&#225;veis e principais resultados&#46; A avalia&#231;&#227;o qualitativa foi considerada uma ferramenta&#8208;chave para esta an&#225;lise e incluiu dois componentes&#58; a adequa&#231;&#227;o das interven&#231;&#245;es em termos dos principais componentes que uma interven&#231;&#227;o de compet&#234;ncia dos pais deve ter e a qualidade metodol&#243;gica dos estudos&#46; Com rela&#231;&#227;o aos principais componentes de interven&#231;&#245;es&#44; analisamos se os artigos forneciam detalhes suficientes sobre a compet&#234;ncia ou as habilidades dos pais e a estrutura te&#243;rica usada&#59; inclu&#237;am uma avalia&#231;&#227;o objetiva e subjetiva da compet&#234;ncia&#59; tinham como foco a promo&#231;&#227;o da sa&#250;de e a parentalidade positiva&#59; inclu&#237;am contextos relevantes tanto dos pais quanto da inf&#226;ncia&#59; inclu&#237;am sess&#245;es em grupo com os pais&#59; e incentivavam o desenvolvimento de atividades familiares em casa &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46; Usamos uma adapta&#231;&#227;o do guia CASPe<a class="elsevierStyleCrossRef" href="#bib0415"><span class="elsevierStyleSup">33</span></a> para avalia&#231;&#227;o qualitativa metodol&#243;gica &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><elsevierMultimedia ident="tbl0015"></elsevierMultimedia></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Resultados</span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Resultado da pesquisa</span><p id="par0085" class="elsevierStylePara elsevierViewall">Nossa pesquisa bibliografia encontrou 2&#46;282 artigos&#46; Ap&#243;s eliminar as repeti&#231;&#245;es&#44; 2&#46;267 resumos foram examinados&#46; Desses&#44; os textos completos de 41 artigos foram avaliados para elegibilidade&#46; Por fim&#44; 15 estudos atenderam aos crit&#233;rios de inclus&#227;o desta an&#225;lise&#46; Um resumo da literatura identificada em cada etapa do processo de pesquisa pode ser encontrado na <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a>&#46; Vinte e seis textos completos foram rejeitados de acordo com os crit&#233;rios de exclus&#227;o&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Vis&#227;o geral dos trabalhos selecionados</span><p id="par0095" class="elsevierStylePara elsevierViewall">Mais da metade dos estudos inclu&#237;dos foi conduzida nos &#250;ltimos cinco anos &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Nove estudos foram conduzidos na Am&#233;rica do Norte&#44; quatro eram de origem europeia &#40;Su&#233;cia&#44; Inglaterra&#44; Espanha e Pa&#237;ses Baixos&#41; e dois eram asi&#225;ticos &#40;Hong Kong e Paquist&#227;o&#41;&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">O tamanho da amostra foi altamente vari&#225;vel entre os estudos&#44; variou de 49 a 840 participantes&#46; Na maioria dos estudos&#44; a amostra era de 100 a 200 participantes&#46; Embora a maioria dos estudos tivesse como foco ambos os pais &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>10&#41;&#44;<a class="elsevierStyleCrossRefs" href="#bib0350"><span class="elsevierStyleSup">20&#44;22&#8211;25&#44;27&#8211;31</span></a> quatro estudos<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;21&#44;26&#44;32</span></a> inclu&#237;am apenas m&#227;es em suas amostras e um estudo acabou por excluir os pais da an&#225;lise&#44; pois representavam apenas 6&#37; dos participantes&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> Apesar da inclus&#227;o de ambos os pais&#44; a representa&#231;&#227;o do sexo feminino foi acima de 90&#37; em todos os estudos&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Um ter&#231;o apresentou foco especial em situa&#231;&#245;es de vulnerabilidade&#58; fam&#237;lias de baixa renda&#44;<a class="elsevierStyleCrossRefs" href="#bib0375"><span class="elsevierStyleSup">25&#44;28&#44;31</span></a> fam&#237;lias desfavorecidas<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">30</span></a> ou m&#227;es em risco psicossocial&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a></p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Interven&#231;&#245;es</span><p id="par0110" class="elsevierStylePara elsevierViewall">A dura&#231;&#227;o das interven&#231;&#245;es variou de cinco semanas a oito meses&#44; apesar de&#44; em geral&#44; terem sido de curto prazo&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Os ambientes de interven&#231;&#227;o inclu&#237;am centros de atendimento&#44;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">23</span></a> centros familiares&#44;<a class="elsevierStyleCrossRefs" href="#bib0360"><span class="elsevierStyleSup">22&#44;27&#44;28&#44;32</span></a> centros de sa&#250;de comunit&#225;ria&#44;<a class="elsevierStyleCrossRefs" href="#bib0370"><span class="elsevierStyleSup">24&#44;31</span></a> centros de sa&#250;de prim&#225;rios<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> ou centros de servi&#231;o social&#44;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> bem como as casas das fam&#237;lias&#46;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;20&#44;21&#44;30</span></a> Em dois estudos&#44; as interven&#231;&#245;es foram feitas nos centros da inf&#226;ncia&#44; centros espec&#237;ficos que ofereciam apoio para jovens fam&#237;lias em &#225;reas desfavorecidas da Inglaterra &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">27</span></a></p><p id="par0120" class="elsevierStylePara elsevierViewall">Sete estudos tinham um foco de preven&#231;&#227;o&#44;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;21&#44;23&#44;24&#44;27</span></a> ao passo que os oito estudos restantes tinham uma abordagem positiva de promo&#231;&#227;o da sa&#250;de&#46;<a class="elsevierStyleCrossRefs" href="#bib0360"><span class="elsevierStyleSup">22&#44;25&#44;26&#44;28&#8211;32</span></a> Apenas tr&#234;s dos estudos mencionaram explicitamente a parentalidade positiva&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;29&#44;32</span></a> Alguns adotaram uma perspectiva global e ajudaram os pais a desenvolver habilidades na educa&#231;&#227;o de crian&#231;as&#46; Contudo&#44; a maioria das interven&#231;&#245;es &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>10&#41; teve como foco estilos de vida espec&#237;ficos&#58; quatro com foco em dieta&#44; exerc&#237;cios e tempo de tela&#44;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;20&#44;26&#44;28</span></a> tr&#234;s com foco em dieta ou exerc&#237;cios&#44;<a class="elsevierStyleCrossRefs" href="#bib0385"><span class="elsevierStyleSup">27&#44;30&#44;31</span></a> uma com foco em exerc&#237;cios e tempo de tela<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">22</span></a> e duas com foco em um estilo de vida espec&#237;fico &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0365"><span class="elsevierStyleSup">23&#44;25</span></a> A maioria &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>8&#41; usou o m&#233;todo de sess&#245;es em grupo para implantar seus programas&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;23&#44;24&#44;27&#8211;29&#44;31&#44;32</span></a> Quatro dos estudos usaram sess&#245;es familiares&#44;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;20&#44;21&#44;30</span></a> e o resto &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>3&#41; usou como base principal de seus programas o envio de informa&#231;&#245;es por e&#8208;mail<a class="elsevierStyleCrossRefs" href="#bib0360"><span class="elsevierStyleSup">22&#44;25&#44;26</span></a> &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46; Todos os estudos&#44; exceto cinco&#44; inclu&#237;am um componente de extens&#227;o&#44; envolveram atividades a serem feitas em casa<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;23&#8211;25&#44;27&#8211;32</span></a> para facilitar a pr&#225;tica das recomenda&#231;&#245;es oferecidas no planejamento &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">M&#233;todos de estudo</span><p id="par0125" class="elsevierStylePara elsevierViewall">Os modelos de estudo inclu&#237;am ensaios cl&#237;nicos randomizados controlados<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;20&#44;25&#8211;32</span></a> &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>11&#41; e estudos quase&#8208;experimentais<a class="elsevierStyleCrossRefs" href="#bib0355"><span class="elsevierStyleSup">21&#8211;24</span></a> &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#41;&#46; Dez estudos dividiram a amostra em dois grupos<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;19&#44;21&#8211;24&#44;26&#44;30&#8211;32</span></a> e um dividiu a amostra em quatro grupos&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">20</span></a> Quase metade era de estudos&#8208;piloto &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;22&#44;24&#44;28&#44;29&#44;32</span></a></p><p id="par0130" class="elsevierStylePara elsevierViewall">Os m&#233;todos de avalia&#231;&#227;o de compet&#234;ncia dos pais variaram entre os estudos&#46; A maioria incluiu um componente de avalia&#231;&#227;o subjetiva do resultado&#44;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;25&#44;27&#8211;32</span></a> usaram diversas escalas&#44; e tr&#234;s consideraram um componente de avalia&#231;&#227;o objetiva por meio de observa&#231;&#245;es com base em diretrizes&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;21&#44;23</span></a> Outros tr&#234;s estudos relataram avalia&#231;&#245;es por meio de grupos focais e registros para avaliar a satisfa&#231;&#227;o dos pais com o programa e como ele ajudou em sua parentalidade &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#41;&#46;<a class="elsevierStyleCrossRefs" href="#bib0370"><span class="elsevierStyleSup">24&#44;25&#44;29</span></a></p><p id="par0135" class="elsevierStylePara elsevierViewall">A autoefic&#225;cia dos pais foi a principal vari&#225;vel analisada em 12 estudos&#46;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;22&#44;24&#44;27&#8211;32</span></a> Diversas escalas ou question&#225;rios foram usados para avaliar essa vari&#225;vel&#44; inclusive a Escala de Autoefic&#225;cia dos Pais&#44; a Escala de Autoefic&#225;cia Geral&#44; a Ferramenta para Medir a Autoefic&#225;cia dos Pais&#44; a Escala de Efic&#225;cia dos Pais&#44; o Question&#225;rio de Cuidado da Crian&#231;a e o Question&#225;rio de Autoa&#231;&#227;o dos Pais &#40;<a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#41;&#46;</p><p id="par0140" class="elsevierStylePara elsevierViewall">O acompanhamento dos estudos variou de oito semanas a 24 meses&#44; apesar de&#44; em geral&#44; ter sido de curto prazo&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Avalia&#231;&#227;o qualitativa</span><p id="par0145" class="elsevierStylePara elsevierViewall">A avalia&#231;&#227;o qualitativa dos estudos apresentou duas dimens&#245;es&#58; a adequa&#231;&#227;o conceitual da interven&#231;&#227;o e a abordagem metodol&#243;gica do estudo&#46; Nessa&#44; como pode ser visto na <a class="elsevierStyleCrossRef" href="#tbl0010">tabela 2</a>&#44; apenas tr&#234;s estudos mencionaram alguma refer&#234;ncia te&#243;rica especificamente a respeito da compet&#234;ncia dos pais&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;21&#44;29</span></a> Dez estudos fizeram refer&#234;ncia expl&#237;cita a habilidades dos pais<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#8211;21&#44;24&#44;27&#8211;30&#44;32</span></a> e sete estudos desenvolveram aspectos como autoefic&#225;cia&#44; autorregula&#231;&#227;o ou pais como modelo&#44; usaram teorias com base em habilidades ou compet&#234;ncia dos pais&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;21&#8211;23&#44;26&#44;27&#44;29</span></a> Cinco dos estudos inclu&#237;dos mencionaram estilos de parentalidade que forneciam valores significativos para o desenvolvimento de um estilo autorit&#225;rio ou democr&#225;tico para educar crian&#231;as&#46;<a class="elsevierStyleCrossRefs" href="#bib0350"><span class="elsevierStyleSup">20&#44;21&#44;26&#44;27&#44;32</span></a> Apenas um estudo considerou as escolas um ambiente&#8208;chave&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">20</span></a> Dois estudos inclu&#237;am estrat&#233;gias para garantir a fidelidade da interven&#231;&#227;o proposta&#46; Mais especificamente&#44; isso foi feito atrav&#233;s do registro de algumas das sess&#245;es em grupo para avaliar a ades&#227;o do facilitador ao conte&#250;do do programa ou do uso de um guia para avaliar se as sess&#245;es eram feitas corretamente&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;29</span></a></p><p id="par0150" class="elsevierStylePara elsevierViewall">Em termos de qualidade metodol&#243;gica &#40;<a class="elsevierStyleCrossRef" href="#tbl0015">tabela 3</a>&#41;&#44; quatro estudos foram considerados de alta qualidade&#46;<a class="elsevierStyleCrossRefs" href="#bib0350"><span class="elsevierStyleSup">20&#44;26&#44;30&#44;31</span></a> Oito estudos tinham qualidade moderada&#44; <a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;19&#44;23&#44;25&#44;27&#8211;29&#44;32</span></a> metade deles &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#41; n&#227;o tinha um grupo de compara&#231;&#227;o&#46;<a class="elsevierStyleCrossRefs" href="#bib0375"><span class="elsevierStyleSup">25&#44;27&#8211;29</span></a> Por fim&#44; tr&#234;s deles tinham baixa qualidade metodol&#243;gica&#46;<a class="elsevierStyleCrossRefs" href="#bib0355"><span class="elsevierStyleSup">21&#44;22&#44;24</span></a> Tanto a falta de um grupo de compara&#231;&#227;o quanto a n&#227;o randomiza&#231;&#227;o da amostra foram consideradas limita&#231;&#245;es importantes&#46;</p></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">Resultados da interven&#231;&#227;o</span><p id="par0155" class="elsevierStylePara elsevierViewall">O principal objetivo da maioria dos estudos foi a autoefic&#225;cia dos pais&#46; Como sugere a <a class="elsevierStyleCrossRef" href="#tbl0005">tabela 1</a>&#44; apesar de a autoefic&#225;cia dos pais ter sido alvo de 12 estudos&#44; apenas quatro a consideraram como vari&#225;vel de resultado e todos eles usaram diferentes medidas de resultado&#46;<a class="elsevierStyleCrossRefs" href="#bib0345"><span class="elsevierStyleSup">19&#44;24&#44;27&#44;29</span></a> Apenas o estudo de Martin et al&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> relatou uma maior autoefic&#225;cia dos pais na medi&#231;&#227;o p&#243;s&#8208;interven&#231;&#227;o no grupo de interven&#231;&#227;o &#40;5&#44;34 &#177; 0&#44;64&#41; em compara&#231;&#227;o com a medi&#231;&#227;o inicial do grupo de controle &#40;4&#44;49 &#177; 0&#44;54&#41;&#46; Aparentemente&#44; Kennett e Chislett<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">24</span></a> relataram um aumento significativo nas vari&#225;veis de pais que receberam o certificado ap&#243;s a interven&#231;&#227;o &#40;p&#243;s&#8208;interven&#231;&#227;o&#58; 37&#44;30 &#177; 4&#44;63&#44; acompanhamento&#58; 37&#44;00 &#177; 4&#44;39&#41;&#46; Enebrink et al&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> verificaram um aumento significativo nos componentes das pontua&#231;&#245;es de autoefic&#225;cia dos pais como regras e disciplina &#40;pr&#233;&#8208;interven&#231;&#227;o&#58; 42&#44;20 &#177; 9&#44;97&#59; p&#243;s&#8208;interven&#231;&#227;o&#58; 45&#44;94 &#177; 8&#44;58&#59; e acompanhamento&#58; 46&#44;80 &#177; 9&#44;36&#41; ou empatia e entendimento &#40;pr&#233;&#8208;interven&#231;&#227;o&#58; 49&#44;85 &#177; 7&#44;18&#59; p&#243;s&#8208;interven&#231;&#227;o&#58; 53&#44;69 &#177; 5&#44;40&#59; e acompanhamento&#58; 52&#44;41 &#177; 8&#44;22&#41;&#46; Por fim&#44; no quarto estudo&#44; as pontua&#231;&#245;es de autoefic&#225;cia dos pais aumentaram ao longo do tempo &#40;in&#237;cio&#58; 12&#44;55 &#177; 4&#44;26&#44; p&#243;s&#8208;interven&#231;&#227;o&#58; 14&#44;96 &#177; 2&#44;70 e acompanhamento 15&#44;34 &#177; 2&#44;72&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">27</span></a></p><p id="par0160" class="elsevierStylePara elsevierViewall">Outros tr&#234;s estudos relataram uma maior autoefic&#225;cia dos pais apenas com rela&#231;&#227;o a alguns componentes espec&#237;ficos&#46; Dois deles relacionados ao controle do tempo de TV &#40;grupo de interven&#231;&#227;o&#44; pr&#233;&#8208;interven&#231;&#227;o&#58; 3&#44;93 &#177; 0&#44;81&#59; p&#243;s&#8208;interven&#231;&#227;o&#58; 4&#44;05 &#177; 0&#44;82&#41;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">28</span></a> &#40;diferen&#231;a entre grupos no p&#243;s&#8208;interven&#231;&#227;o&#58; 3&#44;32&#41;&#44;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">22</span></a> outros relacionados &#224; restri&#231;&#227;o das pr&#225;ticas de alimenta&#231;&#227;o dos pais &#40;grupo de interven&#231;&#227;o no p&#243;s&#8208;interven&#231;&#227;o&#58; &#8208;0&#44;32 &#177; 0&#44;61&#44; em compara&#231;&#227;o como grupo de controle no p&#243;s&#8208;interven&#231;&#227;o&#58; &#8208;0&#44;04 &#177; 0&#44;56&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">31</span></a> Tr&#234;s estudos n&#227;o encontraram altera&#231;&#245;es na autoefic&#225;cia dos pais<a class="elsevierStyleCrossRefs" href="#bib0350"><span class="elsevierStyleSup">20&#44;30&#44;31</span></a> e dois n&#227;o refletiram os resultados&#46;<a class="elsevierStyleCrossRefs" href="#bib0340"><span class="elsevierStyleSup">18&#44;32</span></a></p><p id="par0165" class="elsevierStylePara elsevierViewall">Quatro dos estudos avaliaram o senso de compet&#234;ncia dos pais&#46;<a class="elsevierStyleCrossRefs" href="#bib0355"><span class="elsevierStyleSup">21&#44;24&#44;26&#44;29</span></a> Apenas dois deles relataram efeitos da interven&#231;&#227;o significativos&#44; aqueles de qualidade baixa e moderada&#46; Dekovic et al&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">21</span></a> relataram pontua&#231;&#245;es mais elevadas no senso de compet&#234;ncia dos pais no grupo de interven&#231;&#227;o &#40;0&#44;01 &#177; 0&#44;01&#41; em compara&#231;&#227;o com o grupo de controle &#40;0&#44;03 &#177; 0&#44;01&#41;&#46; O estudo com apenas um grupo encontrou pontua&#231;&#245;es mais elevadas na autocompet&#234;ncia dos pais &#40;pr&#233;&#8208;interven&#231;&#227;o&#58; 47&#44;29 &#177; 7&#44;76&#59; p&#243;s&#8208;interven&#231;&#227;o&#58; 51&#44;02 &#177; 7&#44;11&#59; e acompanhamento 49&#44;86 &#177; 8&#44;93&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> Os outros dois estudos n&#227;o relataram altera&#231;&#245;es na autopercep&#231;&#227;o de compet&#234;ncia dos pais&#46;<a class="elsevierStyleCrossRefs" href="#bib0370"><span class="elsevierStyleSup">24&#44;26</span></a></p></span></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Discuss&#227;o</span><p id="par0175" class="elsevierStylePara elsevierViewall">Os resultados desta an&#225;lise sistem&#225;tica n&#227;o fornecem evid&#234;ncias de que as interven&#231;&#245;es analisadas fizeram uma diferen&#231;a significativa em termos de aprimorar a compet&#234;ncia dos pais para promo&#231;&#227;o da sa&#250;de das crian&#231;as&#46; Entretanto&#44; h&#225; v&#225;rias quest&#245;es que merecem aten&#231;&#227;o&#46; Nesta an&#225;lise&#44; pareceu haver uma tend&#234;ncia de que os estudos considerados metodologicamente consistentes n&#227;o encontrassem diferen&#231;as estatisticamente significativas nos principais resultados&#46; Isso pode ser devido parcialmente &#224; heterogeneidade das escalas usadas&#44; inclusive ferramentas n&#227;o validadas&#46; Tamb&#233;m pode ser que as interven&#231;&#245;es estivessem em seu est&#225;gio inicial de desenvolvimento&#46; Esse fato pode ter feito com que os pesquisadores se concentrassem no desenvolvimento conceitual em detrimento da qualidade metodol&#243;gica&#44; o que pode ter feito com que eles se enquadrassem no subgrupo de qualidade metodol&#243;gica moderada&#8208;baixa&#46; Um trabalho anterior indicou que isso &#233; comum e destacou a dificuldade de fazer essas interven&#231;&#245;es quando os componentes intr&#237;nsecos do indiv&#237;duo precisam primeiramente ser desenvolvidos e avaliados&#46;<a class="elsevierStyleCrossRef" href="#bib0420"><span class="elsevierStyleSup">34</span></a> Esse tipo de interven&#231;&#227;o&#44; que inclui a intera&#231;&#227;o de diversos componentes&#44; apresenta v&#225;rios desafios para os avaliadores&#44; inclusive dificuldades pr&#225;ticas e metodol&#243;gicas&#44; de acordo com a natureza das interven&#231;&#245;es complexas&#46;<a class="elsevierStyleCrossRef" href="#bib0425"><span class="elsevierStyleSup">35</span></a></p><p id="par0180" class="elsevierStylePara elsevierViewall">Estudos que avaliaram a autoefic&#225;cia dos pais forneceram detalhes limitados sobre as atividades de interven&#231;&#227;o&#46; De acordo com Bandura<a class="elsevierStyleCrossRefs" href="#bib0430"><span class="elsevierStyleSup">36&#44;37</span></a> e outros autores&#44;<a class="elsevierStyleCrossRef" href="#bib0440"><span class="elsevierStyleSup">38</span></a> para promover a autoefic&#225;cia &#233; necess&#225;rio considerar as quatro estrat&#233;gias a seguir&#58; as conquistas da execu&#231;&#227;o&#44; a experi&#234;ncia delegada&#44; a persuas&#227;o verbal e os estados fisiol&#243;gicos do indiv&#237;duo&#46; Nenhum dos estudos pareceu aplic&#225;&#8208;las&#46; A falta de explica&#231;&#227;o a respeito dos mecanismos de mudan&#231;a esperados dos indiv&#237;duos avaliados dificultou verificar se o efeito observado na autoefic&#225;cia dos pais foi uma consequ&#234;ncia direta da interven&#231;&#227;o&#46; Na avalia&#231;&#227;o da fidelidade e qualidade da implanta&#231;&#227;o&#44; esclarecer os mecanismos esperados e identificar outros fatores contextuais relevantes s&#227;o importantes aspectos para o desenvolvimento dessas interven&#231;&#245;es complexas&#44; as evid&#234;ncias dispon&#237;veis parecem limitadas nesses termos&#46;<a class="elsevierStyleCrossRef" href="#bib0445"><span class="elsevierStyleSup">39</span></a></p><p id="par0185" class="elsevierStylePara elsevierViewall">Al&#233;m disso&#44; a aus&#234;ncia de estimativas com rela&#231;&#227;o ao tamanho do efeito e a diversidade das medi&#231;&#245;es aplicadas nos estudos tornam as compara&#231;&#245;es entre os estudos desafiadoras&#46; Da mesma forma&#44; a falta de um grupo de controle adequado afeta a validade interna de alguns dos estudos inclu&#237;dos&#46;<a class="elsevierStyleCrossRefs" href="#bib0450"><span class="elsevierStyleSup">40&#44;41</span></a></p><p id="par0190" class="elsevierStylePara elsevierViewall">Outro aspecto que precisa ser destacado &#233; a conceitualiza&#231;&#227;o limitada observada em alguns dos estudos a respeito da compet&#234;ncia e das habilidades dos pais&#46; Essa &#225;rea de pesquisa pode ser considerada relativamente nova &#40;a maioria dos trabalhos inclu&#237;dos nesta an&#225;lise foi publicada nos &#250;ltimos sete anos&#41; e ainda parece n&#227;o haver um consenso sobre quais s&#227;o as habilidades necess&#225;rias para ser uma m&#227;e ou um pai competente&#46;<a class="elsevierStyleCrossRef" href="#bib0460"><span class="elsevierStyleSup">42</span></a> Isso pode explicar a variedade das habilidades abordadas nas interven&#231;&#245;es&#46; Mais especificamente&#44; a falta de teoriza&#231;&#227;o pode implicar o fato de a maioria dos estudos ter tido como foco habilidades pr&#225;ticas&#44; normalmente limitadas a recomenda&#231;&#245;es concretas sobre dieta ou exerc&#237;cios&#46; Isso&#44; al&#233;m de prejudicar a ado&#231;&#227;o de uma perspectiva global sobre a fun&#231;&#227;o dos pais e seus componentes&#44; implica que as interven&#231;&#245;es tenham tend&#234;ncia para uma metodologia informativa na qual os pais normalmente s&#227;o receptores passivos de informa&#231;&#245;es&#46;<a class="elsevierStyleCrossRefs" href="#bib0465"><span class="elsevierStyleSup">43&#44;44</span></a> H&#225; evid&#234;ncias que mostram que essa abordagem n&#227;o oferece os melhores resultados para a aquisi&#231;&#227;o de habilidades e comportamentos saud&#225;veis&#46;<a class="elsevierStyleCrossRefs" href="#bib0475"><span class="elsevierStyleSup">45&#44;46</span></a></p><p id="par0195" class="elsevierStylePara elsevierViewall">Em segundo lugar&#44; diversos estudos tiveram como base a autoefic&#225;cia dos pais ou a compet&#234;ncia percebida dos pais como um aspecto&#8208;chave de suas interven&#231;&#245;es com os pais&#46; Entretanto&#44; a falta de conceitualiza&#231;&#227;o mencionada implica que a autoefic&#225;cia dos pais e a compet&#234;ncia percebida sejam escolhidas isoladamente&#44; sem ser posicionadas em um conjunto de habilidades e sem uma estrutura que identifique um grupo de habilidades espec&#237;ficas&#46;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">8</span></a> Como resultado&#44; n&#227;o h&#225; distin&#231;&#227;o clara entre os constructos da interven&#231;&#227;o&#44; ou os termos acabaram usados indistintamente&#46; Isso pode explicar a grande variedade de ferramentas usadas&#46; Al&#233;m disso&#44; a maioria dos estudos n&#227;o usou uma avalia&#231;&#227;o objetiva&#46;<a class="elsevierStyleCrossRefs" href="#bib0370"><span class="elsevierStyleSup">24&#44;25&#44;29</span></a> Isso de acordo com investiga&#231;&#245;es anteriores&#46;<a class="elsevierStyleCrossRefs" href="#bib0485"><span class="elsevierStyleSup">47&#44;48</span></a></p><p id="par0200" class="elsevierStylePara elsevierViewall">Conforme constatado nesta an&#225;lise&#44; as pesquisas sobre compet&#234;ncia dos pais de uma perspectiva de promo&#231;&#227;o da sa&#250;de atualmente florescem&#46; Isso &#233; oportuno devido &#224; necessidade cada vez maior de auxiliar os pais&#44; em um momento em que agendas cheias&#44; demandas profissionais e sociais deixam pouco espa&#231;o para um treinamento abrangente sobre as habilidades necess&#225;rias para a parentalidade&#46;<a class="elsevierStyleCrossRef" href="#bib0495"><span class="elsevierStyleSup">49</span></a> Tamb&#233;m coincide com o alto interesse internacional no desenvolvimento de interven&#231;&#245;es de promo&#231;&#227;o da sa&#250;de com m&#250;ltiplos componentes que v&#227;o al&#233;m das mensagens tradicionais de estilo de vida saud&#225;vel e est&#227;o mais perto de atender &#224;s necessidades intr&#237;nsecas dos pais&#44; como promulgado pelo Conselho Europeu nas recomenda&#231;&#245;es e pela Sociedade Americana para o Cuidado Positivo de crian&#231;as&#46;<a class="elsevierStyleCrossRefs" href="#bib0315"><span class="elsevierStyleSup">13&#44;50</span></a> A fim de avan&#231;ar as pesquisas nessa &#225;rea&#44; h&#225; v&#225;rias quest&#245;es decorrentes desta an&#225;lise que precisam ser consideradas em futuras pesquisas&#46; S&#227;o necess&#225;rios estudos mais rigorosos para contribuir para o desenvolvimento de interven&#231;&#245;es efetivas para promover as compet&#234;ncias dos pais&#46; Antes de projetar estudos de avalia&#231;&#227;o de grande escala&#44; deve ser dada aten&#231;&#227;o &#224; identifica&#231;&#227;o cuidadosa e abrangente de modelos conceituais e mecanismos de interven&#231;&#227;o para obter um entendimento mais abrangente da interven&#231;&#227;o a ser projetada&#46; Nesse processo&#44; tamb&#233;m deve ser dada aten&#231;&#227;o a m&#233;todos de avalia&#231;&#227;o&#46; Esses m&#233;todos devem incluir uma dimens&#227;o objetiva&#44; bem como ter como foco o uso de escalas validadas para a dimens&#227;o subjetiva&#46;</p></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Conclus&#227;o</span><p id="par0205" class="elsevierStylePara elsevierViewall">At&#233; onde sabemos&#44; esta &#233; a primeira an&#225;lise de interven&#231;&#245;es de sa&#250;de com foco na compet&#234;ncia dos pais para promover estilos de vida saud&#225;veis em crian&#231;as&#44; com foco na qualidade conceitual&#46; Ao identificar a autoefic&#225;cia dos pais como um componente&#8208;chave a ser considerado nas interven&#231;&#245;es dos pais&#44; ele oferece uma s&#237;ntese das evid&#234;ncias dispon&#237;veis e uma ideia para futuras pesquisas&#44; bem como recomenda&#231;&#245;es&#46;</p><p id="par0210" class="elsevierStylePara elsevierViewall">Encontramos evid&#234;ncias inconsistentes sobre a efic&#225;cia de programas para promo&#231;&#227;o da compet&#234;ncia e das habilidades dos pais no contexto de estilos de vida saud&#225;veis das crian&#231;as&#46; Futuros estudos devem assegurar uma estrutura te&#243;rica consistente para embasar a interven&#231;&#227;o e os m&#233;todos de avalia&#231;&#227;o&#46; &#201; necess&#225;rio avan&#231;ar o conhecimento sobre estrat&#233;gias para fortalecer os pais em seu papel de promo&#231;&#227;o da sa&#250;de das crian&#231;as&#46; A compet&#234;ncia e as habilidades dos pais precisam ser ampliadas na pr&#225;tica de promo&#231;&#227;o da sa&#250;de e na agenda de pesquisas&#46; H&#225; margem para aprimorar a colabora&#231;&#227;o interdisciplinar na implanta&#231;&#227;o de programas de parentalidade positiva&#46; S&#227;o necess&#225;rias mais evid&#234;ncias sobre a autoefic&#225;cia dos pais como um elemento central no desenvolvimento das compet&#234;ncias dos pais para a promo&#231;&#227;o de estilos de vida saud&#225;veis na inf&#226;ncia&#46;</p></span><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Limita&#231;&#245;es</span><p id="par0215" class="elsevierStylePara elsevierViewall">Apesar de todos os esfor&#231;os terem sido feitos para reduzir poss&#237;veis vieses nesta an&#225;lise&#44; alguns estudos podem ter sido ignorados como resultado do filtro de pesquisa em ingl&#234;s e espanhol&#46; Al&#233;m disso&#44; devido &#224;s ferramentas de medi&#231;&#227;o de resultados divergentes e prec&#225;rias&#44; n&#227;o conseguimos sintetizar os dados quantitativamente por meio de metan&#225;lise&#46; Contudo&#44; usamos o guia CASPe para minimizar a possibilidade de vi&#233;s&#46;</p></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">Conflitos de interesse</span><p id="par0220" class="elsevierStylePara elsevierViewall">Os autores declaram n&#227;o haver conflitos de interesse&#46;</p></span></span>"
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            3 => "Health promotion"
            4 => "Systematic review"
            5 => "Parental support"
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            0 => "Parentalidade"
            1 => "Estilo de vida"
            2 => "Inf&#226;ncia"
            3 => "Promo&#231;&#227;o de sa&#250;de"
            4 => "Revis&#227;o sistem&#225;tica"
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        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To analyze the available evidence regarding the efficacy of interventions on parents whose children were aged 2&#8211;5 years to promote parental competence and skills for children&#39;s healthy lifestyles&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Source</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Articles published in English and Spanish&#44; available at PubMed&#44; Psycinfo&#44; CINAHL&#44; Web of Science&#44; Eric&#44; and Cochrane Library were reviewed&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Summary of the findings</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The literature search yielded 2282 articles&#46; Forty&#8208;one full texts were retrieved and assessed for inclusion using the PRISMA flow diagram&#46; Twenty&#8208;six articles were excluded&#44; as they did not meet the inclusion criteria&#46; In the end&#44; 15 studies were included&#46; The studies were conducted between 2003 and 2016&#44; nine in North America&#44; four in Europe&#44; and two in Asia&#46; Extracted data were synthesized in a tabular format&#46; CASPe guide was used to assess the quality of studies that was moderate overall&#46; Parental self&#8208;efficacy was the main construct assessed in most studies&#46; Four studies reported an increase in parental self&#8208;efficacy&#44; although most of them were studies without control groups&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Outcomes of interventions to improve parental competence in order to promote children&#39;s lifestyles are promising&#44; but inconsistent&#46; Additional studies with higher methodological and conceptual quality are needed&#46;</p></span>"
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            "titulo" => "Conclusions"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Analisar as evid&#234;ncias dispon&#237;veis com rela&#231;&#227;o &#224; efic&#225;cia de interven&#231;&#245;es em pais de filhos entre dois e cinco anos para promover a compet&#234;ncia e as habilidades dos pais a respeito de estilos de vida saud&#225;veis para as crian&#231;as&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Fonte</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Foram analisados artigos publicados em PubMed&#44; Psycinfo&#44; CINAHL&#44; Web of Science&#44; Eric e Biblioteca Cochrane&#46; Ingl&#234;s e espanhol&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resumo dos achados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A pesquisa da literatura encontrou 2&#46;282 artigos&#59; 41 textos completos foram selecionados e avaliados para inclus&#227;o com o fluxograma Prisma&#59; 26 artigos foram exclu&#237;dos&#44; pois n&#227;o atendiam aos crit&#233;rios de inclus&#227;o&#46; Por fim&#44; 15 estudos foram inclu&#237;dos&#46; Os estudos foram feitos entre 2003 e 2016&#46; Nove estudos foram conduzidos na Am&#233;rica do Norte&#44; quatro eram de origem europeia e dois de origem asi&#225;tica&#46; Os dados extra&#237;dos foram sintetizados em formato de tabela&#46; O guia CASPe foi usado para avaliar a qualidade dos estudos&#44; que&#44; em geral&#44; foi moderada&#46; A autoefic&#225;cia dos pais foi o principal dado avaliado na maioria dos estudos&#46; Quatro estudos relataram um aumento na autoefic&#225;cia dos pais&#44; apesar de que a maioria era de estudos sem grupo de controle&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclus&#245;es</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Os resultados de interven&#231;&#245;es para melhorar a compet&#234;ncia dos pais para promover os estilos de vida das crian&#231;as s&#227;o promissores&#44; por&#233;m incoerentes&#46; S&#227;o necess&#225;rios estudos adicionais com melhor qualidade metodol&#243;gica e conceitual&#46;</p></span>"
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            "identificador" => "abst0035"
            "titulo" => "Resumo dos achados"
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          3 => array:2 [
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            "titulo" => "Conclus&#245;es"
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        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Como citar este artigo&#58; Ruiz&#8208;Zaldibar C&#44; Serrano&#8208;Monz&#243; I&#44; Mujika A&#46; Parental competence programs to promote positive parenting and healthy lifestyles in children&#58; a systematic review&#46; J Pediatr &#40;Rio J&#41;&#46; 2018&#59;94&#58;238&#8211;50&#46;</p>"
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          "leyenda" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">AF&#44; atividade f&#237;sica&#59; GC&#42;&#44; grupo de participantes receberam o certificado&#59; ECCR&#44; ensaio cl&#237;nico controlado e randomizado&#59; GC&#44; grupo de controle&#59; HENRY&#44; Sa&#250;de&#44; Exerc&#237;cio&#44; Nutri&#231;&#227;o para os Muito Jovens&#59; GI&#44; grupo de interven&#231;&#227;o&#59; NC&#44; grupos de participantes que n&#227;o receberam o certificado&#59; OPPS&#44; preven&#231;&#227;o da obesidade e apoio &#224; parentalidade&#59; PS&#44; grupo de apoio &#224; parentalidade&#46;</p>"
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Estudo&#44; projeto e dura&#231;&#227;o da interven&#231;&#227;o<br>Pa&#237;s<br>Nome do programa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Participantes e ambiente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Caracter&#237;sticas da interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Ferramentas<br>vari&#225;veis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Resultados<a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Harvey&#8208;Berino e Rourke<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">18</span></a> &#40;2003&#41;&#58;<br>&#8226; ECCR&#44; estudo&#8208;piloto<br>&#8226; 16 semanas<br>&#8226; EUA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; PS&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>20&#59; OPPS&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>19<br>&#8226; M&#227;es de crian&#231;as entre nove meses e tr&#234;s anos<br>&#8226; Comunidade ind&#237;gena&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Dois grupos receberam 11 sess&#245;es em casa<br>&#8226; PS&#58; apoio aos pais em geral&#46; Discuss&#245;es e conversas<br>&#8226; OPPS&#58; apoio aos pais com foco na obesidade&#46; Melhoria das habilidades dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Question&#225;rio de Alimenta&#231;&#227;o da Crian&#231;a<br><br>&#8226; Pr&#225;ticas de alimenta&#231;&#227;o restritivas<br>&#8226; Autoefic&#225;cia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br>NS&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mart&#237;n et al&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> &#40;2004&#41;&#58;<br>&#8226; Ensaio cl&#237;nico<br>&#8226; Oito meses<br>&#8226; Espanha<br>&#8226; Programa de apoio pessoal e familiar &#91;<span class="elsevierStyleItalic">Programa de apoyo personal y familiar</span>&#93;<br><br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>185&#59; GC n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>155<br>&#8226; M&#227;es de crian&#231;as at&#233; cinco anos<br>&#8226; Servi&#231;os sociais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; 21 sess&#245;es em grupo com base em&#58; vida cotidiana&#44; problemas de desenvolvimento&#44; situa&#231;&#245;es que mudam a vida familiar&#44; resolu&#231;&#227;o de conflitos e resposta a situa&#231;&#245;es dif&#237;ceis&#46;<br>&#8226; Programa experimental&#44; troca com outros pais<br>&#8226; GC&#58; sem interven&#231;&#227;o&#44; trabalho habitual&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">A&#231;&#227;o pessoal<br>&#8226; Autoefic&#225;cia<br>&#8226; Controle interno<br>&#8226; Acordo conjugal<br>&#8226; Dificuldade nos pap&#233;is&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br>&#8722;<br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Ayala et al&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">20</span></a> &#40;2010&#41;&#58;<br>&#8226; ECCR<br>&#8226; Sete meses<br>&#8226; EUA<br>&#8226; <span class="elsevierStyleItalic">Aventuras para Ni&#241;os</span> &#91;Aventuras para crian&#231;as&#93;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Micro&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>200&#59; Macro&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>214&#59; Macro<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>Micro&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>165&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>227<br>&#8226; Pais de crian&#231;as em idade pr&#233;&#8208;escolar<br>&#8226; Escolas e pr&#233;&#8208;escolas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Micro&#58; receberam a interven&#231;&#227;o em casa<br>&#8226; Macro&#58; foco em mudan&#231;as de ambiente e f&#237;sicas no envolvimento com a escola e a comunidade<br>&#8226; Macro<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>micro&#58; receberam a interven&#231;&#227;o em casa e mudan&#231;as no ambiente<br>&#8226; GC&#58; sem interven&#231;&#227;o&#44; trabalho habitual<br>&#8226; Apoio informativo&#44; instrumental e emocional<br>&#8226; Fornece materiais educacionais para melhorar estilos de vida saud&#225;veis<br>&#8226; Informa&#231;&#245;es sobre dieta&#44; tempo de TV e jogos ativos<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Autoefic&#225;cia percebida<br>&#8226; Controle de dieta e exerc&#237;cios<br>&#8226; Refor&#231;o da dieta e exerc&#237;cios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8722;<br>NS<br>NS<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Dekovic et al&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">21</span></a> &#40;2010&#41;&#58;<br>&#8226; Estudo quase&#8208;experimental<br>&#8226; Pa&#237;ses Baixos<br>&#8226; Home&#8208;Start<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>66&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>58<br>&#8226; M&#227;es de crian&#231;as com menos de seis anos<br>&#8226; Centros Home&#8208;Start&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; visitas domiciliares<br>&#8226; Apoio informativo &#40;ajudar a m&#227;e a encontrar servi&#231;os comunit&#225;rios&#41;&#44; instrumental &#40;servi&#231;o de bab&#225;&#41; e emocional &#40;ouvir os problemas da m&#227;e&#41;<br>&#8226; GC&#58; sem interven&#231;&#227;o&#44; trabalho habitual<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#205;ndice da Escala de Parentalidade<br>&#8226; Senso de compet&#234;ncia<br>Question&#225;rio de Parentalidade de Nijmegen<br>&#8226; Apoio &#224; parentalidade<br>Invent&#225;rio de Dimens&#245;es da Parentalidade<br>&#8226; Disciplina in&#225;bil&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Davison et al&#46;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">22</span></a> &#40;2011&#41;&#58;<br>&#8226; Estudo quase&#8208;experimental&#44; piloto<br>&#8226; EUA<br>&#8226; Fam&#237;lias ativas &#91;<span class="elsevierStyleItalic">Active families</span>&#93;<br><br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>442&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>398<br>&#8226; Fam&#237;lias com crian&#231;as entre dois e cinco anos<br>&#8226; Cl&#237;nica WIC<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; calend&#225;rios com informa&#231;&#245;es sobre recursos locais para atividade f&#237;sica &#40;eventos da comunidade&#44; mapas&#44; parques e parques infantis&#44; custos e instala&#231;&#245;es&#41;<br>&#8226; GC&#58; sem grupo de compara&#231;&#227;o equivalente&#44; sem interven&#231;&#227;o<br>&#8226; O programa de Fam&#237;lias Ativas &#233; parte do programa de Mulheres&#44; Neonatos e Crian&#231;as &#40;WIC&#41; que promove sa&#250;de e nutri&#231;&#227;o em fam&#237;lias com crian&#231;as em idade pr&#233;&#8208;escolar&#46;<br>&#8226; Antes da interven&#231;&#227;o&#44; um grupo focal foi feito para estudar as percep&#231;&#245;es dos pais sobre locais para praticar esportes na comunidade<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Pais confiantes nos limites da TV<br>&#8226; Pais confiantes em incentivar a AF&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&#47;&#8722;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sweitzer et al&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">23</span></a> &#40;2011&#41;&#58;<br>&#8226; Quase&#8208;experimental<br>&#8226; Cinco semanas<br>&#8226; EUA<br>&#8226; Almo&#231;o na mochila &#91;<span class="elsevierStyleItalic">Lunch is in the bag</span>&#93;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>81&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>51<br>&#8226; Pais de crian&#231;as entre tr&#234;s e cinco anos<br>&#8226; Centros de atendimento&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; atividades educacionais e motivacionais em comportamentos que apoiam refei&#231;&#245;es trazidas de casa&#46;<br>&#8226; Comunica&#231;&#227;o&#44; curr&#237;culo da classe e log&#237;stica do hor&#225;rio de buscar a crian&#231;a<br>&#8226; Construir componentes de rela&#231;&#245;es<br>&#8226; GC&#58; sem interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Expectativas de resultado em cereais integrais<br>&#8226; Normas subjetivas&#58; frutas&#44; cereais integrais e verduras<br>&#8226; Controle percebido&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br>&#8722;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Kennett e Chislett<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">24</span></a> &#40;2012&#41;&#58;<br>&#8226; Estudo quase&#8208;experimental&#44; piloto<br>&#8226; 12 semanas<br>&#8226; Canad&#225;<br>&#8226; Programa de Parentalidade Ningu&#233;m &#233; Perfeito &#91;<span class="elsevierStyleItalic">Nobody&#39;s Perfect</span>&#93;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GC&#42;&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>39&#59; NC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>34<br>&#8226; Pais de crian&#231;as com menos de cinco anos<br>&#8226; Comunidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GC&#42;&#58; sess&#245;es informativas em grupo<br>&#8226; Aprendizagem cooperativa&#58; discuss&#245;es em grupo&#44; compartilhamento de pensamentos e experi&#234;ncias<br>&#8226; Habilidades pr&#225;ticas<br>&#8226; Atividades de resolu&#231;&#227;o de problemas&#44; aprendizagem e constru&#231;&#227;o do conhecimento<br>&#8226; Materiais educacionais<br>&#8226; NC&#58; n&#227;o receberam o certificado porque n&#227;o compareceram &#224;s sess&#245;es&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Escala de Senso de Compet&#234;ncia dos Pais<br>&#8226; Senso de efic&#225;cia<br>&#8226; Senso de satisfa&#231;&#227;o<br>Escala de Efic&#225;cia dos Pais<br>&#8226; Efic&#225;cia dos pais<br>Escala de Desenvoltura dos Pais<br>&#8226; Desenvoltura da parentalidade<br>Escala de Intera&#231;&#227;o entre Pais e Filhos<br>&#8226; Parentalidade Afetiva&#47;positiva<br>&#8226; Parentalidade sem raiva&#47;n&#227;o punitiva<br>&#8226; Efic&#225;cia na rela&#231;&#227;o com a crian&#231;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><br>&#8722;<br>&#8722;<br><br>&#8722;<br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br>&#8722;<br><br>&#8722;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Lohse et al&#46;<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">25</span></a> &#40;2012&#41;&#58;<br>&#8226; Interven&#231;&#227;o de estudo descritiva<br>&#8226; Programa atualmente dispon&#237;vel virtualmente<br>&#8226; EUA<br>&#8226; Hora de Comer &#233; Hora da Fam&#237;lia &#91;<span class="elsevierStyleItalic">Mealtime is Family Time</span>&#93;<br><br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>147<br>&#8226; Pais de crian&#231;as entre dois e cinco anos<br>&#8226; Centros de atendimento&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; plataforma em website<br>&#8226; 17 slides sobre&#58; modelagem de pap&#233;is&#44; dieta&#44; comportamentos alimentares e de culin&#225;ria&#44; autonomia da crian&#231;a e lideran&#231;a dos pais<br>&#8226; Dois grupos focais ap&#243;s a interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Alimentando Seu Filho&#46;<br>Grupo focal&#44; transcri&#231;&#227;o e an&#225;lise&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">&#216;stbye et al&#46;<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">26</span></a> &#40;2012&#41;&#58;<br>&#8226; ECCR<br>&#8226; Oito meses<br>&#8226; EUA<br>&#8226; Crian&#231;as e Adultos Agora &#8211; Vencendo a Obesidade&#33; &#91;<span class="elsevierStyleItalic">Kids and Adults Now &#8211; Defeat Obesity&#33;</span>&#93;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>200&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>200<br>&#8226; M&#227;es de crian&#231;as entre dois e cinco anos<br>&#8226; Recrutadas ap&#243;s o parto&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; receberam e&#8208;mails com informa&#231;&#245;es&#44; sess&#245;es de coaching de 20&#8208;30 minutos por telefone com t&#233;cnicas de entrevista motivacionais&#44; autoefic&#225;cia e barreiras &#224; mudan&#231;a e uma sess&#227;o em grupo semiestruturada para refor&#231;o nutricional<br>&#8226; Informa&#231;&#245;es e instru&#231;&#245;es em estilos e habilidades de parentalidade&#44; gest&#227;o de estresse&#44; comportamentos saud&#225;veis&#44; rotinas&#44; ambiente domiciliar&#44; modelagem de pap&#233;is e estilos de alimenta&#231;&#227;o<br>&#8226; GC&#58; receberam uma carta por m&#234;s&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#205;ndice de Estresse dos Pais<br>&#8226; Compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br>&#8722;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Willis et al&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">27</span></a> &#40;2014&#41;&#58;<br>&#8226; Estudo intervencionista<br>&#8226; Oito semanas<br>&#8226; RU<br>&#8226; HENRY<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>60<br>&#8226; Fam&#237;lias de crian&#231;as em idade pr&#233;&#8208;escolar &#40;m&#233;dia 3&#44;32 DP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>4&#44;04&#44; 22&#37; com menos de 12 meses&#41;<br>&#8226; Centros Infantis&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; receberam diferentes sess&#245;es de tempo para a fam&#237;lia e tempo para os pais<br>&#8226; Tempo para a fam&#237;lia&#58; pais e crian&#231;as comem lanches saud&#225;veis e jogam jogos ativos<br>&#8226; Tempo para os pais&#58; sess&#245;es em grupo que exploram t&#243;picos dos pais &#40;habilidades de parentalidade&#44; tamanho das por&#231;&#245;es&#44; atividade f&#237;sica e jogos&#41;<br>&#8226; Sess&#245;es com base no compartilhamento de ideias e em estrat&#233;gias para apoiar as mudan&#231;as&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Medi&#231;&#227;o da Autoa&#231;&#227;o dos Pais<br>&#8226; Autoefic&#225;cia dos pais<br>&#8226; Estabelecimento de limites&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Jurkowski et al&#46;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">28</span></a> &#40;2014&#41;&#58;<br>&#8226; Estudo&#8208;piloto<br>&#8226; Seis semanas<br>&#8226; EUA<br>&#8226; <span class="elsevierStyleItalic">Head Start</span><br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>154<br>&#8226; Pais de crian&#231;as entre dois e cinco anos<br>&#8226; Centros Head Start<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; Os pais foram treinados como cofacilitadores do programa e conduziram sess&#245;es<br>&#8226; As sess&#245;es inclu&#237;am&#58; sess&#245;es de caf&#233; familiares com um especialista em nutri&#231;&#227;o e seis sess&#245;es em grupo que abordaram as necessidades pr&#225;ticas dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; Autoefic&#225;cia dos pais&#58; dieta&#44; peso&#44; TV<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&#47;&#8722;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Enebrink et al&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> &#40;2015&#41;&#58;<br>&#8226; Estudo piloto<br>&#8226; 4 sess&#245;es<br>&#8226; Su&#233;cia<br>&#8226; ABC para os pais<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>104<br>&#8226; Pais de crian&#231;as entre 2 e 12 anos &#40;63&#44;5&#37; de 2 a 6 anos&#41;<br>&#8226; Centros de Atendimento&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; receberam sess&#245;es em grupo sobre parentalidade positiva<br>&#8226; Sess&#245;es psicoeducacionais e experimentais<br>&#8226; Desempenho de pap&#233;is e discuss&#227;o de situa&#231;&#245;es<br>&#8226; Acesso ao website&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Ferramenta para medir a autoefic&#225;cia dos pais<br>&#8226; Empatia&#47;Entendimento<br>&#8226; Orienta&#231;&#245;es<br>&#8226; Regras&#47;Disciplina<br>&#8226; Autocompet&#234;ncia<br>&#8226; Conhecimento&#47;Experi&#234;ncia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span><br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Leung et al&#46;<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">30</span></a> &#40;2014&#41;&#58;<br>&#8226; ECCR<br>&#8226; 20 sess&#245;es<br>&#8226; Hong Kong<br>&#8226; Programa de Visitas Domiciliares<br>&#91;<span class="elsevierStyleItalic">Healthy Start</span>&#93;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>84&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>107<br>&#8226; Pais de crian&#231;as em idade pr&#233;&#8208;escolar &#40;m&#233;dia 3&#44;77 DP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;72 anos no grupo de controle e 3&#44;78 DP<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;75 anos no grupo de interven&#231;&#227;o&#41;<br>&#8226; Pr&#233;&#8208;escolas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; 20 sess&#245;es que abrangeram estrat&#233;gias para promover o desenvolvimento da crian&#231;a na sa&#250;de f&#237;sica&#44; &#225;reas cognitivas e psicossociais<br>&#8226; Desempenho de pap&#233;is e minipalestras<br>&#8226; Atividades a serem feitas com os filhos<br>&#8226; Visitas domiciliares<br>&#8226; Materiais educacionais<br>&#8226; GC&#58; conversas com os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#205;ndice de Estresse dos Pais<br>&#8226; Estresse dos Pais<br>Escala de Autoefic&#225;cia Geral<br>&#8226; Autoefic&#225;cia<br>Question&#225;rio de Apoio Social Funcional Duke&#8208;UNC<br>&#8226; Apoio Social&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br>&#8722;<br><br>&#8722;<br><br>&#8722;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Haines et al&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">31</span></a> &#40;2016&#41;&#58;<br>&#8226; ECCR<br>&#8226; Nove semanas<br>&#8226; EUA<br>&#8226; Pais e Filhos Juntos &#91;<span class="elsevierStyleItalic">Parents and Tots Together</span>&#93;<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>56&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>56<br>&#8226; Fam&#237;lias com crian&#231;as entre dois e cinco anos<br>&#8226; Centros de Sa&#250;de Comunit&#225;ria&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; interven&#231;&#227;o para preven&#231;&#227;o da obesidade com base familiar por meio de sess&#245;es em grupo<br>&#8226; Material educacional<br>&#8226; Manual e DVD<br>&#8226; Li&#231;&#227;o de casa<br>&#8226; GC&#58; foram enviados materiais educacionais publicamente dispon&#237;veis sobre promo&#231;&#227;o da sa&#250;de&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Question&#225;rio de Parentalidade&#59; Question&#225;rio de Cuidado da Crian&#231;a<br>Autoefic&#225;cia dos pais&#58;<br>&#8226; Confian&#231;a na parentalidade em geral<br>&#8226; Pr&#225;ticas de parentalidade em geral&#58; afetividade<br>&#8226; Disciplina<br>&#8226; Restri&#231;&#227;o de pr&#225;ticas de alimenta&#231;&#227;o dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><br><br>&#8722;<br><br>&#8722;<br><br>&#8722;<br><span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Khowaja et al&#46;<a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">32</span></a> &#40;2016&#41;&#58;<br>&#8226; Ensaio cl&#237;nico&#44; estudo piloto<br>&#8226; Seis semanas<br>&#8226; Paquist&#227;o<br>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>30&#59; GC&#58; n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>30<br>&#8226; M&#227;es de crian&#231;as entre dois e cinco anos<br>&#8226; Centros de sa&#250;de da fam&#237;lia&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8226; GI e GC&#58; discuss&#227;o em grupo&#44; autorreflex&#227;o&#44; desempenho de pap&#233;is&#44; v&#237;deos<br>&#8226; GI&#58; sess&#245;es em grupo com foco em habilidades de parentalidade positiva com um guia de parentalidade<br>&#8226; GC&#58; educa&#231;&#227;o de sa&#250;de para educa&#231;&#227;o dos filhos no dia a dia e pr&#225;ticas de cuidado&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Escala de Parentalidade<br>&#8226; Laxismo<br>&#8226; Super&#8208;reatividade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NS&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Harvey&#8208;Berino e Rourke<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">18</span></a> &#40;2003&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Mart&#237;n et al&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> &#40;2004&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Ayala et al&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">20</span></a> &#40;2010&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Dekovic et al&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">21</span></a> &#40;2010&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Davison et al&#46;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">22</span></a> &#40;2011&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre habilidades dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou teorias com base em habilidades ou compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top">Estilos de vida&#58;</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Dieta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Exerc&#237;cio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Tempo de tela&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na promo&#231;&#227;o da sa&#250;de da crian&#231;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na parentalidade positiva&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre estilos de parentalidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu ambos os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu escolas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou sess&#245;es em grupo para os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incentivou o desenvolvimento de atividades familiares em casa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados objetivamente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados subjetivamente pela percep&#231;&#227;o dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Sweitzer et al&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">23</span></a> &#40;2011&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Kennett e Chislett<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">24</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Lohse et al&#46;<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">25</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">&#216;stbye et al&#46;<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">26</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Willis et al&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">27</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre habilidades dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou teorias com base em habilidades ou compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top">Estilos de vida&#58;</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Dieta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Exerc&#237;cio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Tempo de tela&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na promo&#231;&#227;o da sa&#250;de da crian&#231;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na parentalidade positiva&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre estilos de parentalidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu ambos os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu escolas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou sess&#245;es em grupo para os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incentivou o desenvolvimento de atividades familiares em casa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="" valign="top">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados objetivamente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados subjetivamente pela percep&#231;&#227;o dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
              ]
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                0 => "xTab1745602.png"
              ]
            ]
            2 => array:2 [
              "tabla" => array:1 [
                0 => """
                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Jurkowski et al&#46;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">28</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Enebrink et al&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> &#40;2015&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Leung et al&#46;<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">30</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Haines et al&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">31</span></a> &#40;2016&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Khowaja et al&#46;<a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">32</span></a> &#40;2016&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre habilidades dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou teorias com base em habilidades ou compet&#234;ncia dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="table-entry  " colspan="6" align="left" valign="top"><span class="elsevierStyleItalic">Estilos de vida&#58;</span></td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Dieta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Exerc&#237;cio&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top"><span class="elsevierStyleHsp" style=""></span>&#8208;Tempo de tela&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na promo&#231;&#227;o da sa&#250;de da crian&#231;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Foco na parentalidade positiva&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Falou sobre estilos de parentalidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu ambos os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incluiu escolas&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Usou sess&#245;es em grupo para os pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Incentivou o desenvolvimento de atividades familiares em casa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados objetivamente&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top"><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">X&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Avaliados subjetivamente pela percep&#231;&#227;o dos pais&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">&#8730;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="table-head ; entry_with_role_rowhead " align="left" valign="top" scope="col">Estudos&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " colspan="3" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Quest&#245;es eliminat&#243;rias</th><th class="td" title="table-head  " colspan="2" align="center" valign="top" scope="col" style="border-bottom: 2px solid black">Quest&#245;es detalhadas</th><th class="td" title="table-head  " align="left" valign="top" scope="col">Qualidade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr><tr title="table-row"><th class="td" title="table-head  " align="" valign="top" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">O estudo teve como base uma quest&#227;o claramente definida&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">A sele&#231;&#227;o dos participantes foi aleat&#243;ria&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Todos os participantes foram adequadamente considerados at&#233; o fim do estudo&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Os grupos eram semelhantes no in&#237;cio do ensaio cl&#237;nico&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Os grupos s&#227;o tratados igualmente&#63;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th><th class="td" title="table-head  " align="left" valign="top" scope="col" style="border-bottom: 2px solid black">Baixa<br>Moderada<br>Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Harvey&#8208;Berino e Rourke<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">18</span></a> &#40;2003&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim &#40;dados n&#227;o constam&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Mart&#237;n et al&#46;<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">19</span></a> &#40;2004&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Ayala et al&#46;<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">20</span></a> &#40;2010&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o consta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Dekovic et al&#46;<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">21</span></a> &#40;2010&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o consta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Baixa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Davison et al&#46;<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">22</span></a> &#40;2011&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Baixa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Sweitzer et al&#46;<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">23</span></a> &#40;2011&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&#44; centros aleat&#243;rios&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim &#40;dados n&#227;o constam&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o consta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Kennett e Chislett<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">24</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&#44; exceto o n&#237;vel de escolaridade&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Baixa&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Lohse et al&#46;<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">25</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">&#216;stbye et al&#46;<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">26</span></a> &#40;2012&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Willis et al&#46;<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">27</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Jurkowski et al&#46;<a class="elsevierStyleCrossRef" href="#bib0390"><span class="elsevierStyleSup">28</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Enebrink et al&#46;<a class="elsevierStyleCrossRef" href="#bib0395"><span class="elsevierStyleSup">29</span></a> &#40;2015&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">NA&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Leung et al&#46;<a class="elsevierStyleCrossRef" href="#bib0400"><span class="elsevierStyleSup">30</span></a> &#40;2014&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&#44; escolas aleat&#243;rias&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&#44; exceto visitas hospitalares e status do n&#250;cleo familiar antes da interven&#231;&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Haines et al&#46;<a class="elsevierStyleCrossRef" href="#bib0405"><span class="elsevierStyleSup">31</span></a> &#40;2016&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Alta&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="table-entry ; entry_with_role_rowhead " align="left" valign="top">Khowaja et al&#46;<a class="elsevierStyleCrossRef" href="#bib0410"><span class="elsevierStyleSup">32</span></a> &#40;2016&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">N&#227;o&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&#44; exceto renda mensal&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Sim&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="table-entry  " align="left" valign="top">Moderada&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
                  """
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          "pt" => "<p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">Qualidade do estudo com base no guia CASPe</p>"
        ]
      ]
    ]
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