scholarly journals Practicalities and Research Considerations for Conducting Childhood Obesity Prevention Interventions with Families

Children ◽  
2016 ◽  
Vol 3 (4) ◽  
pp. 24 ◽  
Author(s):  
Philip Morgan ◽  
Rachel Jones ◽  
Clare Collins ◽  
Kylie Hesketh ◽  
Myles Young ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Obesity Prevention ◽  
Childhood Obesity Prevention ◽  
Prevention Interventions

scholarly journals Health professional-delivered obesity prevention interventions during the first 1,000 days: A systematic review of external validity reporting

2019 ◽  
Vol 2 ◽  
pp. 14
Author(s):  
Marita Hennessy ◽  
Caroline Heary ◽  
Rachel Laws ◽  
Luke Van Rhoon ◽  
Elaine Toomey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Health Professionals ◽  
External Validity ◽  
Assessment Tool ◽  
Scale Up ◽  
Childhood Obesity Prevention ◽  
Five Dimensions ◽  
Prevention Interventions

Background: Childhood obesity prevention interventions delivered by health professionals during the first 1,000 days show some evidence of effectiveness, particularly in relation to behavioural outcomes. External validity refers to how generalisable interventions are to populations or settings beyond those in the original study. The degree to which external validity elements are reported in such studies is unclear however. This systematic review aimed to determine the extent to which childhood obesity interventions delivered by health professionals during the first 1,000 days report on elements that can be used to inform generalizability across settings and populations. Methods: Eligible studies meeting study inclusion and exclusion criteria were identified through a systematic review of 11 databases and three trial registers. An assessment tool based on the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework was used to assess the external validity of included studies. It comprised five dimensions: reach and representativeness of individuals, reach and representativeness of settings, implementation and adaptation, outcomes for decision making maintenance and/or institutionalisation. Two authors independently assessed the external validity of 20% of included studies; discrepancies were resolved, and then one author completed assessments of the remaining studies. Results: In total, 39 trials involving 46 interventions published between 1999 and 2019 were identified. The majority of studies were randomized controlled trials (n=24). Reporting varied within and between dimensions. External validity elements that were poorly described included: representativeness of individuals and settings, treatment receipt, intervention mechanisms and moderators, cost effectiveness, and intervention sustainability and acceptability. Conclusions: Our review suggests that more emphasis is needed on research designs that consider generalisability, and the reporting of external validity elements in early life childhood obesity prevention interventions. Important gaps in external validity reporting were identified that could facilitate decisions around the translation and scale-up of interventions from research to practice. Registration: PROSPERO CRD42016050793 03/11/16

scholarly journals Coalition-Committees as Network Interventions: Baseline Network Composition in Context of Childhood Obesity Prevention Interventions

Systems ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 66
Author(s):  
Travis R. Moore ◽  
Mark C. Pachucki ◽  
Larissa Calancie ◽  
Ariella R. Korn ◽  
Erin Hennessy ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Obesity Prevention ◽  
Community Coalitions ◽  
Childhood Obesity Prevention ◽  
Cross Sectional ◽  
Contextual Understanding ◽  
The Social ◽  
Prevention Interventions ◽  
Network Composition ◽  
Committee Network

Community coalitions can address local issues with deep, historic, and contextual understanding that enables customized implementation of evidence-based strategies. The individuals within the coalition, their partnerships, and the social context is likely an important component of unraveling the challenges of implementation so interventions reach people in need. We focus on the relevance of baseline coalition-committee network (CCN), the networks of purposely formed subcommittees within community coalitions, structure as one of the moderating, theoretical links between community coalition social networks and intervention success. We explore the baseline composition and characteristics of five CCNs at the beginning of childhood obesity prevention interventions. Using a combination of social network, multidimensional scaling, and correspondence analyses, we examine the structure and heterogeneity of five CCNs, each consisting of a core group of stakeholders in the coalition and sometimes the broader community itself. Cross-sectional analyses are used to examine the composition of coalition-committees related to network density, centralization, hierarchy, and coalition demographics and characteristics. Results indicate that CCNs are patterned in their structure and characteristics, and we discuss whether adjustments to childhood obesity prevention interventions according to baseline structure and characteristics could be advantageous for intervention implementation. Together, these findings can inform future longitudinal investigations into CCN network structure.

scholarly journals Process evaluations of early childhood obesity prevention interventions delivered via telephone or text messages: a systematic review

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Mahalakshmi Ekambareshwar ◽  
Swathi Ekambareshwar ◽  
Seema Mihrshahi ◽  
Li Ming Wen ◽  
Louise A. Baur ◽  
...  
Keyword(s):  
Qualitative Research ◽  
Early Childhood ◽  
Childhood Obesity ◽  
Process Evaluation ◽  
Obesity Prevention ◽  
Text Messages ◽  
Risk Of Bias ◽  
Childhood Obesity Prevention ◽  
Prevention Interventions ◽  
Early Childhood Obesity

Abstract Background Increasingly, public health interventions are delivered via telephone and/or text messages. Recent systematic reviews of early childhood obesity prevention interventions have not adequately reported on the way interventions are delivered and the experiences/perceptions of stakeholders. We aimed to summarise the literature in early childhood obesity prevention interventions delivered via telephone or text messages for evidence of application of process evaluation primarily to evaluate stakeholders’ acceptability of interventions. Methods A systematic search of major electronic databases was carried out using the Population, Intervention, Comparison, Outcomes framework. Studies were included if interventions were delivered via telephone/text messages; aimed at changing caregivers’ behaviours to prevent early childhood obesity; with one or more outcomes related to early obesity risk factors such as breastfeeding, solid feeding, tummy time, sleep and settling, physical activity and screen time; published from inception to May 2020. All eligible studies were independently assessed by two reviewers using the Cochrane Collaboration tool for assessing risk of bias. Qualitative studies were assessed using the Consolidated Criteria for Reporting Qualitative Research and Standards for Reporting Qualitative Research tools. Results Twenty-four studies were eligible, and the overall risk of bias was low. Eight studies (33%) had evidence of process evaluation that examined participants’ perceptions of interventions. Participants appreciated the convenience of receiving interventions via telephone or text messages. 63% of all studies in this review showed improvement in one or more behaviours related to childhood obesity prevention. Participants were likely to modify behaviours if they received information from a credible source such as from health professionals. Conclusion There is limited reporting of stakeholders’ experiences in early obesity prevention studies delivered by telephone or text messages. Only one-third of studies examined participants’ acceptability and the potential for delivery of childhood obesity prevention interventions conveniently using this mode of delivery. Interventions delivered remotely via telephone or text messages have the potential to reach equal or a greater number of participants than those delivered via face-to-face methods. Future research should build in process evaluation alongside effectiveness measurements to provide important insight into intervention reach, acceptability and to inform scale up. Trial registration PROSPERO registration: CRD42019108658

scholarly journals Health professional-delivered obesity prevention interventions during the first 1,000 days: A systematic review of external validity reporting

2019 ◽  
Vol 2 ◽  
pp. 14
Author(s):  
Marita Hennessy ◽  
Caroline Heary ◽  
Rachel Laws ◽  
Luke Van Rhoon ◽  
Elaine Toomey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Health Professionals ◽  
External Validity ◽  
Assessment Tool ◽  
Scale Up ◽  
Childhood Obesity Prevention ◽  
Five Dimensions ◽  
Prevention Interventions

Background: Childhood obesity prevention interventions delivered by health professionals during the first 1,000 days of life show some evidence of effectiveness, particularly in relation to behavioural outcomes. External validity refers to how generalisable interventions are to populations or settings beyond those in the original study. The degree to which external validity elements are reported in such studies is unclear however. This systematic review aimed to determine the extent to which childhood obesity interventions delivered by health professionals during the first 1,000 days report on elements that can be used to inform generalizability across settings and populations. Methods: Eligible studies meeting study inclusion and exclusion criteria were identified through a systematic review of 11 databases and three trial registers. An assessment tool based on the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework was used to assess the external validity of included studies. It comprised five dimensions: reach and representativeness of individuals, reach and representativeness of settings, implementation and adaptation, outcomes for decision making maintenance and/or institutionalisation. Two authors independently assessed the external validity reporting of 20% of included studies; discrepancies were resolved, and then one completed assessments of the remaining studies. Results: In total, 39 trials involving 46 interventions published between 1999 and 2019 were identified. The majority of studies were randomized controlled trials (n=24). Reporting varied within and between dimensions. External validity elements that were poorly described included: representativeness of individuals and settings, treatment receipt, intervention mechanisms and moderators, cost effectiveness, and intervention sustainability and acceptability. Conclusions: Our review suggests that more emphasis is needed on research designs that consider generalisability, and the reporting of external validity elements in early life childhood obesity prevention interventions. Important gaps in external validity reporting were identified that could facilitate decisions around the translation and scale-up of interventions from research to practice.

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