Understanding, comparing and learning from the four EPOCH early childhood obesity prevention interventions: A multi‐methods study

Autor: Robyn Perlstein, Chelsea E Mauch, Lisa M. Askie, Brittany J. Johnson, Rebecca K. Golley, Karen Wardle, Rachael W. Taylor, Seema Mihrshahi, Lynne Daniels, Rebecca Byrne, Karen J. Campbell, Kylie E Hunter, Li Ming Wen, Anna Lene Seidler, Sarah Taki, Julie Lawrence, Mahalakshmi Ekambareshwar
Rok vydání: 2020
Předmět:
Male
0301 basic medicine
Health Knowledge
Attitudes
Practice
Pediatric Obesity
obesity
Applied psychology
Psychological intervention
030209 endocrinology & metabolism
prospective meta-analysis
Childhood obesity
03 medical and health sciences
Social support
0302 clinical medicine
behaviour change techniques
Behavior Therapy
Pregnancy
Intervention (counseling)
medicine
Humans
early prevention
Early childhood
030109 nutrition & dietetics
Nutrition and Dietetics
business.industry
Health Policy
Australia
Infant
Newborn
Public Health
Environmental and Occupational Health
Stakeholder
Infant
Social Support
Behavior change methods
medicine.disease
Delivery mode
Child
Preschool
Pediatrics
Perinatology and Child Health
1114 Paediatrics and Reproductive Medicine
Female
business
childhood obesity
New Zealand
Zdroj: Pediatric Obesity
ISSN: 2047-6310
2047-6302
Popis: BACKGROUND : Childhood obesity is a global problem. Early obesity prevention interventions are complex and differ in effectiveness. Novel frameworks, taxonomies and experience from the Early Prevention of Obesity in CHildren (EPOCH) trials were applied to unpack interventions. OBJECTIVES : Deconstruct interventions into their components (target behaviours, delivery features and behaviour change techniques [BCTs]). Identify lessons learned and future recommendations for intervention planning, delivery, evaluation and implementation. METHODS : This multi-methods study deconstructed the four EPOCH interventions into target behaviours, delivery features and BCTs from unpublished and published materials using systematic frameworks. Additionally, semi-structured interviews were conducted with intervention facilitators and principal investigators. RESULTS : Each trial targeted between 10 and 14 obesity-related behaviours. Key variations in delivery features related to intensity, delivery mode and tailoring. BCTs consistently used across trials included goal-setting, social support, shaping knowledge, role-modelling and credible source. Recommendations from interview analyses include the importance of stakeholder collaboration and consideration of implementation throughout the study process. CONCLUSIONS : The combination of frameworks, methodologies and interviews used in this study is a major step towards understanding complex early obesity prevention interventions. Future work will link systematic intervention deconstruction with quantitative models to identify which intervention components are most effective and for whom.
Databáze: OpenAIRE
Externí odkaz: