Healthy Eating and Active Living (HEAL): Feasibility and Acceptability of
                        Implementing School-based Intervention to Control Childhood Overweight and
                        Obesity in Urban Area of Bangladesh

Previously we have shown that our Healthy Eating Decisions school-based intervention can influence students’ selections of the healthiest foods available in their elementary school cafeterias through positive reinforcement techniques. Although effective, we recognized that students were missing fundamental nutrition knowledge necessary to understand why the Healthy Eating Decisions program identified particular beverages and foods as the healthiest in the cafeteria. Therefore, we developed the Boss’ Healthy Buddies nutrition education resource as a freely available curriculum matched with South Carolina education standards and designed for elementary school students from kindergarten through fourth grade. The current study implemented Boss’ Healthy Buddies and compared its efficacy to a commercially available nutrition program, CATCH. Elementary school students in Spartanburg, South Carolina, received weekly twenty-minute Boss’ Healthy Buddies lessons for eight weeks. Results from preassessment and postassessment surveys were compared with a positive control elementary school using the CATCH program and a negative control school receiving no nutrition education. Results show that Boss’ Healthy Buddies was equally effective as the CATCH program in improving the nutrition attitudes regarding healthiest beverages and food selections with the advantage of being freely available and minimizing the impact on classroom instruction time. In order to reduce most effectively the high prevalence of childhood overweight and obesity, it is crucial that children are taught nutrition education to support healthy eating habits at an early age. Both the Healthy Eating Decisions school-based intervention and the Boss’ Healthy Buddies nutrition education program are available online for use as free resources to aid in reducing childhood overweight and obesity within elementary schools.

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School based prevention and management of childhood overweight and obesity

Journal of Obesity & Weight loss Therapy ◽

10.4172/2165-7904-c1-051 ◽

2017 ◽

Vol 07 (06) ◽

Author(s):

Daniel W Jones

Keyword(s):

Childhood Overweight ◽

Overweight And Obesity ◽

School Based ◽

Childhood Overweight And Obesity

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Effectiveness of parent-centred interventions for the prevention and treatment of childhood overweight and obesity in community settings: A Systematic Review.

The JBI Database of Systematic Reviews and Implementation Reports ◽

10.11124/01938924-201008161-00003 ◽

2010 ◽

Vol 8 (Supplement) ◽

pp. 1-12

Author(s):

James Bray ◽

Clare Collins ◽

Philip Morgan ◽

Tracy Burrows

Keyword(s):

Systematic Review ◽

Childhood Overweight ◽

Overweight And Obesity ◽

Community Settings ◽

Childhood Overweight And Obesity ◽

Prevention And Treatment

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OP55 Childhood overweight and obesity at the start of primary school: external validation of pregnancy and early-life prediction models

10.1136/jech-2020-ssmabstracts.54 ◽

2020 ◽

Author(s):

N Ziauddeen ◽

PJ Roderick ◽

G Santorelli ◽

J Wright ◽

NA Alwan

Keyword(s):

Primary School ◽

Early Life ◽

Life Prediction ◽

Prediction Models ◽

External Validation ◽

Childhood Overweight ◽

Overweight And Obesity ◽

Childhood Overweight And Obesity

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Tracking implementation within a community-led whole of system approach to address childhood overweight and obesity in south west Sydney, Australia

BMC Public Health ◽

10.1186/s12889-021-11288-5 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Nicola Maitland ◽

Karen Wardle ◽

Jill Whelan ◽

Bin Jalaludin ◽

Doug Creighton ◽

...

Keyword(s):

Stakeholder Engagement ◽

System Approach ◽

Action Plan ◽

Complex Interventions ◽

Childhood Overweight ◽

Overweight And Obesity ◽

Community Members ◽

Childhood Overweight And Obesity ◽

Working Groups ◽

Implementation Data

Abstract Background Obesity is a chronic disease that contributes to additional comorbidities including diabetes, kidney disease and several cancers. Change4Campbelltown implemented a ‘whole of system’ approach to address childhood overweight and obesity. We present methods to track implementation and stakeholder engagement in Change4Campbelltown. Methods Change4Campbelltown aimed to build capacity among key leaders and the broader community to apply techniques from systems thinking to develop community-led actions that address childhood obesity. Change4Campbelltown comprised development of a stakeholder-informed Causal Loop Diagram (CLD) and locally-tailored action plan, formation of key stakeholder and community working groups to prioritise and implement actions, and continuous monitoring of intervention actions. Implementation data included an action register, stakeholder engagement database and key engagement activities and were collected quarterly by the project management team over 2 years of reporting. Results Engagement activities increased level of community engagement amongst key leaders, the school-sector and community members. Community-led action increased as engagement increased and this action is mapped directly to the primary point of influence on the CLD. As action spread diversified across the CLD, the geographical spread of action within the community increased. Conclusions This paper provides a pragmatic example of the methods used to track implementation of complex interventions that are addressing childhood overweight and obesity.

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