Process Evaluation of a BC Initiative: Sustainable Childhood Obesity Prevention Through Community Engagement (SCOPE)

2012 ◽  
Vol 36 (5) ◽  
pp. S69
Author(s):  
Amelia C. Daly ◽  
Bonnie Mcintosh ◽  
Louise Masse ◽  
Joan Wharf Higgins ◽  
Patti-Jean Naylor ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Community Engagement ◽  
Process Evaluation ◽  
Obesity Prevention ◽  
Childhood Obesity Prevention

scholarly journals A cluster RCT and process evaluation evaluating the effectiveness of an optimisation intervention to promote parental engagement in a childhood obesity prevention programme: Results of the Optimising Family Engagement in HENRY (OFTEN) trial

2021 ◽  
Author(s):  
Maria Bryant ◽  
Wendy Burton ◽  
Michelle Collinson ◽  
Amanda Farrin ◽  
Jane Nixon ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Process Evaluation ◽  
Obesity Prevention ◽  
Controlled Trial ◽  
Cluster Randomised Controlled Trial ◽  
Parental Engagement ◽  
Childhood Obesity Prevention ◽  
Prevention Intervention ◽  
The Impact ◽  
Children’S Centres

Abstract Background Low parental participation reduces the impact and sustainability of public health childhood obesity prevention programmes. Using data from a focused ethnography, we developed a multi-level, theory-based implementation optimisation intervention. The optimisation intervention aimed to support local authorities and children’s centres to adopt behaviours to promote engagement in ‘HENRY (Health Exercise Nutrition for the Really Young)’, a UK community obesity prevention intervention. Methods We evaluated the effectiveness of the optimisation intervention on programme enrolment and completion over a 12 implementation period in a cluster randomised controlled trial. We randomised 20 local government authorities (with 126 children’s centres) to HENRY plus the optimisation intervention or to HENRY alone. Primary outcomes were (1) the proportion of centres enrolling at least eight parents per programme and (2) the proportion of centres with a minimum of 75% of parents attending at least five of eight sessions per programme. Trial analyses adjusted for stratification factors (pre-randomisation implementation of HENRY, local authority size, deprivation) and allowed for cluster design. A parallel mixed-methods process evaluation used qualitative interview data and routine monitoring to explain trial results. Results Neither primary outcome differed significantly between groups; 17.8% of intervention centres and 18.0% of control centres achieved the parent enrolment target (adjusted difference -1.2%; 95%CI: -19.5%, 17.1%); 17.1% of intervention centres and 13.9% of control centres achieved the attendance target (adjusted difference 1.2%; 95%CI: -15.7%, 18.1%). Unexpectedly, the trial coincided with substantial national service restructuring, including centre closures and reduced funds. Some commissioning and management teams stopped or reduced implementation of both HENRY and the optimisation intervention due to competing demands. Thus, at follow up, HENRY programmes were delivered to approximately half the number of parents compared to baseline (n=433 vs. 881). Conclusions During a period in which services were reduced by policies outside the realm of this research, this first definitive trial found no evidence of effectiveness for an implementation optimisation intervention promoting parent engagement in an obesity prevention intervention. Trial registration: ClinicalTrials.gov Identifier: NCT02675699 registered 4th February 2016. https://clinicaltrials.gov/ct2/show/NCT02675699

Sustainable childhood obesity prevention through community engagement (SCOPE) program: evaluation of the implementation phase

2015 ◽  
Vol 93 (5) ◽  
pp. 472-478 ◽  
Author(s):  
Bonnie McIntosh ◽  
Amelia Daly ◽  
Louise C. Mâsse ◽  
Jean-Paul Collet ◽  
Joan Wharf Higgins ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Community Engagement ◽  
Obesity Prevention ◽  
Telephone Interview ◽  
Participatory Action ◽  
Childhood Obesity Prevention ◽  
Implementation Phase ◽  
Partnership Development ◽  
Raising Awareness

Childhood obesity rates are steadily rising. Sustainable Childhood Obesity Prevention Through Community Engagement (SCOPE) is a community-based participatory action research (PAR) program aimed at preventing childhood obesity. This study aimed to describe community perspectives on, and elicit feedback about, SCOPE’s first phase of implementation in two pilot cities in British Columbia, Canada. A case study was implemented using interviews and questionnaires to obtain feedback about SCOPE from two groups: SCOPE coordinators and stakeholders (i.e., individuals and organizations that were a member of the community and engaged with SCOPE coordinators). Participants were recruited via email and (or) by telephone. Coordinators completed a telephone interview. Stakeholders completed a questionnaire and (or) a telephone interview. Thematic analysis was conducted. Participants included 2 coordinators and 15 stakeholders. Participants similarly interpreted SCOPE as a program focused on raising awareness about childhood obesity prevention, while engaging multiple community sectors. Overall, participants valued the program’s role in facilitating networking and partnership development, providing evidence-based resources, technical expertise, and contributing funding. Participants felt that SCOPE is sustainable. However, participants felt that barriers to achieving healthy weights among children included those related to the built environment, and social, behavioral, and economic obstacles. Perspectives on factors that facilitated and acted as barriers to SCOPE’s first phase of implementation were obtained from the SCOPE communities and may be used to enhance the sustainability of SCOPE and its applicability to other BC communities.

Sustainable Childhood Obesity Prevention Through Community Engagement (SCOPE): A Qualitative Study

2012 ◽  
Vol 36 (5) ◽  
pp. S69
Author(s):  
Bonnie Mcintosh ◽  
Amelia Daly ◽  
Louise Masse ◽  
Joan Wharf Higgins ◽  
Patti-Jean Naylor ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Qualitative Study ◽  
Community Engagement ◽  
Obesity Prevention ◽  
Childhood Obesity Prevention

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 A Process Evaluation of a Social Cognitive Theory–Based Childhood Obesity Prevention Intervention

2012 ◽  
Vol 14 (2) ◽  
pp. 189-198 ◽  
Author(s):  
Paul Branscum ◽  
Manoj Sharma ◽  
Lihshing Leigh Wang ◽  
Bradley Wilson ◽  
Liliana Rojas-Guyler
Keyword(s):  
Childhood Obesity ◽  
Social Cognitive Theory ◽  
Process Evaluation ◽  
Obesity Prevention ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Childhood Obesity Prevention ◽  
Prevention Intervention

Sustainable Childhood Obesity Prevention Through Community Engagement (SCOPE): Development of a Social Media Resource for Communities

2013 ◽  
Vol 37 ◽  
pp. S265-S266
Author(s):  
Stephanie Shea ◽  
Bonnie McIntosh ◽  
Amelia Daly ◽  
Jean Paul Collet ◽  
Joan Wharf Higgins ◽  
...  
Keyword(s):  
Social Media ◽  
Childhood Obesity ◽  
Community Engagement ◽  
Obesity Prevention ◽  
Childhood Obesity Prevention
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