scholarly journals P56 Promoting healthy infant feeding to prevent childhood obesity: process evaluation of the choosing healthy eating for infant health (CHErIsH) intervention

2020 ◽  
Author(s):  
C Flannery ◽  
K O’Neill ◽  
S Calnan ◽  
H McGrath ◽  
K Matvienko-Sikar ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Infant Feeding ◽  
Process Evaluation ◽  
Healthy Eating ◽  
Infant Health ◽  
Healthy Infant

scholarly journals Choosing Healthy Eating for Infant Health (CHErIsH) study: protocol for a feasibility study

BMJ Open ◽  
2019 ◽  
Vol 9 (8) ◽  
pp. e029607
Author(s):  
Karen Matvienko-Sikar ◽  
Elaine Toomey ◽  
Michelle Queally ◽  
Caragh Flannery ◽  
Kate O Neill ◽  
...  
Keyword(s):  
Primary Care ◽  
Childhood Obesity ◽  
Infant Feeding ◽  
Process Evaluation ◽  
Feasibility Study ◽  
Healthy Eating ◽  
Implementation Strategy ◽  
Infant Health ◽  
Intervention Delivery ◽  
Electronic Delivery

IntroductionChildhood obesity is a public health challenge. There is evidence for associations between parents’ feeding behaviours and childhood obesity risk. Primary care provides a unique opportunity for delivery of infant feeding interventions for childhood obesity prevention. Implementation strategies are needed to support infant feeding intervention delivery. The Choosing Healthy Eating for Infant Health (CHErIsH) intervention is a complex infant feeding intervention delivered at infant vaccination visits, alongside a healthcare professional (HCP)-level implementation strategy to support delivery.Methods and analysisThis protocol provides a description of a non-randomised feasibility study of an infant feeding intervention and implementation strategy, with an embedded process evaluation and economic evaluation. Intervention participants will be parents of infants aged ≤6 weeks at recruitment, attending a participating HCP in a primary care practice. The intervention will be delivered at the infant’s 2, 4, 6, 12 and 13 month vaccination visits and involves brief verbal infant feeding messages and additional resources, including a leaflet, magnet, infant bib and sign-posting to an information website. The implementation strategy encompasses a local opinion leader, HCP training delivered prior to intervention delivery, electronic delivery prompts and additional resources, including a training manual, poster and support from the research team. An embedded mixed-methods process evaluation will examine the acceptability and feasibility of the intervention, the implementation strategy and study processes including data collection. Qualitative interviews will explore parent and HCP experiences and perspectives of delivery and receipt of the intervention and implementation strategy. Self-report surveys will examine fidelity of delivery and receipt, and acceptability, suitability and comprehensiveness of the intervention, implementation strategy and study processes. Data from electronic delivery prompts will also be collected to examine implementation of the intervention. A cost–outcome description will be conducted to measure costs of the intervention and the implementation strategy.Ethics and disseminationThis study received approval from the Clinical Research Ethics Committee of the Cork Teaching Hospitals. Study findings will be disseminated via peer-reviewed publications and conference presentations.

Building Evidence to Prevent Childhood Obesity: Lessons from the Portland Healthy Eating Active Living (Heal) Coalition

2009 ◽  
Vol 31 (4) ◽  
pp. 21-26 ◽  
Author(s):  
Margaret Everett ◽  
Angie Mejia ◽  
Olivia Quiroz
Keyword(s):  
Health Promotion ◽  
Childhood Obesity ◽  
Healthy Eating ◽  
Ecological Model ◽  
Health Promotion Program ◽  
Grocery Stores ◽  
Active Living ◽  
Healthy Foods ◽  
Social Scientists ◽  
The Impact

The Healthy Eating Active Living (HEAL) Coalition is a community-based health promotion program begun in 2006 in North Portland's Portsmouth neighborhood. The program seeks to promote community health and prevent childhood obesity by addressing barriers at local, regional and policy levels, with particular attention to the built environment. This article describes the findings of a program evaluation based on interviews with school staff and Latino parents. Important themes include the impact of the closure of a neighborhood school, access to grocery stores with affordable healthy foods, and concern about school meals. The comprehensive approach of programs like HEAL, which uses the socio-ecological model of health promotion, lends itself well to the participation of applied social scientists.

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

scholarly journals An Evaluation of the University of Illinois Extension Get Up & Move! Program

2009 ◽  
Vol 4 (1) ◽  
pp. 126-131
Author(s):  
Mary Ann Halpin ◽  
Susan M. Farner ◽  
Stephen J. Notaro ◽  
Sheri Seibold ◽  
Pat McGlaughlin ◽  
...  
Keyword(s):  
Physical Activity ◽  
Childhood Obesity ◽  
Physical Fitness ◽  
Healthy Eating ◽  
Healthy Lifestyles ◽  
University Of Illinois ◽  
Youth Leaders ◽  
The University ◽  
The Impact

Get Up & Move! is a program created by University of Illinois Extension to address childhood obesity. It provides ready-to-use materials for youth leaders to promote healthy lifestyles through physical fitness and healthy eating. The impact of the program on participants’ physical activity was evaluated to see whether involvement produces an increase in physical activity to the USDA recommended 60 minutes per day. It was found that a significant increase in minutes of physical activity occurred in participants from an average of 51.88 minutes per day to an average of 58.84 minutes per day.

Health Education in the Border Corridor

1991 ◽  
Vol 13 (2) ◽  
pp. 26-29
Author(s):  
Hope Isaacs
Keyword(s):  
Infant Feeding ◽  
Breast Feeding ◽  
Health Care Professionals ◽  
Infant Health ◽  
Positive Impact ◽  
The United States ◽  
World Health ◽  
Mexico Border ◽  
Health Organization ◽  
United States Mexico

Despite closely maintained familial connections and cultural traditions, the Hispanic population spanning the United States-Mexico border has diverged sharply from its traditional infant feeding practices. Successive reports document a trend away from the long-established cultural pattern of breast-feeding among Hispanic mothers. At the same time, World Health Organization reports have stimulated greater awareness among health care professionals of the positive impact of breast-feeding on infant health rates in Third World countries. This paper describes a multistage project undertaken by a binational team of nursing professionals and an anthropologist. Project goals were to research, design, and implement a mode of intervention which would encourage better management of infant feeding and which could be clinically applied on both the Mexican and U.S. sides of the international border.

Preface

PEDIATRICS ◽  
1984 ◽  
Vol 74 (4) ◽  
pp. 585-585
Author(s):  
WILLIAM H. FOEGE
Keyword(s):  
Health Effects ◽  
Infant Feeding ◽  
Infant Health ◽  
Task Force ◽  
Scientific Evidence ◽  
Health Department ◽  
The United States ◽  
Positive Health ◽  
Department Of Health ◽  
Infant Feeding Decisions

In November 1981, Dr Edward N. Brandt, Assistant Secretary of Health, Department of Health and Human Services, commissioned the Task Force to examine the scientific evidence regarding infant feeding and infant health in both the United States and developing countries. In addition, the report was to include recent information on trends, infant-feeding practices, and factors associated with infant-feeding decisions. The purpose of the Task Force was to determine those areas that were reasonably well studied and well proven and also to indicate where important deficiencies in knowledge existed. Because of the enormous volume of scientific literature dealing with infant feeding, the Task Force elected to concentrate on the most recent studies. In addition, studies of health effects were reviewed if they primarily addressed clinical outcomes in infants or children as end points. This approach necessarily excluded many of the laboratory studies that provide the theoretical framework under which breast-feeding would be expected to have important positive health effects relative to other forms of infant feeding. The Task Force also realized that because of the nature of clinical and epidemiologic research in this area, few of their conclusions could be based on the gold standard of causal research, namely, the randomized clinical trial. Nevertheless, to avoid arriving at conclusions and to say merely that more research was needed, would not live up to responsibility the Task Force was given. Accordingly, the authors of this report have tried to indicate which observational studies were of sufficient quality and consistency that reasonably firm conclusions could be reached, while indicating methodologic difficulties as they were found.

School-aged children and adolescents

2020 ◽  
pp. 303-320
Keyword(s):  
Childhood Obesity ◽  
Children And Adolescents ◽  
Healthy Eating ◽  
Food Habits ◽  
Dietary Recommendations ◽  
P Nutrition ◽  
School Aged Children

Nutrition and growth, Dietary recommendations, food habits, deficiencies, Childhood obesity, Dental, Influences, Promoting healthy eating

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