AMENDED Abstact 80: A real-world example of using personal and public involvement to develop a healthy eating and physical activity intervention for pregnant women.

IntroductionCervical cancer treatment can have life changing sequelae and be associated with poor short-term and long-term quality of life. Physical activity (PA; that is, bodily movement) is known to improve health outcomes and quality of life for cancer survivors, both physically and psychologically. To date, no interventions to increase PA following cervical cancer have been evaluated. This study aims to (1) determine the feasibility of conducting a PA intervention after cervical cancer and (2) to explore the acceptability of the programme and evaluation measures.Methods and analysisThe design is a pre study and post study design. Thirty participants aged between 18 and 60 years from the Midlands region, UK, who have completed primary treatment for cervical cancer at least 6 months previously and do not meet the national PA guidelines will be recruited. Identification of potential participants will take place through the University Hospitals of Leicester National Health Service (NHS) Trust. Participants will receive an intervention focused on increasing PA through the provision of education, action planning, goal setting, problem solving and self-monitoring of PA behaviour, particularly steps per day. Device assessed PA and questionnaires will be completed at baseline, week 6, week 12 and week 24. Feasibility will be assessed in terms of recruitment, retention, attrition, completion of measures and intervention compliance, for which specific feasibility criteria have been established. The process evaluation will explore the experiences and acceptability of the intervention components and evaluation measures.Ethics and disseminationEthical approval has been granted by the West of Scotland Research Ethics Committee 1 for this study. Results will inform intervention refinement for the design of a definitive pilot trial. These results will be disseminated via peer-reviewed publications and international conferences while input from a patient and public involvement (PPI) group will inform effective ways to circulate results among the wider community.Trial registration numberISRCTN16349793, Registered 30 September 2020.

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A patient and public involvement investigation into healthy eating and weight management advice during pregnancy

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzz081 ◽

2020 ◽

Vol 32 (1) ◽

pp. 28-34 ◽

Cited By ~ 1

Author(s):

J C Abayomi ◽

M S Charnley ◽

L Cassidy ◽

M T Mccann ◽

J Jones ◽

...

Keyword(s):

Pregnant Women ◽

Weight Management ◽

Healthy Eating ◽

Thematic Analysis ◽

Public Involvement ◽

Patient And Public Involvement ◽

Valuable Insight ◽

Positive Health ◽

Knowledge Support ◽

Management Advice

Abstract Objective To conduct patient and public involvement (PPI) to gain insight into the experience of healthy eating and weight management advice during pregnancy. Design PPI in the planning and development of health interventions, aiming to ensure patient-centred care. Optimum nutrition and weight management are vital for successful pregnancy outcomes, yet many services report poor attendance and engagement. Setting Community venues in Liverpool and Ulster (UK). Participants Two PPI representatives were involved in all aspects of the study: design, interview questions, recruitment and collection/analysis of feedback. Intervention Feedback was collected via note taking during group discussions, two in Liverpool (n = 10 & 5); two in Ulster (n = 7 & 9) and an interview (n = 1, in Ulster). Main Outcome Measures Transcript data were collated and thematic analysis was applied in analysis. Results Thematic analysis identified three themes: (i) weight gain is inevitable in pregnancy; (ii) healthy eating advice is important but currently lacks consistency and depth and (iii) expectations regarding the type of knowledge/support. Conclusions PPI provides opportunity to enhance research design and offers valuable insight towards the needs of healthcare users. Pregnant women want positive health messages, with a focus on what they can/should do, rather than what they should not do. Midwives need to consider their communication with pregnant women, to ensure that their unique relationship is maintained, especially when the topics of diet and weight management are addressed. A well-designed digital intervention could improve access to pregnancy-specific nutrition information; empowering midwives to communicate patient-centred, healthy eating messages with confidence. This has the potential to change dietary and weight management behaviour in pregnant women.

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Evaluation of ‘Just4Mums’ – A community based healthy eating and physical activity course for obese pregnant women

Pregnancy Hypertension ◽

10.1016/j.preghy.2014.03.023 ◽

2014 ◽

Vol 4 (3) ◽

pp. 236-237

Author(s):

Ellinor K. Olander ◽

Lou Atkinson ◽

David P. French

Keyword(s):

Physical Activity ◽

Pregnant Women ◽

Healthy Eating ◽

Community Based

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A RE-AIM evaluation of Healthy Together: a family-centred program to support children’s healthy weights

BMC Public Health ◽

10.1186/s12889-020-09737-8 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Joan L. Bottorff ◽

Anne Huisken ◽

Michele Hopkins ◽

Catherine Nesmith

Keyword(s):

Physical Activity ◽

Healthy Eating ◽

Low Income ◽

Real World ◽

Scale Up ◽

Community Organizations ◽

Social Connections ◽

Refugee Status ◽

Service Programs ◽

Core Service

Abstract Background Healthy Together (HT) is family-centered program to support healthy eating and physical activity designed for implementation in community organizations serving families who may be experiencing vulnerabilities (e.g., related to low income, isolation, ethnicity, immigrant/refugee status, and/or Indigenous background). The purpose of this study was to conduct an evaluation of HT in a real-world, scale-up phase using the RE-AIM framework. Methods Using a cross-sectional, non-comparative design, a community-based program evaluation was conducted in 29 organizations implementing HT as part of their core service programs. Data were collected using questionnaires with program participants and facilitators, and interviews with directors of participating organizations. Quantitative data were analyzed using descriptive statistics and qualitative data were content analyzed. Results With regards to Reach, over 3400 caregivers, children and youth attended community programming that offered HT. Among those attending on the scheduled day for the evaluation, 663 completed the questionnaires. The majority of caregiver respondents (n = 431) were female (92%) and attended with children 0–6 years. Respondents also included children 4–6 years (n = 142) and 7–12 years (n = 65), and youth 13–18 years (n = 25). Effectiveness was demonstrated in reported improvements in physical activity, healthy eating, and strengthened social connections. HT was also widely supported by participants and facilitators. Adoption was influenced by the desire to enrich core service programs for families, HT’s fit within existing programs, organizational commitment, and funding support. Implementation experiences indicated that fidelity to the HT program was generally maintained, with some setting specific adaptations. Maintenance of HT was influenced by financial and non-financial resources within community organizations. Most organizations also introduced new initiatives to extend support for healthy eating and physical activity. Conclusion Our findings indicate improvements in healthy eating and physical activity, and social connections among program participants, as well as efforts by community organizations to create environments to support healthy weights. HT was successfully delivered in “real-world” community settings across multiple contexts and with families with diverse backgrounds. This along with strategies to support program implementation and sustainability indicate that HT provides a model for other public health interventions to promote family health and wellbeing. Trial registration ClincialTrials.gov NCT03550248. Registered May 25, 2018

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Translating Research to Practice

Health Promotion Practice ◽

10.1177/1524839910366101 ◽

2011 ◽

Vol 12 (6) ◽

pp. 932-941 ◽

Cited By ~ 24

Author(s):

Glenn Austin ◽

Tanya Bell ◽

Cristina Caperchione ◽

W. Kerry Mummery

Keyword(s):

Physical Activity ◽

Real World ◽

Physical Activity Intervention ◽

School Setting ◽

Internal Validity ◽

Evaluation Framework ◽

Theoretical Evaluation ◽

Physical Activity Interventions ◽

School Based ◽

Effective Interventions

Although there has been an increase in the availability of effective, evidence-based physical activity interventions in school settings during the past decade, there is a paucity of published research focusing on the translation of these effective interventions into real-world practice. The purpose of this research was to examine the translatability of an existing school-based physical activity intervention. More specifically, this research sought to identify the barriers and facilitators in adopting, implementing, and maintaining a school-based physical activity intervention using RE-AIM as a theoretical evaluation framework. It was concluded that interventions that consider issues around complexity and compatibility with the school setting are more likely to be adopted, implemented, and maintained. It was recommended that future evaluations of physical activity interventions should not be limited to testing internal validity, but should consider external validity and ecological aspects, relevant to increasing dissemination in real-world settings.

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A Pilot School-Based Healthy Eating and Physical Activity Intervention Improves Diet, Food Knowledge, and Self-Efficacy for Native Canadian Children

Journal of Nutrition ◽

10.1093/jn/135.10.2392 ◽

2005 ◽

Vol 135 (10) ◽

pp. 2392-2398 ◽

Cited By ~ 73

Author(s):

Brit I. Saksvig ◽

Joel Gittelsohn ◽

Stewart B. Harris ◽

Anthony J. G. Hanley ◽

Tom W. Valente ◽

...

Keyword(s):

Physical Activity ◽

Healthy Eating ◽

Self Efficacy ◽

Physical Activity Intervention ◽

Native Canadian ◽

School Based ◽

Food Knowledge ◽

Pilot School

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Individually Tailored, Adaptive Intervention to Manage Gestational Weight Gain: Protocol for a Randomized Controlled Trial in Women With Overweight and Obesity (Preprint)

10.2196/preprints.9220 ◽

2017 ◽

Author(s):

Danielle Symons Downs ◽

Jennifer S Savage ◽

Daniel E Rivera ◽

Joshua M Smyth ◽

Barbara J Rolls ◽

...

Keyword(s):

Physical Activity ◽

Randomized Controlled Trial ◽

Weight Gain ◽

Pregnant Women ◽

Healthy Eating ◽

Controlled Trial ◽

Overweight And Obesity ◽

Adaptive Intervention ◽

Gestational Weight ◽

Randomized Controlled

BACKGROUND High gestational weight gain is a major public health concern as it independently predicts adverse maternal and infant outcomes. Past interventions have had only limited success in effectively managing pregnancy weight gain, especially among women with overweight and obesity. Well-designed interventions are needed that take an individualized approach and target unique barriers to promote healthy weight gain. OBJECTIVE The primary aim of the study is to describe the study protocol for Healthy Mom Zone, an individually tailored, adaptive intervention for managing weight in pregnant women with overweight and obesity. METHODS The Healthy Mom Zone Intervention, based on theories of planned behavior and self-regulation and a model of energy balance, includes components (eg, education, self-monitoring, physical activity/healthy eating behaviors) that are adapted over the intervention (ie, increase in intensity) to better regulate weight gain. Decision rules inform when to adapt the intervention. In this randomized controlled trial, women are randomized to the intervention or standard care control group. The intervention is delivered from approximately 8-36 weeks gestation and includes step-ups in dosages (ie, Step-up 1 = education + physical activity + healthy eating active learning [cooking/recipes]; Step-up 2 = Step-up 1 + portion size, physical activity; Step-up 3 = Step-up 1 + 2 + grocery store feedback, physical activity); 5 maximum adaptations. Study measures are obtained at pre- and postintervention as well as daily (eg, weight), weekly (eg, energy intake/expenditure), and monthly (eg, psychological) over the study period. Analyses will include linear mixed-effects models, generalized estimating equations, and dynamical modeling to understand between-group and within-individual effects of the intervention on weight gain. RESULTS Recruitment of 31 pregnant women with overweight and obesity has occurred from January 2016 through July 2017. Baseline data have been collected for all participants. To date, 24 participants have completed the intervention and postintervention follow-up assessments, 3 are currently in progress, 1 dropped out, and 3 women had early miscarriages and are no longer active in the study. Of the 24 participants, 13 women have completed the intervention to date, of which 1 (8%, 1/13) received only the baseline intervention, 3 (23%, 3/13) received baseline + step-up 1, 6 (46%, 6/13) received baseline + step-up 1 + step-up 2, and 3 (23%, 3/13) received baseline + step-up 1 + step-up 2 +step-up 3. Data analysis is still ongoing through spring 2018. CONCLUSIONS This is one of the first intervention studies to use an individually tailored, adaptive design to manage weight gain in pregnancy. Results from this study will be useful in designing a larger randomized trial to examine efficacy of this intervention and developing strategies for clinical application. REGISTERED REPORT IDENTIFIER RR1-10.2196/9220

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Child Obesity Prevention Intervention in Kuwaiti Summer Camps Targeting Health Behaviors in Nutrition, Physical Activity, and Screen Time

Journal of Health Science and Medical Research ◽

10.31584/jhsmr.2020765 ◽

2020 ◽

Author(s):

Ghanima Alfaleh ◽

Fatma G. Huffman ◽

Tan Li ◽

Joan A. Vaccaro

Keyword(s):

Physical Activity ◽

Nutrition Education ◽

Healthy Eating ◽

Screen Time ◽

Physical Activity Intervention ◽

Intervention Group ◽

T Test ◽

Summer Camps ◽

P Value ◽

Healthy Habits

Objective: To assess the effectiveness of an eight-week nutrition and physical activity intervention, entitled: “My Healthy Habits”, at summer camps to prevent obesity, reduce screen time, promote healthy eating habits and physical activity among children. Material and Methods: Eight-week pretest-posttest: intervention versus a comparison group was conducted, in two comparable summer camps in Kuwait and randomized at the site level. Convenient sampling (n=79) included children aged 6-10, receiving 8 weeks of nutrition education: 2 days/week, 40 minutes/day and physical activity sessions: 4 days/week for 20 minutes/day. Outcomes included: the Modified Healthy Habits Survey (items about diet, physical activity and sedentary behavior) and anthropomorphic: Body mass index (BMI) for age and gender percentile and waist-to-height ratio (WHtR). Group changes were measured by independent t-test, and within group changes by the McNemar’s test (categorical data) and paired t-test (interval data). Results: Significant increases in nutrition knowledge scores (from 4.3±1.7 to 10.5±1.2) and in the total score of the major food groups (from 10.0±2.6 to 13.7±2.2) were observed from pretest to posttest. Healthy eating significantly increased (from 12.8±1.8 to 14.5±1.5) for the intervention group only; however, intake of French fries, chips (FF) and sugarsweetened beverages (SSB) remained the same for both groups. Physical activity increased and screen time decreased,only in the intervention group. The participants’ BMI and WHtR decreased significantly in the intervention group: p-value=0.001. Conclusion: Healthy food and physical activity increased, while screen time decreased. Consumption of unhealthy food (FF and SSB) remains an issue.

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