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Kelly HT, Smith JJ, Verdonschot A, Kennedy SG, Scott JJ, McKay H, Nathan N, Sutherland R, Morgan PJ, Salmon J, Penney D, Boyer J, Lloyd RS, Oldmeadow C, Reeves P, Pursey K, Hua M, Longmore S, Norman J, Voukelatos A, Zask A, Lubans DR. Supporting adolescents' participation in muscle-strengthening physical activity: protocol for the 'Resistance Training for Teens' (RT4T) hybrid type III implementation-effectiveness trial. BMJ Open 2023; 13:e075488. [PMID: 37914300 PMCID: PMC10626834 DOI: 10.1136/bmjopen-2023-075488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 10/05/2023] [Indexed: 11/03/2023] Open
Abstract
INTRODUCTION In Australia, only 22% of male and 8% of female adolescents meet the muscle-strengthening physical activity guidelines, and few school-based interventions support participation in resistance training (RT). After promising findings from our effectiveness trial, we conducted a state-wide dissemination of the 'Resistance Training for Teens' (RT4T) intervention from 2015 to 2020. Despite high estimated reach, we found considerable variability in programme delivery and teachers reported numerous barriers to implementation. Supporting schools when they first adopt evidence-based programmes may strengthen programme fidelity, sustainability, and by extension, programme impact. However, the most effective implementation support model for RT4T is unclear. OBJECTIVE To compare the effects of three implementation support models on the reach (primary outcome), dose delivered, fidelity, sustainability, impact and cost of RT4T. METHODS AND ANALYSIS We will conduct a hybrid type III implementation-effectiveness trial involving grade 9 and 10 (aged 14-16 years) students from 90 secondary schools in New South Wales (NSW), Australia. Schools will be recruited across one cohort in 2023, stratified by school type, socioeconomic status and location, and randomised in a 1:1:1 ratio to receive one of the following levels of implementation support: (1) 'low' (training and resources), (2) 'moderate' (training and resources+external support) or 'high' (training and resources+external support+equipment). Training includes a teacher workshop related to RT4T programme content (theory and practical sessions) and the related resources. Additional support will be provided by trained project officers from five local health districts. Equipment will consist of a pack of semiportable RT equipment (ie, weighted bars, dumbbells, resistance bands and inverted pull up bar stands) valued at ~$A1000 per school. Study outcomes will be assessed at baseline (T0), 6 months (T1) and 18 months (T2). A range of quantitative (teacher logs, observations and teacher surveys) and qualitative (semistructured interviews with teachers) methods will be used to assess primary (reach) and secondary outcomes (dose delivered, fidelity, sustainability, impact and cost of RT4T). Quantitative analyses will use logistic mixed models for dichotomous outcomes, and ordinal or linear mixed effects regression models for continuous outcomes, with alpha levels set at p<0.025 for the outcomes and cost comparisons of the moderate and high support arms against the low support arm. ETHICS AND DISSEMINATION Ethics approval has been obtained from the University of Newcastle (H-2021-0418), the NSW Department of Education (SERAP:2022215), Hunter New England Human Research Ethics Committee (2023/ETH00052) and the Catholic Schools Office. The design, conduct and reporting will adhere to the Consolidated Standards of Reporting Trials statement, the Standards for Reporting Implementation Studies statement and the Template for Intervention Description and Replication checklist. Findings will be published in open access peer-reviewed journals, key stakeholders will be provided with a detailed report. We will support ongoing dissemination of RT4T in Australian schools via professional learning for teachers. TRIAL REGISTRATION NUMBER ACTRN12622000861752.
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Affiliation(s)
- Hayden Thomas Kelly
- School of Education, University of Newcastle, Callaghan, New South Wales, Australia
- Centre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
| | - Jordan James Smith
- School of Education, University of Newcastle, Callaghan, New South Wales, Australia
- Centre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
| | - Angeliek Verdonschot
- School of Education, University of Newcastle, Callaghan, New South Wales, Australia
- Centre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
| | - Sarah Grace Kennedy
- School of Health Sciences, Translational Health Research Institute, Western Sydney University, Kingswood, New South Wales, Australia
| | - Joseph J Scott
- School of Education and Tertiary Access, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
- School of Education, Edith Cowan University, Joondalup, Western Australia, Australia
| | - Heather McKay
- Department of Family Practice, University of British Columbia, Vancouver, British Columbia, Canada
- Active Aging Research Team, University of British Columbia, Vancouver, British Columbia, Canada
| | - Nicole Nathan
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia
- National Centre of Implementation Science, University of Newcastle, Newcastle, New South Wales, Australia
| | - Rachel Sutherland
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia
- National Centre of Implementation Science, University of Newcastle, Newcastle, New South Wales, Australia
| | - Philip James Morgan
- School of Education, University of Newcastle, Callaghan, New South Wales, Australia
- Centre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
| | - Jo Salmon
- Institute for Physical Activity and Nutrition, Deakin University, Burwood, Victoria, Australia
| | - Dawn Penney
- School of Education, Edith Cowan University, Joondalup, Western Australia, Australia
| | - James Boyer
- School Sport Unit, NSW Department of Education, Sydney, New South Wales, Australia
| | - Rhodri S Lloyd
- Youth Physical Development Centre, Cardiff Metropolitan University, Cardiff, UK
| | - Christopher Oldmeadow
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
- School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia
| | - Penny Reeves
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
- School of Medicine and Public Health, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia
| | - Kirrilly Pursey
- School of Health Sciences, Faculty of Health Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia
- Food and Nutrition Research Program, Hunter Medical Research Institute, New Lambton Heights, New South Wales, Australia
| | - Myna Hua
- Health Promotion Service, Population Health, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia
| | - Sarah Longmore
- Health Promotion Service, Western NSW Local Health District, Bathurst, New South Wales, Australia
| | - Jennifer Norman
- School of Health and Society, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, New South Wales, Australia
- Health Promotion Service, Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia
| | - Alexander Voukelatos
- Population Health Research and Evaluation Hub, Sydney Local Health District, Forest Lodge, New South Wales, Australia
| | - Avigdor Zask
- Health Promotion, Northern NSW Local Health District, Lismore, New South Wales, Australia
- North Coast University Centre for Rural Health, School of Public Health, University of Sydney, Sydney, New South Wales, Australia
| | - David Revalds Lubans
- School of Education, University of Newcastle, Callaghan, New South Wales, Australia
- Centre for Active Living and Learning, College of Human and Social Futures, University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
- Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland
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Lee H, Oldewage-Theron W, Dawson JA. Effects of a Theory-Based, Multicomponent eHealth Intervention for Obesity Prevention in Young Children from Low-Income Families: A Pilot Randomized Controlled Study. Nutrients 2023; 15:nu15102296. [PMID: 37242179 DOI: 10.3390/nu15102296] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Revised: 05/06/2023] [Accepted: 05/08/2023] [Indexed: 05/28/2023] Open
Abstract
The purpose of this study was to evaluate a theory-based, multicomponent eHealth intervention aimed at improving child health behaviors and parental psychosocial attributes and feeding practices. A pilot randomized controlled trial was conducted among 73 parents with children (1-3 years). Intervention group participants (IG, n = 37) received theory-based educational videos, cooking tutorials, and text messages with key information for a total of 8 weeks. Control group participants (CG, n = 36) received a booklet about general nutrition recommendations for children. A parent-administered questionnaire was used for data collection at baseline and post-intervention. Linear models were performed using R version 4.1.1. for data analysis. Children in the IG significantly increased their daily intake of fruit (ΔΔ = 0.89 servings, p = 0.00057) and vegetables (ΔΔ = 0.60 servings, p = 0.0037) and decreased use of screen time (ΔΔ = -33.87 min, p = 0.026), compared to the CG. Parents in the IG improved significantly more than the CG in self-efficacy (p = 0.0068) and comprehensive feeding practices (p = 0.0069). There were no significant differences between the study groups for changes in child outcomes, such as physical activity and sedentary behaviors, and parental nutrition knowledge and attitudes.
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Affiliation(s)
- Hyunjung Lee
- Department of Nutrition, Texas A&M University, College Station, TX 77843, USA
- Department of Nutritional Sciences, Texas Tech University, Lubbock, TX 79409, USA
| | | | - John A Dawson
- Department of Nutritional Sciences, Texas Tech University, Lubbock, TX 79409, USA
- Department of Economics, Applied Statistics, and International Business, New Mexico State University, Las Cruces, NM 88003, USA
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Methodological aspects and characteristics of participants in the study on the prevalence of obesity in children and adolescents in Florianópolis, Southern Brazil, 2018-2019: EPOCA study. Ann Epidemiol 2023; 77:13-23. [PMID: 36343894 DOI: 10.1016/j.annepidem.2022.10.017] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 10/19/2022] [Accepted: 10/24/2022] [Indexed: 11/06/2022]
Abstract
PURPOSE To describe the methodological aspects and characteristics of the participants of the EPOCA survey. METHODS The study was conducted with schoolchildren aged between seven to 14 years old from 30 schools in Florianópolis, Southern Brazil. Body mass, height, girths, and skinfold thicknesses were measured. Food consumption and physical activity from the previous day were self-reported using the validated Web-CAAFE questionnaire. Adolescents completed a specific questionnaire about physical activity, meal consumption, and weight control behaviors. Parents/guardians responded to a sociodemographic and habits questionnaire. RESULTS A total of 1671 schoolchildren participated in the study (response rate: 27.2%). About 63% of schoolchildren were enrolled in public schools. Most studied in the morning shift (54.2%), were female (53.1%) and aged between seven and 10 years (58.1%). The prevalence of overweight was 33.7% and obesity was 11.3%. CONCLUSIONS The data obtained will allow us to assess the trend in the prevalence of overweight and obesity and associated factors when compared to other surveys performed. Descriptions of the logistics and protocols can help in the development and improvement of similar studies. It is hoped that the results of EPOCA 2018/2019 may help in the design of obesity prevention policies and programs for this population.
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Najman JM, Clare PJ, Kypri K, Aiken A, Wadolowski M, Hutchinson D, Slade T, Bruno R, Vogl L, Degenhardt L, Mattick RP. Gender differences in the supply of alcohol to adolescent daughters and sons. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2021; 47:508-520. [PMID: 34383569 DOI: 10.1080/00952990.2021.1927066] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Background: Parents are the main supplier of alcohol to children but it is not known whether mothers and fathers equally contribute to the supply of alcohol to their female and male children as these children transition to adulthood.Objectives: i) to determine whether the gender of the parent is associated with the gender of the adolescent offspring when alcohol is supplied and ii) whether the gender of the parent supplying is associated with gender differences in adolescent binge drinking and alcohol related harms.Methods: Longitudinal cohort of 1,927 (males = 1052) Australian adolescents (mean age 12.9 years), recruited in 2010/11 from schools in Australia and surveyed annually for six years. We assessed the association between adolescent and parent gender related to subsequent adolescent drinking, binge drinking (>4 standard drinks), and alcohol-related harms.Results: At mean age of 12.9 years about one in ten children report parental supply of alcohol which increases to about four in ten children by 17.8 years. Mothers consistently more often supply their daughters with alcohol than their sons, [Wave 5 OR 1.77 (1.53,2.05)], while mothers less often supply sons than their daughters, [Wave 5 OR 0.82 (0.71,0.95)]. Mothers' supply of alcohol to daughters predicts substantially increased odds of daughters binge drinking, [OR 1.67 (1.10,2.53)] and experiencing alcohol related harms, [OR 1.65 (1.10,2.48)].Conclusion: There is a need to involve both mothers and fathers and to equally target female and male children in programs to reduce the harmful consequences of parental supply of alcohol to their children.
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Affiliation(s)
- Jackob M Najman
- School of Public Health, University of Queensland, Herston, Australia
| | - Philip J Clare
- National Drug and Alcohol Research Centre, University of New South Wales, Randwick, Australia
| | - Kypros Kypri
- School of Medicine & Public Health, University of Newcastle, Newcastle, Australia
| | - Alexandra Aiken
- National Drug and Alcohol Research Centre, University of New South Wales, Randwick, Australia
| | - Monika Wadolowski
- National Drug and Alcohol Research Centre, University of New South Wales, Randwick, Australia
| | | | - Tim Slade
- School of Medicine, The University of Sydney, Sydney, Australia
| | - Raimondo Bruno
- School of Medicine, University of Tasmania, Hobart, Australia
| | - Laura Vogl
- National Drug and Alcohol Research Centre, University of New South Wales, Randwick, Australia
| | - Louisa Degenhardt
- National Drug and Alcohol Research Centre, University of New South Wales, Randwick, Australia
| | - Richard P Mattick
- National Drug and Alcohol Research Centre, University of New South Wales, Randwick, Australia
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Starr JR, Ruff RR, Palmisano J, Goodson JM, Bukhari OM, Niederman R. Longitudinal caries prevalence in a comprehensive, multicomponent, school-based prevention program. J Am Dent Assoc 2021; 152:224-233.e11. [PMID: 33632412 DOI: 10.1016/j.adaj.2020.12.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Revised: 11/19/2020] [Accepted: 12/11/2020] [Indexed: 10/22/2022]
Abstract
BACKGROUND Globally, children's caries prevalence exceeds 30% and has not markedly changed in 30 years. School-based caries prevention programs can be an effective method to reduce caries prevalence, obviate traditional barriers to care, and use aerosol-free interventions. The objective of this study was to explore the clinical effectiveness of a comprehensive school-based, aerosol-free, caries prevention program. METHODS The authors conducted a 6-year prospective open cohort study in 33 US public elementary schools, providing care to 6,927 children in communities with and without water fluoridation. After dental examinations, dental hygienists provided twice-yearly prophylaxis, glass ionomer sealants, glass ionomer interim therapeutic restorations, fluoride varnish, toothbrushes, fluoride toothpaste, oral hygiene instruction, and referral to community dentists as needed. The authors used generalized estimating equations to estimate the change in the prevalence of untreated caries over time. RESULTS The prevalence of untreated caries decreased by more than 50%: from 39% through 18% in phase 1, and from 28% through 10% in phase 2. The per-visit adjusted odds ratio of untreated caries was 0.79 (95% confidence interval, 0.73 to 0.85). CONCLUSIONS AND PRACTICAL IMPLICATIONS This school-based comprehensive caries prevention program was associated with substantial reductions in children's untreated caries, supporting the concept of expanding traditional practices to include office- and community-based aerosol-free care.
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Effect of Experiential Vegetable Education Program on Mediating Factors of Vegetable Consumption in Australian Primary School Students: A Cluster-Randomized Controlled Trial. Nutrients 2020; 12:nu12082343. [PMID: 32764474 PMCID: PMC7468916 DOI: 10.3390/nu12082343] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 07/23/2020] [Accepted: 08/03/2020] [Indexed: 02/08/2023] Open
Abstract
Schools provide a relevant and equitable environment to influence students towards increased vegetable consumption. This study aimed to evaluate the effectiveness of a Vegetable Education Resource To Increase Children’s Acceptance and Liking (VERTICAL) for Australian primary schools (curriculum aligned and based on a framework of food preference development and sensory experiential learning) on positively influencing factors predisposing children towards increased vegetable consumption. The secondary aim was to evaluate two levels of teacher training intensity on intervention effectiveness. A cluster-RCT amongst schools with three conditions was conducted: 1 = teaching VERTICAL preceded by online teacher training; 2 = as per 1 with additional face-to-face teacher training; 3 = Control. Pre-test, post-test and 3-month follow-up measures (knowledge, verbalization ability, vegetable acceptance, behavioural intentions, willing to taste, new vegetables consumed) were collected from students (n = 1639 from 25 schools in Sydney/Adelaide, Australia). Data were analyzed using mixed model analysis. No difference in intervention effectiveness was found between the two training methods. Compared to the Control, VERTICAL positively affected all outcome measures after intervention (p < 0.01) with knowledge sustained at 3-month follow-up (p < 0.001). In conclusion, VERTICAL was effective in achieving change amongst students in mediating factors known to be positively associated with vegetable consumption.
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Lindow JC, Hughes JL, South C, Gutierrez L, Bannister E, Trivedi MH, Byerly MJ. Feasibility and Acceptability of the Youth Aware of Mental Health (YAM) Intervention in US Adolescents. Arch Suicide Res 2020; 24:269-284. [PMID: 31159674 PMCID: PMC6942243 DOI: 10.1080/13811118.2019.1624667] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Suicide is the second leading cause of death among US adolescents, and rates of suicide among youth have been increasing for the past decade. This study assessed the feasibility and acceptability of the universal, school-based Youth Aware of Mental Health (YAM) program, a promising mental health promotion and suicide primary prevention intervention, in US youth. Using an uncontrolled design, the feasibility and acceptability of delivering and studying YAM were assessed in Montana and Texas schools. Thirteen of 16 (81.3%) schools agreed to support YAM delivery, and five Montana and 6 Texas schools were included in analyses. Facilitators delivered YAM in 78 classes (1,878 students) as regular high school curriculum. Of the total number of students who received YAM, 519 (27.6%) provided parental consent and assent. 436 (84.0%) consented students participated in pre- and post-surveys. Students, parents, and school staff found YAM highly acceptable based on satisfaction surveys. In summary, this study found YAM feasible to implement in US schools. Results also suggest students, parents, and school staff supported school-based programs and were highly satisfied with the YAM program. A randomized controlled trial is warranted to test the efficacy of YAM in promoting mental health and preventing suicidal thoughts and behaviors in US adolescents.
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Yoong SL, Grady A, Wiggers JH, Stacey FG, Rissel C, Flood V, Finch M, Wyse R, Sutherland R, Salajan D, O'Rourke R, Lecathelinais C, Barnes C, Pond N, Gillham K, Green S, Wolfenden L. Child-level evaluation of a web-based intervention to improve dietary guideline implementation in childcare centers: a cluster-randomized controlled trial. Am J Clin Nutr 2020; 111:854-863. [PMID: 32091593 PMCID: PMC7138676 DOI: 10.1093/ajcn/nqaa025] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Accepted: 01/31/2020] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Although it is recommended that childcare centers provide foods consistent with dietary guidelines, the impact of implementing sector-specific guidelines on child outcomes is largely unknown. OBJECTIVES This study aims to examine the impact of a web-based program and support to implement dietary guidelines in childcare centers on children's 1) diet; 2) BMI z scores; and 3) child health-related quality of life (HRQoL). METHODS This study was a cluster-randomized controlled trial utilizing a Type-3 Hybrid implementation-effectiveness design conducted between October 2016 and March 2018. This study reports on child outcomes. Fifty-four childcare centers in New South Wales, Australia were randomly assigned to the intervention (a web-based menu-planning tool and support) or control group (usual care). The intervention was designed to address barriers and enablers to dietary guideline implementation according to the Theoretical Domains Framework. A quota of 35 consenting childcare centers undertook child-level evaluation of dietary intake where 522 parents consented to completing ≥1 component of data collection for their child. Child consumption of core and discretionary (unhealthy) foods while in care was assessed via dietary observations by blinded research assistants, childcare diet quality was assessed via educator-completed questionnaires, BMI z scores were assessed via measured weight and height, and child HRQoL was assessed via parent report at baseline and 12-mo follow-up. RESULTS There was a significant increase in mean child consumption of fruit (0.39 servings; 95% CI: 0.12, 0.65 servings) and dairy foods (0.38 servings; 95% CI: 0.19, 0.57 servings) and a significant reduction in consumption of discretionary foods (-0.40 servings; 95% CI: -0.64, -0.16 servings) in care in the intervention group, relative to control at 12-mo follow-up. No significant differences were observed in diet quality, BMI z scores, or HRQoL. CONCLUSIONS A web-based intervention to support planning of childcare menus consistent with dietary guidelines can improve child consumption of healthier foods in daycare. This trial was registered at www.anzctr.org.au as ACTRN12616000974404.
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Affiliation(s)
- Sze Lin Yoong
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Alice Grady
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Callaghan, New South Wales, Australia
| | - John H Wiggers
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Fiona G Stacey
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Chris Rissel
- Sydney School of Public Health, The University of Sydney, Camperdown, New South Wales, Australia
- NSW Office of Preventive Health, Liverpool, New South Wales, Australia
| | - Victoria Flood
- Western Sydney Local Health District, Westmead, New South Wales, Australia
- Faculty of Health Sciences and Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia
| | - Meghan Finch
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Rebecca Wyse
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Rachel Sutherland
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Callaghan, New South Wales, Australia
| | - David Salajan
- Healthy Australia Ltd, Melbourne, Victoria, Australia
| | - Ruby O'Rourke
- Healthy Australia Ltd, Melbourne, Victoria, Australia
| | | | - Courtney Barnes
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Nicole Pond
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Karen Gillham
- Hunter New England Population Health, Wallsend, New South Wales, Australia
| | - Sue Green
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- Hunter Medical Research Institute, New Lambton, New South Wales, Australia
| | - Luke Wolfenden
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, New Lambton, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Callaghan, New South Wales, Australia
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Vongsachang H, Friedman DS, Inns A, Kretz AM, Mukherjee MR, Callan J, Wahl M, Repka MX, Collins ME. Parent and Teacher Perspectives on Factors Decreasing Participation in School-Based Vision Programs. Ophthalmic Epidemiol 2020; 27:226-236. [DOI: 10.1080/09286586.2020.1730910] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Hursuong Vongsachang
- Wilmer Eye Institute, Dana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - D. S. Friedman
- Wilmer Eye Institute, Dana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
- Massachusetts Eye and Ear Infirmary, Glaucoma Center of Excellence, Harvard Medical School, Boston, Massachusetts, USA
| | - A. Inns
- School of Education, Johns Hopkins University, Baltimore, Maryland, USA
| | - A. M. Kretz
- Wilmer Eye Institute, Dana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - M. R. Mukherjee
- Wilmer Eye Institute, Dana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
- San Francisco School of Medicine, University of California, San Francisco, California, USA
| | - J. Callan
- Wilmer Eye Institute, Dana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - M. Wahl
- Wilmer Eye Institute, Dana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - M. X. Repka
- Wilmer Eye Institute, Dana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - M. E. Collins
- Wilmer Eye Institute, Dana Center for Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
- Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA
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Al-Sheyab NA, Alomari MA, Khabour OF, Shattnawi KK, Alzoubi KH. Assent and consent in pediatric and adolescent research: school children's perspectives. ADOLESCENT HEALTH MEDICINE AND THERAPEUTICS 2019; 10:7-14. [PMID: 30804694 PMCID: PMC6375532 DOI: 10.2147/ahmt.s185553] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Background School students’ views and perceptions of informed parental consent and child assent about child participation in research in the Middle East are not known. Methods Focus group interviews were conducted to understand high school students’ perspectives toward child and adolescent assents and consents in research including the importance of, and depth of information needed in consent and assent, and perception toward written vs verbal consent and assent. Results The majority of students agreed that it is necessary to take parental approval and that they would not participate in research if their parents refused. Furthermore, the majority of male students agreed that if the research requires only questionnaires to be completed, then child’s approval is sufficient whereas measures, such as blood sugar screening required approval from both the parent and child. Females believed it is enough to provide parental consent to participate in research unless information provided is adequate, then child approval is enough. All students stressed the importance of including detailed information; however, parental consent needs to have more detailed information than child assent. Conclusion Parts of the students’ perceptions were congruent, whereas other views were not congruent with proper conduct of pediatric research. Such a situation warrants further research and actions.
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Affiliation(s)
- Nihaya A Al-Sheyab
- Faculty of Nursing, Maternal and Child Health Department, Jordan University of Science and Technology, Irbid, 22110, Jordan,
| | - Mahmoud A Alomari
- Division of Physical Therapy, Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, 22110, Jordan.,Department of Physical Education, Qatar University, Doha 2713, Qatar
| | - Omar F Khabour
- Department of Medical Laboratory Sciences, Jordan University of Science and Technology, Irbid, 22110, Jordan
| | - Khulood K Shattnawi
- Faculty of Nursing, Maternal and Child Health Department, Jordan University of Science and Technology, Irbid, 22110, Jordan,
| | - Karem H Alzoubi
- Department of Clinical Pharmacy, Jordan University of Science and Technology. Irbid, 22110, Jordan
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11
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Wolfenden L, Jones J, Parmenter B, Razak LA, Wiggers J, Morgan PJ, Finch M, Sutherland R, Lecathelinais C, Clinton-McHarg T, Gillham K, Yoong SL. Efficacy of a free-play intervention to increase physical activity during childcare: a randomized controlled trial. HEALTH EDUCATION RESEARCH 2019; 34:84-97. [PMID: 30445644 DOI: 10.1093/her/cyy041] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Accepted: 10/23/2018] [Indexed: 06/09/2023]
Abstract
The primary aim of this study was to assess the efficacy of a childcare-based intervention in increasing child physical activity by allowing children unrestricted access to outdoor areas for free-play when structured activity is not taking place. A randomized controlled trial was conducted in six childcare services. Intervention services provided children unrestricted access outdoors for active free-play, while control services provided their usual scheduled periods of outdoor play. Consent was obtained from 231 children. Child moderate to vigorous activity (MVPA), the primary trial outcome, was assessed via accelerometer at baseline and 3 months post baseline. Intervention effects were examined using Generalised Linear Mixed Models. Controlling for child age, gender and baseline outcome measure, at follow-up there were no significant differences between groups in minutes of MVPA in-care (mean difference: 4.85; 95% CI: -3.96, 13.66; P = 0.28), proportion of wear time in-care spent in MVPA (mean difference: 1.52%; 95% CI: -0.50, 3.53; P = 0.14) or total physical activity in-care (mean difference in counts per minute: 23.18; 95% CI: -4.26, 50.61; P = 0.10), nor on measures of child cognition (P = 0.45-0.91). It was concluded that interventions addressing multiple aspects of the childcare and home environment might provide the greatest potential to improve child physical activity.
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Affiliation(s)
- Luke Wolfenden
- Hunter New England Population Health, Wallsend, NSW, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW, Australia
| | - Jannah Jones
- Hunter New England Population Health, Wallsend, NSW, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW, Australia
| | - Ben Parmenter
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
| | - Lubna Abdul Razak
- Hunter New England Population Health, Wallsend, NSW, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW, Australia
| | - John Wiggers
- Hunter New England Population Health, Wallsend, NSW, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW, Australia
| | - Philip J Morgan
- School of Education, Priority Research Centre in Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, Australia
| | - Meghan Finch
- Hunter New England Population Health, Wallsend, NSW, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW, Australia
| | - Rachel Sutherland
- Hunter New England Population Health, Wallsend, NSW, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW, Australia
| | | | - Tara Clinton-McHarg
- Hunter Medical Research Institute, New Lambton Heights, NSW, Australia
- School of Psychology, University of Newcastle, Callaghan, NSW, Australia
| | - Karen Gillham
- Hunter New England Population Health, Wallsend, NSW, Australia
| | - Sze Lin Yoong
- Hunter New England Population Health, Wallsend, NSW, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW, Australia
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12
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Grady A, Dodds P, Jones J, Wolfenden L, Yoong S. Prevalence of night sleep duration, sleep quality and sleep hygiene practices among children attending childcare services in New South Wales, Australia. J Paediatr Child Health 2019; 55:59-65. [PMID: 29974544 DOI: 10.1111/jpc.14106] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2017] [Revised: 04/02/2018] [Accepted: 06/03/2018] [Indexed: 11/27/2022]
Abstract
AIM To describe parent-reported child: (i) sleep duration; (ii) sleep quality; (iii) sleep hygiene practices; and (iv) the proportion of children meeting sleep duration recommendations. METHODS A convenience sample of parents of Australian pre-school-aged children (3-5 years) were surveyed from the Hunter New England region of New South Wales. The cross-sectional survey was conducted via computer-assisted telephone interview. The survey assessed parent and child demographic characteristics and parent-reported child sleep duration, quality and sleep hygiene practices. RESULTS A total of 488 eligible parents or guardians took part in the study. Parents reported that children slept an average of 11.03 h per night. Approximately 96% of children met daily sleep duration recommendations from sleep guidelines for their age group. The majority of parents reported that their child had 'good' sleep quality (86.89%). Almost 40% reported that their child woke at least once a night. Sleep hygiene practices were relatively well established; however, a small proportion of parents indicated that they had no rules surrounding bedtime (13.52%) or television use before bed (14.52%). CONCLUSIONS The current study describes the sleep duration, quality and sleep hygiene practices of a sample of pre-school-aged children in New South Wales, Australia. Future research using objective measures of sleep duration and hygiene, as well as assessing a broader spectrum of sleep hygiene practices, is needed.
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Affiliation(s)
- Alice Grady
- School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.,Population Health, Hunter New England Local Health District, Newcastle, New South Wales, Australia.,Hunter Medical Research Institute, University of Newcastle, Newcastle, New South Wales, Australia.,Priority Research Centre for Health Behaviour, University of Newcastle, Newcastle, New South Wales, Australia
| | - Pennie Dodds
- School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia
| | - Jannah Jones
- School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.,Population Health, Hunter New England Local Health District, Newcastle, New South Wales, Australia.,Hunter Medical Research Institute, University of Newcastle, Newcastle, New South Wales, Australia.,Priority Research Centre for Health Behaviour, University of Newcastle, Newcastle, New South Wales, Australia
| | - Luke Wolfenden
- School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.,Population Health, Hunter New England Local Health District, Newcastle, New South Wales, Australia.,Hunter Medical Research Institute, University of Newcastle, Newcastle, New South Wales, Australia.,Priority Research Centre for Health Behaviour, University of Newcastle, Newcastle, New South Wales, Australia
| | - Serene Yoong
- School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.,Population Health, Hunter New England Local Health District, Newcastle, New South Wales, Australia.,Hunter Medical Research Institute, University of Newcastle, Newcastle, New South Wales, Australia.,Priority Research Centre for Health Behaviour, University of Newcastle, Newcastle, New South Wales, Australia
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13
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McFadyen T, Wolfenden L, Kingsland M, Tindall J, Rowland B, Sherker S, Gillham K, Heaton R, Clinton-McHarg T, Lecathelinais C, Brooke D, Wiggers J. Randomised controlled trial of a web-based programme in sustaining best practice alcohol management practices at community sports clubs: a study protocol. BMJ Open 2018; 8:e017796. [PMID: 29362250 PMCID: PMC5786140 DOI: 10.1136/bmjopen-2017-017796] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/03/2022] Open
Abstract
INTRODUCTION Community-based interventions have been found to effectively increase the implementation of alcohol management practices and reduce excessive alcohol use and alcohol-related harm at sports clubs. However, once implementation support ceases there may be a reduction in such intervention effects. Thus, ongoing contribution to improving the health of the community is diminished; sustaining practice implementation is a key determinant to address this. One possible solution to the strategic and logistical challenges of sustainability involves the use of the web. The primary aim of this study is to assess the effectiveness of a web-based programme in sustaining the implementation of alcohol management practices by community football clubs. The secondary aim is to assess the effectiveness of the programme in preventing excessive alcohol consumption and alcohol-related harm among members of community football clubs. METHODS AND ANALYSIS The study will employ a repeat randomised controlled trial design and be conducted in regional and metropolitan areas within two states of Australia. Community level football clubs who are currently accredited with an existing alcohol management programme ('Good Sports') and implementing at least 10 of the 13 core alcohol management practices (eg, not serving alcohol to <18-year-olds) required by the programme will be recruited and randomised to either a web-based sustainability programme or a 'minimal contact' programme. The primary outcome measures are the proportion of football clubs implementing ≥10 of the 13 required alcohol management practices and the mean number of those practices being implemented at 3-year follow-up. Secondary outcomes include: the proportion of club members who report risky drinking at their club, the Alcohol Use Disorder Identification Test (AUDIT) score and mean AUDIT score of club members. Outcome data will be collected via observation at the club during a 1-day visit to a home game, conducted by trained research assistants at baseline and follow-up. ETHICS AND DISSEMINATION The study was approved by The University of Newcastle Human Research Ethics Committee (reference: H-2013-0429). Study findings will be disseminated widely through peer-reviewed publications and conference presentations. TRIAL REGISTRATION NUMBER ACTRN12614000746639; Pre-results.
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Affiliation(s)
- Tameka McFadyen
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Population Health, Hunter New England Health, Wallsend, New South Wales, Australia
| | - Luke Wolfenden
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Population Health, Hunter New England Health, Wallsend, New South Wales, Australia
| | - Melanie Kingsland
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
| | - Jennifer Tindall
- Population Health, Hunter New England Health, Wallsend, New South Wales, Australia
| | - Bosco Rowland
- School of Psychology, Deakin University, Burwood, Victoria, Australia
| | - Shauna Sherker
- Good Sports, Alcohol and Drug Foundation, Melbourne, Victoria, Australia
| | - Karen Gillham
- Population Health, Hunter New England Health, Wallsend, New South Wales, Australia
| | - Rachael Heaton
- Good Sports, Alcohol and Drug Foundation, Melbourne, Victoria, Australia
| | - Tara Clinton-McHarg
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
| | | | - Daisy Brooke
- Good Sports, Alcohol and Drug Foundation, Melbourne, Victoria, Australia
| | - John Wiggers
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Population Health, Hunter New England Health, Wallsend, New South Wales, Australia
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14
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Milner S, Sherker S, Clinton-McHarg T, Dray J, Zukowski N, Gonzalez S, Kingsland M, Ooi JY, Murphy A, Brooke D, Wiggers J, Wolfenden L. Cluster randomised controlled trial of a multicomponent intervention to support the implementation of policies and practices that promote healthier environments at junior sports clubs: study protocol. BMJ Open 2018; 8:e018906. [PMID: 29362260 PMCID: PMC5786080 DOI: 10.1136/bmjopen-2017-018906] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2017] [Revised: 11/06/2017] [Accepted: 11/30/2017] [Indexed: 12/31/2022] Open
Abstract
INTRODUCTION A large proportion of children and adolescents participate in organised sport, making community sports clubs a promising setting to support healthy behaviours. To date, however, there have been few interventions conducted in junior sports clubs that have targeted health-promoting practices. The primary aim of this pilot study is to assess the potential effectiveness of an intervention to implement health-promoting policies and practices in junior sporting clubs targeting alcohol and tobacco practices, healthy food and beverage availability, and physical activity via participation in sport. A secondary outcome is to assess the impact of such strategies on child exposure to alcohol and tobacco use at the club, purchasing behaviours by/for children at the club canteen and child sports participation opportunities. METHODS AND ANALYSIS The study will employ a cluster randomised controlled trial design and be conducted in metropolitan and regional areas of two Australian states. Randomisation will occur at the level of the football league. Community football clubs with over 40 junior players (players under 18 years) within each league will be eligible to participate. The intervention will be developed based on frameworks that consider the social, cultural and environmental factors that influence health behaviours. Intervention clubs will be supported to implement 16 practices targeting alcohol management, tobacco use, nutrition practices, new player recruitment activity, equal participation for players and the development of policies to support these practices. Trained research staff will collect outcome data via telephone interviews at baseline and follow-up. Interviews will be conducted with both club representatives and parents of junior players. ETHICS AND DISSEMINATION The study has been approved by the University of Newcastle Human Research Ethics Committee (H-2013-0429). The results of the study will be disseminated via peer-reviewed publications and presentations at conferences. TRIAL REGISTRATION NUMBER ACTRN12617001044314; Pre-results.
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Affiliation(s)
| | | | - Tara Clinton-McHarg
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
| | - Julia Dray
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
| | - Nadya Zukowski
- School of Public Health, University of Alberta, Edmonton, Canada
| | - Sharleen Gonzalez
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
| | - Melanie Kingsland
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
- Hunter New England Population Health, Wallsend, Australia
| | - Jia Ying Ooi
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
| | - Allan Murphy
- Alcohol and Drug Foundation, Melbourne, Australia
| | - Daisy Brooke
- Alcohol and Drug Foundation, Melbourne, Australia
| | - John Wiggers
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
- Hunter New England Population Health, Wallsend, Australia
| | - Luke Wolfenden
- School of Medicine and Public Health, The University of Newcastle, Callaghan, Australia
- Hunter New England Population Health, Wallsend, Australia
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15
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Yoong SL, Grady A, Wiggers J, Flood V, Rissel C, Finch M, Searles A, Salajan D, O’Rourke R, Daly J, Gilham K, Stacey F, Fielding A, Pond N, Wyse R, Seward K, Wolfenden L. A randomised controlled trial of an online menu planning intervention to improve childcare service adherence to dietary guidelines: a study protocol. BMJ Open 2017; 7:e017498. [PMID: 28893755 PMCID: PMC5595182 DOI: 10.1136/bmjopen-2017-017498] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
INTRODUCTION The implementation of dietary guidelines in childcare settings is recommended to improve child public health nutrition. However, foods provided in childcare services are not consistent with guidelines. The primary aim of the trial is to assess the effectiveness of a web-based menu planning intervention in increasing the mean number of food groups on childcare service menus that comply with dietary guidelines regarding food provision to children in care. METHODS AND ANALYSIS A parallel group randomised controlled trial will be undertaken with 54 childcare services that provide food to children within New South Wales, Australia. Services will be randomised to a 12-month intervention or usual care. The experimental group will receive access to a web-based menu planning and decision support tool and online resources. To support uptake of the web program, services will be provided with training and follow-up support. The primary outcome will be the number of food groups, out of 6 (vegetables, fruit, breads and cereals, meat, dairy and 'discretionary'), on the menu that meet dietary guidelines (Caring for Children) across a 1-week menu at 12-month follow-up, assessed via menu review by dietitians or nutritionists blinded to group allocation. A nested evaluation of child dietary intake in care and child body mass index will be undertaken in up to 35 randomly selected childcare services and up to 420 children aged approximately 3-6 years. ETHICS AND DISSEMINATION Ethical approval has been provided by Hunter New England and University of Newcastle Human Research Ethics Committees. This research will provide high-quality evidence regarding the impact of a web-based menu planning intervention in facilitating the translation of dietary guidelines into childcare services. Trial findings will be disseminated widely through national and international peer-reviewed publications and conference presentations. TRIAL REGISTRATION Prospectively registered with Australian New Zealand Clinical Trial Registry (ANZCTR) ACTRN12616000974404.
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Affiliation(s)
- Sze Lin Yoong
- School of Medicine and Public Health, University of Newcastle, Callaghan, Australia
- Hunter New England Local Health District, Population Health, Wallsend, Australia
- Hunter Medical Research Institute, New Lambton Heights, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia
| | - Alice Grady
- School of Medicine and Public Health, University of Newcastle, Callaghan, Australia
- Hunter New England Local Health District, Population Health, Wallsend, Australia
- Hunter Medical Research Institute, New Lambton Heights, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia
| | - John Wiggers
- School of Medicine and Public Health, University of Newcastle, Callaghan, Australia
- Hunter New England Local Health District, Population Health, Wallsend, Australia
- Hunter Medical Research Institute, New Lambton Heights, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia
| | - Victoria Flood
- Westmead Hospital, Western Sydney Local Health District, Westmead, Australia
- Faculty of Health Sciences and Charles Perkins Centre, The University of Sydney, Sydney, Australia
| | - Chris Rissel
- The University of Sydney, School of Public Health, Camperdown, Australia
- NSW Office of Preventive Health, South Western Sydney Local Health District, Liverpool, Australia
| | - Meghan Finch
- School of Medicine and Public Health, University of Newcastle, Callaghan, Australia
- Hunter New England Local Health District, Population Health, Wallsend, Australia
- Hunter Medical Research Institute, New Lambton Heights, Australia
| | - Andrew Searles
- School of Medicine and Public Health, University of Newcastle, Callaghan, Australia
- Hunter Medical Research Institute, New Lambton Heights, Australia
| | - David Salajan
- Healthy Australia Ltd, St Kilda South, Victoria, Australia
| | - Ruby O’Rourke
- Healthy Australia Ltd, St Kilda South, Victoria, Australia
| | - Jaqueline Daly
- Healthy Australia Ltd, St Kilda South, Victoria, Australia
| | - Karen Gilham
- Hunter New England Local Health District, Population Health, Wallsend, Australia
| | - Fiona Stacey
- School of Medicine and Public Health, University of Newcastle, Callaghan, Australia
- Hunter New England Local Health District, Population Health, Wallsend, Australia
- Hunter Medical Research Institute, New Lambton Heights, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia
| | - Alison Fielding
- School of Medicine and Public Health, University of Newcastle, Callaghan, Australia
- Hunter New England Local Health District, Population Health, Wallsend, Australia
| | - Nicole Pond
- Hunter New England Local Health District, Population Health, Wallsend, Australia
| | - Rebecca Wyse
- School of Medicine and Public Health, University of Newcastle, Callaghan, Australia
- Hunter New England Local Health District, Population Health, Wallsend, Australia
- Hunter Medical Research Institute, New Lambton Heights, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia
| | - Kirsty Seward
- School of Medicine and Public Health, University of Newcastle, Callaghan, Australia
- Hunter New England Local Health District, Population Health, Wallsend, Australia
- Hunter Medical Research Institute, New Lambton Heights, Australia
| | - Luke Wolfenden
- School of Medicine and Public Health, University of Newcastle, Callaghan, Australia
- Hunter New England Local Health District, Population Health, Wallsend, Australia
- Hunter Medical Research Institute, New Lambton Heights, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, Australia
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16
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Hodder RK, Wolfenden L. Comparison of online and paper survey participation rates in a child health survey by parents of secondary school students. Aust N Z J Public Health 2017; 41:547-548. [DOI: 10.1111/1753-6405.12682] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Affiliation(s)
- Rebecca K. Hodder
- Hunter New England Population Health; The University of Newcastle; New South Wales
| | - Luke Wolfenden
- Hunter New England Population Health; The University of Newcastle; New South Wales
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17
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Delaney T, Wyse R, Yoong SL, Sutherland R, Wiggers J, Ball K, Campbell K, Rissel C, Wolfenden L. Cluster randomised controlled trial of a consumer behaviour intervention to improve healthy food purchases from online canteens: study protocol. BMJ Open 2017; 7:e014569. [PMID: 28416500 PMCID: PMC5541437 DOI: 10.1136/bmjopen-2016-014569] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Revised: 01/21/2017] [Accepted: 02/15/2017] [Indexed: 11/13/2022] Open
Abstract
INTRODUCTION School canteens represent an opportune setting in which to deliver public health nutrition strategies given their wide reach, and frequent use by children. Online school canteen ordering systems, where students order and pay for their lunch online, provide an avenue to improve healthy canteen purchases through the application of consumer behaviour strategies that impact on purchasing decisions. The aim of this study is to assess the efficacy of a consumer behaviour intervention implemented in an online school canteen ordering system in reducing the kilojoule, saturated fat, sugar and sodium content of primary student lunch orders. METHODS AND ANALYSIS The study will employ a cluster randomised controlled trial design. Approximately 1040 students (aged 5-12 years) from 10 primary schools in New South Wales, Australia, currently using an online canteen ordering system will be invited to participate. Schools will be randomised in a 1:1 ratio to receive either the intervention (enhanced system) or control (standard online ordering only). The intervention will include evidence-based strategies shown to influence healthy food purchasing (strategies targeting availability, menu labelling, placement and prompting). The primary outcomes of the trial will be the mean content per student online lunch order of (1) energy (kJ), (2) saturated fat (g), (3) sugar (g) and (4) sodium (mg). The impact of the intervention will be determined by between-group assessment of the nutritional content of lunch purchases over a 2-month period postintervention initiation. ETHICS AND DISSEMINATION The study was approved by the Hunter New England Human Research Ethics Committee, University of Newcastle Human Research Ethics Committee and New South Wales Department of Education and School Communities. Study findings will be disseminated widely through peer-reviewed publications and relevant presentations in international conferences and to stakeholders. TRIAL REGISTRATION NUMBER ACTRN12616000499482.
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Affiliation(s)
- Tessa Delaney
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
| | - Rebecca Wyse
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
| | - Sze Lin Yoong
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
| | - Rachel Sutherland
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
| | - John Wiggers
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
| | - Kylie Ball
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University,Burwood, Victoria, Australia
| | - Karen Campbell
- Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University,Burwood, Victoria, Australia
| | - Chris Rissel
- NSW Office of Preventive Health, and The University of Sydney, Sydney, New South Wales, Australia
| | - Luke Wolfenden
- Hunter New England Population Health, Wallsend, New South Wales, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
- Hunter Medical Research Institute, Newcastle, New South Wales, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
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18
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Langeheine M, Pohlabeln H, Ahrens W, Rach S. Consequences of an Extended Recruitment on Participation in the Follow-Up of a Child Study: Results from the German IDEFICS Cohort. Paediatr Perinat Epidemiol 2017; 31:76-86. [PMID: 27873339 DOI: 10.1111/ppe.12328] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
BACKGROUND Declining response proportions in population-based studies are often countered by extended recruitment efforts at baseline that may, however, result in higher attrition in a subsequent follow-up. This study analysed the effect of extended recruitment efforts on attrition at the first follow-up of a child cohort. METHODS We used paradata (i.e. information about the process of data collection) from the German IDEFICS cohort investigating dietary- and life style-induced health effects on children to quantify recruitment effort and classify respondents as completing the recruitment early vs. late for baseline and follow-up separately. Multilevel logistic regression models were used to investigate the association between recruitment effort and attrition at follow-up (loss to follow-up) adjusted for sociodemographic and health related variables. RESULTS Individuals who were late respondents at baseline and early respondents at the follow-up had a higher chance of attrition (odds ratio 1.65, 95% confidence interval (CI) 1.19, 2.28) as compared to other groups. An investigation of reasons for non-participation revealed that members of this group were more likely to be not reachable by phone. CONCLUSIONS An extended recruitment effort at baseline of a child cohort study is not per se associated with a higher chance of attrition at follow-up. Much care should be taken to collect valid telephone numbers.
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Affiliation(s)
- Malte Langeheine
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Hermann Pohlabeln
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | - Wolfgang Ahrens
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany.,Institute of Statistics, Faculty of Mathematics and Computer Science, University Bremen, Bremen, Germany
| | - Stefan Rach
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
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Dray J, Bowman J, Freund M, Campbell E, Hodder RK, Lecathelinais C, Wiggers J. Mental health problems in a regional population of Australian adolescents: association with socio-demographic characteristics. Child Adolesc Psychiatry Ment Health 2016; 10:32. [PMID: 27651830 PMCID: PMC5022199 DOI: 10.1186/s13034-016-0120-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2016] [Accepted: 09/01/2016] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Population level data regarding the general mental health status, and the socio-demographic factors associated with the mental health status of adolescents in Australia aged 12-16 years is limited. This study assessed prevalence of mental health problems in a regional population of Australian students in Grades 7-10, and investigated associations between mental health problems and socio-demographic factors. METHODS A web-based survey was conducted in 21 secondary schools located in disadvantaged local government areas in one regional local health district of NSW Australia. Mental health problems were measured using the youth self-report Strengths and Difficulties Questionnaire (SDQ) total SDQ score and three subscale scores (internalising problems, externalising problems and prosocial behaviour). Associations between each SDQ outcome and student socio-demographic characteristics (age, gender, Aboriginal and/or Torres Strait Islander Status, remoteness of residential location and socio-economic disadvantage) were investigated. RESULTS Data are reported for 6793 students aged 12-16 years. Nineteen percent of participants scored in the 'very high' range for the total SDQ, 18.0 % for internalising problems, 11.3 % for externalising problems and 8.9 % for prosocial behaviour problems. Gender and Aboriginal status were associated with all four SDQ outcomes, while age was associated with two, excluding externalising problems and prosocial behaviour. Aboriginal adolescents scored higher for mental health problems than non-Aboriginal adolescents for all four SDQ outcomes. Females scored higher than males for total SDQ and internalising problems, with mean difference greatest at age 15. Males scored higher for externalising problems and lower for prosocial behaviour than females. CONCLUSIONS The finding that mental health problems significantly varied by age, gender and Aboriginality may suggest a need for tailored interventions for groups of adolescents with highest levels of mental health problems. Trial Registration ANZCTR ACTRN12611000606987. Registered 14/06/2011.
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Affiliation(s)
- Julia Dray
- Hunter New England Population Health Research Group, Hunter New England Local Health District, Wallsend, NSW Australia
- Faculty of Science and IT, School of Psychology, University of Newcastle, University Drive, Callaghan, NSW Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW Australia
| | - Jenny Bowman
- Faculty of Science and IT, School of Psychology, University of Newcastle, University Drive, Callaghan, NSW Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW Australia
| | - Megan Freund
- Faculty of Health and Medicine, School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, NSW Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW Australia
| | - Elizabeth Campbell
- Hunter New England Population Health Research Group, Hunter New England Local Health District, Wallsend, NSW Australia
- Faculty of Health and Medicine, School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, NSW Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW Australia
| | - Rebecca K. Hodder
- Hunter New England Population Health Research Group, Hunter New England Local Health District, Wallsend, NSW Australia
- Faculty of Health and Medicine, School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, NSW Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW Australia
| | - Christophe Lecathelinais
- Hunter New England Population Health Research Group, Hunter New England Local Health District, Wallsend, NSW Australia
- Faculty of Health and Medicine, School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, NSW Australia
| | - John Wiggers
- Hunter New England Population Health Research Group, Hunter New England Local Health District, Wallsend, NSW Australia
- Faculty of Health and Medicine, School of Medicine and Public Health, University of Newcastle, University Drive, Callaghan, NSW Australia
- Hunter Medical Research Institute, New Lambton Heights, NSW Australia
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20
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Wolfenden L, Wiggers J, Morgan P, Razak LA, Jones J, Finch M, Sutherland R, Lecathelinais C, Gillham K, Yoong SL. A randomised controlled trial of multiple periods of outdoor free-play to increase moderate-to-vigorous physical activity among 3 to 6 year old children attending childcare: study protocol. BMC Public Health 2016; 16:926. [PMID: 27590788 PMCID: PMC5010687 DOI: 10.1186/s12889-016-3604-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2016] [Accepted: 08/27/2016] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND The implementation of physical activity interventions in centre-based childcare services has been recommended to improve child health. This study aims to evaluate the efficacy of scheduling multiple periods of outdoor free play in increasing the time children spend in moderate-to-vigorous physical activity (MVPA) during childcare. METHODS The study will employ a between group cluster randomised controlled trial design. Fourteen childcare services in the Hunter New England region of New South Wales, Australia, who currently implement a single session of free outdoor play between their core operational hours of 9 am to 3 pm will be recruited into the trial. Childcare services will be randomised to an intervention or a no intervention control group. Childcare services in the intervention group will be supported by an early childhood education specialist to provide three periods of outdoor free play for children between the hours of 9 am to 3 pm. Each period of outdoor free play will be at least 15 min in duration but must equate to their total usual duration of outdoor play. Services in the control group will continue to implement a single period of outdoor play. The primary trial outcome is minutes of time children spend in MVPA whilst in care assessed objectively via accelerometer over 5 days. Outcome assessment will occur at baseline and 3 months post baseline. Generalised Linear Mixed Models (GLMM) under an intention to treat framework will be used to compare differences between groups in the primary trial outcome at follow-up. Sensitivity analysis will be conducted to test assumptions of missing data. Per protocol analysis will be performed using services that implemented the intervention as intended and subgroup analysis undertaken by gender and baseline physical activity levels of children. DISCUSSION The study tests a simple ecological intervention that has the potential to increase child physical activity in care. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry 12616000347460 . Prospectively registered 17th March 2016.
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Affiliation(s)
- Luke Wolfenden
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia.
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia.
- Hunter Medical Research Institute, Newcastle, NSW, 2300, Australia.
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, 2308, Australia.
| | - John Wiggers
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW, 2300, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Philip Morgan
- School of Education, Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Lubna Abdul Razak
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW, 2300, Australia
| | - Jannah Jones
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW, 2300, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, 2308, Australia
| | - Meghan Finch
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW, 2300, Australia
| | - Rachel Sutherland
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW, 2300, Australia
| | | | - Karen Gillham
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia
| | - Sze Lin Yoong
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW, 2300, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, Callaghan, NSW, 2308, Australia
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21
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Newton NC, Conrod PJ, Slade T, Carragher N, Champion KE, Barrett EL, Kelly EV, Nair NK, Stapinski L, Teesson M. The long-term effectiveness of a selective, personality-targeted prevention program in reducing alcohol use and related harms: a cluster randomized controlled trial. J Child Psychol Psychiatry 2016; 57:1056-65. [PMID: 27090500 DOI: 10.1111/jcpp.12558] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/10/2016] [Indexed: 11/26/2022]
Abstract
BACKGROUND This study investigated the long-term effectiveness of Preventure, a selective personality-targeted prevention program, in reducing the uptake of alcohol, harmful use of alcohol, and alcohol-related harms over a 3-year period. METHODS A cluster randomized controlled trial was conducted to assess the effectiveness of Preventure. Schools were block randomized to one of two groups: the Preventure group (n = 7 schools) and the Control group (n = 7 schools). Only students screening as high-risk on one of four personality profiles (anxiety sensitivity, negative thinking, impulsivity, and sensation seeking) were included in the analysis. All students were assessed at five time points over a 3-year period: baseline; immediately after the intervention; and 12, 24, and 36 months after baseline. Students were assessed on frequency of drinking, binge drinking, and alcohol-related harms. Two-part latent growth models were used to analyze intervention effects, which included all students with data available at each time point. This trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12612000026820; www.anzctr.org.au). RESULTS A total of 438 high-risk adolescents (mean age, 13.4 years; SD = 0.47) from 14 Australian schools were recruited to the study and completed baseline assessments. Relative to high-risk Control students, high-risk Preventure students displayed significantly reduced growth in their likelihood to consume alcohol [b = -0.225 (0.061); p < .001], to binge drink [b = -0.305 (.096); p = 0.001], and to experience alcohol-related harms [b = -0.255 (0.096); p = .008] over 36 months. CONCLUSIONS Findings from this study support the use of selective personality-targeted preventive interventions in reducing the uptake of alcohol, alcohol misuse, and related harms over the long term. This trial is the first to demonstrate the effects of a selective alcohol prevention program over a 3-year period and the first to demonstrate the effects of a selective preventive intervention in Australia.
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Affiliation(s)
- Nicola C Newton
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Patricia J Conrod
- Department of Psychiatry, Université de Montréal, Montréal, QC, Canada.,Institute of Psychiatry, Psychology, and Neuroscience, Kings College London, London, UK
| | - Tim Slade
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Natacha Carragher
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia.,Office of Medical Education, University of New South Wales, Sydney, NSW, Australia
| | - Katrina E Champion
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Emma L Barrett
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Erin V Kelly
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Natasha K Nair
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Lexine Stapinski
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Maree Teesson
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
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22
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The Role of Anxiety on the Experience of Peer Victimization and Eating Disorder Risk. SCHOOL MENTAL HEALTH 2016. [DOI: 10.1007/s12310-016-9178-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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23
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Champion KE, Newton NC, Stapinski L, Slade T, Barrett EL, Teesson M. A cross-validation trial of an Internet-based prevention program for alcohol and cannabis: Preliminary results from a cluster randomised controlled trial. Aust N Z J Psychiatry 2016; 50:64-73. [PMID: 25801662 DOI: 10.1177/0004867415577435] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE Replication is an important step in evaluating evidence-based preventive interventions and is crucial for establishing the generalizability and wider impact of a program. Despite this, few replications have occurred in the prevention science field. This study aims to fill this gap by conducting a cross-validation trial of the Climate Schools: Alcohol and Cannabis course, an Internet-based prevention program, among a new cohort of Australian students. METHOD A cluster randomized controlled trial was conducted among 1103 students (Mage: 13.25 years) from 13 schools in Australia in 2012. Six schools received the Climate Schools course and 7 schools were randomized to a control group (health education as usual). All students completed a self-report survey at baseline and immediately post-intervention. Mixed-effects regressions were conducted for all outcome variables. Outcomes assessed included alcohol and cannabis use, knowledge and intentions to use these substances. RESULTS Compared to the control group, immediately post-intervention the intervention group reported significantly greater alcohol (d = 0.67) and cannabis knowledge (d = 0.72), were less likely to have consumed any alcohol (even a sip or taste) in the past 6 months (odds ratio = 0.69) and were less likely to intend on using alcohol in the future (odds ratio = 0.62). However, there were no effects for binge drinking, cannabis use or intentions to use cannabis. CONCLUSION These preliminary results provide some support for the Internet-based Climate Schools: Alcohol and Cannabis course as a feasible way of delivering alcohol and cannabis prevention. Intervention effects for alcohol and cannabis knowledge were consistent with results from the original trial; however, analyses of longer-term follow-up data are needed to provide a clearer indication of the efficacy of the intervention, particularly in relation to behavioral changes.
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Affiliation(s)
- Katrina E Champion
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Nicola C Newton
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Lexine Stapinski
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Tim Slade
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Emma L Barrett
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Maree Teesson
- NHMRC Centre of Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
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24
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Wadolowski M, Hutchinson D, Bruno R, Aiken A, Clare P, Slade T, Najman J, Kypri K, McBride N, Mattick RP. Early Adolescent Alcohol Use: Are Sipping and Drinking Distinct? Alcohol Clin Exp Res 2015; 39:1805-13. [PMID: 26248081 DOI: 10.1111/acer.12826] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2015] [Accepted: 06/22/2015] [Indexed: 11/29/2022]
Abstract
BACKGROUND Sipping alcohol is common during early adolescence, but research has ignored the distinction between sipping and drinking whole alcohol beverages, conflating the 2, or else simply classifying "sippers" as abstainers. Research has not addressed whether sippers are different to drinkers, in relation to variables known to be associated with adolescent alcohol consumption, or considered whether sipping and drinking behaviors may have quite different associations. METHODS Parent-child dyads (N = 1,823) were recruited in 3 states from Australian grade 7 classes. Multinomial logistic analyses compared adolescents who had only had a sip/taste of alcohol (sippers) with adolescents who had consumed at least a whole drink (drinkers) in the past 6 months. The multivariate model assessed a broad range of demographics, parenting practices, peer influences, and adolescent externalizing and internalizing behaviors, and controlled for school clustering. RESULTS Compared to drinkers, sippers were less likely to come from 1-parent households (odds ratio [OR] = 0.59, 95% confidence interval [CI]: 0.35 to 0.98); less likely to come from low-socioeconomic status (SES) households (OR = 0.54, 95% CI: 0.31 to 0.94); more likely to come from families where parents provide stricter alcohol-specific rules (OR = 1.21, 95% CI: 1.11 to 1.32), stricter monitoring of the child's activities (OR = 1.10, 95% CI: 1.04 to 1.16), more consistent parenting practices (OR = 1.13, 95% CI: 1.05 to 1.23), and more positive family relationships (OR = 1.56, 95% CI: 1.02 to 2.43); and report having fewer substance-using peers (OR = 0.80, 95% CI: 0.70 to 0.91) and greater peer disapproval of any substance use (OR = 1.30, 95% CI: 1.19 to 1.42). After adjustment for confounders, the associations with household composition and SES were no longer significant, but the familial and peer associations remained significant in the multivariate analysis, χ(2) (40) = 1,493.06, p < 0.001. CONCLUSIONS Sipping alcohol has different associations with known predictors of adolescent alcohol use than drinking whole beverages, and sipping may be a distinct or separable behavior. Future research should better define quantities of early consumption and assess the relationship between early sipping and drinking on long-term outcomes separately.
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Affiliation(s)
- Monika Wadolowski
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Delyse Hutchinson
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Raimondo Bruno
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia.,School of Medicine (Psychology), University of Tasmania, Hobart, Tas., Australia
| | - Alexandra Aiken
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Philip Clare
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Tim Slade
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
| | - Jake Najman
- Queensland Alcohol and Drug Research and Education Centre, University of Queensland, Brisbane, Qld, Australia
| | - Kypros Kypri
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia
| | - Nyanda McBride
- National Drug Research Institute, Curtin University, Perth, WA, Australia
| | - Richard P Mattick
- National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia
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25
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Schilpzand EJ, Sciberras E, Efron D, Anderson V, Nicholson JM. Improving survey response rates from parents in school-based research using a multi-level approach. PLoS One 2015; 10:e0126950. [PMID: 25961851 PMCID: PMC4427481 DOI: 10.1371/journal.pone.0126950] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2014] [Accepted: 04/09/2015] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND While schools can provide a comprehensive sampling frame for community-based studies of children and their families, recruitment is challenging. Multi-level approaches which engage multiple school stakeholders have been recommended but few studies have documented their effects. This paper compares the impact of a standard versus enhanced engagement approach on multiple indicators of recruitment: parent response rates, response times, reminders required and sample characteristics. METHODS Parents and teachers were distributed a brief screening questionnaire as a first step for recruitment to a longitudinal study, with two cohorts recruited in consecutive years (cohort 1 2011, cohort 2 2012). For cohort 2, additional engagement strategies included the use of pre-notification postcards, improved study materials, and recruitment progress graphs provided to school staff. Chi-square and t-tests were used to examine cohort differences. RESULTS Compared to cohort 1, a higher proportion of cohort 2 parents responded to the survey (76% versus 69%; p < 0.001), consented to participate (71% versus 56%; p < 0.001), agreed to teacher participation (90% versus 82%; p < 0.001) and agreed to follow-up contact (91% versus 80%; p < 0.001). Fewer cohort 2 parents required reminders (52% versus 63%; p < 0.001), and cohort 2 parents responded more promptly than cohort 1 parents (mean difference: 19.4 days, 95% CI: 18.0 to 20.9, p < 0.001). CONCLUSION These results illustrate the value of investing in a relatively simple multi-level strategy to maximise parent response rates, and potentially reduce recruitment time and costs.
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Affiliation(s)
| | - Emma Sciberras
- Murdoch Childrens Research Institute, Parkville, VIC Australia
- The Royal Children’s Hospital, Parkville, VIC Australia
- The University of Melbourne, Parkville, VIC Australia
| | - Daryl Efron
- Murdoch Childrens Research Institute, Parkville, VIC Australia
- The Royal Children’s Hospital, Parkville, VIC Australia
- The University of Melbourne, Parkville, VIC Australia
| | - Vicki Anderson
- Murdoch Childrens Research Institute, Parkville, VIC Australia
- The Royal Children’s Hospital, Parkville, VIC Australia
- The University of Melbourne, Parkville, VIC Australia
| | - Jan M. Nicholson
- Murdoch Childrens Research Institute, Parkville, VIC Australia
- Judith Lumley Centre, La Trobe University, Melbourne, VIC Australia
- The Parenting Research Centre, Melbourne, VIC Australia
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26
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Aiken A, Wadolowski M, Bruno R, Najman J, Kypri K, Slade T, Hutchinson D, McBride N, Mattick RP. Cohort Profile: The Australian Parental Supply of Alcohol Longitudinal Study (APSALS). Int J Epidemiol 2015; 46:e6. [DOI: 10.1093/ije/dyv051] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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27
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Williams SL, Mummery WK. We can do that! Collaborative assessment of school environments to promote healthy adolescent nutrition and physical activity behaviors. HEALTH EDUCATION RESEARCH 2015; 30:272-284. [PMID: 25697581 DOI: 10.1093/her/cyv007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Evidence for effectiveness of school-based studies for prevention of adolescent obesity is equivocal. Tailoring interventions to specific settings is considered necessary for effectiveness and sustainability. The PRECEDE framework provides a formative research approach for comprehensive understanding of school environments and identification of key issues/areas to focus resources and energies. No reported studies have tested applicability of the PRECEDE framework in schools in relation to obesity. Adolescents (n = 362), parents (n = 349) and teachers (n = 146) from six secondary schools participated in two quantitative studies and two qualitative studies. Data collected from these studies permitted confirmation of adolescent overweight/obesity a health issue for schools; the need for secondary schools to focus health promotion efforts on healthy nutrition, with inclusion of parents/homes and appreciation for gender differences in developing interventions. Community buy-in and commitment to school-based obesity prevention programs may be dependent on initially addressing what may be perceived as minor issues, and developing policies to guide practices within schools in relation to supply and access to healthy foods, use of sporting equipment and participation in physical activities. The PRECEDE framework allows systematic assessment of school environments and provided opportunity to identify realistic and relevant interventions for promoting healthy adolescent physical activity and nutrition behaviors.
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Affiliation(s)
- Susan L Williams
- School of Medical and Applied Sciences, CQ University, North Rockhampton, QLD 4702, Australia and Faculty of Physical Education and Recreation, University of Alberta, W1-34 van Vliet Centre, Edmonton, AB T6G 2H9, Canada
| | - W Kerry Mummery
- School of Medical and Applied Sciences, CQ University, North Rockhampton, QLD 4702, Australia and Faculty of Physical Education and Recreation, University of Alberta, W1-34 van Vliet Centre, Edmonton, AB T6G 2H9, Canada
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28
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Wolfenden L, Nathan N, Williams CM, Delaney T, Reilly KL, Freund M, Gillham K, Sutherland R, Bell AC, Campbell L, Yoong S, Wyse R, Janssen LM, Preece S, Asmar M, Wiggers J. A randomised controlled trial of an intervention to increase the implementation of a healthy canteen policy in Australian primary schools: study protocol. Implement Sci 2014; 9:147. [PMID: 25300221 PMCID: PMC4197283 DOI: 10.1186/s13012-014-0147-3] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2014] [Accepted: 09/19/2014] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND The implementation of healthy school canteen policies has been recommended as a strategy to help prevent unhealthy eating and excessive weight gain. Internationally, research suggests that schools often fail to implement practices consistent with healthy school canteen policies. Without a population wide implementation, the potential benefits of these policies will not be realised. The aim of this trial is to assess the effectiveness of an implementation intervention in increasing school canteen practices consistent with a healthy canteen policy of the New South Wales (NSW), Australia, government known as the 'Fresh Tastes @ School NSW Healthy School Canteen Strategy'. METHODS/DESIGN The parallel randomised trial will be conducted in 70 primary schools located in the Hunter region of New South Wales, Australia. Schools will be eligible to participate if they are not currently meeting key components of the healthy canteen policy. Schools will be randomly allocated after baseline data collection in a 1:1 ratio to either an intervention or control group using a computerised random number function in Microsoft Excel. Thirty-five schools will be selected to receive a multi-component intervention including implementation support from research staff, staff training, resources, recognition and incentives, consensus and leadership strategies, follow-up support and implementation feedback. The 35 schools allocated to the control group will not receive any intervention support as part of the research trial. The primary outcome measures will be i) the proportion of schools with a canteen menu that does not contain foods or beverages restricted from regular sale ('red' and 'banned' items) and ii) the proportion of schools where healthy canteen items ('green' items) represent the majority (>50%) of products listed on the menu. Outcome data will be collected via a comprehensive menu audit, conducted by dietitians blind to group allocation. Intervention effectiveness will be assessed using logistic regression models adjusting for baseline values. DISCUSSION The proposed trial will represent a novel contribution to the literature, being the first randomised trial internationally to examine the effectiveness of an intervention to facilitate implementation of a healthy canteen policy. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry ACTRN12613000311752.
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Affiliation(s)
- Luke Wolfenden
- />The University of Newcastle, Faculty of Health, School of Medicine and Public Health, Newcastle, NSW Australia
- />Hunter New England Population Health, Newcastle, NSW Australia
- />Hunter Medical Research Institute, Newcastle, NSW Australia
| | - Nicole Nathan
- />The University of Newcastle, Faculty of Health, School of Medicine and Public Health, Newcastle, NSW Australia
- />Hunter New England Population Health, Newcastle, NSW Australia
- />Hunter Medical Research Institute, Newcastle, NSW Australia
| | - Christopher M Williams
- />The University of Newcastle, Faculty of Health, School of Medicine and Public Health, Newcastle, NSW Australia
- />Hunter New England Population Health, Newcastle, NSW Australia
- />Hunter Medical Research Institute, Newcastle, NSW Australia
- />The George Institute for Global Health, Sydney, NSW Australia
| | - Tessa Delaney
- />Hunter New England Population Health, Newcastle, NSW Australia
| | - Kathryn L Reilly
- />Hunter New England Population Health, Newcastle, NSW Australia
| | - Megan Freund
- />The University of Newcastle, Faculty of Health, School of Medicine and Public Health, Newcastle, NSW Australia
- />Hunter New England Population Health, Newcastle, NSW Australia
- />Hunter Medical Research Institute, Newcastle, NSW Australia
| | - Karen Gillham
- />Hunter New England Population Health, Newcastle, NSW Australia
| | - Rachel Sutherland
- />The University of Newcastle, Faculty of Health, School of Medicine and Public Health, Newcastle, NSW Australia
- />Hunter New England Population Health, Newcastle, NSW Australia
- />Hunter Medical Research Institute, Newcastle, NSW Australia
| | - Andrew C Bell
- />The University of Newcastle, Faculty of Health, School of Medicine and Public Health, Newcastle, NSW Australia
| | - Libby Campbell
- />The University of Newcastle, Faculty of Health, School of Medicine and Public Health, Newcastle, NSW Australia
- />Hunter New England Population Health, Newcastle, NSW Australia
- />Hunter Medical Research Institute, Newcastle, NSW Australia
| | - Serene Yoong
- />Hunter New England Population Health, Newcastle, NSW Australia
| | - Rebecca Wyse
- />The University of Newcastle, Faculty of Health, School of Medicine and Public Health, Newcastle, NSW Australia
- />Hunter Medical Research Institute, Newcastle, NSW Australia
| | - Lisa M Janssen
- />The University of Newcastle, Faculty of Health, School of Medicine and Public Health, Newcastle, NSW Australia
| | - Sarah Preece
- />Hunter New England Population Health, Newcastle, NSW Australia
| | - Melanie Asmar
- />The University of Newcastle, Faculty of Health, School of Medicine and Public Health, Newcastle, NSW Australia
| | - John Wiggers
- />The University of Newcastle, Faculty of Health, School of Medicine and Public Health, Newcastle, NSW Australia
- />Hunter New England Population Health, Newcastle, NSW Australia
- />Hunter Medical Research Institute, Newcastle, NSW Australia
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School-based obesity prevention interventions: Practicalities and considerations. Obes Res Clin Pract 2014; 8:e497-510. [DOI: 10.1016/j.orcp.2013.10.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2012] [Revised: 09/27/2013] [Accepted: 10/12/2013] [Indexed: 11/18/2022]
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Dray J, Bowman J, Freund M, Campbell E, Wolfenden L, Hodder RK, Wiggers J. Improving adolescent mental health and resilience through a resilience-based intervention in schools: study protocol for a randomised controlled trial. Trials 2014; 15:289. [PMID: 25037455 PMCID: PMC4223719 DOI: 10.1186/1745-6215-15-289] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2014] [Accepted: 06/18/2014] [Indexed: 12/03/2022] Open
Abstract
Background Research investigating the effectiveness of universal interventions to reduce the risk of mental health problems remains limited. Schools are a promising setting within which adolescents can receive interventions aimed at promoting their mental health. The aim of this study is to assess the effectiveness of a resilience-based prevention-focused intervention in reducing the risk of mental health problems among adolescents attending secondary school in socio-economically disadvantaged areas. Methods/design A cluster randomised control trial will be conducted, with schools as the unit of randomisation. Initially, 32 secondary schools will be randomly allocated to a control or intervention group (12 control and 20 intervention). An intervention focused on improving student internal and external resilience factors will be implemented in intervention schools. A survey of students in Grade 7 in both intervention and control schools will be conducted (baseline) and repeated three years later when the students are in Grade 10. The Strengths and Difficulties Questionnaire will be used to measure the risk of mental health problems. At follow-up, the risk of mental health problems will be compared between Grade 10 students in intervention and control schools to determine intervention effectiveness. Discussion The study presents an opportunity to determine the effectiveness of a comprehensive resilience-based intervention in reducing the risk of mental health problems in adolescents attending secondary schools. The outcomes of the trial are of importance to youth, schools, mental health clinicians and policymakers. Trial registration Australian New Zealand Clinical Trials Registry, ACTRN12611000606987, registered 14 June 2011.
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Affiliation(s)
- Julia Dray
- Hunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, NSW 2287, Australia.
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Wolfenden L, Wyse R, Campbell E, Brennan L, Campbell KJ, Fletcher A, Wiggers J, Bowman J, Heard TR. Randomized controlled trial of a telephone-based intervention for child fruit and vegetable intake: long-term follow-up. Am J Clin Nutr 2014; 99:543-50. [PMID: 24429539 DOI: 10.3945/ajcn.113.071738] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Telephone-based interventions can be effective in increasing child fruit and vegetable intake in the short term (<6 mo). The long-term efficacy of such interventions, however, is unknown. OBJECTIVES The primary aim of this study was to determine whether the short-term (<6 mo) impact of a telephone-based intervention on children's fruit and vegetable intake was sustained over a longer term. A secondary aim of the study was to assess the long-term impact of the intervention on the intake of foods high in fat, salt, or sugar (noncore foods). DESIGN The study used a cluster randomized controlled trial design. Parents were recruited from Australian preschools between February and August 2010 and allocated to receive an intervention consisting of print materials and 4 telephone-counseling calls delivered over 1 mo or to a print information-only control group. The primary endpoint for the trial was the 18-mo postbaseline follow-up. Linear regression models were used to assess between-group differences in child consumption of fruit and vegetables and noncore foods by subscales of the Children's Dietary Questionnaire. RESULTS Fruit and vegetable subscale scores were significantly higher, indicating greater child fruit and vegetable intake, among children in the intervention group at the 12-mo (16.77 compared with 14.89; P < 0.01) but not the 18-mo (15.98 compared with 16.82; P = 0.14) follow-up. There were no significant differences between groups at either of the follow-up periods in the noncore food subscale score. CONCLUSION Further research to identify effective maintenance strategies is required to maximize the benefits of telephone-based interventions on child diet.
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Affiliation(s)
- Luke Wolfenden
- School of Medicine and Public Health (LW, RW, EC, JW, and TRH) and the School of Psychology (AF and JB), University of Newcastle, Newcastle, Australia; Hunter New England Population Health, Newcastle, Australia (LW, EC, JW, and TRH); Hunter Medical Research Institute, Newcastle, Australia (LW, RW, EC, and JW); the School of Psychology, Australian Catholic University, Melbourne, Australia (LB); and the Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia (KJC)
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Wolfenden L, Wiggers J. Strengthening the rigour of population-wide, community-based obesity prevention evaluations. Public Health Nutr 2014; 17:407-21. [PMID: 23157970 PMCID: PMC10282234 DOI: 10.1017/s1368980012004958] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2012] [Revised: 07/23/2012] [Accepted: 09/10/2012] [Indexed: 10/27/2022]
Abstract
OBJECTIVE The aim of the present study was to review the methodological literature regarding evaluation methods for complex public health interventions broadly and, based on such methods, to critically reflect on the evaluation of contemporary community-based obesity prevention programmes. DESIGN A systematic review of the methods and community-based literature was performed by one reviewer. RESULTS The review identified that there is considerable scope to improve the rigour of community-based obesity prevention programmes through: prospective trial registration; the use of more rigorous research designs, particularly where routine databases including an objective measure of adiposity are available; implementing strategies to quantify and reduce the risk of selective non-participation bias; the development and use of validated instruments to assess intervention impacts; reporting of intervention process and context information; and more comprehensive analyses of trial outcomes. CONCLUSIONS To maximise the quality and utility of community-based obesity prevention evaluations, programme implementers and evaluators need to carefully examine the strengths and pitfalls of evaluation decisions and seek to maximise evaluation rigour in the context of political, resource and practical constraints.
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Affiliation(s)
- Luke Wolfenden
- School of Medicine and Public Health, Faculty of Health, The University of Newcastle, Newcastle, New South Wales, Australia
| | - John Wiggers
- School of Medicine and Public Health, Faculty of Health, The University of Newcastle, Newcastle, New South Wales, Australia
- Hunter New England Population Health, Newcastle, New South Wales, Australia
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Glenny AM, Worthington HV, Milsom KM, Rooney E, Tickle M. Strategies for maximizing consent rates for child dental health surveys: a randomised controlled trial. BMC Med Res Methodol 2013; 13:108. [PMID: 24006895 PMCID: PMC3846683 DOI: 10.1186/1471-2288-13-108] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2013] [Accepted: 08/30/2013] [Indexed: 11/17/2022] Open
Abstract
Background Poor response rates can jeopardise the validity of the findings of epidemiological surveys. The aim of this study was to undertake a randomised controlled trial to determine the effectiveness of different strategies for maximizing parental consent rates for dental health surveys of young children. Methods The trial took place within the 2007/2008 NHS Epidemiological Dental Health Survey of 5-year-old children in the North West of England. Schools were randomised to one of five interventions: multiple letters to parents; promoting the research by providing additional information to parents and children; a financial incentive to the school; a financial incentive to the school administrator plus direct mailing to parents; and a control intervention comprising of usual practice, that is a single letter home to parents via the children. Results A total of 335 schools (11,088 children) were recruited. The mean percentage consent rates ranged from 47% (financial incentive to school administrator plus direct mailing) to 63% (multiple letters). Pair-wise comparisons indicated that the multiple letter group had a statistically significantly greater consent rate than the financial incentive to the school administrator plus direct mailing group and promoting the research by providing additional information group, but was not statistically significantly different from the financial incentive to the school group and the control group. Conclusions There was little evidence to show that any of the five interventions made a significant difference to consent rates when compared to the control group. Financial incentives to schools were less effective than multiple reminder letters to parents. Trials should be built into surveys to test different interventions, in different contexts to expand the evidence base for improving consent rates in health surveillance programmes.
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Affiliation(s)
- Anne-Marie Glenny
- School of Dentistry, The University of Manchester, Manchester M13 9PL, UK.
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Chapman RL, Buckley L, Sheehan M, Shochet IM. Pilot evaluation of an adolescent risk and injury prevention programme incorporating curriculum and school connectedness components. HEALTH EDUCATION RESEARCH 2013; 28:612-625. [PMID: 23503569 DOI: 10.1093/her/cyt048] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
School connectedness is an important protective factor for adolescent risk-taking behaviour. This study examined a pilot version of the Skills for Preventing Injury in Youth (SPIY) programme, combining teacher professional development (PD) for increasing school connectedness (connectedness component) with a risk and injury prevention curriculum for early adolescents (curriculum component). A process evaluation was conducted on the connectedness component, involving assessments of programme reach, participant receptiveness and initial use, and a preliminary impact evaluation was conducted on the combined connectedness and curriculum programme. The connectedness component was well received by teacher participants, who saw benefits for both themselves and their students. Classroom observation also showed that teachers who received PD made use of the programme strategies. Grade 8 students who participated in the SPIY programme were less likely to report violent behaviour at 6-month follow-up than were control students, and trends also suggested reduced transport injuries. The results of this research support the use of the combined SPIY connectedness and curriculum components in a large-scale effectiveness trial to assess the impact of the programme on students' connectedness, risk-taking and associated injuries.
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Affiliation(s)
- R L Chapman
- Centre for Accident Research & Road Safety-Queensland, Queensland University of Technology, Kelvin Grove, Queensland 4059, Australia.
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Ruiz-Canela M, Burgo CLD, Carlos S, Calatrava M, Beltramo C, Osorio A, de Irala J. Observational research with adolescents: a framework for the management of the parental permission. BMC Med Ethics 2013; 14:2. [PMID: 23286743 PMCID: PMC3585740 DOI: 10.1186/1472-6939-14-2] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2012] [Accepted: 12/31/2012] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Waiving parent permission can be an option in some epidemiological and social research with adolescents. However, exemptions have not been uniformly considered or applied. Our aim is to critically assess the different factors that could be taken into account when making decisions about waiving active parental permission in observational research with adolescents. DISCUSSION In some cases alternatives to parental permission could be applied to protect the rights of both adolescents and parents and also to assure the benefits to adolescents as a group that can come from appropriately conducted studies. However, the criteria of ensuring minimal risk can be difficult to define and apply and a distinction between harm and discomfort is reviewed. Waiving active parental permission could be acceptable when the risk of harm is minimal; when the research questions are related to an activity for which adolescents are not legally considered to be children; when the risk of harm or discomfort may increase if parental permission is required; and when risk of discomfort is low because the questionnaire is not potentially offensive for some adolescents and/or for some parents. SUMMARY Stringent rules concerning parental permission in some studies could be detrimental to adolescents. A framework and a decision tree guide are proposed to help researchers and Research Ethics Committees in their decisions on whether active parental permission must be obtained.
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Affiliation(s)
- Miguel Ruiz-Canela
- Institute for Culture and Society, University of Navarra, Pamplona, Spain
- Department of Biomedical Humanities, University of Navarra, Pamplona, Spain
| | - Cristina Lopez-del Burgo
- Institute for Culture and Society, University of Navarra, Pamplona, Spain
- Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain
| | - Silvia Carlos
- Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain
| | - Maria Calatrava
- Institute for Culture and Society, University of Navarra, Pamplona, Spain
| | - Carlos Beltramo
- Institute for Culture and Society, University of Navarra, Pamplona, Spain
| | - Alfonso Osorio
- Institute for Culture and Society, University of Navarra, Pamplona, Spain
- Department of Education, University of Navarra, Pamplona, Spain
| | - Jokin de Irala
- Institute for Culture and Society, University of Navarra, Pamplona, Spain
- Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain
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Hodder RK, Freund M, Bowman J, Wolfenden L, Campbell E, Wye P, Hazell T, Gillham K, Wiggers J. A cluster randomised trial of a school-based resilience intervention to decrease tobacco, alcohol and illicit drug use in secondary school students: study protocol. BMC Public Health 2012; 12:1009. [PMID: 23171383 PMCID: PMC3562508 DOI: 10.1186/1471-2458-12-1009] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2012] [Accepted: 11/06/2012] [Indexed: 11/17/2022] Open
Abstract
Background Whilst schools provide a potentially appropriate setting for preventing substance use among young people, systematic review evidence suggests that past interventions in this setting have demonstrated limited effectiveness in preventing tobacco, alcohol and other drug use. Interventions that adopt a mental wellbeing approach to prevent substance use offer considerable promise and resilience theory provides one method to impact on adolescent mental well-being. The aim of the proposed study is to examine the efficacy of a resilience intervention in decreasing the tobacco, alcohol and illicit drug use of adolescents. Methods A cluster randomised controlled trial with schools as the unit of randomisation will be undertaken. Thirty two schools in disadvantaged areas will be allocated to either an intervention or a control group. A comprehensive resilience intervention will be implemented, inclusive of explicit program adoption strategies. Baseline surveys will be conducted with students in Grade 7 in both groups and again three years later when the student cohort is in Grade 10. The primary outcome measures will include self-reported tobacco, alcohol, marijuana and other illicit drug use. Comparisons will be made post-test between Grade 10 students in intervention and control schools to determine intervention effectiveness across all measures. Discussion To the authors’ knowledge this is the first randomised controlled trial to evaluate the effectiveness of a comprehensive school-based resilience intervention, inclusive of explicit adoption strategies, in decreasing tobacco, alcohol and illicit drug use of adolescents attending disadvantaged secondary schools. Trial registration ACTRN12611000606987
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Affiliation(s)
- Rebecca K Hodder
- Hunter New England Population Health, Hunter New England Local Health District, Locked Bag 10, Wallsend, NSW 2287, Australia
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Priest N, Duncan R, Yap MBH, Redmond G, Anderson A, Wade C. Active versus passive parental consent for improving participant recruitment and outcomes in studies targeting children. THE COCHRANE DATABASE OF SYSTEMATIC REVIEWS 2012. [DOI: 10.1002/14651858.mr000037] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Naomi Priest
- University of Melbourne; The McCaughey Centre, Melbourne School of Population Health; 5/207 Bouverie St Parkville VIC Australia 3052
| | - Rony Duncan
- Murdoch Childrens Research Institute; Centre for Adolescent Health, Children's Bioethics Centre and Bruce Lefroy Centre for Genetic Health Research; 9th Floor, Royal Children's Hospital Flemington Road Parkville VIC Australia
| | - Marie B H Yap
- Orygen Youth Health - Research Centre; Department of Psychiatry; University of Melbourne Locked Bag 10, 35 Poplar St Melbourne VIC Australia 3052
| | - Gerry Redmond
- University NSW; Social Policy Research Centre; Sydney NSW Australia 2052
| | - Andrew Anderson
- The Benevolent Society; 188 Oxford Street Sydney NSW Australia 2021
| | - Catherine Wade
- Parenting Research Centre; Level 5, 232 Victoria Pde East Melbourne Vic Australia 3002
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Wyse R, Wolfenden L, Campbell E, Campbell KJ, Wiggers J, Brennan L, Fletcher A, Bowman J, Heard TR. A cluster randomized controlled trial of a telephone-based parent intervention to increase preschoolers' fruit and vegetable consumption. Am J Clin Nutr 2012; 96:102-10. [PMID: 22623749 PMCID: PMC3374735 DOI: 10.3945/ajcn.111.030585] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Inadequate fruit and vegetable consumption is associated with increased chronic disease risk and represents a considerable global health burden. Despite evidence that dietary habits track from early childhood, there are few published trials of interventions attempting to increase preschoolers' fruit and vegetable consumption. OBJECTIVE The Healthy Habits trial aimed to assess the efficacy of a telephone-based intervention for parents to increase the fruit and vegetable consumption in their 3-5-y-old children. DESIGN A cluster randomized controlled trial was conducted involving 394 parents of children aged 3-5 y recruited through local preschools. Parents allocated to the intervention received printed resources plus four 30-min telephone calls targeting aspects of the home food environment associated with children's fruit and vegetable consumption. Parents allocated to the control group received generic printed nutrition information. Children's fruit and vegetable consumption was assessed by using the Fruit and Vegetable Subscale of the Children's Dietary Questionnaire, which was administered via telephone interview at baseline and 2 and 6 mo later. RESULTS Analysis of all available data showed that children's fruit and vegetable scores were significantly higher in the intervention group than in the control group at 2 mo (P < 0.001) and at 6 mo (P = 0.021). Sensitivity analysis using baseline observation carried forward showed an intervention effect at 2 mo (P = 0.008) but not at 6 mo (P = 0.069). CONCLUSIONS Telephone-delivered parent interventions may be an effective way of increasing children's fruit and vegetable consumption in the short term. Further investigation to determine whether the intervention effect is maintained in the longer term is recommended.
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Affiliation(s)
- Rebecca Wyse
- School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
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39
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WILLIAMS SL, MUMMERY WK. Associations between adolescent nutrition behaviours and adolescent and parent characteristics. Nutr Diet 2012. [DOI: 10.1111/j.1747-0080.2012.01581.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Gilligan C, Kypri K, Johnson N, Lynagh M, Love S. Parental supply of alcohol and adolescent risky drinking. Drug Alcohol Rev 2012; 31:754-62. [PMID: 22340514 DOI: 10.1111/j.1465-3362.2012.00418.x] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
INTRODUCTION AND AIMS In Australia, 20% of 14- to 19-year-olds drink at least weekly. Some parents supply alcohol to their adolescent children with the intention of limiting the quantity consumed, but it is possible that such supply facilitates risky drinking. We sought to determine whether there is an association between parental supply and risky drinking. DESIGN AND METHODS A cross-sectional survey was conducted in seven high schools in New South Wales, Australia. Five hundred and thirty students (mean age 16.0 years, SD 1.3) completed survey items relating to their alcohol consumption, sources of alcohol, circumstances of parental supply, and peers' consumption. RESULTS Among respondents (response rate 43%), 93% of participants had tried alcohol, 66% had consumed at least a full glass, and 40% had consumed more than four drinks on a single occasion in the preceding month (risky drinking). Risky drinkers obtained alcohol mainly from friends (48%) and parents (19%). After controlling for school year and gender, and adjusting for clustering, parental supply for drinking under 'other' supervision (P = 0.004) and with no supervision (P = 0.007), the number of close friends believed to have consumed alcohol in the past month (P < 0.001), and Aboriginal or Torres Strait Islander status (P = 0.02) were all significantly associated with risky drinking. DISCUSSION AND CONCLUSIONS Parental supply of alcohol for unsupervised drinking is associated with risky drinking among 13- to 17-year-olds. Longitudinal studies would assist in studying the temporal sequence and controlling for confounding.
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Affiliation(s)
- Conor Gilligan
- Discipline of Health Behaviour Science and Priority Research Centre for Health Behaviour, School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
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Wyse R, Campbell E, Nathan N, Wolfenden L. Associations between characteristics of the home food environment and fruit and vegetable intake in preschool children: a cross-sectional study. BMC Public Health 2011; 11:938. [PMID: 22177136 PMCID: PMC3313906 DOI: 10.1186/1471-2458-11-938] [Citation(s) in RCA: 139] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2011] [Accepted: 12/16/2011] [Indexed: 11/30/2022] Open
Abstract
Background Early childhood is critical to the development of lifelong food habits. Given the high proportion of children with inadequate fruit and vegetable consumption, identification of modifiable factors associated with higher consumption may be useful in developing interventions to address this public health issue. This study aimed to identify the characteristics of the home food environment that are associated with higher fruit and vegetable consumption in a sample of Australian preschool children. Methods A cross-sectional telephone survey was conducted with 396 parents of 3 to 5 year-old children attending 30 preschools within the Hunter region, New South Wales, Australia. Children's fruit and vegetable consumption was measured using a valid and reliable subscale from the Children's Dietary Questionnaire. Associations were investigated between children's fruit and vegetable intake and characteristics of the home food environment including parental role-modeling, parental providing behaviour, fruit and vegetable availability, fruit and vegetable accessibility, pressure to eat, family eating policies and family mealtime practices. Characteristics of the home food environment that showed evidence of an association with children's fruit and vegetable consumption in simple regression models were entered into a backwards stepwise multiple regression analysis. The multiple regression analysis used generalised linear mixed models, controlled for parental education, household income and child gender, and was adjusted for the correlation between children's fruit and vegetable consumption within a preschool. Results The multiple regression analysis found positive associations between children's fruit and vegetable consumption and parental fruit and vegetable intake (p = 0.005), fruit and vegetable availability (p = 0.006) and accessibility (p = 0.012), the number of occasions each day that parents provided their child with fruit and vegetables (p < 0.001), and allowing children to eat only at set meal times all or most of the time (p = 0.006). Combined, these characteristics of the home food environment accounted for 48% of the variation in the child's fruit and vegetable score. Conclusions This study identified a range of modifiable characteristics within the home food environment that are associated with fruit and vegetable consumption among preschool children. Such characteristics could be considered potential targets for interventions to promote intake among children of this age.
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Affiliation(s)
- Rebecca Wyse
- Faculty of Health, School of Medicine and Public Health, University of Newcastle, c/o Locked Bag 10, Wallsend, NSW 2287, Australia.
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Nelson S, Milgrom P. Minority participation in a school-based randomized clinical trial of tooth decay prevention in the United States. Contemp Clin Trials 2011; 33:60-6. [PMID: 21986390 DOI: 10.1016/j.cct.2011.09.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2011] [Revised: 09/08/2011] [Accepted: 09/20/2011] [Indexed: 11/16/2022]
Abstract
PURPOSE To describe the strategies-based on the social triad concept of a partnership of researchers, school personnel and community-employed to recruit low-income, minority parent/caregivers of kindergarten children into a school-based tooth decay prevention trial in the United States. METHODS The study site was an urban school district with five elementary schools. Recruitment was carried out once each year for three years. Recruitment involved strategies at the school district, school, classroom, and student-parent level. A coalition of researchers, school personnel and community individuals was established for communication and recruitment. Outreach workers from the community were hired to promote, recruit, and disseminate oral health information. Study promotion included both print materials (logos, flyers, pictorial story boards) and presentations at school and community events. RESULTS The School District Superintendent and administrators approved the study, and all five school principals and kindergarten teachers participated. All children within the classrooms were eligible: the overall participation rate of was 86% (580/672). Community outreach workers actively facilitated the recruitment and participants were recruited at open house for parent-teacher meeting (37% of all participants), sending letters and consent forms home (31%), at a prearranged convenient time during drop off and pick up of the child at their respective schools (30%), curriculum nights and health fairs (2%). CONCLUSION Utilizing the social triad concept led to success in planning and carrying out the recruitment of predominantly minority school children with high participation rates.
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Affiliation(s)
- Suchitra Nelson
- School of Dental Medicine, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, Ohio 44106-4905, USA.
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A pilot study of a telephone-based parental intervention to increase fruit and vegetable consumption in 3-5-year-old children. Public Health Nutr 2011; 14:2245-53. [PMID: 21729470 DOI: 10.1017/s1368980011001170] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To examine the potential efficacy of a brief telephone-based parental intervention in increasing fruit and vegetable consumption in children aged 3-5 years and to examine the feasibility of intervention delivery and acceptability to parents. DESIGN A pre-post study design with no comparison group. Telephone surveys were conducted approximately 1 week before and following intervention delivery. SETTING Participants were recruited through pre-schools in the Hunter region, New South Wales, Australia. SUBJECTS Thirty-four parents of 3-5-year-olds received four 30-min interventional telephone calls over 4 weeks administered by trained telephone interviewers. The scripted support calls focused on fruit and vegetable availability and accessibility within the home, parental role modelling of fruit and vegetable consumption and on implementing supportive family eating routines. RESULTS Following the intervention, the frequency and variety of fruit and vegetable consumption increased (P = 0·027), as measured by a subscale of the children's dietary questionnaire. The intervention was feasible to be delivered to parents, as all participants who started the intervention completed all four calls, and all aspects of the interventional calls, including the number, length, content, format and relevance, were considered acceptable by more than 90 % of parents. CONCLUSIONS A brief telephone-based parental intervention to encourage fruit and vegetable consumption in pre-school-aged children may be effective, feasible and acceptable. Further investigation is warranted in a randomised controlled trial.
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Williams SL, Mummery WK. Links Between Adolescent Physical Activity, Body Mass Index, and Adolescent and Parent Characteristics. HEALTH EDUCATION & BEHAVIOR 2011; 38:510-20. [DOI: 10.1177/1090198110385772] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Identification of the relationships between adolescent overweight and obesity and physical activity and a range of intrapersonal and interpersonal factors is necessary to develop relevant interventions which target the health needs of adolescents. This study examined adolescent body mass index (BMI) and participation in moderate and vigorous physical activity (MVPA) and their associations with school year, adolescent nutrition and sedentary behaviors, parent BMI, parent physical activity, and parent support adolescent physical activity. Participants included 295 adolescents and their parents. Logistic regression was used to examine associations between adolescent BMI, MVPA, and the range of adolescent and parent characteristics. Results indicated that parents and home environments play significant roles in the development and maintenance of adolescent overweight/obesity of physical activity behaviors. School-based interventions should ensure high levels of parent involvement and target male adolescents to reduce time spent in small screen recreation and female adolescents to increase participation in MVPA.
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Kingsland M, Wolfenden L, Rowland BC, Tindall J, Gillham KE, McElduff P, Rogerson JC, Wiggers JH. A cluster randomised controlled trial of a comprehensive accreditation intervention to reduce alcohol consumption at community sports clubs: study protocol. BMJ Open 2011; 1:bmjopen2011000328. [PMID: 22021867 PMCID: PMC3191607 DOI: 10.1136/bmjopen-2011-000328] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/19/2011] [Accepted: 08/31/2011] [Indexed: 11/10/2022] Open
Abstract
Introduction Excessive alcohol consumption is responsible for considerable harm from chronic disease and injury. Within most developed countries, members of sporting clubs consume alcohol at levels above that of communities generally. Despite the potential benefits of interventions to address alcohol consumption in sporting clubs, there have been no randomised controlled trials to test the effectiveness of these interventions. The aim of this study is to examine the effectiveness of a comprehensive accreditation intervention with community football clubs (Rugby League, Rugby Union, soccer/association football and Australian Rules football) in reducing excessive alcohol consumption by club members. Methods and analysis The study will be conducted in New South Wales, Australia, and employ a cluster randomised controlled trial design. Half of the football clubs recruited to the trial will be randomised to receive an intervention implemented over two and a half winter sporting seasons. The intervention is based on social ecology theory and is comprehensive in nature, containing multiple elements designed to decrease the supply of alcohol to intoxicated members, cease the provision of cheap and free alcohol, increase the availability and cost-attractiveness of non-alcoholic and low-alcoholic beverages, remove high alcohol drinks and cease drinking games. The intervention utilises a three-tiered accreditation framework designed to motivate intervention implementation. Football clubs in the control group will receive printed materials on topics unrelated to alcohol. Outcome data will be collected pre- and postintervention through cross-sectional telephone surveys of club members. The primary outcome measure will be alcohol consumption by club members at the club, assessed using a graduated frequency index and a seven day diary. Ethics and dissemination The study was approved by The University of Newcastle Human Research Ethics Committee (reference: H-2008-0432). Study findings will be disseminated widely through peer-reviewed publications and conference presentations. Trial registration number Australian New Zealand Clinical Trials Registry: ACTRN12609000224224.
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Affiliation(s)
- Melanie Kingsland
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter New England Population Health, Wallsend, New South Wales, Australia
| | - Luke Wolfenden
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- NSW Cancer Institute, Eveleigh, New South Wales, Australia
| | - Bosco C Rowland
- School of Psychology, Deakin University, Burwood, Victoria, Australia
| | - Jennifer Tindall
- Hunter New England Population Health, Wallsend, New South Wales, Australia
| | - Karen E Gillham
- Hunter New England Population Health, Wallsend, New South Wales, Australia
| | - Patrick McElduff
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
| | - John C Rogerson
- Australian Drug Foundation, West Melbourne, Victoria, Australia
| | - John H Wiggers
- School of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, Australia
- Hunter New England Population Health, Wallsend, New South Wales, Australia
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Finch M, Wolfenden L, Morgan PJ, Freund M, Wyse R, Wiggers J. A cluster randomised trial to evaluate a physical activity intervention among 3-5 year old children attending long day care services: study protocol. BMC Public Health 2010; 10:534. [PMID: 20822543 PMCID: PMC2944368 DOI: 10.1186/1471-2458-10-534] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2010] [Accepted: 09/08/2010] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Young children are not participating in recommended levels of physical activity and exhibit high levels of sedentary behaviour. Childcare services provide access to large numbers of young children for prolonged periods, yet there is limited experimental evidence regarding the effectiveness of physical activity interventions implemented in this setting. The aim of this study is to assess the effectiveness and acceptability of a multi-component physical activity intervention, delivered by childcare service staff, in increasing the physical activity levels of children attending long day care services. METHODS/DESIGN The study will employ a cluster randomised controlled trial design. Three hundred children aged between 3-5 years from twenty randomly selected long day care services in the Hunter Region of New South Wales, Australia will be invited to participate in the trial. Ten of the 20 long day care services will be randomly allocated to deliver the intervention with the remaining ten services allocated to a wait list control group. The physical activity intervention will consist of a number of strategies including: delivering structured fundamental movement skill activities, increasing physical activity opportunities, increasing staff role modelling, providing children with a physical activity promoting indoor and outdoor environment and limiting children's small screen recreation and sedentary behaviours. Intervention effectiveness will be measured via child physical activity levels during attendance at long day care. The study also seeks to determine the acceptability and extent of implementation of the intervention by services and their staff participating in the study. DISCUSSION The trial will address current gaps in the research evidence base and contribute to the design and delivery of future interventions promoting physical activity for young children in long day care settings. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry ACTRN12610000087055.
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Affiliation(s)
- Meghan Finch
- Hunter New England Population Health, Newcastle, NSW, Australia
| | - Luke Wolfenden
- School of Medicine and Public Health University of Newcastle, Newcastle, NSW, Australia
| | - Philip J Morgan
- School of Education, University of Newcastle, Newcastle, NSW, Australia
| | - Megan Freund
- School of Medicine and Public Health University of Newcastle, Newcastle, NSW, Australia
- Hunter Medical Research Institute, Newcastle, NSW, Australia
| | - Rebecca Wyse
- School of Medicine and Public Health University of Newcastle, Newcastle, NSW, Australia
| | - John Wiggers
- Hunter New England Population Health, Newcastle, NSW, Australia
- School of Medicine and Public Health University of Newcastle, Newcastle, NSW, Australia
- Hunter Medical Research Institute, Newcastle, NSW, Australia
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Wyse RJ, Wolfenden L, Campbell E, Brennan L, Campbell KJ, Fletcher A, Bowman J, Heard TR, Wiggers J. A cluster randomised trial of a telephone-based intervention for parents to increase fruit and vegetable consumption in their 3- to 5-year-old children: study protocol. BMC Public Health 2010; 10:216. [PMID: 20423524 PMCID: PMC2873583 DOI: 10.1186/1471-2458-10-216] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2010] [Accepted: 04/28/2010] [Indexed: 11/05/2022] Open
Abstract
Background Inadequate fruit and vegetable consumption in childhood increases the risk of developing chronic disease. Despite this, a substantial proportion of children in developed nations, including Australia, do not consume sufficient quantities of fruits and vegetables. Parents are influential in the development of dietary habits of young children but often lack the necessary knowledge and skills to promote healthy eating in their children. The aim of this study is to assess the efficacy of a telephone-based intervention for parents to increase the fruit and vegetable consumption of their 3- to 5-year-old children. Methods/Design The study, conducted in the Hunter region of New South Wales, Australia, employs a cluster randomised controlled trial design. Two hundred parents from 15 randomly selected preschools will be randomised to receive the intervention, which consists of print resources and four weekly 30-minute telephone support calls delivered by trained telephone interviewers. The calls will assist parents to increase the availability and accessibility of fruit and vegetables in the home, create supportive family eating routines and role-model fruit and vegetable consumption. A further two hundred parents will be randomly allocated to the control group and will receive printed nutrition information only. The primary outcome of the trial will be the change in the child's consumption of fruit and vegetables as measured by the fruit and vegetable subscale of the Children's Dietary Questionnaire. Pre-intervention and post-intervention parent surveys will be administered over the telephone. Baseline surveys will occur one to two weeks prior to intervention delivery, with follow-up data collection calls occurring two, six, 12 and 18 months following baseline data collection. Discussion If effective, this telephone-based intervention may represent a promising public health strategy to increase fruit and vegetable consumption in childhood and reduce the risk of subsequent chronic disease. Trial registration Australian Clinical Trials Registry ACTRN12609000820202
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Affiliation(s)
- Rebecca J Wyse
- School of Medicine and Public Health, University of Newcastle, Newcastle, Australia.
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