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Lum M, Yoong SL, Wolfenden L, Turon H, Reilly K, Grady A. Impact of a dissemination strategy on family day care educators' intentions to adopt outdoor free play guidelines introduced in response to COVID-19: a randomized controlled trial. Health Educ Res 2023; 38:458-468. [PMID: 36943373 PMCID: PMC10516333 DOI: 10.1093/her/cyad014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 03/02/2023] [Accepted: 03/06/2023] [Indexed: 06/18/2023]
Abstract
In 2021, guidelines for early childhood education and care were released recommending children are provided access to outdoor areas during all free play sessions to reduce the risk of coronavirus disease of 2019 transmission, aligning with the existing recommendations to increase children's physical activity. There is a need to understand how to disseminate guidelines in this setting as dissemination is a prerequisite of adoption and implementation. This randomized controlled trial explored the impact of a video-based strategy to disseminate guidelines on family day care educators' intentions to adopt outdoor free play guidelines. Educators (N = 255) were randomized to receive a video (intervention) or text-based (usual care) resource via email describing recommendations. Educators were invited to participate in a post-intervention survey at 5-week follow-up assessing intentions to adopt guidelines. The secondary outcomes included knowledge, beliefs about capabilities, beliefs about consequences, social/professional role and identity, goals, implementation of guidelines, acceptability of resource and intervention reach. There was no statistically significant difference between groups in intentions to adopt guidelines [ß = 0.01 (95% confidence interval -0.50 to 0.52), P = 0.97], nor for any secondary outcomes. Further investigation is needed to identify effective dissemination strategies in the family day care setting to increase the adoption of public health guidelines.
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Affiliation(s)
- M Lum
- Hunter New England Population Health, Hunter New England Local Health District, Booth Building, Longworth Ave, Wallsend, NSW 2287, Australia
- School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
- Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
| | - S L Yoong
- Hunter New England Population Health, Hunter New England Local Health District, Booth Building, Longworth Ave, Wallsend, NSW 2287, Australia
- School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
- Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
- Global Centre for Preventive Nutrition and Health, Institute for Health Transformation, School of Health and Social Development, Deakin University, 221 Burwood Highway, Burwood, VIC 3125, Australia
| | - L Wolfenden
- Hunter New England Population Health, Hunter New England Local Health District, Booth Building, Longworth Ave, Wallsend, NSW 2287, Australia
- School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
- Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
| | - H Turon
- School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
- Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
| | - K Reilly
- School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
- Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
| | - A Grady
- Hunter New England Population Health, Hunter New England Local Health District, Booth Building, Longworth Ave, Wallsend, NSW 2287, Australia
- School of Medicine and Public Health, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
- Hunter Medical Research Institute, University of Newcastle, Lot 1 Kookaburra Cct, New Lambton Heights, NSW 2305, Australia
- Priority Research Centre for Health Behaviour, University of Newcastle, University Dr, Callaghan, NSW 2308, Australia
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Runa F, Tomaneng L, Adamian Y, Cox N, Aquino AF, Wallace M, Gonzalez C, Bhakta K, Hoover M, Wolfenden L, Humphries JD, Humphries MJ, Boyce M, Kelber JA. Abstract 2414: Retinoic acid induced 14 drives pancreatic cancer progression and metastasis. Cancer Res 2022. [DOI: 10.1158/1538-7445.am2022-2414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Pancreatic ductal adenocarcinoma (PDAC) is associated with very poor outcomes - fewer than 10 percent of patients survive beyond five years after diagnosis. The primary hurdles facing PDAC patients and clinicians are early dissemination, a lack of therapeutic targets and desmoplasia that renders the primary tumor refractory to chemotherapy. In this regard, we have previously reported that pseudopodium-enriched atypical kinase 1 (PEAK1) and integrin α1 (ITGA1) mediate gemcitabine resistance and metastasis in PDAC. To identify new mechanisms of PDAC progression, we mined the Cancer BioPortal and Human Cell Map BioID databases for additional pseudopodium-enriched (PDE) proteins that predict poor patient outcomes, correlate with PEAK1 and ITGA1 expression in PDAC, and interact with PEAK1 and ITGA1. Here, we identify Retinoic Acid Induced 14 (RAI14, Ankycorbin or NORPEG) as a new candidate driver of PDAC that is a constituent of the KRasG12D PDAC cell autonomous phosphoproteome, localizes to cytoskeleton/adhesion domains in PDAC cells and correlates in expression with ITGA1-binding collagens in PDAC. Knockdown or knockout of RAI14 in KRas mutant PDAC cells impaired adhesion-dependent proliferation/survival in vitro and tumor growth and metastasis in vivo. Single cell cyclic immunofluorescence (CycIF) further revealed that RAI14 supports a subpopulation of PDAC cells positive for proliferation, epithelial to mesenchymal transition (EMT) and antiapoptotic programs. By using a RAI14-focused bioinformatics pipeline in combination with proteomic and immunofluorescence data on the composition of ITGA1-dependent adhesion complexes in PDAC cells, we identified Polo-Like Kinase 1 (PLK1) as a candidate that may control RAI14 function and adhesion-regulated mitosis during PDAC progression. Notably, the potency of volasertib, a PLK1-specific inhibitor, was reduced in RAI14 knockout cells, supporting a model in which RAI14 mediates adhesion-dependent PLK1 functions in PDAC. Taken together, these studies uncover a mechanism for RAI14-driven PDAC progression and the development of strategies to increase chemotherapy sensitivity, reduce primary/metastatic tumor burden and improve patient outcomes.
Citation Format: Farhana Runa, Luke Tomaneng, Yvess Adamian, Nathan Cox, Albert-Fred Aquino, Matthew Wallace, Carolina Gonzalez, Kishan Bhakta, Malachia Hoover, Laurelin Wolfenden, Jonathan D. Humphries, Martin J. Humphries, Michael Boyce, Jonathan A. Kelber. Retinoic acid induced 14 drives pancreatic cancer progression and metastasis [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 2414.
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Affiliation(s)
- Farhana Runa
- 1California State University Northridge, Northridge, CA
| | - Luke Tomaneng
- 1California State University Northridge, Northridge, CA
| | - Yvess Adamian
- 1California State University Northridge, Northridge, CA
| | | | | | | | | | - Kishan Bhakta
- 1California State University Northridge, Northridge, CA
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Hall A, O'Brien K, McCrabb S, Kypri K, Brown S, Wilczynska M, Wiggers J, Wyse R, Dalton C, Wolfenden L. Learnings from efforts to synthesise evidence on the COVID-19 incubation period. Public Health 2021; 198:e12-e13. [PMID: 34130808 PMCID: PMC8112467 DOI: 10.1016/j.puhe.2021.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 05/04/2021] [Indexed: 11/25/2022]
Affiliation(s)
- A Hall
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia; Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW, Australia; Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Australia.
| | - K O'Brien
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia; Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW, Australia; Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Australia
| | - S McCrabb
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia; Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW, Australia; Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Australia
| | - K Kypri
- Centre for Clinical Epidemiology and Biostatistics, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW Australia
| | - S Brown
- Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW, Australia; School of Psychology, The University of Newcastle, Newcastle, NSW Australia
| | - M Wilczynska
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia; Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW, Australia
| | - J Wiggers
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia; Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW, Australia; Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Australia
| | - R Wyse
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia; Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW, Australia; Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Australia
| | - C Dalton
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Australia
| | - L Wolfenden
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia; Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW, Australia; Hunter Medical Research Institute, New Lambton Heights, NSW, Australia; Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Australia
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Yoong SL, Nathan N, Reilly K, Sutherland R, Straus S, Barnes C, Grady A, Wolfenden L. Adapting implementation strategies: a case study of how to support implementation of healthy canteen policies. Public Health 2019; 177:19-25. [PMID: 31494359 DOI: 10.1016/j.puhe.2019.07.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Revised: 06/20/2019] [Accepted: 07/02/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVES Although evidence-based interventions (EBIs) and effective strategies to implement them exist, they cannot be used by policy makers and practitioners if they do not align with end users' needs. As such, adaptations to EBIs and implementation approaches are likely to occur to increase 'fit' with end users' capacity. This article describes an approach undertaken by a population health service delivery unit in one Australian state to develop an adapted implementation strategy to support the implementation of the mandatory healthy canteen policy (EBI) to all schools located in the service delivery region. STUDY DESIGN This is a case study of adapting an intervention to improve implementation of the healthy canteen policy. METHODS AND RESULTS This is a six-step pragmatic, empirically driven approach. The steps include (i) adapt, where appropriate, the EBI to facilitate implementation; (ii) identify end users' capacity for implementation; (iii) identify opportunities to adapt the implementation interventions while preserving meaningful intervention impact; (iv) undertake program adaptation; (v) develop training and resources to support delivery of implementation strategies and; (vi) evaluate the adapted intervention. This article describes the application of these steps by the authors to develop an adapted support strategy consistent with end users' needs. CONCLUSIONS This study provides some guidance on how to adapt implementation support approaches particularly when EBIs cannot be adapted. Future empirical research providing guidance on making practical adaptation decisions are needed.
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Affiliation(s)
- S L Yoong
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, 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.
| | - N Nathan
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, 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
| | - K Reilly
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, 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
| | - R Sutherland
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, 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
| | - S Straus
- Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada; Division of Geriatric Medicine, University of Toronto, Toronto, Ontario, Canada
| | - C Barnes
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, 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
| | - A Grady
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, Australia; Hunter Medical Research Institute, New Lambton Heights NSW, Australia
| | - L Wolfenden
- Hunter New England Population Health, Hunter New England Local Health District, Wallsend, Australia; Hunter Medical Research Institute, New Lambton Heights NSW, Australia
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Yoong SL, Grady A, Stacey F, Polimeni M, Clayton O, Jones J, Nathan N, Wyse R, Wolfenden L. A pilot randomized controlled trial examining the impact of a sleep intervention targeting home routines on young children's (3-6 years) physical activity. Pediatr Obes 2019; 14:e12481. [PMID: 30417593 DOI: 10.1111/ijpo.12481] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 08/19/2018] [Accepted: 09/08/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Given evidence suggesting that sleep impacts on metabolic processes, interventions targeting sleep may improve child physical activity (PA). OBJECTIVES To describe the potential effect of an intervention to increase sleep on young children's (3-6 years) moderate to vigorous PA (MVPA) and total PA. To determine adherence to the intervention, impact on sleep duration as well as feasibility, uptake and acceptability was also assessed. METHODS Pilot randomized controlled trial with 76 parent-child dyads randomly allocated to an intervention (n = 38) or control group (n = 38). Parents in the intervention group received a 3-month theory-informed intervention consisting of an online video, a telephone call and two text messages. Child PA was assessed using accelerometers at baseline and approximately 3 months. Parents also completed a sleep log and a telephone interview. RESULTS The consent rate was 41% (76/186). Estimated effect size for the intervention relative to control was 10.8 min/day for MVPA, 2.7 min/day for PA and 0.9 h for sleep. Sixteen (44%) parents accessed the video, and 18 (50%) received the telephone call. Over 40% of parents found the video and telephone call useful/very useful. CONCLUSIONS This study reports promising effects that an intervention targeting sleep may improve child MVPA and sleep duration. Some modifications to data collection methods and intervention delivery are needed.
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Affiliation(s)
- S L 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, Newcastle, New South Wales, Australia.,Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
| | - A 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, Newcastle, New South Wales, Australia.,Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
| | - F Stacey
- 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, Newcastle, New South Wales, Australia.,Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
| | - M Polimeni
- Parenting Research Centre, East Melbourne, Victoria, Australia
| | - O Clayton
- Parenting Research Centre, East Melbourne, Victoria, Australia
| | - J Jones
- 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, Newcastle, New South Wales, Australia.,Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
| | - N Nathan
- 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, Newcastle, New South Wales, Australia.,Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
| | - R 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, Newcastle, New South Wales, Australia.,Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
| | - L 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, Newcastle, New South Wales, Australia.,Priority Research Centre for Health Behaviour, The University of Newcastle, New South Wales, Australia
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6
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O'Brien KM, Wiggers J, Williams A, Campbell E, Hodder RK, Wolfenden L, Yoong SL, Robson EK, Haskins R, Kamper SJ, Rissel C, Williams CM. Telephone-based weight loss support for patients with knee osteoarthritis: a pragmatic randomised controlled trial. Osteoarthritis Cartilage 2018; 26:485-494. [PMID: 29330101 DOI: 10.1016/j.joca.2018.01.003] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/09/2017] [Revised: 11/30/2017] [Accepted: 01/02/2018] [Indexed: 02/02/2023]
Abstract
OBJECTIVE To determine the effectiveness of telephone-based weight loss support in reducing the intensity of knee pain in patients with knee osteoarthritis, who are overweight or obese, compared to usual care. DESIGN We conducted a parallel randomised controlled trial (RCT), embedded within a cohort multiple RCT of patients on a waiting list for outpatient orthopaedic consultation at a tertiary referral hospital in NSW, Australia. Patients with knee osteoarthritis, classified as overweight or obese [body mass index (BMI) between ≥27 kg/m2 and <40 kg/m2] were randomly allocated to receive referral to an existing non-disease specific government funded 6-month telephone-based weight management and healthy lifestyle service or usual care. The primary outcome was knee pain intensity measured using an 11-point numerical rating scale (NRS) over 6-month follow-up. A number of secondary outcomes, including self-reported weight were measured. Data analysis was by intention-to-treat according to a pre-published analysis plan. RESULTS Between May 19 and June 30 2015, 120 patients were randomly assigned to the intervention (59 analysed, one post-randomisation exclusion) or usual care (60 analysed). We found no statistically significant between group differences in pain intensity [area under the curve (AUC), mean difference 5.4, 95%CI: -13.7 to 24.5, P = 0.58] or weight change at 6 months (self-reported; mean difference -0.4, 95%CI: -2.6 to 1.8, P = 0.74). CONCLUSIONS Among patients with knee osteoarthritis who are overweight, telephone-based weight loss support, provided using an existing 6-month weight management and healthy lifestyle service did not reduce knee pain intensity or weight, compared with usual care. TRIAL REGISTRATION NUMBER ACTRN12615000490572.
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Affiliation(s)
- K M O'Brien
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia; School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW, 2308, Australia; Centre for Pain, Health and Lifestyle, NSW, Australia.
| | - J Wiggers
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia; School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW, 2308, Australia.
| | - A Williams
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia; School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW, 2308, Australia; Centre for Pain, Health and Lifestyle, NSW, Australia.
| | - E Campbell
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia; School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW, 2308, Australia.
| | - R K Hodder
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia; School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW, 2308, Australia; Centre for Pain, Health and Lifestyle, NSW, Australia.
| | - L Wolfenden
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia; School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW, 2308, Australia.
| | - S L Yoong
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia; School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW, 2308, Australia.
| | - E K Robson
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia; School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW, 2308, Australia; Centre for Pain, Health and Lifestyle, NSW, Australia.
| | - R Haskins
- Outpatient Services, John Hunter Hospital, Hunter New England Local Health District, Locked Bag 1, New Lambton, NSW, 2305, Australia.
| | - S J Kamper
- Centre for Pain, Health and Lifestyle, NSW, Australia; Musculoskeletal Health Sydney, University of Sydney, Lvl 10, King George V Building, Camperdown, NSW, 2050, UK.
| | - C Rissel
- NSW Office of Preventive Health, Liverpool Hospital, South West Sydney Local Health District, Locked Bag 7279, Liverpool, BC 1871, Australia.
| | - C M Williams
- Hunter New England Population Health, Locked Bag 10, Wallsend, NSW, 2287, Australia; School of Medicine and Public Health, Hunter Medical Research Institute, University of Newcastle, Newcastle, NSW, 2308, Australia; Centre for Pain, Health and Lifestyle, NSW, Australia.
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Britton B, Wratten C, Baker A, Wolfenden L, Bauer J, Beck A, Carter G. Eating As Treatment: A Stepped Wedge Randomized Controlled Trial to Improve Nutrition in Head and Neck Cancer Patients Undergoing Radiation Therapy. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Gharibi A, La Kim S, Molnar J, Brambilla D, Adamian Y, Hoover M, Hong J, Lin J, Wolfenden L, Kelber JA. ITGA1 is a pre-malignant biomarker that promotes therapy resistance and metastatic potential in pancreatic cancer. Sci Rep 2017; 7:10060. [PMID: 28855593 PMCID: PMC5577248 DOI: 10.1038/s41598-017-09946-z] [Citation(s) in RCA: 43] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Accepted: 07/31/2017] [Indexed: 12/24/2022] Open
Abstract
Pancreatic ductal adenocarcinoma (PDAC) has single-digit 5-year survival rates at <7%. There is a dire need to improve pre-malignant detection methods and identify new therapeutic targets for abrogating PDAC progression. To this end, we mined our previously published pseudopodium-enriched (PDE) protein/phosphoprotein datasets to identify novel PDAC-specific biomarkers and/or therapeutic targets. We discovered that integrin alpha 1 (ITGA1) is frequently upregulated in pancreatic cancers and associated precursor lesions. Expression of ITGA1-specific collagens within the pancreatic cancer microenvironment significantly correlates with indicators of poor patient prognosis, and depleting ITGA1 from PDAC cells revealed that it is required for collagen-induced tumorigenic potential. Notably, collagen/ITGA1 signaling promotes the survival of ALDH1-positive stem-like cells and cooperates with TGFβ to drive gemcitabine resistance. Finally, we report that ITGA1 is required for TGFβ/collagen-induced EMT and metastasis. Our data suggest that ITGA1 is a new diagnostic biomarker and target that can be leveraged to improve patient outcomes.
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Affiliation(s)
- Armen Gharibi
- Department of Biology, California State Univeristy Northridge, Northridge, California, USA
| | - Sa La Kim
- Department of Biology, California State Univeristy Northridge, Northridge, California, USA
| | - Justin Molnar
- Department of Biology, California State Univeristy Northridge, Northridge, California, USA
| | - Daniel Brambilla
- Department of Biology, California State Univeristy Northridge, Northridge, California, USA
| | - Yvess Adamian
- Department of Biology, California State Univeristy Northridge, Northridge, California, USA
| | - Malachia Hoover
- Department of Biology, California State Univeristy Northridge, Northridge, California, USA
| | - Julie Hong
- Department of Biology, California State Univeristy Northridge, Northridge, California, USA
| | - Joy Lin
- Department of Biology, California State Univeristy Northridge, Northridge, California, USA
| | - Laurelin Wolfenden
- Department of Biology, California State Univeristy Northridge, Northridge, California, USA
| | - Jonathan A Kelber
- Department of Biology, California State Univeristy Northridge, Northridge, California, USA.
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Lee H, Mansell G, McAuley JH, Kamper SJ, Hübscher M, Moseley GL, Wolfenden L, Hodder RK, Williams CM. Causal mechanisms in the clinical course and treatment of back pain. Best Pract Res Clin Rheumatol 2017; 30:1074-1083. [PMID: 29103550 DOI: 10.1016/j.berh.2017.04.001] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2017] [Accepted: 03/27/2017] [Indexed: 11/24/2022]
Abstract
In recent years, there has been increasing interest in studying causal mechanisms in the development and treatment of back pain. The aim of this article is to provide an overview of our current understanding of causal mechanisms in the field. In the first section, we introduce key concepts and terminology. In the second section, we provide a brief synopsis of systematic reviews of mechanism studies relevant to the clinical course and treatment of back pain. In the third section, we reflect on the findings of our review to explain how understanding causal mechanisms can inform clinical practice and the implementation of best practice. In the final sections, we introduce contemporary methodological advances, highlight the key assumptions of these methods, and discuss future directions to advance the quality of mechanism-related studies in the back pain field.
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Affiliation(s)
- H Lee
- School of Medicine and Public Health, University of Newcastle, Hunter Medical Research Institute, NSW, Australia; Neuroscience Research Australia (NeuRA), Sydney, NSW, Australia; Prince of Wales Clinical School, University of New South Wales, Sydney, NSW, Australia; Centre for Pain, Health and Lifestyle, Australia.
| | - G Mansell
- Research Institute for Primary Care & Health Sciences, Keele University, Keele, Staffordshire ST5 5BG, UK
| | - J H McAuley
- Neuroscience Research Australia (NeuRA), Sydney, NSW, Australia; Prince of Wales Clinical School, University of New South Wales, Sydney, NSW, Australia
| | - S J Kamper
- Centre for Pain, Health and Lifestyle, Australia; The George Institute for Global Health, University of Sydney, Sydney, NSW, Australia
| | - M Hübscher
- Neuroscience Research Australia (NeuRA), Sydney, NSW, Australia
| | - G L Moseley
- Sansom Institute for Health Research, University of South Australia, Adelaide, SA, Australia
| | - L Wolfenden
- School of Medicine and Public Health, University of Newcastle, Hunter Medical Research Institute, NSW, Australia; Hunter New England Population Health, Hunter New England Local Health District, NSW, Australia
| | - R K Hodder
- School of Medicine and Public Health, University of Newcastle, Hunter Medical Research Institute, NSW, Australia; Hunter New England Population Health, Hunter New England Local Health District, NSW, Australia
| | - C M Williams
- School of Medicine and Public Health, University of Newcastle, Hunter Medical Research Institute, NSW, Australia; Centre for Pain, Health and Lifestyle, Australia; The George Institute for Global Health, University of Sydney, Sydney, NSW, Australia
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10
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Nathan N, Wiggers J, Wyse R, Williams CM, Sutherland R, Yoong SL, Lecathelinais C, Wolfenden L. Factors associated with the implementation of a vegetable and fruit program in a population of Australian elementary schools. Health Educ Res 2017; 32:197-205. [PMID: 28380629 DOI: 10.1093/her/cyx038] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Accepted: 02/12/2017] [Indexed: 06/07/2023]
Abstract
Implementation of vegetable and fruit programs in schools is less than optimal. This study aimed to identify, using a theoretical framework, factors associated with implementation of a school vegetable and fruit program; that provides a time in class for children to consume a piece of vegetable or fruit they have brought from home. Three hundred and three randomly selected school principals across the state of New South Wales, Australia responded to a 25-min telephone survey. Principals were asked if their school had implemented a vegetable and fruit program, and which of 12 factors from Damschroder's consolidated framework for implementation research had facilitated or impeded implementation. Multiple logistic regression models examined the association between such factors and program implementation. Seventy-eight percent of schools had a vegetable and fruit program. Schools were significantly more likely to implement the program if the principal believed that: the program was effective (OR = 2.97; P < 0.02); they had sufficient resources to implement the program (OR = 4.22; P < 0.0001); the program would not be difficult to implement (OR = 10.16; P< 0.0001) and that the program was as important as other school priorities (OR = 2.45; P < 0.02). Realizing the intended benefits of vegetable and fruit programs requires widespread implementation by schools. Consideration of principal beliefs about the program effectiveness, resources, difficultly and relative importance in program implementation strategies appear key to increasing program implementation.
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Affiliation(s)
- N Nathan
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No 10, Wallsend, NSW 2287, Australia
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - J Wiggers
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No 10, Wallsend, NSW 2287, Australia
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - R Wyse
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No 10, Wallsend, NSW 2287, Australia
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - C M Williams
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No 10, Wallsend, NSW 2287, Australia
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - R Sutherland
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No 10, Wallsend, NSW 2287, Australia
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - S L Yoong
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No 10, Wallsend, NSW 2287, Australia
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - C Lecathelinais
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No 10, Wallsend, NSW 2287, Australia
| | - L Wolfenden
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No 10, Wallsend, NSW 2287, Australia
- School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia
- Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia
- Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
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11
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Desmet C, Sutherland R, Davies L, Wolfenden L, Butler P, McCarthy N, Cohen J, Nathan N. Objectively measuring children's physical activity levels in a free living environment. J Sci Med Sport 2017. [DOI: 10.1016/j.jsams.2017.01.089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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12
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Davies L, Sutherland R, Campbell E, Nathan N, Wolfenden L, Gillham K, Wiggers J. Longitudinal changes in adolescent sedentary behaviour in a school day. J Sci Med Sport 2017. [DOI: 10.1016/j.jsams.2016.12.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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13
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Metse AP, Wiggers J, Wye P, Wolfenden L, Freund M, Clancy R, Stockings E, Terry M, Allan J, Colyvas K, Prochaska JJ, Bowman JA. An integrated smoking intervention for mental health patients: a randomised controlled trial. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw172.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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14
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Small T, Kingsland M, Wolfenden L, Tindall J, Rowland B, Sherker S, McLaren N, Gillham K, Wiggers J. Sustaining alcohol management practices in community sports clubs: A 3 year follow-up. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw172.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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15
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Metse AP, Wiggers J, Wye P, Wolfenden L, Prochaska JJ, Stockings E, Williams JM, Ansell K, Fehily C, Bowman JA. Smoking and mental illness: a bibliometric analysis of research output over time. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw165.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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16
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Small T, Kingsland M, Wiggers J, Wolfenden L, Tindall J, Sherker S, McLaren N, Gillham K, Rowland B, Yoong S. Feasibility of a web-based intervention for sustaining alcohol management practices in sports clubs. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw174.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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17
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Gharibi A, Kim SL, Brambilla D, Adamian Y, Hoover M, Lin J, Agajanian M, Wolfenden L, Kelber JA. Abstract 4426: The PEAK1/ZEB1/ITGA1 pathway mediates survival, stemness and TGFbeta-induced EMT in pancreatic cancer. Cancer Res 2016. [DOI: 10.1158/1538-7445.am2016-4426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Pancreatic ductal adenocarcinoma (PDAC) is the fourth leading cause of cancer-related deaths in the United States with a five-year survival rate of approximately 7%. Its highly invasive characteristics, lack of biomarkers for early detection, limited therapeutic targets and inherent resistance to chemotherapy are the central factors that lead to an overall poor prognosis for this malignancy. Since most cancer-related deaths are a result of metastatic tumors, we reasoned that our previously published proteomic signature of the cell pseudopodium (PD) may be a good pool from which to identify novel protein biomarkers or therapeutic targets in pancreatic cancer. We cross-referenced PD enriched proteins with Oncomine and identified 37 genes that are upregulated in pancreatic cancer. The function of integrin alpha 1 (ITGA1), a cell surface receptor for collagen and regulator of cell adhesion, has not been previously characterized in the context of PDAC. Our results indicate that ITGA1 is required for PDAC cell viability, promoting cell survival and tumor growth. We further analyzed ITGA1 cell-surface levels and discovered that ITGA1hi cells represent a subpopulation of Aldehyde Dehyrogenase high (ALDH1hi) cells, and that ITGA1 knockdown reduces the ALDH1hi cell population. One mechanism by which PDAC cells acquire metastatic potential is via epithelial-mesenchymal transition (EMT). Thus, we searched for prominent EMT genes among the top ITGA1 co-expressors using RNA-Seq data from the Cancer Bio Portal. Interestingly, ZEB1 (a transforming growth factor beta, TGFbeta, response gene and central regulator of EMT) and PEAK1 kinase (a protein we’ve shown to be required for pancreatic cancer progression and TGFbeta/ZEB1-induced EMT) co-expresses with ITGA1. We tested the function of ITGA1 on TGFbeta-induced EMT and found that ITGA1 is upregulated by TGFbeta during EMT, and required for metastasis and a complete EMT response to TGFbeta. We also demonstrate that PEAK1 is required for TGFbeta-induced ITGA1 in PDAC cells. Finally, we demonstrate that ITGA1 is responsible for collagen-induced spreading and an EMT-like shift in PDAC cell morphology. Taken together, these results point to a novel TGFbeta/PEAK1/ZEB1/ITGA1 signaling cascade that when targeted can abrogate PDAC cell survival, stemness, EMT and tumor growth/metastasis.
Citation Format: Armen Gharibi, Sa La Kim, Daniel Brambilla, Yvess Adamian, Malachia Hoover, Joy Lin, Megan Agajanian, Laurelin Wolfenden, Jonathan A. Kelber. The PEAK1/ZEB1/ITGA1 pathway mediates survival, stemness and TGFbeta-induced EMT in pancreatic cancer. [abstract]. In: Proceedings of the 107th Annual Meeting of the American Association for Cancer Research; 2016 Apr 16-20; New Orleans, LA. Philadelphia (PA): AACR; Cancer Res 2016;76(14 Suppl):Abstract nr 4426.
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Affiliation(s)
- Armen Gharibi
- California State University, Northridge - Biology, Northridge, CA
| | - Sa La Kim
- California State University, Northridge - Biology, Northridge, CA
| | - Daniel Brambilla
- California State University, Northridge - Biology, Northridge, CA
| | - Yvess Adamian
- California State University, Northridge - Biology, Northridge, CA
| | - Malachia Hoover
- California State University, Northridge - Biology, Northridge, CA
| | - Joy Lin
- California State University, Northridge - Biology, Northridge, CA
| | - Megan Agajanian
- California State University, Northridge - Biology, Northridge, CA
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18
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Hollis JL, Sutherland R, Campbell L, Morgan PJ, Lubans DR, Nathan N, Wolfenden L, Okely AD, Davies L, Williams A, Cohen KE, Oldmeadow C, Gillham K, Wiggers J. Effects of a 'school-based' physical activity intervention on adiposity in adolescents from economically disadvantaged communities: secondary outcomes of the 'Physical Activity 4 Everyone' RCT. Int J Obes (Lond) 2016; 40:1486-1493. [PMID: 27430652 PMCID: PMC5056957 DOI: 10.1038/ijo.2016.107] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Revised: 04/18/2016] [Accepted: 05/02/2016] [Indexed: 12/19/2022]
Abstract
BACKGROUND/OBJECTIVES: Obesity prevention during adolescence is a health priority. The ‘Physical Activity 4 Everyone' (PA4E1) study tested a multi-component physical activity intervention in 10 secondary schools from socio-economically disadvantaged communities. This paper aimed to report the secondary outcomes of the study; to determine whether the intervention impacted on adiposity outcomes (weight, body mass index (BMI), BMI z-score), and whether any effect was moderated by sex, baseline BMI and baseline physical activity level, at 12 and 24 months. SUBJECTS/METHODS: A cluster randomised controlled trial was conducted in New South Wales, Australia. The school-based intervention included seven physical activity strategies targeting the following: curriculum (strategies to maximise physical activity in physical education, student physical activity plans, an enhanced school sport programme); school environment (physical activity during school breaks, modification of school policy); and parents and the community (parent engagement, links with community physical activity providers). Students' weight (kg), BMI and BMI z-score, were collected at baseline (Grade 7), 12 and 24 months. Linear Mixed Models were used to assess between-group mean difference from baseline to 12 and 24 months. Exploratory sub-analyses were undertaken according to three moderators of energy balance. RESULTS: A total of 1150 students (mean age=12 years) provided outcome data at baseline, 1051 (91%) at 12 months and 985 (86%) at 24 months. At 12 months, there were group-by-time effects for weight (mean difference=–0.90 kg (95% confidence interval (CI)=–1.50, −0.30), P<0.01) and BMI (−0.28 kg m−2 (−0.50, −0.06), P=0.01) in favour of the intervention group, but not for BMI z-score (−0.05 (−0.11; 0.01), P=0.13). These findings were consistent for weight (−0.62 kg (−1.21, 0.03), P=0.01) and BMI (−0.28 kg m−2 (−0.49, −0.06), P=0.01) at 24 months, with group-by-time effects also found for BMI z-score (−0.08 (−0.14; −0.02), P=0.02) favouring the intervention group. CONCLUSION: The PA4E1 school-based intervention achieved moderate reductions in adiposity among adolescents from socio-economically disadvantaged communities. Multi-component interventions that increase adolescents' engagement in moderate-to-vigorous physical activity (MVPA) may assist in preventing unhealthy weight gain.
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Affiliation(s)
- J L Hollis
- Hunter New England Population Health, The University of Newcastle, Wallsend, New South Wales, Australia.,School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
| | - R Sutherland
- Hunter New England Population Health, The University of Newcastle, Wallsend, New South Wales, Australia.,School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.,Hunter Medical Research Institute, Lambton, New South Wales, Australia
| | - L Campbell
- Hunter New England Population Health, The University of Newcastle, Wallsend, New South Wales, Australia.,School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.,Hunter Medical Research Institute, Lambton, New South Wales, Australia
| | - P J Morgan
- Priority Research Centre in Physical Activity and Nutrition, School of Education, University of Newcastle, Callaghan, New South Wales, Australia
| | - D R Lubans
- Priority Research Centre in Physical Activity and Nutrition, School of Education, University of Newcastle, Callaghan, New South Wales, Australia
| | - N Nathan
- Hunter New England Population Health, The University of Newcastle, Wallsend, New South Wales, Australia.,School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.,Hunter Medical Research Institute, Lambton, New South Wales, Australia
| | - L Wolfenden
- Hunter New England Population Health, The University of Newcastle, Wallsend, New South Wales, Australia.,School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.,Hunter Medical Research Institute, Lambton, New South Wales, Australia
| | - A D Okely
- Early Start Research Institute, Faculty of Social Sciences, University of Wollongong, Wollongong, New South Wales, Australia.,Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, New South Wales, Australia
| | - L Davies
- Hunter New England Population Health, The University of Newcastle, Wallsend, New South Wales, Australia.,Hunter Medical Research Institute, Lambton, New South Wales, Australia
| | - A Williams
- Hunter New England Population Health, The University of Newcastle, Wallsend, New South Wales, Australia.,School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
| | - K E Cohen
- Priority Research Centre in Physical Activity and Nutrition, School of Education, University of Newcastle, Callaghan, New South Wales, Australia
| | - C Oldmeadow
- School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.,Hunter Medical Research Institute, Lambton, New South Wales, Australia
| | - K Gillham
- Hunter New England Population Health, The University of Newcastle, Wallsend, New South Wales, Australia.,Hunter Medical Research Institute, Lambton, New South Wales, Australia
| | - J Wiggers
- Hunter New England Population Health, The University of Newcastle, Wallsend, New South Wales, Australia.,School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.,Hunter Medical Research Institute, Lambton, New South Wales, Australia
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19
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Finch M, Jones J, Yoong S, Wiggers J, Wolfenden L. Effectiveness of centre-based childcare interventions in increasing child physical activity: a systematic review and meta-analysis for policymakers and practitioners. Obes Rev 2016; 17:412-28. [PMID: 27005942 DOI: 10.1111/obr.12392] [Citation(s) in RCA: 53] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2015] [Revised: 01/27/2016] [Accepted: 01/28/2016] [Indexed: 11/29/2022]
Abstract
CONTEXT The review describes the effectiveness of physical activity interventions implemented in centre-based childcare services and (i) examines characteristics of interventions that may influence intervention effects; (ii) describes the effects of pragmatic interventions and non-pragmatic interventions; (iii) assesses adverse effects; and (iv) describes cost-effectiveness of interventions METHODS Data sources were Cochrane Central Register of Controlled trials, MEDLINE, EMBASE, PsycINFO, ERIC, CINAHL, SCOPUS and SPORTDISCUS. Studies selected included randomized controlled trials conducted in centre-based childcare including an intervention to increase objectively measured physical activity in children aged less than 6 years. Data were converted into standardized mean difference (SMD) and analysed using a random effects model. RESULTS Overall interventions significantly improved child physical activity (SMD 0.44; 95% confidence interval [CI]: 0.12-0.76). Significant effects were found for interventions that included structured activity (SMD 0.53; 95% CI: 0.12-0.94), delivery by experts (SMD 1.26; 95% CI: 0.20-2.32) and used theory (SMD 0.76; 95% CI: 0.08-1.44). Non-pragmatic (SMD 0.80; 95% CI: 0.12-1.48) but not pragmatic interventions (SMD 0.10; 95% CI:-0.13-0.33) improved child physical activity. One trial reported adverse events, and no trials reported cost data. CONCLUSIONS Intervention effectiveness varied according to intervention and trial design characteristics. Pragmatic trials were not effective, and information on cost and adverse effects was lacking. Evidence gaps remain for policymakers and practitioners regarding the effectiveness and feasibility of childcare-based physical activity interventions.
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Affiliation(s)
- M Finch
- Hunter New England Population Health, Wallsend, NSW, Australia.,School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
| | - J Jones
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
| | - S Yoong
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia
| | - J Wiggers
- Hunter New England Population Health, Wallsend, NSW, Australia.,School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.,Hunter Medical Research Institute, New Lambton Heights, NSW, Australia
| | - L Wolfenden
- Hunter New England Population Health, Wallsend, NSW, Australia.,School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.,Hunter Medical Research Institute, New Lambton Heights, NSW, Australia
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20
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Wolfenden L, Kingsland M, Rowland B, Dodds P, Sidey M, Sherker S, Wiggers J. The impact of alcohol management practices on sports club membership and revenue. Health Promot J Austr 2016; 27:159-161. [PMID: 27072080 DOI: 10.1071/he15124] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2015] [Accepted: 11/27/2015] [Indexed: 11/23/2022] Open
Abstract
Issue addressed: The aim of this study was to assess the impact of an alcohol management intervention on community sporting club revenue (total annual income) and membership (number of club players, teams and spectators).Methods: The study employed a cluster randomised controlled trial design that allocated clubs either an alcohol accreditation intervention or a control condition. Club representatives completed a scripted telephone survey at baseline and again ~3 years following. Demographic information about clubs was collected along with information about club income.Results: Number of players and senior teams were not significantly different between treatment groups following the intervention. The intervention group, however, showed a significantly higher mean number of spectators. Estimates of annual club income between groups at follow-up showed no significant difference in revenue.Conclusions: This study found no evidence to suggest that efforts to reduce alcohol-related harm in community sporting clubs will compromise club revenue and membership.So what?: These findings suggest that implementation of an intervention to improve alcohol management of sporting clubs may not have the unintended consequence of harming club viability.
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Affiliation(s)
- L Wolfenden
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
| | - M Kingsland
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
| | - B Rowland
- School of Psychology, Deakin University, 221 Burwood Highway, Burwood, Vic. 3125, Australia
| | - P Dodds
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
| | - M Sidey
- Australian Drug Foundation, PO Box 818, North Melbourne, Vic. 3051, Australia
| | - S Sherker
- Australian Drug Foundation, PO Box 818, North Melbourne, Vic. 3051, Australia
| | - J Wiggers
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
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21
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Nathan N, Wolfenden L, Williams CM, Yoong SL, Lecathelinais C, Bell AC, Wyse R, Sutherland R, Wiggers J. Adoption of obesity prevention policies and practices by Australian primary schools: 2006 to 2013. Health Educ Res 2015; 30:262-271. [PMID: 25516479 DOI: 10.1093/her/cyu068] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Despite significant investment in many countries, the extent of schools' adoption of obesity prevention policies and practices has not been widely reported. The aims of this article are to describe Australian schools' adoption of healthy eating and physical activity policies and practices over an 8-year period and to determine if their adoption varies according to schools' size, geographic or socio-economic location. Between 2006 and 2013, a representative randomly selected cohort of primary schools (n = 476) in New South Wales, Australia, participated in four telephone interviews. Repeated measures logistic regression analyses using a Generalised Estimating Equation (GEE) framework were undertaken to assess change over time. The prevalence of all four of the healthy eating practices and one physical activity practice significantly increased, while the prevalence of one physical activity practice significantly decreased. The adoption of practices did not differ by school characteristics. Government investment can equitably enhance school adoption of some obesity prevention policies and practices on a jurisdiction-wide basis. Additional and/or different implementation strategies may be required to facilitate greater adoption of physical activity practices. Ongoing monitoring of school adoption of school policies and practices is needed to ensure the intended benefits of government investment are achieved.
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Affiliation(s)
- N Nathan
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - L Wolfenden
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - C M Williams
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - S L Yoong
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - C Lecathelinais
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - A C Bell
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - R Wyse
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - R Sutherland
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
| | - J Wiggers
- Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia Hunter New England Population Health, Hunter New England Area Health Service, Newcastle, Locked Bag No. 10, Wallsend, NSW 2287, Australia, School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW 2308, Australia, Priority Research Centre for Health Behaviour, The University of Newcastle, Newcastle, NSW 2308, Australia and Hunter Medical Research Institute, Newcastle, NSW 2300, Australia
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Wolfenden L, Carruthers J, Wyse R, Yoong S. Translation of tobacco control programs in schools: findings from a rapid review of systematic reviews of implementation and dissemination interventions. Health Promot J Austr 2014; 25:136-8. [PMID: 24988137 DOI: 10.1071/he13089] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Accepted: 04/18/2014] [Indexed: 11/23/2022] Open
Abstract
ISSUE ADDRESSED School-based programs targeting the prevention of tobacco use are a key strategy for reducing the overall tobacco-related mortality and morbidity in the community. While substantial research investment has resulted in the identification of various effective tobacco prevention interventions in schools, this research investment will not result in public health benefits, unless effectively disseminated and implemented. This rapid review aimed to identify effective implementation or dissemination interventions, targeting the adoption of school-based tobacco prevention programs. METHODS A systematic search was conducted to identify published systematic reviews that examined the effectiveness of implementation and dissemination strategies for facilitating the adoption of tobacco policies or programs in schools from 1992 to 2012. RESULTS The search yielded 1028 results, with one relevant systematic review being identified. The review included two controlled studies examining the implementation and dissemination of tobacco prevention programs and guidelines. The two randomised trials examined the delivery of active face-to-face training to implement a school-based curriculum compared with video-delivered or mail-based training. Improvements in the implementation of the programs were reported for the face-to-face training arm in both trials. CONCLUSIONS Little rigorous evidence exists to guide the implementation and dissemination of tobacco prevention programs in schools. SO WHAT? Few systematic reviews exist to inform the implementation of evidence-based tobacco prevention programs in schools. In the absence of a strong evidence base, health care policymakers and practitioners may need to draw on setting-based frameworks or parallel evidence from other settings to design strategies to facilitate the adoption of tobacco prevention initiatives.
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Affiliation(s)
- L Wolfenden
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
| | - J Carruthers
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
| | - R Wyse
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
| | - S Yoong
- School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia
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Bell C, Finch M, Wolfenden L, Morgan P, Freund M, Jones J, Wiggers J. Predictors of preschool age children's physical activity at long day care. J Sci Med Sport 2012. [DOI: 10.1016/j.jsams.2012.11.271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Wiggers J, Kingsland M, Wolfenden L, Rowland B, Gillham K, Kennedy V, Ramsden R, Colbran R. Alcohol and community football clubs: club-based characteristics and practices associated with risky consumption. Inj Prev 2012. [DOI: 10.1136/injuryprev-2012-040590g.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Finch M, Wolfenden L, Edenden D, Falkiner M, Pond N, Hardy L, Milat A, Wiggers J. Impact of a population health physical activity practice change intervention in childcare services. Obes Res Clin Pract 2011. [DOI: 10.1016/j.orcp.2011.08.141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Innes-Hughes C, Hardy L, Venugopal K, King L, Wolfenden L, Rangan A. Children's consumption of energy dense nutrient poor foods: Additional or replacement foods? Obes Res Clin Pract 2010. [DOI: 10.1016/j.orcp.2010.09.029] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Zem GC, Dreyfuss J, Allen J, Kawashima R, Daco E, Kanda Y, Koleilat T, Khurrum M, Yaghoobian J, Danialian S, Marroquin M, Wolfenden L, Oppenheimer SB. Kinetics of yeast dissociation from lectin beads: III. potassium chloride. FASEB J 2010. [DOI: 10.1096/fasebj.24.1_supplement.480.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Gregory C. Zem
- BiologyCalifornia State University, NorthridgeNorthridgeCA
| | - J Dreyfuss
- BiologyCalifornia State University, NorthridgeNorthridgeCA
| | - J Allen
- BiologyCalifornia State University, NorthridgeNorthridgeCA
| | - R Kawashima
- BiologyCalifornia State University, NorthridgeNorthridgeCA
| | - E Daco
- BiologyCalifornia State University, NorthridgeNorthridgeCA
| | - Y Kanda
- BiologyCalifornia State University, NorthridgeNorthridgeCA
| | - T Koleilat
- BiologyCalifornia State University, NorthridgeNorthridgeCA
| | - M Khurrum
- BiologyCalifornia State University, NorthridgeNorthridgeCA
| | - J Yaghoobian
- BiologyCalifornia State University, NorthridgeNorthridgeCA
| | - S Danialian
- BiologyCalifornia State University, NorthridgeNorthridgeCA
| | - M Marroquin
- BiologyCalifornia State University, NorthridgeNorthridgeCA
| | - L Wolfenden
- BiologyCalifornia State University, NorthridgeNorthridgeCA
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Abstract
To facilitate the translation of research evidence into practice, policy makers and practitioners require practice-relevant information such as the effectiveness of interventions delivered in specific settings, by various personnel, using various intervention modalities, and descriptions of intervention costs or adverse outcomes. The aim of this study was to review the relevance of information reported in systematic reviews of child obesity interventions in terms of these requirements. A systematic search was conducted for systematic reviews of child obesity interventions published in English between 1990 and 2008. A total of 3150 citations were examined. Of the 44 eligible reviews, 16 examined prevention interventions, 18 examined treatment interventions, and 10 examined both prevention and treatment interventions. Less than 50% of prevention and treatment reviews reported the effect of interventions conducted in specific settings, the effect of interventions conducted by various personnel and the effect of those delivered via various intervention modalities. Similarly, few (4-15%) reviews reported cost or adverse event outcomes. Existing systematic reviews of childhood obesity interventions provide limited practice-relevant information. The potential for benefit from the translation of evidence into practice is therefore limited. Involving end users in systematic review development may improve the relevance of outcomes reported in systematic reviews.
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Affiliation(s)
- L Wolfenden
- Hunter New England Population Health, Hunter New England Area Health, Wallsend, NSW, Australia.
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Wolfenden L, Neve M, Farrell L, Lecathelinais C, Sutherland R, Bell C, Milat A, Wiggers J, Finch M. How supportive are childcare services policies and practices to child physical activity? J Sci Med Sport 2010. [DOI: 10.1016/j.jsams.2009.10.355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Hinkley T, Wolfenden L, Sugiyami T, Porter C, Zask A, Bundy A. Physical activity in early childhood: Characteristics, influences and interventions. J Sci Med Sport 2010. [DOI: 10.1016/j.jsams.2009.10.353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Knight J, Slattery C, Green S, Porter A, Valentine M, Wolfenden L. Smoke-free hospitals: an opportunity for public health. J Public Health (Oxf) 2008; 30:516. [DOI: 10.1093/pubmed/fdn085] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Wolfenden L, Wiggers J, Knight J, Campbell E, Rissel C, Kerridge R, Spigelman AD, Moore K. A programme for reducing smoking in pre-operative surgical patients: randomised controlled trial. Anaesthesia 2005; 60:172-9. [PMID: 15644016 DOI: 10.1111/j.1365-2044.2004.04070.x] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
We assessed the efficacy of a comprehensive programme for stopping smoking in 210 smokers scheduled for surgery, before admission and 3 months after attending a pre-operative clinic. Participants were randomly allocated to receive an intervention incorporating nicotine replacement therapy for patients smoking more than 10 cigarettes per day ("dependent smokers"), or to a control group to receive usual care. Dependent smokers allocated to the intervention group were more likely to report abstinence before surgery than those allocated to receive usual-care (63 (73%) vs. 29 (56%), respectively; OR 2.2 (95% CI 1.0-4.8)), and 3 months after attendance (16 (18%) vs. 3 (5%), respectively; OR = 3.9 (95% CI 1.0-21.7).
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Affiliation(s)
- L Wolfenden
- Hunter Population Health, Hunter Area Health Service, Locked Bag 10, Wallsend, NSW 2287, Australia.
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