Research to practice: application of an evidencebuilding framework to a childhood obesity prevention initiative in New South Wales

Rissel, Chris; Laws, Rachel; George, Alexis B St; Hector, Debra; Milat, Andrew; Baur, Louise A.

doi:10.1071/he12016

Cited by 11 publications

(7 citation statements)

References 54 publications

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“…By far the most frequently applied knowledge translation framework was the RE-AIM framework developed by Glasgow and colleagues [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] , followed by variants of the knowledge translation continuum models or 'T' models 5-7,11 29-39 , the Knowledge to Action framework 8,9,[38][39][40][41][42][43][44] , the PARiHS framework [45][46][47][48] , the evidence based public health models of Brownson and colleagues 10,[53][54][55][56][57] , and the stages of research and evaluation model of Nutbeam, Bauman and colleagues. [58][59][60][61][62] The four most widely Key elements:…”

Section: Study Characteristicsmentioning

confidence: 99%

Narrative review of frameworks for translating research evidence into policy and practice

Milat¹,

Li²

2017

Public Health Research Pr

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Section: Study Characteristicsmentioning

confidence: 99%

Narrative review of frameworks for translating research evidence into policy and practice

Milat¹,

Li²

2017

Public Health Research Pr

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“…, Rissel et al . ). These messages are: (i) Get active each day; (ii) Turn off the TV or computer and get active; (iii) Eat fewer snacks and select healthier alternatives; (iv) Choose water as a drink; and (v) Eat more fruit and vegetables (http://www.healthykids.nsw.gov.au).…”

Section: Introductionmentioning

confidence: 97%

Australian Middle Eastern parents’ perceptions and practices of children's weight-related behaviours: Talking with Parents’ Study

Hardy

Hector

Saleh

et al. 2015

Health Soc Care Community

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The home environment is associated with obesity-related behaviours among children, and research in Australia has shown that some of these behaviours are more prevalent among children from particular cultural backgrounds including Middle Eastern. This study presents findings from face-to-face, semi-structured interviews conducted in April 2013 with a convenience sample of Middle Eastern parents of primary school-age children at an Islamic private school in Sydney, Australia. The interviews explored parental perceptions and practices regarding state government health messages addressing children's eating, physical activity and screen time. The purpose of the study was to investigate whether the content of these generic public health messages is relevant and acceptable to Middle Eastern parents of young children, and to identify any enablers and barriers to adopting these healthy practices at home. Thematic analysis identified predominant themes. In total, 21 interviews were conducted (reference children: 12 boys/9 girls, aged 5-12 years). The content of current health messages regarding children's weight-related behaviours was familiar to respondents, and accepted as relevant for guiding their parenting practices. Parents perceived that they typically encouraged healthy behaviours, although they also reported making regular exemptions, in response to various circumstances. Overall, the perceptions and reported practices of the parents were consistent with other studies with Australian parents. There were no apparent culturally specific barriers or enablers to children's weight-related behaviours. There is however scope for health promoters to provide more precise information on health recommendations, health risks and benefits, and to provide more specific ideas for ways in which parents can act on these health messages within the home and family environment, to encourage and support healthy behaviours in their children.

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“…Furthermore, attempts to replicate these programs in other settings has proven particularly challenging. Aarons et al, have recently described these efforts as “scale-out” interventions, where researchers employ the “deliberate use of strategies to implement, test, improve, and sustain an evidence based intervention as it is delivered to new populations and/or through new delivery systems that differ from those in effectiveness trials.” [ 8 ] With the burden of childhood obesity now affecting 17% of children in the United States [ 9 ], the future of obesity research needs to include rigorous methods for “scaling-out” efficacious studies into real-world contexts and evaluating their impact [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Community-based implementation research is an emerging field that focuses on how efficacious interventions should be modified so that similar results can be achieved in different settings with more diverse populations [ 10 ]. In their qualitative evaluation of 19 community-based obesity programs in Missouri, Dreisinger et al developed a framework of individual, organizational, community, and intervention factors that are critical for widespread obesity program distribution [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Scale-out of a community-based behavioral intervention for childhood obesity: pilot implementation evaluation

Heerman¹,

Schludnt²,

Harris³

et al. 2018

BMC Public Health

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BackgroundExpanding the use of evidence-based behavioral interventions in community settings has met with limited success in various health outcomes as fidelity and dose of clinical interventions are often diluted when translated to communities. We conducted a pilot implementation study to examine adoption of the rigorously evaluated Healthier Families Program by Parks and Recreation centers in 3 cities across the country (MI, GA, NV) with diverse socio-cultural environments.MethodsUsing the RE-AIM framework, we evaluated the program both quantitatively (pre/post surveys of health behavior change; attendance & fidelity) and qualitatively (interviews with Parks and Recreation staff and participants following the program).ResultsThe 3 partner sites recruited a total of 26 parent-child pairs. REACH: Among the 24 participants who completed pre/post surveys, 62.5% were 25–34 years old, and average child age was 3.6 (SD 0.7) years. The distribution of self-reported race/ethnicity was 54% non-Hispanic White, 38% non-Hispanic Black, and 8% Latino. EFFECTIVENESS: Qualitative interviews with participants demonstrated increased use of the built environment for physical activity and continued use of key strategies for health behavior change. ADOPTION: Three of five (60%) collaborating sites proceeded with implementation of the program. IMPLEMENTATION: The average attendance for the 12-week program was 7.6 (SD 3.9) sessions, with 71% attending > 50% of sessions. Average fidelity for the 12 weekly sessions was 25.2 (SD 1.2; possible range 9–27). MAINTENANCE: All 3 partner sites continued offering the program after grant funding was complete.ConclusionsThis pilot is among the first attempts to scale-out an evidence-based childhood obesity intervention in community Parks and Recreation centers. While this pilot was not intended to confirm the efficacy of the original trial on Body Mass Index (BMI) reduction, the effective and sustained behavior change among a geographically and ethnically diverse population with high attendance and fidelity demonstrates an effective approach on which to base future large-scale implementation efforts to reduce childhood obesity in community settings.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5403-z) contains supplementary material, which is available to authorized users.

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Research to practice: application of an evidencebuilding framework to a childhood obesity prevention initiative in New South Wales

Cited by 11 publications

References 54 publications

Narrative review of frameworks for translating research evidence into policy and practice

Narrative review of frameworks for translating research evidence into policy and practice

Australian Middle Eastern parents’ perceptions and practices of children's weight-related behaviours: Talking with Parents’ Study

Scale-out of a community-based behavioral intervention for childhood obesity: pilot implementation evaluation

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