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Impact of a community-based pilot intervention to tackle childhood obesity: a ‘whole-system approach’ case study

Gadsby, E.W., Hotham, S., Eida, T., Lawrence, C., Merritt, R. (2020) Impact of a community-based pilot intervention to tackle childhood obesity: a ‘whole-system approach’ case study. BMC Public Health, 20 . Article Number 1818. E-ISSN 1471-2458. (doi:10.1186/s12889-020-09694-2) (KAR id:84703)

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https://dx.doi.org/10.1186/s12889-020-09694-2

Abstract

Background

The evaluation used a case-study design and theory of change approach to assess the effectiveness of the intervention. Height/weight measurements of children in the six participating primary schools were recorded annually for 4 years. For behavioural outcomes, children aged six-11 completed four annual on-line surveys (total 4331 responses). Parents were surveyed in year one and year four (177 responses). Three focus group discussions were held with children aged 10–11 (N = 21); interviews were conducted with parents (N = 11), and school representatives (N = 4). Stakeholders were surveyed twice (37 responses), and interviews were conducted with key stakeholders (N = 11). An extensive range of programme documents were reviewed and additional process data was collected from the programme team. The RE-AIM framework was used to synthesise findings and examine public health impact.

Results

Go-Golborne helped stakeholders and parents to develop a shared commitment to improving healthy weight in children, to identify barriers to a healthy lifestyle, and to start to make changes in their services/behaviours. The campaigns and changes made at micro-level appeared to be insufficient, in the face of counteracting forces and personal factors, to achieve significant behaviour change within 3 years. This highlights the need for local initiatives to be reinforced by supporting action at regional, national and global levels.

Item Type: Article
DOI/Identification number: 10.1186/s12889-020-09694-2
Uncontrolled keywords: Childhood obesity, Prevention, Community-based, Health improvement, Whole systems, Evaluation, REAIM
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > RA Public aspects of medicine > RA421 Public health. Hygiene. Preventive Medicine
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Erica Gadsby
Date Deposited: 04 Dec 2020 09:58 UTC
Last Modified: 16 Feb 2021 14:16 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/84703 (The current URI for this page, for reference purposes)
Gadsby, E.W.: https://orcid.org/0000-0002-4151-5911
Hotham, S.: https://orcid.org/0000-0002-5525-3254
Merritt, R.: https://orcid.org/0000-0001-7767-0991
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