Cluster randomised trial of a school-community child health promotion and obesity prevention intervention: findings from the evaluation of fun ‘n healthy in Moreland!
Abstract Background Multi-level, longer-term obesity prevention interventions that focus on inequalities are scarce. Fun ‘n healthy in Moreland! aimed to improve child adiposity, school policies and environments, parent engagement, health behaviours and child wellbeing. Methods All children from pri...
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| Format: | Article |
| Language: | English |
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BMC
2017-08-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-017-4625-9 |
| _version_ | 1811268592967090176 |
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| author | Elizabeth Waters Lisa Gibbs Maryanne Tadic Obioha C. Ukoumunne Anthea Magarey Anthony D. Okely Andrea de Silva Christine Armit Julie Green Thea O’Connor Britt Johnson Boyd Swinburn Lauren Carpenter Graham Moore Hannah Littlecott Lisa Gold |
| author_facet | Elizabeth Waters Lisa Gibbs Maryanne Tadic Obioha C. Ukoumunne Anthea Magarey Anthony D. Okely Andrea de Silva Christine Armit Julie Green Thea O’Connor Britt Johnson Boyd Swinburn Lauren Carpenter Graham Moore Hannah Littlecott Lisa Gold |
| author_sort | Elizabeth Waters |
| collection | DOAJ |
| description | Abstract Background Multi-level, longer-term obesity prevention interventions that focus on inequalities are scarce. Fun ‘n healthy in Moreland! aimed to improve child adiposity, school policies and environments, parent engagement, health behaviours and child wellbeing. Methods All children from primary schools in an inner urban, culturally diverse and economically disadvantaged area in Victoria, Australia were eligible for participation. The intervention, fun ‘n healthy in Moreland!, used a Health Promoting Schools Framework and provided schools with evidence, school research data and part time support from a Community Development Worker to develop health promoting strategies. Comparison schools continued as normal. Participants were not blinded to intervention status. The primary outcome was change in adiposity. Repeated cross-sectional design with nested longitudinal subsample. Results Students from twenty-four primary schools (clusters) were randomised (aged 5–12 years at baseline). 1426 students from 12 intervention schools and 1539 students from 10 comparison schools consented to follow up measurements. Despite increased prevalence of healthy weight across all schools, after 3.5 years of intervention there was no statistically significant difference between trial arms in BMI z score post-intervention (Mean (sd): Intervention 0.68(1.16); Comparison: 0.72(1.12); Adjusted mean difference (AMD): -0.05, CI: -0.19 to 0.08, p = 0.44). Children from intervention schools consumed more daily fruit serves (AMD: 0.19, CI:0.00 to 0.37, p = 0.10), were more likely to have water (AOR: 1.71, CI:1.05 to 2.78, p = 0.03) and vegetables (AOR: 1.23, CI: 0.99 to 1.55, p = 0.07), and less likely to have fruit juice/cordial (AOR: 0.58, CI:0.36 to 0.93, p = 0.02) in school lunch compared to children in comparison schools. More intervention schools (8/11) had healthy eating and physical activity policies compared with comparison schools (2/9). Principals and schools highly valued the approach as a catalyst for broader positive school changes. The cost of the intervention per child was $65 per year. Conclusion The fun n healthy in Moreland! intervention did not result in statistically significant differences in BMI z score across trial arms but did result in greater policy implementation, increased parent engagement and resources, improved child self-rated health, increased fruit, vegetable and water consumption, and reduction in sweet drinks. A longer-term follow up evaluation may be needed to demonstrate whether these changes are sustainable and impact on childhood overweight and obesity. Clinical trial registration ACTRN12607000385448 (Date submitted 31/05/2007; Date registered 23/07/2007; Date last updated 15/12/2009). |
| first_indexed | 2024-04-12T21:25:43Z |
| format | Article |
| id | doaj.art-60c8c143940944d9b84bdc95391db435 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-12T21:25:43Z |
| publishDate | 2017-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-60c8c143940944d9b84bdc95391db4352022-12-22T03:16:10ZengBMCBMC Public Health1471-24582017-08-0118111610.1186/s12889-017-4625-9Cluster randomised trial of a school-community child health promotion and obesity prevention intervention: findings from the evaluation of fun ‘n healthy in Moreland!Elizabeth Waters0Lisa Gibbs1Maryanne Tadic2Obioha C. Ukoumunne3Anthea Magarey4Anthony D. Okely5Andrea de Silva6Christine Armit7Julie Green8Thea O’Connor9Britt Johnson10Boyd Swinburn11Lauren Carpenter12Graham Moore13Hannah Littlecott14Lisa Gold15Jack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Population and Global Health, University of MelbourneJack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Population and Global Health, University of MelbourneFamily and Community Support Services, Merri HealthNIHR CLAHRC South West Peninsula (PenCLAHRC), University of Exeter Medical School, University of ExeterNutrition and Dietetics, Flinders UniversityEarly Start Research Institute, University of WollongongInstitute for Safety, Compensation and Recovery Research (ISCRR)Family and Community Support Services, Merri HealthMurdoch Childrens Research Institute, Parenting Research Centre and Department of Paediatrics, University of MelbourneBody Image and Health Promotion Consultant & EducatorJack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Population and Global Health, University of MelbourneGlobal Obesity Centre, Deakin UniversityJack Brockhoff Child Health and Wellbeing Program, Centre for Health Equity, Melbourne School of Population and Global Health, University of MelbourneDECIPHER, School of Social Sciences, Cardiff UniversityDECIPHER, School of Social Sciences, Cardiff UniversitySchool of Health and Social Development, Deakin UniversityAbstract Background Multi-level, longer-term obesity prevention interventions that focus on inequalities are scarce. Fun ‘n healthy in Moreland! aimed to improve child adiposity, school policies and environments, parent engagement, health behaviours and child wellbeing. Methods All children from primary schools in an inner urban, culturally diverse and economically disadvantaged area in Victoria, Australia were eligible for participation. The intervention, fun ‘n healthy in Moreland!, used a Health Promoting Schools Framework and provided schools with evidence, school research data and part time support from a Community Development Worker to develop health promoting strategies. Comparison schools continued as normal. Participants were not blinded to intervention status. The primary outcome was change in adiposity. Repeated cross-sectional design with nested longitudinal subsample. Results Students from twenty-four primary schools (clusters) were randomised (aged 5–12 years at baseline). 1426 students from 12 intervention schools and 1539 students from 10 comparison schools consented to follow up measurements. Despite increased prevalence of healthy weight across all schools, after 3.5 years of intervention there was no statistically significant difference between trial arms in BMI z score post-intervention (Mean (sd): Intervention 0.68(1.16); Comparison: 0.72(1.12); Adjusted mean difference (AMD): -0.05, CI: -0.19 to 0.08, p = 0.44). Children from intervention schools consumed more daily fruit serves (AMD: 0.19, CI:0.00 to 0.37, p = 0.10), were more likely to have water (AOR: 1.71, CI:1.05 to 2.78, p = 0.03) and vegetables (AOR: 1.23, CI: 0.99 to 1.55, p = 0.07), and less likely to have fruit juice/cordial (AOR: 0.58, CI:0.36 to 0.93, p = 0.02) in school lunch compared to children in comparison schools. More intervention schools (8/11) had healthy eating and physical activity policies compared with comparison schools (2/9). Principals and schools highly valued the approach as a catalyst for broader positive school changes. The cost of the intervention per child was $65 per year. Conclusion The fun n healthy in Moreland! intervention did not result in statistically significant differences in BMI z score across trial arms but did result in greater policy implementation, increased parent engagement and resources, improved child self-rated health, increased fruit, vegetable and water consumption, and reduction in sweet drinks. A longer-term follow up evaluation may be needed to demonstrate whether these changes are sustainable and impact on childhood overweight and obesity. Clinical trial registration ACTRN12607000385448 (Date submitted 31/05/2007; Date registered 23/07/2007; Date last updated 15/12/2009).http://link.springer.com/article/10.1186/s12889-017-4625-9Child obesity preventionSchoolsCluster RCT |
| spellingShingle | Elizabeth Waters Lisa Gibbs Maryanne Tadic Obioha C. Ukoumunne Anthea Magarey Anthony D. Okely Andrea de Silva Christine Armit Julie Green Thea O’Connor Britt Johnson Boyd Swinburn Lauren Carpenter Graham Moore Hannah Littlecott Lisa Gold Cluster randomised trial of a school-community child health promotion and obesity prevention intervention: findings from the evaluation of fun ‘n healthy in Moreland! BMC Public Health Child obesity prevention Schools Cluster RCT |
| title | Cluster randomised trial of a school-community child health promotion and obesity prevention intervention: findings from the evaluation of fun ‘n healthy in Moreland! |
| title_full | Cluster randomised trial of a school-community child health promotion and obesity prevention intervention: findings from the evaluation of fun ‘n healthy in Moreland! |
| title_fullStr | Cluster randomised trial of a school-community child health promotion and obesity prevention intervention: findings from the evaluation of fun ‘n healthy in Moreland! |
| title_full_unstemmed | Cluster randomised trial of a school-community child health promotion and obesity prevention intervention: findings from the evaluation of fun ‘n healthy in Moreland! |
| title_short | Cluster randomised trial of a school-community child health promotion and obesity prevention intervention: findings from the evaluation of fun ‘n healthy in Moreland! |
| title_sort | cluster randomised trial of a school community child health promotion and obesity prevention intervention findings from the evaluation of fun n healthy in moreland |
| topic | Child obesity prevention Schools Cluster RCT |
| url | http://link.springer.com/article/10.1186/s12889-017-4625-9 |
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