A collaborative approach to adopting/adapting guidelines - The Australian 24-Hour Movement Guidelines for the early years (Birth to 5 years): an integration of physical activity, sedentary behavior, and sleep
Abstract Background In 2017, the Australian Government funded the update of the National Physical Activity Recommendations for Children 0–5 years, with the intention that they be an integration of movement behaviours across the 24-h period. The benefit for Australia was that it could leverage resear...
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| Format: | Article |
| Language: | English |
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BMC
2017-11-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-017-4867-6 |
| _version_ | 1818340267523047424 |
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| author | Anthony D. Okely Davina Ghersi Kylie D. Hesketh Rute Santos Sarah P. Loughran Dylan P. Cliff Trevor Shilton David Grant Rachel A. Jones Rebecca M. Stanley Julie Sherring Trina Hinkley Stewart G. Trost Clare McHugh Simon Eckermann Karen Thorpe Karen Waters Timothy S. Olds Tracy Mackey Rhonda Livingstone Hayley Christian Harriette Carr Adam Verrender João R. Pereira Zhiguang Zhang Katherine L. Downing Mark S. Tremblay |
| author_facet | Anthony D. Okely Davina Ghersi Kylie D. Hesketh Rute Santos Sarah P. Loughran Dylan P. Cliff Trevor Shilton David Grant Rachel A. Jones Rebecca M. Stanley Julie Sherring Trina Hinkley Stewart G. Trost Clare McHugh Simon Eckermann Karen Thorpe Karen Waters Timothy S. Olds Tracy Mackey Rhonda Livingstone Hayley Christian Harriette Carr Adam Verrender João R. Pereira Zhiguang Zhang Katherine L. Downing Mark S. Tremblay |
| author_sort | Anthony D. Okely |
| collection | DOAJ |
| description | Abstract Background In 2017, the Australian Government funded the update of the National Physical Activity Recommendations for Children 0–5 years, with the intention that they be an integration of movement behaviours across the 24-h period. The benefit for Australia was that it could leverage research in Canada in the development of their 24-h guidelines for the early years. Concurrently, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group published a model to produce guidelines based on adoption, adaption and/or de novo development using the GRADE evidence-to-decision framework. Referred to as the GRADE-ADOLOPMENT approach, it allows guideline developers to follow a structured and transparent process in a more efficient manner, potentially avoiding the need to unnecessarily repeat costly tasks such as conducting systematic reviews. The purpose of this paper is to outline the process and outcomes for adapting the Canadian 24-Hour Movement Guidelines for the Early Years to develop the Australian 24-Hour Movement Guidelines for the Early Years guided by the GRADE-ADOLOPMENT framework. Methods The development process was guided by the GRADE-ADOLOPMENT approach. A Leadership Group and Consensus Panel were formed and existing credible guidelines identified. The draft Canadian 24-h integrated movement guidelines for the early years best met the criteria established by the Panel. These were evaluated based on the evidence in the GRADE tables, summaries of findings tables and draft recommendations from the Canadian Draft Guidelines. Updates to each of the Canadian systematic reviews were conducted and the Consensus Panel reviewed the evidence for each behaviour separately and made a decision to adopt or adapt the Canadian recommendations for each behaviour or create de novo recommendations. An online survey was then conducted (n = 302) along with five focus groups (n = 30) and five key informant interviews (n = 5) to obtain feedback from stakeholders on the draft guidelines. Results Based on the evidence from the Canadian systematic reviews and the updated systematic reviews in Australia, the Consensus Panel agreed to adopt the Canadian recommendations and, apart from some minor changes to the wording of good practice statements, keep the wording of the guidelines, preamble and title of the Canadian Guidelines. The Australian Guidelines provide evidence-informed recommendations for a healthy day (24-h), integrating physical activity, sedentary behaviour (including limits to screen time), and sleep for infants (<1 year), toddlers (1–2 years) and preschoolers (3–5 years). Conclusions To our knowledge, this is only the second time the GRADE-ADOLOPMENT approach has been used. Following this approach, the judgments of the Australian Consensus Panel did not differ sufficiently to change the directions and strength of the recommendations and as such, the Canadian recommendations were adopted with very minor alterations. This allowed the Guidelines to be developed much faster and at lower cost. As such, we would recommend the GRADE-ADOLOPMENT approach, especially if a credible set of guidelines, with all supporting materials and developed using a transparent process, is available. Other countries may consider using this approach when developing and/or revising national movement guidelines. |
| first_indexed | 2024-12-13T15:40:11Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-13T15:40:11Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
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| series | BMC Public Health |
| spelling | doaj.art-eb0af65a88e54109bf1d5eab819a4bc72022-12-21T23:39:51ZengBMCBMC Public Health1471-24582017-11-0117S516719010.1186/s12889-017-4867-6A collaborative approach to adopting/adapting guidelines - The Australian 24-Hour Movement Guidelines for the early years (Birth to 5 years): an integration of physical activity, sedentary behavior, and sleepAnthony D. Okely0Davina Ghersi1Kylie D. Hesketh2Rute Santos3Sarah P. Loughran4Dylan P. Cliff5Trevor Shilton6David Grant7Rachel A. Jones8Rebecca M. Stanley9Julie Sherring10Trina Hinkley11Stewart G. Trost12Clare McHugh13Simon Eckermann14Karen Thorpe15Karen Waters16Timothy S. Olds17Tracy Mackey18Rhonda Livingstone19Hayley Christian20Harriette Carr21Adam Verrender22João R. Pereira23Zhiguang Zhang24Katherine L. Downing25Mark S. Tremblay26Early Start, Faculty of Social Sciences, University of WollongongResearch Policy and Translation, National Health and Medical Research CouncilInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin UniversityEarly Start, Faculty of Social Sciences, University of WollongongIllawarra Health and Medical Research InstituteEarly Start, Faculty of Social Sciences, University of WollongongNational Heart Foundation (WA)Population Health and Sport Division, Australian Government Department of HealthEarly Start, Faculty of Social Sciences, University of WollongongEarly Start, Faculty of Social Sciences, University of WollongongEarly Start, Faculty of Social Sciences, University of WollongongResearch Policy and Translation, National Health and Medical Research CouncilInstitute of Health and Biomedical Innovation at Queensland Centre for Children’s Health Research, Queensland University of TechnologyEarly Childhood AustraliaAustralian Health Services Research Institute, University of WollongongInstitute for Social Science Research, The University of QueenslandChildren’s Hospital Westmead and University of SydneyAlliance for Research in Exercise Nutrition and Activity (ARENA), Sansom Institute, School of Health Sciences, University of South AustraliaNSW Department of EducationAustralian Children’s Education & Care Quality Authority (ACECQA)School of Population and Global Health and Telethon Kids Institute, The University of Western AustraliaNew Zealand Ministry of HealthIllawarra Health and Medical Research InstituteEarly Start, Faculty of Social Sciences, University of WollongongEarly Start, Faculty of Social Sciences, University of WollongongInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin UniversityHealthy Active Living and Obesity Research Group, Children’s Hospital of Eastern Ontario Research InstituteAbstract Background In 2017, the Australian Government funded the update of the National Physical Activity Recommendations for Children 0–5 years, with the intention that they be an integration of movement behaviours across the 24-h period. The benefit for Australia was that it could leverage research in Canada in the development of their 24-h guidelines for the early years. Concurrently, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group published a model to produce guidelines based on adoption, adaption and/or de novo development using the GRADE evidence-to-decision framework. Referred to as the GRADE-ADOLOPMENT approach, it allows guideline developers to follow a structured and transparent process in a more efficient manner, potentially avoiding the need to unnecessarily repeat costly tasks such as conducting systematic reviews. The purpose of this paper is to outline the process and outcomes for adapting the Canadian 24-Hour Movement Guidelines for the Early Years to develop the Australian 24-Hour Movement Guidelines for the Early Years guided by the GRADE-ADOLOPMENT framework. Methods The development process was guided by the GRADE-ADOLOPMENT approach. A Leadership Group and Consensus Panel were formed and existing credible guidelines identified. The draft Canadian 24-h integrated movement guidelines for the early years best met the criteria established by the Panel. These were evaluated based on the evidence in the GRADE tables, summaries of findings tables and draft recommendations from the Canadian Draft Guidelines. Updates to each of the Canadian systematic reviews were conducted and the Consensus Panel reviewed the evidence for each behaviour separately and made a decision to adopt or adapt the Canadian recommendations for each behaviour or create de novo recommendations. An online survey was then conducted (n = 302) along with five focus groups (n = 30) and five key informant interviews (n = 5) to obtain feedback from stakeholders on the draft guidelines. Results Based on the evidence from the Canadian systematic reviews and the updated systematic reviews in Australia, the Consensus Panel agreed to adopt the Canadian recommendations and, apart from some minor changes to the wording of good practice statements, keep the wording of the guidelines, preamble and title of the Canadian Guidelines. The Australian Guidelines provide evidence-informed recommendations for a healthy day (24-h), integrating physical activity, sedentary behaviour (including limits to screen time), and sleep for infants (<1 year), toddlers (1–2 years) and preschoolers (3–5 years). Conclusions To our knowledge, this is only the second time the GRADE-ADOLOPMENT approach has been used. Following this approach, the judgments of the Australian Consensus Panel did not differ sufficiently to change the directions and strength of the recommendations and as such, the Canadian recommendations were adopted with very minor alterations. This allowed the Guidelines to be developed much faster and at lower cost. As such, we would recommend the GRADE-ADOLOPMENT approach, especially if a credible set of guidelines, with all supporting materials and developed using a transparent process, is available. Other countries may consider using this approach when developing and/or revising national movement guidelines.http://link.springer.com/article/10.1186/s12889-017-4867-6MethodologyInfantsToddlersPreschoolersGRADE-ADOLOPMENTPublic health recommendations |
| spellingShingle | Anthony D. Okely Davina Ghersi Kylie D. Hesketh Rute Santos Sarah P. Loughran Dylan P. Cliff Trevor Shilton David Grant Rachel A. Jones Rebecca M. Stanley Julie Sherring Trina Hinkley Stewart G. Trost Clare McHugh Simon Eckermann Karen Thorpe Karen Waters Timothy S. Olds Tracy Mackey Rhonda Livingstone Hayley Christian Harriette Carr Adam Verrender João R. Pereira Zhiguang Zhang Katherine L. Downing Mark S. Tremblay A collaborative approach to adopting/adapting guidelines - The Australian 24-Hour Movement Guidelines for the early years (Birth to 5 years): an integration of physical activity, sedentary behavior, and sleep BMC Public Health Methodology Infants Toddlers Preschoolers GRADE-ADOLOPMENT Public health recommendations |
| title | A collaborative approach to adopting/adapting guidelines - The Australian 24-Hour Movement Guidelines for the early years (Birth to 5 years): an integration of physical activity, sedentary behavior, and sleep |
| title_full | A collaborative approach to adopting/adapting guidelines - The Australian 24-Hour Movement Guidelines for the early years (Birth to 5 years): an integration of physical activity, sedentary behavior, and sleep |
| title_fullStr | A collaborative approach to adopting/adapting guidelines - The Australian 24-Hour Movement Guidelines for the early years (Birth to 5 years): an integration of physical activity, sedentary behavior, and sleep |
| title_full_unstemmed | A collaborative approach to adopting/adapting guidelines - The Australian 24-Hour Movement Guidelines for the early years (Birth to 5 years): an integration of physical activity, sedentary behavior, and sleep |
| title_short | A collaborative approach to adopting/adapting guidelines - The Australian 24-Hour Movement Guidelines for the early years (Birth to 5 years): an integration of physical activity, sedentary behavior, and sleep |
| title_sort | collaborative approach to adopting adapting guidelines the australian 24 hour movement guidelines for the early years birth to 5 years an integration of physical activity sedentary behavior and sleep |
| topic | Methodology Infants Toddlers Preschoolers GRADE-ADOLOPMENT Public health recommendations |
| url | http://link.springer.com/article/10.1186/s12889-017-4867-6 |
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