Increasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among australian adolescents

Background: Community capacity building is a promising approach in reducing childhood obesity. The objective was to determine changes in capacity over a 3. year intervention (2005-2008) in schools and whether greater increases in capacity were associated with greater decreases in overweight/obesity....

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Príomhchruthaitheoirí: Millar, L, Robertson, N, Allender, S, Nichols, MS, Bennett, C, Swinburn, B
Formáid: Journal article
Foilsithe / Cruthaithe: 2013
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author Millar, L
Robertson, N
Allender, S
Nichols, MS
Bennett, C
Swinburn, B
author_facet Millar, L
Robertson, N
Allender, S
Nichols, MS
Bennett, C
Swinburn, B
author_sort Millar, L
collection OXFORD
description Background: Community capacity building is a promising approach in reducing childhood obesity. The objective was to determine changes in capacity over a 3. year intervention (2005-2008) in schools and whether greater increases in capacity were associated with greater decreases in overweight/obesity. Methods: "It's your Move!" (IYM) was an obesity prevention project, in 12 Australian secondary schools (5 intervention; 7 comparison), that aimed to increase community capacity to promote healthy eating and physical activity. Capacity was assessed pre/post intervention using the 'Community Readiness to Change (RTC)' tool. Comparisons from baseline to follow-up were tested using Wilcoxon Signed-Ranks and results plotted against changes (Newcombe's paired differences) in prevalence of overweight/obesity (WHO standards). Results: RTC increased in intervention schools (p= 0.04) over time but not for comparison schools (p= 0.50). The intervention group improved on 5 of 6 dimensions and the three intervention schools that increased three levels on the RTC scale each had significant reductions in overweight/obesity prevalence. Conclusion: There were marked increases in capacity in the intervention schools and those with greater increases had greater decreases in the prevalence of overweight/obesity. Community-based obesity prevention efforts should specifically target increasing community capacity as a proximal indicator of success. © 2013.
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spelling oxford-uuid:4d2e51f7-dc01-464c-8286-175e4c851dbc2022-03-26T15:53:57ZIncreasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among australian adolescentsJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4d2e51f7-dc01-464c-8286-175e4c851dbcSymplectic Elements at Oxford2013Millar, LRobertson, NAllender, SNichols, MSBennett, CSwinburn, BBackground: Community capacity building is a promising approach in reducing childhood obesity. The objective was to determine changes in capacity over a 3. year intervention (2005-2008) in schools and whether greater increases in capacity were associated with greater decreases in overweight/obesity. Methods: "It's your Move!" (IYM) was an obesity prevention project, in 12 Australian secondary schools (5 intervention; 7 comparison), that aimed to increase community capacity to promote healthy eating and physical activity. Capacity was assessed pre/post intervention using the 'Community Readiness to Change (RTC)' tool. Comparisons from baseline to follow-up were tested using Wilcoxon Signed-Ranks and results plotted against changes (Newcombe's paired differences) in prevalence of overweight/obesity (WHO standards). Results: RTC increased in intervention schools (p= 0.04) over time but not for comparison schools (p= 0.50). The intervention group improved on 5 of 6 dimensions and the three intervention schools that increased three levels on the RTC scale each had significant reductions in overweight/obesity prevalence. Conclusion: There were marked increases in capacity in the intervention schools and those with greater increases had greater decreases in the prevalence of overweight/obesity. Community-based obesity prevention efforts should specifically target increasing community capacity as a proximal indicator of success. © 2013.
spellingShingle Millar, L
Robertson, N
Allender, S
Nichols, MS
Bennett, C
Swinburn, B
Increasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among australian adolescents
title Increasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among australian adolescents
title_full Increasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among australian adolescents
title_fullStr Increasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among australian adolescents
title_full_unstemmed Increasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among australian adolescents
title_short Increasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among australian adolescents
title_sort increasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among australian adolescents
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