Process evaluation of an up-scaled community based child obesity treatment program: NSW Go4Fun?

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• 作者：Debra Welsby (7)
  Binh Nguyen (8)
  Blythe J O’Hara (8)
  Christine Innes-Hughes (7)
  Adrian Bauman (7)
  Louise L Hardy (8)
  
• 关键词：Translational research ; Child obesity ; Up ; scaling ; Process evaluation
• 刊名：BMC Public Health
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：379 KB
• 作者单位：Debra Welsby (7)
  Binh Nguyen (8)
  Blythe J O’Hara (8)
  Christine Innes-Hughes (7)
  Adrian Bauman (7)
  Louise L Hardy (8)
  
  7. NSW Office of Preventive Health, Liverpool Hospital, Locked Bag 7103, Liverpool BC, Sydney, NSW, Australia
  8. Physical Activity Nutrition Obesity Research Group, Level 2, Medical Foundation Building K25, University of Sydney, Sydney, NSW, 2006, Australia
  
• ISSN：1471-2458

文摘

Background Community-based obesity treatment programs for children that have a large program reach are a priority. To date, most programs have been small efficacy trials whose findings have yet to be up-scaled and translated into real-world settings. This paper reports on the process evaluation of a government-funded, translated obesity treatment program for children in Australia. It describes the characteristics and reach of children participating in the New South Wales (NSW) Ministry of Health Go4Fun? program. Methods Delivered across the state of NSW (Australia) by Local Health Districts (LHDs), Go4Fun? is a community-based, multidisciplinary family obesity treatment program adapted from the United Kingdom Mind Exercise Nutrition Do it (MEND) program that targets weight-related behaviours. Children aged 7-13?years with a BMI ?5th percentile and no co-morbidities were eligible at no cost. Parents/carers self-refer via a toll-free phone number, text messages, online registration or via secondary referrals. LHDs deliver a 16 to 20-session program based on length of school term, holidays and recruitment challenges. Both parent/carer and child attend bi-weekly after school sessions. Parent-reported socio-demographic and measured child weight characteristics are presented using descriptive statistics. Differences between completers (attended at least 75% of sessions) and non-completers were assessed using chi-square tests, independent sample t-tests and adjusted odds ratios. Analyses were adjusted for clustering of programs. Results Between 2009 and 2012, a total of 2,499 children (54.8% girls; mean age [SD]: 10.2 [1.7?years]) participated in the Go4Fun? program. Children were mainly from low-middle socioeconomic status (76.5%), resided in major cities (63.3%), and 5.7% were Aboriginal. At baseline, 96.5% of children were overweight or obese. Mean BMI-z-score was 2.07 (0.41) and 94.5% had a waist-to-height ratio ?.5. More than half (57.9%) completed at least 75% of sessions. Amongst completers (N--,446), girls (56.8%; p--.02), non-Aboriginal children (95.9%; p-lt;-.01) and children residing in less socially disadvantaged areas (25.9%; p--.02) were significantly more likely to complete the program. Conclusions The Go4Fun? program successfully reached the targeted population of overweight/obese children at socioeconomic disadvantage and is a rare example of an up-scaled translational program.