Sustainability of Childhood Obesity Interventions: A Systematic Review
Authors
- W.K.H. Mok Nutritional Sciences Programme and Centre for Community Health, Faculty of Health Sciences, Universiti Kebangsaan Malaysia 50300, Kuala Lumpur, Malaysia
- R. Sharif Nutritional Sciences Programme and Centre for Healthy Ageing and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia 50300, Kuala Lumpur, Malaysia
- B.K. Poh Nutritional Sciences Programme and Centre for Community Health, Faculty of Health Sciences, Universiti Kebangsaan Malaysia 50300, Kuala Lumpur, Malaysia
- L.H. Wee Nutritional Sciences Programme and Centre for Community Health, Faculty of Health Sciences, Universiti Kebangsaan Malaysia 50300, Kuala Lumpur, Malaysia
- J.J. Reilly University of Strathclyde, School of Psychological Sciences and Health, Scotland, United Kingdom
-
A.T. Ruzita
Nutritional Sciences Programme and Centre for Community Health, Faculty of Health Sciences, Universiti Kebangsaan Malaysia 50300, Kuala Lumpur, Malaysia
DOI:
https://doi.org/10.3923/pjn.2019.603.614Keywords:
Childhood obesity, childhood overweight, health behavior, pediatric obesity, program sustainability, socio-ecological modelAbstract
Background and Objective: Childhood obesity is a global epidemic. While childhood obesity intervention programmes have been developed and implemented, few studies have investigated the sustainability of these programmes. This systematic review explored the sustainability of childhood obesity interventions at the individual, interpersonal, organizational, community and public policy levels of the Socio-ecological Model (SEM). Materials and Methods: A keyword search was conducted using the online databases EBSCO, PubMed and Science Direct. The inclusion criteria were primary research, long-term childhood obesity interventions (at least 12 months) with a follow-up of at least 6 months after the end of the intervention, overweight or obesity interventions implemented from 2007 until June 2018 and English as the reporting language. Results: These systematic searches found 1953 studies but only eight met the inclusion criteria. Factors such as programme champion, system/policy, workforce, community capacity, engagement/relationship building, adaptation/adoption, evaluation and feedback, training and education, collaboration and partnership as well as ongoing support contributed to the sustainability of the programme. Conclusion: It is important that future research assesses the sustainability of childhood obesity interventions, particularly at the public policy level. Attention should be given to enhancing sustainability in future intervention studies.
References
WHO., 2016. Consideration of the evidence on childhood obesity for the commission on ending childhood obesity. Report of the Ad Hoc Working Group on Science and Evidence for Ending Childhood Obesity, World Health Organization, Geneva, Switzerland.
Ng, M., T. Fleming, M. Robinson, B. Thomson and N. Graetz et al., 2014. Global, regional and national prevalence of overweight and obesity in children and adults during 1980-2013: A systematic analysis for the Global burden of disease study 2013. Lancet, 384: 766-781.
Poh, B.K., B.K. Ng, M.D.S. Haslinda, S.N. Shanita and J.E. Wong et al., 2013. Nutritional status and dietary intakes of children aged 6 months to 12 years: Findings of the nutrition survey of Malaysian children (SEANUTS Malaysia). Br. J. Nutr., 110: S21-S35.
Lim, S.S., T. Vos, A.D. Flaxman, G. Danaei and K. Shibuya et al., 2013. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet, 380: 2224-2260.
Twig, G., G. Yaniv, H. Levine, A. Leiba and N. Goldberger et al., 2016. Body-mass index in 2.3 million adolescents and cardiovascular death in adulthood. New Engl. J. Med., 374: 2430-2440.
Stirman, S.W., J. Kimberly, N. Cook, A. Calloway, F. Castro and M. Charns, 2012. The sustainability of new programs and innovations: A review of the empirical literature and recommendations for future research. Implementation Sci., Vol. 7.
Gruen, R.L., J.H. Elliott, M.L. Nolan, P.D. Lawton, A. Parkhill, C.J. McLaren and J.N. Lavis, 2008. Sustainability science: An integrated approach for health-programme planning. Lancet, 372: 1579-1589.
Massatti, R.R., H.A. Sweeney, P.C. Panzano and D. Roth, 2008. The de-adoption of innovative mental health practices (IMHP): Why organizations choose not to sustain an IMHP. Admin. Policy Mental Health Mental Health Serv. Res., 35: 50-65.
Scheirer, M.A., 1990. The life cycle of an innovation: Adoption versus discontinuation of the fluoride mouth rinse program in schools. J. Health Social Behav., 31: 203-215.
Seffrin, B., P.C. Panzano and D. Roth, 2008. What gets noticed: How barrier and facilitator perceptions relate to the adoption and implementation of innovative mental health practices. Commun. Mental Health J., 44: 475-484.
Shediac-Rizkallah, M.C. and L.R. Bone, 1998. Planning for the sustainability of community-based health programs: Conceptual frameworks and future directions for research, practice and policy. Health Educ. Res. Theor. Pract., 13: 87-108.
Mendes, R., V. Plaza and N. Wallerstein, 2016. Sustainability and power in health promotion: Community-based participatory research in a reproductive health policy case study in New Mexico. Global Health Promotion, 23: 61-74.
Waters, E., A. de Silvaâ€Sanigorski, B.J. Burford, T. Brown and K.J. Campbell et al., 2011. Interventions for preventing obesity in children. Cochrane Database Syst. Rev.
Luttikhuis, H.O., L. Baur, H. Jansen, V.A. Shrewsbury, C. O'Malley, R.P. Stolk and C.D. Summerbell, 2009. Cochrane review: Interventions for treating obesity in children. Evid.-Based Child Health: Cochrane Rev. J., 4: 1571-1729.
Scheirer, M.A. and J.W. Dearing, 2011. An agenda for research on the sustainability of public health programs. Am. J. Public Health, 101: 2059-2067.
Rogers, E.M., 2003. Diffusion of Innovations. 5th Edn., Simon and Schuster, New York, USA., ISBN-13: 9780743258234, Pages: 576.
Kropski, J.A., P.H. Keckley and G.L. Jensen, 2008. School-based obesity prevention programs: An evidence-based review. Obesity, 16: 1009-1018.
Summerbell, C.D., E. Waters, L.D. Edmunds, S. Kelly and T. Brown et al., 2005. Interventions for preventing obesity in children. Cochrane Database Syst. Rev., Vol, 3.
Ickes, M., J. McMullen, T. Haider and M. Sharma, 2014. Global school-based childhood obesity interventions: A review. Int. J. Environ. Res. Public Health, 11: 8940-8961.
McLeroy, K.R., D. Bibeau, A. Steckler and K. Glanz, 1988. An ecological perspective on health promotion programs. Health Educ. Behav., 15: 351-377.
Moher, D., A. Liberati, J. Tetzlaff, D.G. Altman and The PRISMA Group, 2009. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. J. Clin. Epidemiol., 62: 1006-1012.
Sanigorski, A.M., A.C. Bell, P.J. Kremer, R. Cuttler and B.A. Swinburn, 2008. Reducing unhealthy weight gain in children through community capacity-building: Results of a quasi-experimental intervention program, be active eat well. Int. J. Obesity, 32: 1060-1067.
Donnelly, J.E., J.L. Greene, C.A. Gibson, B.K. Smith and R.A. Washburn, 2009. Physical Activity Across the Curriculum (PAAC): A randomized controlled trial to promote physical activity and diminish overweight and obesity in elementary school children. Prev. Med., 49: 336-341.
Benjamins, M.R. and S. Whitman, 2010. A culturally appropriate school wellness initiative: Results of a 2-year pilot intervention in 2 Jewish schools. J. School Health, 80: 378-386.
Polacsek, M., J. Orr, L.M. O'Brien, V.W. Rogers, J. Fanburg and S.L. Gortmaker, 2014. Sustainability of key Maine youth overweight collaborative improvements: A follow-up study. Childhood Obesity, 10: 326-333.
London, R.A. and O. Gurantz, 2013. Afterschool program participation, youth physical fitness and overweight. Am. J. Prev. Med., 44: S200-S207.
Chomitz, V.R., R.J. McGowan, J.M. Wendel, S.A. Williams and H.J. Cabral et al., 2010. Healthy living Cambridge kids: A communityâ€based participatory effort to promote healthy weight and fitness. Obesity, 18: S45-S53.
Schetzina, K.E., W.T. Dalton III, E.F. Lowe, N. Azzazy and K.M. VonWerssowetz et al., 2009. A coordinated school health approach to obesity prevention among Appalachian youth: The Winning with wellness pilot project. Family Community Health, 32: 271-285.
Po'e, E.K., W.J. Heerman, R.S. Mistry and S.L. Barkin, 2013. Growing Right Onto Wellness (GROW): A family-centered, community-based obesity prevention randomized controlled trial for preschool child-parent pairs. Contemp. Clin. Trials, 36: 436-449.
Sharifah, W.W., H.N. Hana, A.T. Ruzita, R. Roslee and J.J. Reilly, 2011. The Malaysian childhood obesity treatment trial (MASCOT). Malaysian J. Nutr., 17: 229-236.
Clarke, J., B. Fletcher, E. Lancashire, M. Pallan and P. Adab, 2013. The views of stakeholders on the role of the primary school in preventing childhood obesity: A qualitative systematic review. Obesity Rev., 14: 975-988.
Brugha, R. and Z. Varvasovszky, 2000. Stakeholder analysis: A review. Health Policy Plan., 15: 239-246.
Lee, S., J. Wong, S. Shanita, M. Ismail, P. Deurenberg and B. Poh, 2015. Daily physical activity and screen time, but not other sedentary activities, are associated with measures of obesity during childhood. Int. J. Environ. Res. Public Health, 12: 146-161.
Mok, W.K.H., B.K. Poh, L.H. Wee, D.G. Devanthini and A.T. Ruzita, 2018. Juara sihat: Assessing the sustained impact of a school-based obesity intervention. Med. J. Malay., 73: 100-105.
Koo, H.C., B.K. Poh and R. Abd Talib, 2018. The GReat-Childâ„¢ trial: A quasi-experimental intervention on whole grains with healthy balanced diet to manage childhood obesity in Kuala Lumpur, Malaysia. Nutrients, Vol. 10.
Lasker, R.D. and E.S. Weiss, 2003. Creating partnership synergy: The critical role of community stakeholders. J. Health Hum. Serv. Admin., 26: 119-139.
Steckler, A. and R.M. Goodman, 1989. How to institutionalize health promotion programs. Am. J. Health Promot., 3: 34-44.
Bossert, T.J., 1990. Can they get along without us? Sustainability of donor-supported health projects in Central America and Africa. Social Sci. Med., 30: 1015-1023.
Scheirer, M.A., 2005. Is sustainability possible? A review and commentary on empirical studies of program sustainability. Am. J. Eval., 26: 320-347.
Vermeer, A.J.M., P. van Assema, B. Hesdahl, J. Harting and N.K. de Vries, 2013. Factors influencing perceived sustainability of Dutch community health programs. Health Promot. Int., 30: 473-483.
Harris, N. and M. Sandor, 2013. Defining sustainable practice in community-based health promotion: A Delphi study of practitioner perspectives. Health Promot. J. Aust., 24: 53-60.
Glasgow, R.E., T.M. Vogt and S.M. Boles, 1999. Evaluating the public health impact of health promotion interventions: The RE-AIM framework. Am. J. Public Health, 89: 1322-1327.
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