Search

Objectives: Healthy Conversation Skills (HCS) training is an established method of upskilling health professionals in person-centred behaviour change communication. A Train-the-Trainer (TtT) model was adopted to scale-up delivery of HCS training. This study examined the impact of the TtT course on new Trainers' perceived barriers and enablers to delivering HCS training using the Theoretical Domains Framework (TDF).Methods: The TtT course was delivered in 2019-2020. Pre-training (T1) and post-training (T2) surveys collected data on barriers and enablers to delivering HCS training based on 10 TDF domains. Data were summarised using descriptive statistics, and differences between pre- and post-training scores analysed using paired t-tests.Results: Forty-six trainees participated, including 43 women and 10 Aboriginal people. Scores for nine domains increased post-training, including knowledge, skills, social and professional role/identity, beliefs about capabilities, intentions, goals, environmental context and resources, social influences, and behavioural regulation. Knowledge, beliefs about consequences and intentions were no longer barriers to delivering HCS training after participating in the TtT course.Conclusions: The TtT model supports new Trainers by addressing barriers to delivering HCS training.Practice Implications: The HCS TtT model builds healthcare workforce capacity for person-centred approaches to behaviour change. The findings facilitate the refinement of the TtT course. [ABSTRACT FROM AUTHOR]

This paper provides an overview of nutrition recommendations for dietary intakes necessary to support normal growth and development of children from birth to 18 years and to promote long-term health and quality of life. Key nutrients and food-based dietary recommendations have been examined from international evidence-based child dietary and feeding guidelines from the World Health Organization and a convenience sample of countries. The paper also reviews key issues relating to the environmental impacts of child diets. Fundamental gaps are identified in defining optimal intakes for children at specific ages and for those living in different geographical regions and food environments. • Optimal dietary intake is essential for normal child growth and long term health. • Child dietary patterns are important contributors to the health of our planet. • Globally child dietary intakes are sub-optimal compared to dietary recommendations. • A nutritious and sustainable food system for all children must be a global priority. • Strategies to optimize child nutrition should support environmental sustainability. [ABSTRACT FROM AUTHOR]

Introduction: Few interventions have been successful in reducing the physical activity decline typically observed among adolescents. The aim of this paper is to report the 24-month effectiveness of a multicomponent school-based intervention (Physical Activity 4 Everyone) in reducing the decline in moderate to vigorous physical activity (MVPA) among secondary school students in disadvantaged areas of New South Wales, Australia.Study Design: A cluster RCT was conducted in five intervention and five control schools with follow-up measures taken at 24 months post-randomization.Setting/participants: The trial was undertaken within secondary schools located in disadvantaged communities in New South Wales, Australia.Intervention: A multicomponent school-based intervention based on the Health Promoting Schools Framework was implemented. The intervention consisted of seven physical activity promotion strategies that targeted the curriculum (teaching strategies to increase physical activity in physical education lessons, student physical activity plans, and modification of school sport program); school environment (recess/lunchtime activities, school physical activity policy); parents (parent newsletters); and community (community physical activity provider promotion). Six additional strategies supported school implementation of the physical activity intervention strategies.Main Outcome Measure: Minutes per day spent in MVPA, objectively measured by accelerometer.Results: Participants (N=1,150, 49% male) were a cohort of students aged 12 years (Grade 7) at baseline (March-June 2012) and 14 years (Grade 9) at follow-up (March-July 2014). At 24-month follow-up, there were significant effects in favor of the intervention group for daily minutes of MVPA. The adjusted mean difference in change in daily MVPA between groups was 7.0 minutes (95% CI=2.7, 11.4, p<0.002) (analysis conducted December 2014-February 2015). Sensitivity analyses based on multiple imputation were consistent with the main analysis (6.0 minutes, 95% CI=0.6, 11.3, p<0.031).Conclusions: The intervention was effective in increasing adolescents' minutes of MVPA, suggesting that implementation of the intervention by disadvantaged schools has the potential to slow the decline in physical activity.Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12612000382875. [ABSTRACT FROM AUTHOR]