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Challenges and Lessons Learned from Multi-Level Multi-Component Interventions to Prevent and Reduce Childhood Obesity
- Source :
- International Journal of Environmental Research and Public Health, Volume 16, Issue 1, Gittelsohn, J, Novotny, R, Trude, A C B, Butel, J & Mikkelsen, B E 2019, ' Challenges and Lessons Learned from Multi-Level Multi-Component Interventions to Prevent and Reduce Childhood Obesity ', International Journal of Environmental Research and Public Health, vol. 16, no. 1, 30, pp. 1-14 . https://doi.org/10.3390/ijerph16010030, International Journal of Environmental Research and Public Health, Vol 16, Iss 1, p 30 (2018)
- Publication Year :
- 2018
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2018.
-
Abstract
- Multi-level multi-component (MLMC) strategies have been recommended to prevent and reduce childhood obesity, but results of such trials have been mixed. The present work discusses lessons learned from three recently completed MLMC interventions to inform future research and policy addressing childhood obesity. B&rsquo<br />more Healthy Communities for Kids (BHCK), Children&rsquo<br />s Healthy Living (CHL), and Health and Local Community (SoL) trials had distinct cultural contexts, global regions, and study designs, but intervened at multiple levels of the socioecological model with strategies that address multiple components of complex food and physical activity environments to prevent childhood obesity. We discuss four common themes: (i) How to engage with community partners and involve them in development of intervention and study design<br />(ii) build and maintain intervention intensity by creating mutual promotion and reinforcement of the intervention activities across the multiple levels and components<br />(iii) conduct process evaluation for monitoring, midcourse corrections, and to engage stakeholder groups<br />and (iv) sustaining MLMC interventions and its effect by developing enduring and systems focused collaborations. The paper expands on each of these themes with specific lessons learned and presents future directions for MLMC trials.
- Subjects :
- Male
Pediatric Obesity
Adolescent
Health, Toxicology and Mutagenesis
media_common.quotation_subject
Applied psychology
education
Psychological intervention
lcsh:Medicine
MLMC
Health Promotion
Childhood obesity
Article
03 medical and health sciences
0302 clinical medicine
Promotion (rank)
prevention
multilevel
Component (UML)
Intervention (counseling)
medicine
Humans
030212 general & internal medicine
Child
intervention
media_common
030505 public health
evaluation
Clinical study design
lcsh:R
Public Health, Environmental and Occupational Health
Stakeholder
medicine.disease
3. Good health
Local community
Child, Preschool
community
Female
Public Health
0305 other medical science
Psychology
childhood obesity
Subjects
Details
- Language :
- English
- ISSN :
- 16604601
- Database :
- OpenAIRE
- Journal :
- International Journal of Environmental Research and Public Health
- Accession number :
- edsair.doi.dedup.....5eb62d1953d73df46fcf608d21061e73
- Full Text :
- https://doi.org/10.3390/ijerph16010030