Challenges and Lessons Learned from Multi-Level Multi-Component Interventions to Prevent and Reduce Childhood Obesity
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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’more Healthy Communities for Kids (BHCK), Children’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; (ii) build and maintain intervention intensity by creating mutual promotion and reinforcement of the intervention activities across the multiple levels and components; (iii) conduct process evaluation for monitoring, midcourse corrections, and to engage stakeholder groups; 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.
| Originalsprog | Engelsk |
|---|---|
| Artikelnummer | 30 |
| Tidsskrift | International Journal of Environmental Research and Public Health |
| Vol/bind | 16 |
| Antal sider | 14 |
| ISSN | 1661-7827 |
| DOI | |
| Status | Udgivet - 2019 |
| Eksternt udgivet | Ja |
Bibliografisk note
Funding Information:
Funding: BHCK was supported by the Johns Hopkins Global Center on Childhood Obesity, Grant U54HD070725 from the National Institute of Child Health and Human Development (NICHD). The project is co-funded by the NICHD and the Office of Behavioral and Social Sciences Research. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NICHD or the Office of Behavioral and Social Sciences Research. CHL was funded by the Agriculture and Food Research Initiative Grant no. 2011-68001-30335 from the USDA National Institute of Food and Agricultural Science Enhancement, Coordinated Agricultural Program and the CHL Center of Excellence is currently funded by the USDA National Institute of Food and Agriculture, Agriculture and Food Research Institute Grant no. 2018-69001-27551. The majority of the funding for Project SoL was provided by the Nordea Foundation. In addition funding was obtained from the Health Insurance Foundation (Helsefonden, Grant No. 2012B233), as well as the Danish Outdoor Council (Grant No. 101785). Additional support was provided by Aalborg University, Steno Diabetes Center, and the Research Center for Prevention and Health.
Funding Information:
BHCK was supported by the Johns Hopkins Global Center on Childhood Obesity, Grant U54HD070725 from the National Institute of Child Health and Human Development (NICHD). The project is co-funded by the NICHD and the Office of Behavioral and Social Sciences Research. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NICHD or the Office of Behavioral and Social Sciences Research. CHL was funded by the Agriculture and Food Research Initiative Grant no. 2011-68001-30335 from the USDA National Institute of Food and Agricultural Science Enhancement, Coordinated Agricultural Program and the CHL Center of Excellence is currently funded by the USDA National Institute of Food and Agriculture, Agriculture and Food Research Institute Grant no. 2018-69001-27551. The majority of the funding for Project SoL was provided by the Nordea Foundation. In addition funding was obtained from the Health Insurance Foundation (Helsefonden, Grant No. 2012B233), as well as the Danish Outdoor Council (Grant No. 101785). Additional support was provided by Aalborg University, Steno Diabetes Center, and the Research Center for Prevention and Health.
Publisher Copyright:
© 2018 by the authors. Licensee MDPI, Basel, Switzerland.
ID: 345861044