The assessment of ongoing community-based interventions to prevent obesity: lessons learned

被引:12
作者
Gubbels, Jessica S. [1 ]
Mathisen, Frida K. S. [2 ]
Samdal, Oddrun [2 ]
Lobstein, Tim [3 ]
Kohl, Leonie F. M. [1 ]
Leversen, Ingrid [2 ]
Lakerveld, Jeroen [4 ]
Kremers, Stef P. J. [1 ]
van Assema, Patricia [1 ]
机构
[1] Maastricht Univ, Med Ctr, NUTRIM Sch Nutr & Translat Res Metab, Dept Hlth Promot, NL-6200 MD Maastricht, Netherlands
[2] Univ Bergen, Fac Psychol, Dept Hlth Promot & Dev, N-5020 Bergen, Norway
[3] World Obes Federat, London WC1N 2JU, England
[4] Vrije Univ Amsterdam Med Ctr, EMGO Inst Hlth & Care Res, NL-1081 BT Amsterdam, Netherlands
来源
BMC PUBLIC HEALTH | 2015年 / 15卷
关键词
Data collection; Questionnaires; RE-AIM; Interventions; Obesity; Nutrition; Physical activity; Prevention; Community; RE-AIM; PHYSICAL-ACTIVITY; OBESOGENIC ENVIRONMENTS; SPOTLIGHT PROJECT; ECONOMIC-CRISIS; HEALTH-CARE; FRAMEWORK; BEHAVIORS;
D O I
10.1186/s12889-015-1563-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: The assessment of real-life, community-based interventions to tackle obesity is an important step in the development of effective policies. Especially multi-level interventions have a high likely effectiveness and potential reach in counteracting the obesity epidemic. Although much can be learned from these initiatives, performing an evaluation of such interventions is challenging. The aim of the current article is to provide a descriptive overview of the data collection process and general results of an assessment of ongoing multi-level obesity prevention community interventions for adults in Europe, and the lessons learned from this effort. Methods: The data collection was divided into two main phases: a) finding the ongoing obesity prevention interventions by contacting key informants in each of the European Union countries and the European Economic Area, and searching existing databases; and b) collecting detailed information (including the reach, effectiveness, adoption, implementation and maintenance (RE-AIM)) of the selected interventions using questionnaires for informants in each of the interventions. Results: A total of 78 interventions from 24 European countries were included in the final sample. The number of identified interventions varied greatly per country. The interventions covered various implementation levels (national, regional or local) and determinants (physical, sociocultural, economic, political), mostly addressing both nutrition and physical activity behaviours. Conclusions: We found that many multi-level obesity prevention interventions among adults are currently active in Europe, although we found relatively few in Southern and Eastern Europe. Identifying interventions and obtaining detailed information proved to be a difficult, time consuming and painstaking process. We discuss some of the reasons why this might be the case and present recommendations based on our experiences. We suggest that future research uses a step-wise approach, keeping participant burden to a minimum. The use of personalised and tailored strategies is recommended, led by researchers who exercise flexibility, tact and patience during the data collection process.
引用
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页数:11
相关论文
共 36 条
[1]  
[Anonymous], 2009, Global health risks: mortality and burden of disease attributable to selected major risks
[2]  
[Anonymous], FOCUSING OBESITY HLT
[3]  
[Anonymous], 2011, EU WIDE OVERVIEW COM
[4]  
[Anonymous], INT DAT
[5]  
[Anonymous], 2014, OB UPD
[6]   Problems in recruiting community-based physicians for health services research [J].
Asch, S ;
Connor, SE ;
Hamilton, EG ;
Fox, SA .
JOURNAL OF GENERAL INTERNAL MEDICINE, 2000, 15 (08) :591-599
[7]  
Bartholomew L, 2001, INTERVENTION MAPPING, V1st
[8]   Correlates of physical activity: why are some people physically active and others not? [J].
Bauman, Adrian E. ;
Reis, Rodrigo S. ;
Sallis, James F. ;
Wells, Jonathan C. ;
Loos, Ruth J. F. ;
Martin, Brian W. .
LANCET, 2012, 380 (9838) :258-271
[9]  
Biddle S., 2001, PSYCHOL PHYS ACTIVIT
[10]   Overcoming Barriers to the Recruitment of Nurses as Participants in Health Care Research [J].
Broyles, Lauren Matukaitis ;
Rodriguez, Keri L. ;
Price, Patrice A. ;
Bayliss, Nichole K. ;
Sevick, Mary Ann .
QUALITATIVE HEALTH RESEARCH, 2011, 21 (12) :1705-1718