Mapping service activity: the example of childhood obesity schemes in England

Hdl Handle:
http://hdl.handle.net/10149/110000
Title:
Mapping service activity: the example of childhood obesity schemes in England
Authors:
Aicken, C. (Catherine); Roberts, H. M. (Helen); Arai, L. (Lisa)
Affiliation:
Teesside University. School of Health and Social Care.
Citation:
Aicken, C., Roberts, H. and Arai, L. (2010) 'Mapping service activity: the example of childhood obesity schemes in England', BMC Public Health, 10 (1), Article number 310.
Publisher:
BioMed Central
Journal:
BMC Public Health
Issue Date:
4-Jun-2010
URI:
http://hdl.handle.net/10149/110000
DOI:
10.1186/1471-2458-10-310
Additional Links:
http://www.biomedcentral.com/1471-2458/10/310
Abstract:
Background: Childhood obesity is high on the policy agenda of wealthier nations, and many interventions have been developed to address it. This work describes an overview of schemes for obese and overweight children and young people in England, and the 'mapping' approach we used. Methods: Our search strategy, inclusion criteria and coding frame had to be suitable for describing a potentially large number of schemes within a short timeframe. Data were collected from key informants, scheme publicity and reports, and via a web-survey. To be included, schemes had to be based in England, follow a structured programme lasting at least two weeks, promote healthy weight, and be delivered exclusively to overweight and/or obese children and young people (age range 4-18). Data were entered into a coding frame recording similar information for each scheme, including any underpinning research evidence, evaluation or monitoring reports. Priority questions were identified in consultation with colleagues from the Department of Health and the Cross Government Obesity Unit. Results: Fifty-one schemes were identified. Some operated in multiple areas, and by using estimates of the number of schemes provided by multi-site scheme leads, we found that between 314 and 375 local programmes were running at any time. Uncertainty is largely due to the largest scheme provider undergoing rapid expansion at the time of the mapping exercise and therefore able to provide only an estimate of the number of programmes running. Many schemes were similar in their approach, had been recently established and were following NICE guidelines on interventions to promote healthy weight. Rigorous evaluation was rare. Conclusions: Our methods enabled us to produce a rapid overview of service activity across a wide geographic area and a range of organisations and sectors. In order to develop the evidence base for childhood obesity interventions, rigorous evaluation of these schemes is required. This overview can serve as a starting point for evaluations of interventions to address obesity. More generally, a rapid and systematic approach of this type is transferable to other types of service activity in health and social care, and may be a tool to inform public health planning.
Type:
Article
Language:
en
Keywords:
childhood obesity; interventions; schemes; NICE guidelines; England
ISSN:
1471-2458
Rights:
Author can archive publisher's version/PDF. For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 20/08/2010]
Citation Count:
0 [Web of Science, 20/08/2010]

Full metadata record

DC FieldValue Language
dc.contributor.authorAicken, C. (Catherine)en
dc.contributor.authorRoberts, H. M. (Helen)en
dc.contributor.authorArai, L. (Lisa)en
dc.date.accessioned2010-08-20T12:31:42Z-
dc.date.available2010-08-20T12:31:42Z-
dc.date.issued2010-06-04-
dc.identifier.citationBMC Public Health; 10(1):310en
dc.identifier.issn1471-2458-
dc.identifier.doi10.1186/1471-2458-10-310-
dc.identifier.urihttp://hdl.handle.net/10149/110000-
dc.description.abstractBackground: Childhood obesity is high on the policy agenda of wealthier nations, and many interventions have been developed to address it. This work describes an overview of schemes for obese and overweight children and young people in England, and the 'mapping' approach we used. Methods: Our search strategy, inclusion criteria and coding frame had to be suitable for describing a potentially large number of schemes within a short timeframe. Data were collected from key informants, scheme publicity and reports, and via a web-survey. To be included, schemes had to be based in England, follow a structured programme lasting at least two weeks, promote healthy weight, and be delivered exclusively to overweight and/or obese children and young people (age range 4-18). Data were entered into a coding frame recording similar information for each scheme, including any underpinning research evidence, evaluation or monitoring reports. Priority questions were identified in consultation with colleagues from the Department of Health and the Cross Government Obesity Unit. Results: Fifty-one schemes were identified. Some operated in multiple areas, and by using estimates of the number of schemes provided by multi-site scheme leads, we found that between 314 and 375 local programmes were running at any time. Uncertainty is largely due to the largest scheme provider undergoing rapid expansion at the time of the mapping exercise and therefore able to provide only an estimate of the number of programmes running. Many schemes were similar in their approach, had been recently established and were following NICE guidelines on interventions to promote healthy weight. Rigorous evaluation was rare. Conclusions: Our methods enabled us to produce a rapid overview of service activity across a wide geographic area and a range of organisations and sectors. In order to develop the evidence base for childhood obesity interventions, rigorous evaluation of these schemes is required. This overview can serve as a starting point for evaluations of interventions to address obesity. More generally, a rapid and systematic approach of this type is transferable to other types of service activity in health and social care, and may be a tool to inform public health planning.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttp://www.biomedcentral.com/1471-2458/10/310en
dc.rightsAuthor can archive publisher's version/PDF. For full details see http://www.sherpa.ac.uk/romeo/ [Accessed 20/08/2010]en
dc.subjectchildhood obesityen
dc.subjectinterventionsen
dc.subjectschemesen
dc.subjectNICE guidelinesen
dc.subjectEnglanden
dc.titleMapping service activity: the example of childhood obesity schemes in Englanden
dc.typeArticleen
dc.contributor.departmentTeesside University. School of Health and Social Care.en
dc.identifier.journalBMC Public Healthen
ref.citationcount0 [Web of Science, 20/08/2010]en
or.citation.harvardAicken, C., Roberts, H. and Arai, L. (2010) 'Mapping service activity: the example of childhood obesity schemes in England', BMC Public Health, 10 (1), Article number 310.-
All Items in TeesRep are protected by copyright, with all rights reserved, unless otherwise indicated.