All-island Obesity Action ForumSchools can Schools do ndash

Healthy Eating and Physical Activity14th November 2017

Preventing overweight and obesity in children the vital role of physical activity Lessons learned and implications for the Healthy Ireland Demonstration Project

Prof Catherine B WoodsChair Physical Activity and HealthDepartment of Physical Education

University of Limerick

Overview

bull Health enhancing physical activity for children amp youth

bull Physical activity what we know

bull How schools canhellip and schools dohellip examples of best practice

ndash Implications for the Healthy Ireland Demonstration Project

11282017

Ackn Sedentary Behaviour Research Network

bull being overweight during childhood is associated with increased risk of morbidity and mortality later in life

bullCVD and all-cause mortality have been reported to be elevated among adults who were overweight in childhood irrespective of adult weight

bullThe major health risk factors of low PA low physical fitness high SB poor diet and excessive body weight have been found to persist from childhood through adolescence and into the adult years

Message 1

bull PA guidelines exist

bull The root cause of overweight and

obesity is a positive energy

balance when energy intake

exceeds energy expenditure

bull The lifelong practice of PA

and active behaviours takes

root during childhoodSport Physical Activity Active Transport Play

Primary

Post Primary

N=5397 10-18 years

53 female

Health Profile

bull One in four children were unfit were overweight or obese and had an elevated blood pressure

Message 2

PA levels are lowhellip

Intervention is needed

HealthyIreland

Call to Action

bull The HI Framework provided a call to action on tackling risk factors and promoting protective factors in youth for lifelong health and wellbeing

bull Healthy Ireland Demonstration Project Researchers Practitioners Policy Makers and Participants

bull Acknowledge ndash Prof Donal OrsquoShea (PI) Dr Elaine Murtagh (MIC) Prof Mark Hanson Dr Regien

Biesma (RCSI) Dr Kate OrsquoFlaherty Dr Fiona Mansergh (HI) Dr Kevin McCarthy Ms Breda Naughton Ms Karen Cotter (DOE) Prof Carlos Blanco (RCSI) Dr SarahjaneBelton Dr Johann Issartel (DCU) Dr Michelle Hardie Murphy (GIW) Mr Eoin MacMaoilir (Teacher)

Demonstration

Project

What do we know about PA

interventions

1 Multicomponent

2 Multi-Levels

approaches to broaden the

reach of the population of

interest

Integrated Multi-level InterventionsDistal Determinants

Intermediate Determinants

Proximal Determinants

What does this mean for Oliver

Individualeg Oliver aged 9

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

Overview

bull Health enhancing physical activity for children amp youth

bull Physical activity what we know

bull How schools canhellip and schools dohellip examples of best practice

ndash Implications for the Healthy Ireland Demonstration Project

11282017

Ackn Sedentary Behaviour Research Network

bull being overweight during childhood is associated with increased risk of morbidity and mortality later in life

bullCVD and all-cause mortality have been reported to be elevated among adults who were overweight in childhood irrespective of adult weight

bullThe major health risk factors of low PA low physical fitness high SB poor diet and excessive body weight have been found to persist from childhood through adolescence and into the adult years

Message 1

bull PA guidelines exist

bull The root cause of overweight and

obesity is a positive energy

balance when energy intake

exceeds energy expenditure

bull The lifelong practice of PA

and active behaviours takes

root during childhoodSport Physical Activity Active Transport Play

Primary

Post Primary

N=5397 10-18 years

53 female

Health Profile

bull One in four children were unfit were overweight or obese and had an elevated blood pressure

Message 2

PA levels are lowhellip

Intervention is needed

HealthyIreland

Call to Action

bull The HI Framework provided a call to action on tackling risk factors and promoting protective factors in youth for lifelong health and wellbeing

bull Healthy Ireland Demonstration Project Researchers Practitioners Policy Makers and Participants

bull Acknowledge ndash Prof Donal OrsquoShea (PI) Dr Elaine Murtagh (MIC) Prof Mark Hanson Dr Regien

Biesma (RCSI) Dr Kate OrsquoFlaherty Dr Fiona Mansergh (HI) Dr Kevin McCarthy Ms Breda Naughton Ms Karen Cotter (DOE) Prof Carlos Blanco (RCSI) Dr SarahjaneBelton Dr Johann Issartel (DCU) Dr Michelle Hardie Murphy (GIW) Mr Eoin MacMaoilir (Teacher)

Demonstration

Project

What do we know about PA

interventions

1 Multicomponent

2 Multi-Levels

approaches to broaden the

reach of the population of

interest

Integrated Multi-level InterventionsDistal Determinants

Intermediate Determinants

Proximal Determinants

What does this mean for Oliver

Individualeg Oliver aged 9

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

11282017

Ackn Sedentary Behaviour Research Network

bull being overweight during childhood is associated with increased risk of morbidity and mortality later in life

bullCVD and all-cause mortality have been reported to be elevated among adults who were overweight in childhood irrespective of adult weight

bullThe major health risk factors of low PA low physical fitness high SB poor diet and excessive body weight have been found to persist from childhood through adolescence and into the adult years

Message 1

bull PA guidelines exist

bull The root cause of overweight and

obesity is a positive energy

balance when energy intake

exceeds energy expenditure

bull The lifelong practice of PA

and active behaviours takes

root during childhoodSport Physical Activity Active Transport Play

Primary

Post Primary

N=5397 10-18 years

53 female

Health Profile

bull One in four children were unfit were overweight or obese and had an elevated blood pressure

Message 2

PA levels are lowhellip

Intervention is needed

HealthyIreland

Call to Action

bull The HI Framework provided a call to action on tackling risk factors and promoting protective factors in youth for lifelong health and wellbeing

bull Healthy Ireland Demonstration Project Researchers Practitioners Policy Makers and Participants

bull Acknowledge ndash Prof Donal OrsquoShea (PI) Dr Elaine Murtagh (MIC) Prof Mark Hanson Dr Regien

Biesma (RCSI) Dr Kate OrsquoFlaherty Dr Fiona Mansergh (HI) Dr Kevin McCarthy Ms Breda Naughton Ms Karen Cotter (DOE) Prof Carlos Blanco (RCSI) Dr SarahjaneBelton Dr Johann Issartel (DCU) Dr Michelle Hardie Murphy (GIW) Mr Eoin MacMaoilir (Teacher)

Demonstration

Project

What do we know about PA

interventions

1 Multicomponent

2 Multi-Levels

approaches to broaden the

reach of the population of

interest

Integrated Multi-level InterventionsDistal Determinants

Intermediate Determinants

Proximal Determinants

What does this mean for Oliver

Individualeg Oliver aged 9

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

bull being overweight during childhood is associated with increased risk of morbidity and mortality later in life

bullCVD and all-cause mortality have been reported to be elevated among adults who were overweight in childhood irrespective of adult weight

bullThe major health risk factors of low PA low physical fitness high SB poor diet and excessive body weight have been found to persist from childhood through adolescence and into the adult years

Message 1

bull PA guidelines exist

bull The root cause of overweight and

obesity is a positive energy

balance when energy intake

exceeds energy expenditure

bull The lifelong practice of PA

and active behaviours takes

root during childhoodSport Physical Activity Active Transport Play

Primary

Post Primary

N=5397 10-18 years

53 female

Health Profile

bull One in four children were unfit were overweight or obese and had an elevated blood pressure

Message 2

PA levels are lowhellip

Intervention is needed

HealthyIreland

Call to Action

bull The HI Framework provided a call to action on tackling risk factors and promoting protective factors in youth for lifelong health and wellbeing

bull Healthy Ireland Demonstration Project Researchers Practitioners Policy Makers and Participants

bull Acknowledge ndash Prof Donal OrsquoShea (PI) Dr Elaine Murtagh (MIC) Prof Mark Hanson Dr Regien

Biesma (RCSI) Dr Kate OrsquoFlaherty Dr Fiona Mansergh (HI) Dr Kevin McCarthy Ms Breda Naughton Ms Karen Cotter (DOE) Prof Carlos Blanco (RCSI) Dr SarahjaneBelton Dr Johann Issartel (DCU) Dr Michelle Hardie Murphy (GIW) Mr Eoin MacMaoilir (Teacher)

Demonstration

Project

What do we know about PA

interventions

1 Multicomponent

2 Multi-Levels

approaches to broaden the

reach of the population of

interest

Integrated Multi-level InterventionsDistal Determinants

Intermediate Determinants

Proximal Determinants

What does this mean for Oliver

Individualeg Oliver aged 9

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

Message 1

bull PA guidelines exist

bull The root cause of overweight and

obesity is a positive energy

balance when energy intake

exceeds energy expenditure

bull The lifelong practice of PA

and active behaviours takes

root during childhoodSport Physical Activity Active Transport Play

Primary

Post Primary

N=5397 10-18 years

53 female

Health Profile

bull One in four children were unfit were overweight or obese and had an elevated blood pressure

Message 2

PA levels are lowhellip

Intervention is needed

HealthyIreland

Call to Action

bull The HI Framework provided a call to action on tackling risk factors and promoting protective factors in youth for lifelong health and wellbeing

bull Healthy Ireland Demonstration Project Researchers Practitioners Policy Makers and Participants

bull Acknowledge ndash Prof Donal OrsquoShea (PI) Dr Elaine Murtagh (MIC) Prof Mark Hanson Dr Regien

Biesma (RCSI) Dr Kate OrsquoFlaherty Dr Fiona Mansergh (HI) Dr Kevin McCarthy Ms Breda Naughton Ms Karen Cotter (DOE) Prof Carlos Blanco (RCSI) Dr SarahjaneBelton Dr Johann Issartel (DCU) Dr Michelle Hardie Murphy (GIW) Mr Eoin MacMaoilir (Teacher)

Demonstration

Project

What do we know about PA

interventions

1 Multicomponent

2 Multi-Levels

approaches to broaden the

reach of the population of

interest

Integrated Multi-level InterventionsDistal Determinants

Intermediate Determinants

Proximal Determinants

What does this mean for Oliver

Individualeg Oliver aged 9

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

Primary

Post Primary

N=5397 10-18 years

53 female

Health Profile

bull One in four children were unfit were overweight or obese and had an elevated blood pressure

Message 2

PA levels are lowhellip

Intervention is needed

HealthyIreland

Call to Action

bull The HI Framework provided a call to action on tackling risk factors and promoting protective factors in youth for lifelong health and wellbeing

bull Healthy Ireland Demonstration Project Researchers Practitioners Policy Makers and Participants

bull Acknowledge ndash Prof Donal OrsquoShea (PI) Dr Elaine Murtagh (MIC) Prof Mark Hanson Dr Regien

Biesma (RCSI) Dr Kate OrsquoFlaherty Dr Fiona Mansergh (HI) Dr Kevin McCarthy Ms Breda Naughton Ms Karen Cotter (DOE) Prof Carlos Blanco (RCSI) Dr SarahjaneBelton Dr Johann Issartel (DCU) Dr Michelle Hardie Murphy (GIW) Mr Eoin MacMaoilir (Teacher)

Demonstration

Project

What do we know about PA

interventions

1 Multicomponent

2 Multi-Levels

approaches to broaden the

reach of the population of

interest

Integrated Multi-level InterventionsDistal Determinants

Intermediate Determinants

Proximal Determinants

What does this mean for Oliver

Individualeg Oliver aged 9

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

Health Profile

bull One in four children were unfit were overweight or obese and had an elevated blood pressure

Message 2

PA levels are lowhellip

Intervention is needed

HealthyIreland

Call to Action

bull The HI Framework provided a call to action on tackling risk factors and promoting protective factors in youth for lifelong health and wellbeing

bull Healthy Ireland Demonstration Project Researchers Practitioners Policy Makers and Participants

bull Acknowledge ndash Prof Donal OrsquoShea (PI) Dr Elaine Murtagh (MIC) Prof Mark Hanson Dr Regien

Biesma (RCSI) Dr Kate OrsquoFlaherty Dr Fiona Mansergh (HI) Dr Kevin McCarthy Ms Breda Naughton Ms Karen Cotter (DOE) Prof Carlos Blanco (RCSI) Dr SarahjaneBelton Dr Johann Issartel (DCU) Dr Michelle Hardie Murphy (GIW) Mr Eoin MacMaoilir (Teacher)

Demonstration

Project

What do we know about PA

interventions

1 Multicomponent

2 Multi-Levels

approaches to broaden the

reach of the population of

interest

Integrated Multi-level InterventionsDistal Determinants

Intermediate Determinants

Proximal Determinants

What does this mean for Oliver

Individualeg Oliver aged 9

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

HealthyIreland

Call to Action

bull The HI Framework provided a call to action on tackling risk factors and promoting protective factors in youth for lifelong health and wellbeing

bull Healthy Ireland Demonstration Project Researchers Practitioners Policy Makers and Participants

bull Acknowledge ndash Prof Donal OrsquoShea (PI) Dr Elaine Murtagh (MIC) Prof Mark Hanson Dr Regien

Biesma (RCSI) Dr Kate OrsquoFlaherty Dr Fiona Mansergh (HI) Dr Kevin McCarthy Ms Breda Naughton Ms Karen Cotter (DOE) Prof Carlos Blanco (RCSI) Dr SarahjaneBelton Dr Johann Issartel (DCU) Dr Michelle Hardie Murphy (GIW) Mr Eoin MacMaoilir (Teacher)

Demonstration

Project

What do we know about PA

interventions

1 Multicomponent

2 Multi-Levels

approaches to broaden the

reach of the population of

interest

Integrated Multi-level InterventionsDistal Determinants

Intermediate Determinants

Proximal Determinants

What does this mean for Oliver

Individualeg Oliver aged 9

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

What do we know about PA

interventions

1 Multicomponent

2 Multi-Levels

approaches to broaden the

reach of the population of

interest

Integrated Multi-level InterventionsDistal Determinants

Intermediate Determinants

Proximal Determinants

What does this mean for Oliver

Individualeg Oliver aged 9

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

Integrated Multi-level InterventionsDistal Determinants

Intermediate Determinants

Proximal Determinants

What does this mean for Oliver

Individualeg Oliver aged 9

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

What does this mean for Oliver

Individualeg Oliver aged 9

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

Family friendshellip interpersonal

Parents own habitsEncouragement Support

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

PARENTS

Children are 4 times more likely to be highly active if the

parents support their PA and 2 times more likely to be

active if parents are physically active themselves

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

bull Perception

ndash 75 of parents report that their

child is sufficiently active

bull Reality

ndash Children spend 50-90 of their

time sedentary

ndash 4-17 in MVPA

Irwin et al (2005) Preschoolersrsquo physical activity behaviours Parentsrsquo perspectives Canadian Journal of Public Health Revue canadienne de santeacute publique 96299ndash303Cardon et al (2009) Prev Med 48 335-340)

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

School

Organisational support

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

1 additional physical education

lessons

2 longer school days with more

frequent PA breaks

3 cross curricular links adding to

minutes of activity or applied

knowledge on healthy diet

4 Active play or PA policies

5 active school transport initiatives

6 equipment availability and type

7 PA homework or special events

organized for during the weekendafter-school interventions

run by teachers and

volunteer parents Kriemler et al 2011 Effect of school-based interventions on physical activity and

fitness in children and adolescents a review of reviews and systematic update

BJSM 45923-930

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

Community Out of School PA

ldquothe number of daysweek that children reached 60min MVPA

increased significantly if they took part in community based

sport or physical activityhelliprdquo

(Woods Tannehill Moyna Quinlan and Walsh 2010 The Childrenrsquos Sport Participation and Physical Activity Study (CSPPA) Report wwwirishsportscouncilie

Range of Sport and Activity Clubs-Recreational-Competitive-Elite

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

Current Club Membership was associated

withhellip

less time in sedentary behaviour

(40 v 47 hours per day)

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

Attributable risk estimates suggesthellip

Obesity prevalence would decrease by 261 (95

CI 94 428) if all adolescents played on 2 sports teams per yearhellip

(Drake KM Beach ML Longacre MR Mackenzie T Titus LJ Rundle AG Dalton MA 2012

Pediatrics 2012 Aug130(2)e296-304 doi 101542peds2011-2898 Epub 2012 Jul 16

N=1718 adolescents longitudinal study adolescent and child self-report

The Policy Environment

Healthy Physical Activity

EnvironmentsEducation PE is part of the primary and secondary curricula in all schools

Urban-design to ensure that children and youth can participate in physically active play or recreation close to where they live

Transport ndash Infrastructure to allow children to walk to school

bull Global Matrix Report Cards

bull wwwactivehealthykidscaglobal-summitaspx

D- (2014)

D (2016)

Message 3 Integrated Multi-level multi-component Interventions

What is neededhellip

HealthyIreland

HIDP Aim

To develop and assess the feasibility of the Healthy Ireland Demonstration

Project to improve health behaviours and health literacy in school-aged children

and inform the development of a definitive Randomised Controlled Trial

Demonstration

Project

HealthyIreland

HIDP Specific Objectives Year 1

1 To develop the intervention model of the HIDP based on evidence theory and existing examples of best practice

2 To collaborate with school-based community-based and policy stakeholders to ascertain their opinions about the proposed HIDP and best practice for implementing the intervention based on their specialist knowledge

HealthyIreland

Timeline 7 Phases

Recruitment of Study Personnel (Month 0 Sept 2017Jan 2018)

bull P1 Literature ReviewIntervention Development (Months 1-6)

bull P2 Stakeholder review (Months 7-9)

bull P3 Intervention Refinement (Months 10-12)

bull P4 Development of procedure for the feasibility study (Months 9-12)

bull P5 Feasibility study of the HIDP (Sept 2018 ndash 12 months)

bull P6 Process and outcome evaluation of the intervention (Sept 2018 ndash 18 months)

bull P7 Refine the intervention content dissemination of results and development and

application for a full definitive RCT (timeline M30-M36)

Literature Review

There are 100+ interventions conducted in

multiple settings in high-income countries aimed

at preventing childhood obesity

Majority of interventions are school-based (83)

most in US most developed in the last 10 years

SOE for diet-PA combined interventions delivered

in schools with both home and community

components to prevent obesity were high

(Wang et al What childhood obesity prevention programmes work Systematic Review 2015 Obesity Reviews)

Where are we nowhellip and

What have we learnedIntervention mapping protocol

Conducting qualitative research with post primary pupils and stakeholders to gain their thoughts on intervention strategies

Post primary pupils ndash 12-18 year olds

Some of these interventions arehellip HEALTHY

Dutch Obesity Intervention in Teenagers- (DO-iT)

Y-PATH

M-Span

Teen Choice Food and Fitness

Planet Health

Peer power

AHEAD study

RAW-PAW

Transform Us

Itrsquos your move project

Ireland

Multi-

component

Multi-level

Belton S OBrien W Meegan S Woods C Issartel J (2014) Youth- Physical Activity Towards Health evidence and background to the

development of the Y-PATH physical activity intervention for adolescents 2014 BMC Public Health 14 122 DOI 1011861471-2458-14-122

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Healthy Physical Activity

EnvironmentsEducation PE is part of the primary and secondary curricula in all schools

Urban-design to ensure that children and youth can participate in physically active play or recreation close to where they live

Transport ndash Infrastructure to allow children to walk to school

bull Global Matrix Report Cards

bull wwwactivehealthykidscaglobal-summitaspx

D- (2014)

D (2016)

Message 3 Integrated Multi-level multi-component Interventions

What is neededhellip

HealthyIreland

HIDP Aim

To develop and assess the feasibility of the Healthy Ireland Demonstration

Project to improve health behaviours and health literacy in school-aged children

and inform the development of a definitive Randomised Controlled Trial

Demonstration

Project

HealthyIreland

HIDP Specific Objectives Year 1

1 To develop the intervention model of the HIDP based on evidence theory and existing examples of best practice

2 To collaborate with school-based community-based and policy stakeholders to ascertain their opinions about the proposed HIDP and best practice for implementing the intervention based on their specialist knowledge

HealthyIreland

Timeline 7 Phases

Recruitment of Study Personnel (Month 0 Sept 2017Jan 2018)

bull P1 Literature ReviewIntervention Development (Months 1-6)

bull P2 Stakeholder review (Months 7-9)

bull P3 Intervention Refinement (Months 10-12)

bull P4 Development of procedure for the feasibility study (Months 9-12)

bull P5 Feasibility study of the HIDP (Sept 2018 ndash 12 months)

bull P6 Process and outcome evaluation of the intervention (Sept 2018 ndash 18 months)

bull P7 Refine the intervention content dissemination of results and development and

application for a full definitive RCT (timeline M30-M36)

Literature Review

There are 100+ interventions conducted in

multiple settings in high-income countries aimed

at preventing childhood obesity

Majority of interventions are school-based (83)

most in US most developed in the last 10 years

SOE for diet-PA combined interventions delivered

in schools with both home and community

components to prevent obesity were high

(Wang et al What childhood obesity prevention programmes work Systematic Review 2015 Obesity Reviews)

Where are we nowhellip and

What have we learnedIntervention mapping protocol

Conducting qualitative research with post primary pupils and stakeholders to gain their thoughts on intervention strategies

Post primary pupils ndash 12-18 year olds

Some of these interventions arehellip HEALTHY

Dutch Obesity Intervention in Teenagers- (DO-iT)

Y-PATH

M-Span

Teen Choice Food and Fitness

Planet Health

Peer power

AHEAD study

RAW-PAW

Transform Us

Itrsquos your move project

Ireland

Multi-

component

Multi-level

Belton S OBrien W Meegan S Woods C Issartel J (2014) Youth- Physical Activity Towards Health evidence and background to the

development of the Y-PATH physical activity intervention for adolescents 2014 BMC Public Health 14 122 DOI 1011861471-2458-14-122

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

bull Global Matrix Report Cards

bull wwwactivehealthykidscaglobal-summitaspx

D- (2014)

D (2016)

Message 3 Integrated Multi-level multi-component Interventions

What is neededhellip

HealthyIreland

HIDP Aim

To develop and assess the feasibility of the Healthy Ireland Demonstration

Project to improve health behaviours and health literacy in school-aged children

and inform the development of a definitive Randomised Controlled Trial

Demonstration

Project

HealthyIreland

HIDP Specific Objectives Year 1

1 To develop the intervention model of the HIDP based on evidence theory and existing examples of best practice

2 To collaborate with school-based community-based and policy stakeholders to ascertain their opinions about the proposed HIDP and best practice for implementing the intervention based on their specialist knowledge

HealthyIreland

Timeline 7 Phases

Recruitment of Study Personnel (Month 0 Sept 2017Jan 2018)

bull P1 Literature ReviewIntervention Development (Months 1-6)

bull P2 Stakeholder review (Months 7-9)

bull P3 Intervention Refinement (Months 10-12)

bull P4 Development of procedure for the feasibility study (Months 9-12)

bull P5 Feasibility study of the HIDP (Sept 2018 ndash 12 months)

bull P6 Process and outcome evaluation of the intervention (Sept 2018 ndash 18 months)

bull P7 Refine the intervention content dissemination of results and development and

application for a full definitive RCT (timeline M30-M36)

Literature Review

There are 100+ interventions conducted in

multiple settings in high-income countries aimed

at preventing childhood obesity

Majority of interventions are school-based (83)

most in US most developed in the last 10 years

SOE for diet-PA combined interventions delivered

in schools with both home and community

components to prevent obesity were high

(Wang et al What childhood obesity prevention programmes work Systematic Review 2015 Obesity Reviews)

Where are we nowhellip and

What have we learnedIntervention mapping protocol

Conducting qualitative research with post primary pupils and stakeholders to gain their thoughts on intervention strategies

Post primary pupils ndash 12-18 year olds

Some of these interventions arehellip HEALTHY

Dutch Obesity Intervention in Teenagers- (DO-iT)

Y-PATH

M-Span

Teen Choice Food and Fitness

Planet Health

Peer power

AHEAD study

RAW-PAW

Transform Us

Itrsquos your move project

Ireland

Multi-

component

Multi-level

Belton S OBrien W Meegan S Woods C Issartel J (2014) Youth- Physical Activity Towards Health evidence and background to the

development of the Y-PATH physical activity intervention for adolescents 2014 BMC Public Health 14 122 DOI 1011861471-2458-14-122

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Message 3 Integrated Multi-level multi-component Interventions

What is neededhellip

HealthyIreland

HIDP Aim

To develop and assess the feasibility of the Healthy Ireland Demonstration

Project to improve health behaviours and health literacy in school-aged children

and inform the development of a definitive Randomised Controlled Trial

Demonstration

Project

HealthyIreland

HIDP Specific Objectives Year 1

1 To develop the intervention model of the HIDP based on evidence theory and existing examples of best practice

2 To collaborate with school-based community-based and policy stakeholders to ascertain their opinions about the proposed HIDP and best practice for implementing the intervention based on their specialist knowledge

HealthyIreland

Timeline 7 Phases

Recruitment of Study Personnel (Month 0 Sept 2017Jan 2018)

bull P1 Literature ReviewIntervention Development (Months 1-6)

bull P2 Stakeholder review (Months 7-9)

bull P3 Intervention Refinement (Months 10-12)

bull P4 Development of procedure for the feasibility study (Months 9-12)

bull P5 Feasibility study of the HIDP (Sept 2018 ndash 12 months)

bull P6 Process and outcome evaluation of the intervention (Sept 2018 ndash 18 months)

bull P7 Refine the intervention content dissemination of results and development and

application for a full definitive RCT (timeline M30-M36)

Literature Review

There are 100+ interventions conducted in

multiple settings in high-income countries aimed

at preventing childhood obesity

Majority of interventions are school-based (83)

most in US most developed in the last 10 years

SOE for diet-PA combined interventions delivered

in schools with both home and community

components to prevent obesity were high

(Wang et al What childhood obesity prevention programmes work Systematic Review 2015 Obesity Reviews)

Where are we nowhellip and

What have we learnedIntervention mapping protocol

Conducting qualitative research with post primary pupils and stakeholders to gain their thoughts on intervention strategies

Post primary pupils ndash 12-18 year olds

Some of these interventions arehellip HEALTHY

Dutch Obesity Intervention in Teenagers- (DO-iT)

Y-PATH

M-Span

Teen Choice Food and Fitness

Planet Health

Peer power

AHEAD study

RAW-PAW

Transform Us

Itrsquos your move project

Ireland

Multi-

component

Multi-level

Belton S OBrien W Meegan S Woods C Issartel J (2014) Youth- Physical Activity Towards Health evidence and background to the

development of the Y-PATH physical activity intervention for adolescents 2014 BMC Public Health 14 122 DOI 1011861471-2458-14-122

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

HealthyIreland

HIDP Aim

To develop and assess the feasibility of the Healthy Ireland Demonstration

Project to improve health behaviours and health literacy in school-aged children

and inform the development of a definitive Randomised Controlled Trial

Demonstration

Project

HealthyIreland

HIDP Specific Objectives Year 1

1 To develop the intervention model of the HIDP based on evidence theory and existing examples of best practice

2 To collaborate with school-based community-based and policy stakeholders to ascertain their opinions about the proposed HIDP and best practice for implementing the intervention based on their specialist knowledge

HealthyIreland

Timeline 7 Phases

Recruitment of Study Personnel (Month 0 Sept 2017Jan 2018)

bull P1 Literature ReviewIntervention Development (Months 1-6)

bull P2 Stakeholder review (Months 7-9)

bull P3 Intervention Refinement (Months 10-12)

bull P4 Development of procedure for the feasibility study (Months 9-12)

bull P5 Feasibility study of the HIDP (Sept 2018 ndash 12 months)

bull P6 Process and outcome evaluation of the intervention (Sept 2018 ndash 18 months)

bull P7 Refine the intervention content dissemination of results and development and

application for a full definitive RCT (timeline M30-M36)

Literature Review

There are 100+ interventions conducted in

multiple settings in high-income countries aimed

at preventing childhood obesity

Majority of interventions are school-based (83)

most in US most developed in the last 10 years

SOE for diet-PA combined interventions delivered

in schools with both home and community

components to prevent obesity were high

(Wang et al What childhood obesity prevention programmes work Systematic Review 2015 Obesity Reviews)

Where are we nowhellip and

What have we learnedIntervention mapping protocol

Conducting qualitative research with post primary pupils and stakeholders to gain their thoughts on intervention strategies

Post primary pupils ndash 12-18 year olds

Some of these interventions arehellip HEALTHY

Dutch Obesity Intervention in Teenagers- (DO-iT)

Y-PATH

M-Span

Teen Choice Food and Fitness

Planet Health

Peer power

AHEAD study

RAW-PAW

Transform Us

Itrsquos your move project

Ireland

Multi-

component

Multi-level

Belton S OBrien W Meegan S Woods C Issartel J (2014) Youth- Physical Activity Towards Health evidence and background to the

development of the Y-PATH physical activity intervention for adolescents 2014 BMC Public Health 14 122 DOI 1011861471-2458-14-122

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

HealthyIreland

HIDP Specific Objectives Year 1

1 To develop the intervention model of the HIDP based on evidence theory and existing examples of best practice

2 To collaborate with school-based community-based and policy stakeholders to ascertain their opinions about the proposed HIDP and best practice for implementing the intervention based on their specialist knowledge

HealthyIreland

Timeline 7 Phases

Recruitment of Study Personnel (Month 0 Sept 2017Jan 2018)

bull P1 Literature ReviewIntervention Development (Months 1-6)

bull P2 Stakeholder review (Months 7-9)

bull P3 Intervention Refinement (Months 10-12)

bull P4 Development of procedure for the feasibility study (Months 9-12)

bull P5 Feasibility study of the HIDP (Sept 2018 ndash 12 months)

bull P6 Process and outcome evaluation of the intervention (Sept 2018 ndash 18 months)

bull P7 Refine the intervention content dissemination of results and development and

application for a full definitive RCT (timeline M30-M36)

Literature Review

There are 100+ interventions conducted in

multiple settings in high-income countries aimed

at preventing childhood obesity

Majority of interventions are school-based (83)

most in US most developed in the last 10 years

SOE for diet-PA combined interventions delivered

in schools with both home and community

components to prevent obesity were high

(Wang et al What childhood obesity prevention programmes work Systematic Review 2015 Obesity Reviews)

Where are we nowhellip and

What have we learnedIntervention mapping protocol

Conducting qualitative research with post primary pupils and stakeholders to gain their thoughts on intervention strategies

Post primary pupils ndash 12-18 year olds

Some of these interventions arehellip HEALTHY

Dutch Obesity Intervention in Teenagers- (DO-iT)

Y-PATH

M-Span

Teen Choice Food and Fitness

Planet Health

Peer power

AHEAD study

RAW-PAW

Transform Us

Itrsquos your move project

Ireland

Multi-

component

Multi-level

Belton S OBrien W Meegan S Woods C Issartel J (2014) Youth- Physical Activity Towards Health evidence and background to the

development of the Y-PATH physical activity intervention for adolescents 2014 BMC Public Health 14 122 DOI 1011861471-2458-14-122

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

HealthyIreland

Timeline 7 Phases

Recruitment of Study Personnel (Month 0 Sept 2017Jan 2018)

bull P1 Literature ReviewIntervention Development (Months 1-6)

bull P2 Stakeholder review (Months 7-9)

bull P3 Intervention Refinement (Months 10-12)

bull P4 Development of procedure for the feasibility study (Months 9-12)

bull P5 Feasibility study of the HIDP (Sept 2018 ndash 12 months)

bull P6 Process and outcome evaluation of the intervention (Sept 2018 ndash 18 months)

bull P7 Refine the intervention content dissemination of results and development and

application for a full definitive RCT (timeline M30-M36)

Literature Review

There are 100+ interventions conducted in

multiple settings in high-income countries aimed

at preventing childhood obesity

Majority of interventions are school-based (83)

most in US most developed in the last 10 years

SOE for diet-PA combined interventions delivered

in schools with both home and community

components to prevent obesity were high

(Wang et al What childhood obesity prevention programmes work Systematic Review 2015 Obesity Reviews)

Where are we nowhellip and

What have we learnedIntervention mapping protocol

Conducting qualitative research with post primary pupils and stakeholders to gain their thoughts on intervention strategies

Post primary pupils ndash 12-18 year olds

Some of these interventions arehellip HEALTHY

Dutch Obesity Intervention in Teenagers- (DO-iT)

Y-PATH

M-Span

Teen Choice Food and Fitness

Planet Health

Peer power

AHEAD study

RAW-PAW

Transform Us

Itrsquos your move project

Ireland

Multi-

component

Multi-level

Belton S OBrien W Meegan S Woods C Issartel J (2014) Youth- Physical Activity Towards Health evidence and background to the

development of the Y-PATH physical activity intervention for adolescents 2014 BMC Public Health 14 122 DOI 1011861471-2458-14-122

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Literature Review

There are 100+ interventions conducted in

multiple settings in high-income countries aimed

at preventing childhood obesity

Majority of interventions are school-based (83)

most in US most developed in the last 10 years

SOE for diet-PA combined interventions delivered

in schools with both home and community

components to prevent obesity were high

(Wang et al What childhood obesity prevention programmes work Systematic Review 2015 Obesity Reviews)

Where are we nowhellip and

What have we learnedIntervention mapping protocol

Conducting qualitative research with post primary pupils and stakeholders to gain their thoughts on intervention strategies

Post primary pupils ndash 12-18 year olds

Some of these interventions arehellip HEALTHY

Dutch Obesity Intervention in Teenagers- (DO-iT)

Y-PATH

M-Span

Teen Choice Food and Fitness

Planet Health

Peer power

AHEAD study

RAW-PAW

Transform Us

Itrsquos your move project

Ireland

Multi-

component

Multi-level

Belton S OBrien W Meegan S Woods C Issartel J (2014) Youth- Physical Activity Towards Health evidence and background to the

development of the Y-PATH physical activity intervention for adolescents 2014 BMC Public Health 14 122 DOI 1011861471-2458-14-122

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Where are we nowhellip and

What have we learnedIntervention mapping protocol

Conducting qualitative research with post primary pupils and stakeholders to gain their thoughts on intervention strategies

Post primary pupils ndash 12-18 year olds

Some of these interventions arehellip HEALTHY

Dutch Obesity Intervention in Teenagers- (DO-iT)

Y-PATH

M-Span

Teen Choice Food and Fitness

Planet Health

Peer power

AHEAD study

RAW-PAW

Transform Us

Itrsquos your move project

Ireland

Multi-

component

Multi-level

Belton S OBrien W Meegan S Woods C Issartel J (2014) Youth- Physical Activity Towards Health evidence and background to the

development of the Y-PATH physical activity intervention for adolescents 2014 BMC Public Health 14 122 DOI 1011861471-2458-14-122

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Some of these interventions arehellip HEALTHY

Dutch Obesity Intervention in Teenagers- (DO-iT)

Y-PATH

M-Span

Teen Choice Food and Fitness

Planet Health

Peer power

AHEAD study

RAW-PAW

Transform Us

Itrsquos your move project

Ireland

Multi-

component

Multi-level

Belton S OBrien W Meegan S Woods C Issartel J (2014) Youth- Physical Activity Towards Health evidence and background to the

development of the Y-PATH physical activity intervention for adolescents 2014 BMC Public Health 14 122 DOI 1011861471-2458-14-122

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Ireland

Multi-

component

Multi-level

Belton S OBrien W Meegan S Woods C Issartel J (2014) Youth- Physical Activity Towards Health evidence and background to the

development of the Y-PATH physical activity intervention for adolescents 2014 BMC Public Health 14 122 DOI 1011861471-2458-14-122

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Intervention strategies General

1 Peer led interventions

2 Curriculum after school and community-based approaches

3 Family involvement

4 Use of technology

5 Behaviour change theory

6 Environmental approaches

7 Policy approaches

8 Social media campaign Awareness raising of project messages Branding amp logo

Cascading Model of Implementation

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Physical Education

Deliver a broad and balanced PE curriculum

Resources

Professional development

Physical Activity

Promote inclusive physical activity

Extra-curricular activities

Active travel

At break times throughout the school day amp

throughout the school year

Demonstration

Project

Partnerships

Work in partnership with

others to promote a physically

active school culture

With pupils parents the local

community and national agencies

Active School Week

Organise an

lsquoActive School Weekrsquo

every year

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Intervention strategies Nutrition

1Promote water vs soft drinks

2Promoting Healthy breakfasts

3 Increasing fruit and veg consumption

4Lower the average fat content of foods

5Limit the portion sizes and energy content

of dessert and snack food

6Energy in versus energy out

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Intervention strategies Physical Activty

Promoting active transport

Promote organised sportsother active recreation

Promoting acceptance of healthy body size and shape

Fundamental movement skills

Instant activity in PE classes

Health related focus

Decrease sedentary behaviour standing classes

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Implications for the

HIDP

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

1 Who should the HIDP target

HEALTHY = Population based approach primary outcome assessed in all but the vast majority of children who were in the healthy weight range at baseline simply stayed at low risk

Should we only focus on those most at risk

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

2 Should HIDP target multiple behaviours

Physical activity amp nutrition

Consequently it may not be possible to tease

out the efficacy of individual components of

the intervention For example the extent to

which the observed decreases in obesity were

due to increased physical activity improved

nutrition or both

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

3 Mode of Assessment

Objective measures

Subjective measures

Resource and time implications

scalability

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

Other things to considerhellip

How do we mitigate against fitness decreases

in girls (WISH study Northern Ireland)

How do you keep control schools involved

Effective Interventions X Effective

Implementation methods X Enabling Context

=

Socially Significant Change

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention

To Conclude

Physical activity is essential in the

prevention of OWOB in children

Physical activity guidelines exist yet

inactivity is high and intervention is

needed

Multi-component multi-level interventions

= Complex but seem to offer the best

potential for real change

HIDP ndash Journey beginning with small steps

and formative research around an

intervention