Service evaluation of the GOALS family-based childhood obesity treatment intervention during the first 3 years of implementation

WATSON, P.M., DUGDILL, L., PICKERING, Katie, OWEN, S., HARGREAVES, J., STANIFORD, L.J., MURPHY, R.C., KNOWLES, Z. and CABLE, N.T. (2015). Service evaluation of the GOALS family-based childhood obesity treatment intervention during the first 3 years of implementation. BMJ Open, 5 (2), e006519-e006519.

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Open Access URL: https://bmjopen.bmj.com/content/5/2/e006519.full.p... (Published version)
Link to published version:: https://doi.org/10.1136/bmjopen-2014-006519
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    Abstract

    Objectives To evaluate the impact of the GOALS (Getting Our Active Lifestyles Started) family-based childhood obesity treatment intervention during the first 3 years of implementation. Design Single-group repeated measures with qualitative questionnaires. Setting Community venues in a socioeconomically deprived, urban location in the North-West of England. Participants 70 overweight or obese children (mean age 10.5 years, 46% boys) and their parents/carers who completed GOALS between September 2006 and March 2009. Interventions GOALS was a childhood obesity treatment intervention that drew on social cognitive theory to promote whole family lifestyle change. Sessions covered physical activity (PA), diet and behaviour change over 18 2 h weekly group sessions (lasting approximately 6 months). A Template for Intervention Description and Replication (TIDieR) checklist of intervention components is provided. Primary and secondary outcome measures The primary outcome measure was child body mass index (BMI) z-score, collected at baseline, post-intervention and 12 months. Secondary outcome measures were child self-perceptions, parent/carer BMI and qualitative changes in family diet and PA (parent/carer questionnaire). Results Child BMI z-score reduced by 0.07 from baseline to post-intervention (p<0.001) and was maintained at 12 months (p<0.05). There was no change in parent/carer BMI or child self-perceptions, other than an increase in perceived social acceptance from baseline to post-intervention (p<0.05). Parents/carers reported positive changes to family PA and dietary behaviours after completing GOALS. Conclusions GOALS completion was associated with small improvements in child BMI z-score and improved family PA and dietary behaviours. Several intervention modifications were necessary during the implementation period and it is suggested childhood obesity treatment interventions need time to embed before a definitive evaluation is conducted. Researchers are urged to use the TIDieR checklist to ensure transparent reporting of interventions and facilitate the translation of evidence to practice.

    Item Type: Article
    Identification Number: https://doi.org/10.1136/bmjopen-2014-006519
    Page Range: e006519-e006519
    SWORD Depositor: Symplectic Elements
    Depositing User: Symplectic Elements
    Date Deposited: 21 Jan 2019 11:34
    Last Modified: 21 Jan 2019 11:45
    URI: http://shura.shu.ac.uk/id/eprint/23222

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