Engaging adolescents in changing behaviour (EACH-B): a study protocol for a cluster randomised controlled trial to improve dietary quality and physical activity

Trials

Leanne Morrison¹  John Clarke²  Cyrus Cooper³  Janis Baird⁴  Christina Vogel⁴  Millie Barrett⁴  Sarah Shaw⁴  Mary Barker⁴  Sofia Strömmer⁴  Wendy Lawrence⁴  Hazel Inskip⁴  Patsy Coakley⁴  Tina Horsfall⁴  Judit Varkonyi-Sepp⁵  Keith Godfrey⁶  Mark Hanson⁶  Ross Anderson⁷  David Farrell⁷  Lyall Campbell⁷  Kathryn Woods-Townsend⁸  Danielle Lambrick⁹  Paul Little^1,10  Debbie Chase^1,11  Lisa Bagust^1,12  Donna Lovelock^1,12  Olu Onyimadu^1,13  Neelam Kalita^1,13  Joanne Lord^1,13 

[1] Centre for Clinical and Community Applications of Health Psychology, University of Southampton, Southampton, UK;Hampshire County Council, Winchester, UK;Hampshire County Council, Winchester, UK;MRC Lifecourse Epidemiology Unit, Southampton General Hospital, University of Southampton, Southampton, UK;MRC Lifecourse Epidemiology Unit, Southampton General Hospital, University of Southampton, Southampton, UK;NIHR Southampton Biomedical Research Centre, University Hospital Southampton, NHS Foundation Trust, Southampton, UK;NIHR Southampton Biomedical Research Centre, University Hospital Southampton, NHS Foundation Trust, Southampton, UK;NIHR Southampton Biomedical Research Centre, University Hospital Southampton, NHS Foundation Trust, Southampton, UK;Human Development and Health Academic Unit, Faculty of Medicine, University of Southampton, Southampton, UK;NIHR Southampton Biomedical Research Centre, University Hospital Southampton, NHS Foundation Trust, Southampton, UK;School of Computing, Engineering and Built Environment, Glasgow Caledonian University, Glasgow, UK;NIHR Southampton Biomedical Research Centre, University Hospital Southampton, NHS Foundation Trust, Southampton, UK;Southampton Education School, Faculty of Social Sciences, University of Southampton, Southampton, UK;School of Health Sciences, Faculty of Environmental and Life Sciences, University of Southampton, Southampton, UK;School of Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK;Southampton City Council, Southampton, UK;Southampton Education School, Faculty of Social Sciences, University of Southampton, Southampton, UK;Southampton Health Technology Assessments Centre, University of Southampton, Southampton, UK;

关键词: Adolescence;    Behaviour change;    Body composition;    Cluster randomised controlled trial;    Cost-effectiveness;    Diet;    Digital intervention;    Education;    Physical activity;   

DOI  :  10.1186/s13063-020-04761-w

来源: Springer

【 摘 要 】

BackgroundPoor diet and lack of physical activity are strongly linked to non-communicable disease risk, but modifying them is challenging. There is increasing recognition that adolescence is an important time to intervene; habits formed during this period tend to last, and physical and psychological changes during adolescence make it an important time to help individuals form healthier habits. Improving adolescents’ health behaviours is important not only for their own health now and in adulthood, but also for the health of any future children. Building on LifeLab—an existing, purpose-built educational facility at the University of Southampton—we have developed a multi-component intervention for secondary school students called Engaging Adolescents in Changing Behaviour (EACH-B) that aims to motivate and support adolescents to eat better and be more physically active.MethodsA cluster randomised controlled trial is being conducted to evaluate the effectiveness of the EACH-B intervention. The primary outcomes of the intervention are self-reported dietary quality and objectively measured physical activity (PA) levels, both assessed at baseline and at 12-month follow-up. The EACH-B intervention consists of three linked elements: professional development for teachers including training in communication skills to support health behaviour change; the LifeLab educational module comprising in-school teaching of nine science lessons linked to the English National Curriculum and a practical day visit to the LifeLab facility; and a personalised digital intervention that involves social support and game features that promote eating better and being more active.Both the taught module and the LifeLab day are designed with a focus on the science behind the messages about positive health behaviours, such as diet and PA, for the adolescents now, in adulthood and their future offspring, with the aim of promoting personal plans for change. The EACH-B research trial aims to recruit approximately 2300 secondary school students aged 12–13 years from 50 schools (the clusters) from Hampshire and neighbouring counties. Participating schools will be randomised to either the control or intervention arm. The intervention will be run during two academic years, with continual recruitment of schools throughout the school year until the sample size is reached. The schools allocated to the control arm will receive normal schooling but will be offered the intervention after data collection for the trial is complete. An economic model will be developed to assess the cost-effectiveness of the EACH-B intervention compared with usual schooling.DiscussionAdolescents’ health needs are often ignored and they can be difficult to engage in behaviour change. Building a cheap, sustainable way of engaging them in making healthier choices will benefit their long-term health and that of their future children.Trial registrationISRCTN 74109264. Registered on 30 August 2019. EACH-B is a cluster randomised controlled trial, funded by the National Institute for Health Research (RP-PG-0216-20004).

【 授权许可】

CC BY