Using the intervention mapping protocol to develop a community-based intervention for the prevention of childhood obesity in a multi-centre European project: the IDEFICS intervention

International Journal of Behavioral Nutrition and Physical Activity

Research

Katharina Gallois¹  Holger Hassel²  Ilse De Bourdeaudhuij³  Vera Verbestel³  Leen Haerens⁴  Staffan Mårild⁵  Éva Kovács⁶  Lauren Lissner⁷  Gabriele Eiben⁷  Stefaan De Henauw⁸  Lea Maes⁸  Natalia Lascorz Frauca⁹  Luis A Moreno⁹  Gianvincenzo Barba^1,10  Kenn Konstabel^1,11  Michael Tornaritis^1,12 

[1] Bremen Institute for Prevention Research and Social Medicine (BIPS), University of Bremen, Achterstr. 30, 28359, Bremen, Germany;Bremen Institute for Prevention Research and Social Medicine (BIPS), University of Bremen, Achterstr. 30, 28359, Bremen, Germany;Hochschule Coburg, University of Applied Sciences, Friedrich-Streib-Str. 2, 96450, Coburg, Germany;Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium;Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium;Research Foundation Flanders, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium;Department of Pediatrics, The Queen Silivia Childrens' University Hospital, Göteborg University, 41685, Smörslottsgatan, Göteborg, Sweden;Department of Pediatrics, University of Pécs, Jozsef A. str. 7, H-7623, Pécs, Hungary;Department of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Box 454, 40530, Göteborg, Sweden;Department of Public Health, Ghent University, De Pintelaan 185, block A, 9000, Ghent, Belgium;GENUD (Growth, Exercise, Nutrition and Development) Research Group, University School of Health Sciences, University of Zaragoza, Domingo Miral s/n, 50009, Zaragoza, Spain;Institute of Food Sciences, Unit of Epidemiology and Population Genetics, National Research Council, Via Roma 52, 83100, Avellino, AC, Italy;National Institute for Health Development, Hiiu 42, 50410, Tallinn, Estonia;Research and Education Institute for Child Health, Attikis str. 8, 2027, Strovolos, Cyprus;

关键词: Childhood Obesity;    Cultural Adaptation;    Change Objective;    Community Platform;    Prevent Childhood Obesity;   

DOI  :  10.1186/1479-5868-8-82

 received in 2010-10-29, accepted in 2011-08-01,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThe prevalence of childhood obesity has increased during the past decades and is now considered an urgent public health problem. Although stabilizing trends in obesity prevalence have been identified in parts of Europe, preventive efforts in children are still needed. Using the socio-ecological approach as the underlying theoretical perspective, the IDEFICS project aimed to develop, implement and evaluate a community-based intervention for the prevention of childhood obesity in eight European countries. The aim of the present manuscript was to describe the content and developmental process of the IDEFICS intervention.MethodsThe intervention mapping protocol (IMP) was used to develop the community-based intervention for the prevention of childhood obesity in 3 to 10 years old children. It is a theory- and evidence-based tool for the structured planning and development of health promotion programs that requires the completion of six different steps. These steps were elaborated by two coordinating centers and discussed with the other participating centers until agreement was reached. Focus group research was performed in all participating centers to provide an informed basis for intervention development.ResultsThe application of the IMP resulted in an overall intervention framework with ten intervention modules targeting environmental and personal factors through the family, the school and the community. The summary results of the focus group research were used to inform the development of the overall intervention. The cultural adaptation of the overall intervention was realised by using country specific focus group results. The need for cultural adaptation was considered during the entire process to improve program adoption and implementation. A plan was developed to evaluate program effectiveness and quality of implementation.ConclusionsThe IDEFICS project developed a community-based intervention for the prevention of childhood obesity by using to the intervention mapping heuristic. The IDEFICS intervention consists of a general and standardized intervention framework that allows for cultural adaptation to make the intervention feasible and to enhance deliverability in all participating countries. The present manuscript demonstrates that the development of an intervention is a long process that needs to be done systematically. Time, human resources and finances need to be planned beforehand to make interventions evidence-based and culturally relevant.

【 授权许可】

CC BY   
© Verbestel et al; licensee BioMed Central Ltd. 2011