Impact evaluation of “Have Fun — Be Healthy” program: A community based health promotion intervention to prevent childhood obesity

Pathirana, Thanya; Stoneman, Rebecca; Lamont, Amanda; Harris, Neil; Lee, Patricia

doi:10.1002/hpja.17

Cited by 8 publications

(12 citation statements)

References 13 publications

(23 reference statements)

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“…However, the validity of SCS as a biomarker of total FV intake is dependent on the homogenous incorporation of carotenoid-rich FVs into the diets of the population being studied; therefore, there may be some reduced biomarker sensitivity in small group sizes. These preliminary results are consistent with dietary outcomes of similar playgroups in Australia [65]. Resources (cooking demonstrations, recipes, grocery store maps) were specifically provided to help families extend dietary behaviors practiced in the FUNPALs Playgroup to the home.…”

Section: Discussionsupporting

confidence: 74%

“…There is a need for family-based obesity prevention programs that engage low-income ethnic minority families [17]. Playgroups are effectively and widely utilized in some countries to promote early childhood development [65]. In the US, there is a profitable playgroup industry suggesting interest and demand, but participation in these playgroups is costly and likely not feasible or accessible to low-income families.…”

Section: Discussionmentioning

confidence: 99%

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Feasibility and Efficacy of the “FUNPALs Playgroup” Intervention to Improve Toddler Dietary and Activity Behaviors: A Pilot Randomized Controlled Trial

Cepni

Taylor

Crumbley

et al. 2021

IJERPH

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This study evaluated the feasibility and effects of the Families Understanding Nutrition and Physically Active Lifestyles (FUNPALs) Playgroup on toddler (12–36-month-old) diet and activity behaviors. Parent–toddler dyads were recruited from disadvantaged communities and randomly assigned to receive 10-weekly sessions of the FUNPALs Playgroup (n = 24) or dose-matched health education control group (n = 26). FUNPALs Playgroups involved physical and snack activities, delivery of health information, and positive parenting coaching. The control group involved group health education for parents only. Process outcomes (e.g., retention rate, fidelity) and focus groups determined feasibility and perceived effects. To evaluate preliminary effects, validated measures of toddler diet (food frequency questionnaire and a carotenoid biomarker), physical activity (PA; accelerometers), general and feeding parenting (self-report surveys), and home environment (phone interview) were collected pre and post. The sample comprised parents (84% female) who self-identified as Hispanic/Latino (38%) and/or African American (32%). Retention was high (78%). Parents from both groups enjoyed the program and perceived improvements in their children’s health behaviors. Objective measures demonstrated improvement with large effects (η2 = 0.29) in toddler diet (p < 0.001) but not PA (p = 0.099). In conclusion, the FUNPALs Playgroup is feasible and may improve toddler eating behaviors.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

Feasibility and Efficacy of the “FUNPALs Playgroup” Intervention to Improve Toddler Dietary and Activity Behaviors: A Pilot Randomized Controlled Trial

Cepni

Taylor

Crumbley

et al. 2021

IJERPH

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“…Our intervention differs in important ways from most of the sedentary behaviour and physical activity trials reported in the literature as they were time‐ and resource‐demanding (Justine et al, ). They used 18 sessions (Sacher et al, ), 16 sessions (Xu et al, ), eight sessions (Balcazar et al, ; Pathirana, Stoneman, Lamont, Harris, & Lee, ; Ziebarth et al, ), five sessions (Jung, Bourne, & Gainforth, ; Quinlan, Rhodes, Blanchard, Naylor, & Warburton, ) or four sessions (Aadahl et al, ). Our two‐session intervention was much shorter.…”

Section: Discussionmentioning

confidence: 99%

Development and feasibility of a brief Zero‐time Exercise intervention to reduce sedentary behaviour and enhance physical activity: A pilot trial

Lai

Stewart

Wan

et al. 2019

Health Soc Care Community

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A brief intervention using Zero-time Exercise (ZTEx), a foot-in-the-door approach, was developed to reduce sedentary behaviour and increase physical activity. ZTEx refers to the integration of simple strength-and stamina-enhancing physical activity into daily life, which can be done anytime, anywhere and by anyone. This paper presents the development, feasibility, and preliminary evidence for the effectiveness of this intervention under the Hong Kong Jockey Club FAMILY Project. Needs assessments were conducted with social workers from the Christian Family Services Center(CFSC) and the Social Welfare Department (SWD). This single group prospective ZTEx intervention trial, guided by the Health Action Process Approach, included a 3-hr core session at baseline and a 1-hr booster session at 1-month follow-up. Fiftysix participants (social and service-related workers) from CFSC (n = 28) and SWD (n = 28) received the intervention and completed the self-administered questionnaires at baseline. Forty-nine and 43 participants completed the 1-month and 3month self-administered questionnaires, respectively. Fifteen participants attended the focus group interviews to share their feedback on ZTEx intervention after implementing their community-based ZTEx activities. Intention-to-treat analysis was conducted with missing data replaced by baseline values. Participants reported significant decreases in sitting time by 27 (2, 52) minutes (mean [95% confidence interval]) and 36 (0.2, 71) minutes on a weekday, increases in physical activity while seated by 0.7 (0.2, 1.4) days and 1.1 (0.6, 1.7) days in a week, and improvements in perceived knowledge, outcome expectancies and plan on doing ZTEx at the 1-month and 3month follow-up, respectively. Balance and muscle strength significantly improved at the 1-month follow-up. The effect ranged from small to large (Cohen's d: 0.27-1.05, all p < 0.05). The qualitative feedbacks support the quantitative findings. Our findings show early evidence that ZTEx effectively reduced sedentary behaviour and enhanced physical activity and fitness. Further trials on this simple and low-cost intervention as the first step to promote higher intensity exercise are warranted. K E Y W O R D S brief intervention, physical activity, sedentary behaviour, Zero-time Exercise e234 |

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“…The intervention used to enhance physical activity differs significantly from most of the interventions reported in the extant literature. The interventions in the literature comprised 18 sessions ( 16 ), 16 sessions ( 9 ), 8 sessions ( 10 , 14 , 43 ), and 5 sessions ( 11 , 13 ). Our intervention comprised three face-to-face sessions (totalling 6 h and 30 min) and 16 text messages, making it shorter than most of the interventions in the extant literature.…”

Section: Discussionmentioning

confidence: 99%

“…Most reports of community-based physical activity interventions involving family members in the extant literature have been based in Western countries, such as the United States ( 9 , 10 ), Canada ( 11 – 13 ), Australia ( 14 , 15 ) and the United Kingdom ( 16 ). These interventions focused on outdoor activities, which may not be as easily applicable to a city like Hong Kong due to environmental, social, and cultural differences ( 17 ).…”

Section: Introductionmentioning

confidence: 99%

A Community-Based Lifestyle-Integrated Physical Activity Intervention to Enhance Physical Activity, Positive Family Communication, and Perceived Health in Deprived Families: A Cluster Randomized Controlled Trial

Lai

Lam²,

Fabrizo

et al. 2020

Front. Public Health

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Background: Zero-time exercise (ZTEx) is an approach integrating simple strength-and stamina-enhancing physical activity into daily life. The study evaluated the effectiveness of a community-based lifestyle-integrated physical activity intervention using ZTEx to enhance participants' physical activity, family communication, perceived health and happiness, and family harmony. Methods: A parallel group, cluster randomized controlled trial was conducted in a sample of 673 participants from eight Integrated Family Service Centers in Hong Kong. The experimental group (n = 316) received a physical activity intervention. The control group (n = 357) received information on healthy eating. Both groups received three face-to-face intervention sessions (totalling 6 h and 30 min) and 16 text messages. The primary outcome was the change in days spent engaged in ZTEx. Secondary outcomes included changes in sitting time, days engaged in moderate or vigorous physical activities, family communication (encouraging and engaging family members in ZTEx), dietary habits, perceived health and happiness, and family harmony. Self-administered questionnaires were used at baseline and at 3, 6, and 12 months. Mixed effects models with intention-to-treat analysis was used. Results: Compared with the control group at 3 months, the experimental group showed significantly greater increases of 1.3 days spent doing ZTEx (Cohen's d: 0.60), 0.3 days spent doing moderate physical activity (Cohen's d: 0.08), 0.3 days encouraging family members to do ZTEx (Cohen's d: 0.16), and 0.7 days doing ZTEx with family members (Cohen's d: 0.39) during the 7 days prior. At 3 months, the experimental group also showed a significantly greater improvement in perceived health, by a score of 0.2 (Cohen's d: 0.14). The effect sizes ranged from small to medium, with similar intervention effects at the 6-month and 1-year assessments. Compared with the experimental Lai et al. Positive Lifestyle-Integrated Physical Activity Intervention group, the control group showed a significantly greater reduction of 0.4 days on which sweetened beverages were consumed (95% CI: 0.01, 0.9, p < 0.05, Cohen's d: 0.28). The qualitative results supported the quantitative findings. Conclusions: Our findings show that a community-based lifestyle-integrated physical activity (PA) intervention can enhance physical activity, family communication, and perceived health in deprived families in Hong Kong.

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Impact evaluation of “Have Fun — Be Healthy” program: A community based health promotion intervention to prevent childhood obesity

Cited by 8 publications

References 13 publications

Feasibility and Efficacy of the “FUNPALs Playgroup” Intervention to Improve Toddler Dietary and Activity Behaviors: A Pilot Randomized Controlled Trial

Feasibility and Efficacy of the “FUNPALs Playgroup” Intervention to Improve Toddler Dietary and Activity Behaviors: A Pilot Randomized Controlled Trial

Development and feasibility of a brief Zero‐time Exercise intervention to reduce sedentary behaviour and enhance physical activity: A pilot trial

A Community-Based Lifestyle-Integrated Physical Activity Intervention to Enhance Physical Activity, Positive Family Communication, and Perceived Health in Deprived Families: A Cluster Randomized Controlled Trial

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