Implementing a healthy lifestyle program in residential out‐of‐home care: What matters, what works and what translates?

Green, Rachael; Hatzikiriakidis, Kostas; Tate, Ruby; Bruce, Lauren; Smales, Madelaine; Crawford-Parker, Anna; Carmody, Sarah; Skouteris, Helen

doi:10.1111/hsc.13773

Cited by 6 publications

(2 citation statements)

References 42 publications

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“…This research has shown the positive associations between responsive caregiving and child growth and development (Bethell et al, 2017 ). This is demonstrated, for example, in our multi‐sectoral Healthy Eating Active Living (HEALing) Matters Program for children living in out‐of‐home care (sometimes referred to as looked‐after children; Green et al, 2022 ). HEALing Matters is underpinned by the ethos that the home environment, and the interpersonal relationships that exist between children and their caregivers, are crucial to initiating and maintaining healthy behaviours.…”

Section: Unpacking the “Why”: The Importance Of Supporting A Nurturin...mentioning

confidence: 99%

Nurturing children's development through healthy eating and active living: Time for policies to support effective interventions in the context of responsive emotional support and early learning

Skouteris

Green

Chung

et al. 2022

Health Social Care Comm

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Fostering the growth, development, health, and wellbeing of children is a global priority. The early childhood period presents a critical window to influence lifelong trajectories, however urgent multisectoral action is needed to ensure that families are adequately supported to nurture their children's growth and development. With a shared vision to give every child the best start in life, thus helping them reach their full developmental potential, we have formed the International Healthy Eating Active Living Matters (HEALing Matters) Alliance. Together, we form a global network of academics and practitioners working across child health and development, and who are dedicated to improving health equity for children and their families. Our goal is to ensure that all families are free from structural inequality and oppression and are empowered to nurture their children's growth and development through healthy eating and physical activity within the context of responsive emotional support, safety and security, and opportunities for early learning. To date, there have been disparate approaches to promoting these objectives across the health, community service, and education sectors. The crucial importance of our collective work is to bring these priorities for early childhood together through multisectoral interventions, and in so doing tackle head on siloed approaches. In this Policy paper, we draw upon extensive research and call for collective action to promote equity and foster positive developmental trajectories for all children. We call for the delivery of evidence-based programs, policies, and services that are co-designed to meet the needs of all children and

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Section: Unpacking the “Why”: The Importance Of Supporting A Nurturin...mentioning

confidence: 99%

Nurturing children's development through healthy eating and active living: Time for policies to support effective interventions in the context of responsive emotional support and early learning

Skouteris

Green

Chung

et al. 2022

Health Social Care Comm

Self Cite

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show abstract

“…In addition, previous studies have shown that obese adults perceive eating out as a key barrier to sustained adherence to a specific dietary regime [36]. Therefore, modifying this parameter may be a reasonable strategy to promote healthy eating patterns and prevent weight gain [37]. However, in order to build a scientific case for action and develop appropriate public health strategies, a comprehensive understanding of the specifics of eating out and how they relate to diet quality is needed in the future [35].…”

Section: Comparison With Previous Researchmentioning

confidence: 99%

Stressful Life Events, Unhealthy Eating Behaviors and Obesity among Chinese Government Employees: A Follow-Up Study

Qiu

et al. 2023

Nutrients

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Background: The underlying mechanisms of the relationship between stressful life events and obesity among Chinese workers are unclear. Objective: This study aimed to understand the processes and mechanisms involved in stressful life events, unhealthy eating behavior, and obesity among Chinese workers. Methods: From January 2018 to December 2019, a total of 15,921 government employees were included at baseline and they were followed-up until May 2021. Stressful life events were assessed using the Life Events Scale, and unhealthy eating behavior was assessed using four items. BMI was calculated as weight (kg) divided by height (m2) using physically measured data. Results: Overeating at each mealtime (OR = 2.21, 95%CI: 1.78–2.71) at baseline led to reports of higher risk of obesity at follow up. Eating before going to bed at night sometimes (OR = 1.51, 95%CI: 1.31–1.73) or often (OR = 3.04, 95%CI: 2.28–4.05) at baseline led to reports of higher risk of obesity at follow-up. Eating out sometimes (OR = 1.74, 95%CI: 1.47–2.07) or often (OR = 1.59, 95%CI: 1.07–2.36) at baseline led to reports of higher risk of obesity at follow-up. Stressful life events were not directly associated with obesity, but unhealthy eating behaviors, including overeating at each mealtime (β = 0.010, 95%CI: 0.007–0.014; β = 0.002, 95%CI: 0.001–0.004, respectively) and irregular meal timing (β = −0.011, 95%CI: −0.015–−0.008; β = −0.004, 95%CI: −0.006–−0.001, respectively), significantly mediated the associations between stressful life events at baseline and obesity at both baseline and follow-up. Conclusions: Unhealthy eating behaviors mediated the relationship between stressful life events and obesity. Interventions should be provided to workers who have experienced stressful life events and unhealthy eating behaviors.

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Implementing the HEALing Matters program in residential out‐of‐home care: Evaluation of carers' commitment to promoting healthy lifestyle behaviours

Cox (nee Green),

Hatzikiriakidis,

Tate

et al. 2024

Aust J Social Issues

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HEALing Matters is an online professional development training program being implemented across the Victorian out‐of‐home care sector. HEALing Matters uses a trauma‐informed philosophy to guide carers' understanding of the link between young people's healthy lifestyle behaviours and improved physical and psychosocial outcomes. This article reports the findings of a qualitative evaluation, which sought to understand whether participation in HEALing Matters fostered a sense of commitment, dedication and/or the introduction of new practices to create a healthy “home.” Semistructured interviews were conducted with 27 residential carers who completed the training and transcripts underwent thematic analysis. Four major themes evidencing healthy lifestyle behaviours were developed: (1) promotion of a healthy eating environment, (2) making physical activity a habit, (3) building connection through food and physical activity and (4) improved predictability and consistency. Implementation of HEALing Matters facilitated positive changes in health behaviours, supported carers to use food and activity to provide responsive caregiving and created a sense of safety and security through the introduction of household routines. The findings emphasise the importance of upskilling carers in preventative health practices and approaches to best support the health and well‐being of young people in care.

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Implementing a healthy lifestyle program in residential out‐of‐home care: What matters, what works and what translates?

Cited by 6 publications

References 42 publications

Nurturing children's development through healthy eating and active living: Time for policies to support effective interventions in the context of responsive emotional support and early learning

Nurturing children's development through healthy eating and active living: Time for policies to support effective interventions in the context of responsive emotional support and early learning

Stressful Life Events, Unhealthy Eating Behaviors and Obesity among Chinese Government Employees: A Follow-Up Study

Implementing the HEALing Matters program in residential out‐of‐home care: Evaluation of carers' commitment to promoting healthy lifestyle behaviours

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