Interventions to prevent or treat childhood obesity in Māori &amp; Pacific Islanders: a systematic review

Littlewood, Robyn; Walker, Jacqueline L.

doi:10.1186/s12889-020-08848-6

Cited by 14 publications

(20 citation statements)

References 22 publications

(132 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Establishing engagement and rapport with community leaders is a crucial first step in successful co‐design for priority populations. A recent systematic review of interventions to prevent or treat childhood obesity in Māori & Pacific Islander children and families concluded stronger focus is needed on co‐designing interventions, community engagement and exclusive targeting of Māori & Pacific Islander peoples 30 . A consumer engagement and co‐design framework implemented in the initial stages of planning empowered consumers to influence program development from the outset.…”

Section: Discussionmentioning

confidence: 99%

Healthier Together: Co‐design of a culturally tailored childhood obesity community prevention program for Māori & Pacific Islander children and families

Hardt

Walker

Webb

et al. 2020

Health Prom J of Aust

Self Cite

View full text Add to dashboard Cite

Issue addressed Children of Māori & Pacific Islander descent living in Australia have a greater prevalence of overweight/obesity and an increased risk of adverse health outcomes. This study aimed to co‐design Healthier Together, a community‐based, childhood overweight/obesity prevention program tailored to Māori & Pacific Islander cultures. Methods Co‐design involved a three‐phase, iterative, participatory and experience‐based process, guided by the Te Ara Tika: Guidelines for Māori Research Ethics to promote respect and equity. Following traditional oratory customs of Māori & Pacific Islander cultures, “talanoa” facilitated the collaborative program design with recruited Māori & Pacific Islander consumers, cultural advisors and health professionals. Co‐design formulated program objectives, session plans, resources and evaluation tools. Results Co‐design developed a 9‐week community‐based childhood overweight/obesity prevention program providing culturally tailored education across four themes: (a) nutrition (b) physical activity (c) positive parenting practices (d) culture and health. Strong community engagement developed a program highly tailored to the local Māori & Pacific Islander population. Conclusions Co‐design methodology promotes equity and inclusion of all stakeholders, acknowledges and caters to diversity and creates a medium for openness, respect and shared purpose. Community‐led participatory approaches are pivotal to engaging and empowering communities to successfully improve health behaviours, particularly in tackling childhood overweight/obesity. So what? Healthier Together is culturally significant to ensure relevance, effectiveness and sustainability. It is relevant and potentially adaptable to other priority populations across Australia and globally. Ultimately, the delivery of culturally tailored health care will contribute to a reduction in the health inequity experienced amongst priority populations.

show abstract

Section: Discussionmentioning

confidence: 99%

Healthier Together: Co‐design of a culturally tailored childhood obesity community prevention program for Māori & Pacific Islander children and families

Hardt

Walker

Webb

et al. 2020

Health Prom J of Aust

Self Cite

View full text Add to dashboard Cite

show abstract

“…We are writing in response to the Correspondence article from Wild et al regarding our recent review article, ‘Interventions to prevent or treat childhood obesity in Māori and Pacific Islanders: a systematic review’ [ 1 ], published in issue 20 (May 2020) of BMC Public Health . We would like to sincerely thank Wild and colleagues for their considered response to our article.…”

Section: Main Textmentioning

confidence: 99%

“…We commend the evidence-based inclusion of multicomponent outcome measures (anthropometric, physical activity, psychological, behavioural) to assess the impact of Whānau Pakari . Dietary sessions including virtual supermarket tours, cooking sessions, portion size and the concept of healthy food were integrated into Whānau Pakari and acknowledged in Table 2 of our systematic review [ 1 ]; however, a dietary outcome measure was not reported in the trial results [ 2 ]. We could not comment on the independent or synergistic effect of dietary intervention as its impact was not measured in Whānau Pakari .…”

Section: Main Textmentioning

confidence: 99%

“…In our systematic review, we state that significant consultation with Māori stakeholders was limited to the initial set-up phase of Whānau Pakari [ 1 ]. We thank the authors for clarification – in their letter – that consultation continued throughout the trial and is ongoing in Whānau Pakari , as also mentioned in the study protocol [ 8 ].…”

Section: Main Textmentioning

confidence: 99%

See 1 more Smart Citation

Response to ‘Systematic reviews do not always capture context of real-world intervention programmes for childhood obesity’ by Wild et al., 2021 in BMC Public Health

Littlewood

Walker

2021

BMC Public Health

Self Cite

View full text Add to dashboard Cite

In a correspondence to BMC Public Health, Wild et al. respond to our systematic review that synthesised results of interventions to prevent or treat childhood obesity in Māori and Pacific Islanders. Our review included the Whānau Pakari study as one of six included studies – a multidisciplinary intervention for Māori children and adolescents living with obesity led by their research team. Our review suggested that future research can incorporate stronger co-design principles when designing culturally-tailored interventions to maximise cultural specificity, enhance engagement, facilitate program ownership and contribute to improved health and weight-related outcomes. We commend Whānau Pakari and the team of Wild et al. on their sustained commitment to addressing obesity in priority populations and agree that systematic reviews struggle to capture real-world context of interventions for complex diseases such as obesity. In this article, we respond sequentially to the comments made by Wild et al. and (1) clarify the scope of our review article (2) reiterate our commendation of mixed-methods approaches that capture real-world context (3) explain a referencing error that caused a misinterpretation of our results (4) clarify our interpretation of some Whānau Pakari characteristics (5) welcome partnership to facilitate shared learning with Wild et al.

show abstract

“…Intervention effectiveness is likely dependent on its setting, modality, intensity and acceptability to health professionals and caregivers (133,210) . were strong enablers to clinical implementation.…”

Section: Preventive Interventionsmentioning

confidence: 99%

i-PATHWAY: a clinical prediction model to prevent childhood obesity

Canfell

Self Cite

View full text Add to dashboard Cite

Background In Australia, almost one-in-four (24.9%) children (aged 5-17 years) live with overweight or obesity (OW/OB). Prevention requires prioritisation, yet clinical practice in Australia focuses on identification, treatment and management. There are limited clinical, health system-integrated strategies to facilitate childhood OW/OB prevention. The first 1,000 days (conception-2 years) is an optimal time period for childhood OW/OB prevention. Prediction modelling is an emerging field of preventive medicine with ability to identify patients at-risk of disease, enhance clinical decision-making and reduce disease risk. A prediction model that can identify risk for childhood OW/OB from the first 1,000 days may promote preventive clinical decision-making by health professionals as part of routine care. This thesis aimed to develop and validate a prediction model (i-PATHWAY, infant-Practitioner Assessment Tool for Healthy Weight in pre-Adolescent Years) for childhood OW/OB that is translatable to clinical practice in Australia. Methodology This thesis employed mixed-methodology across five progressive yet unique studies: (1) Study 1 (systematic literature review) investigated the global availability of prediction models for OW/OB across the lifespan. (2) Study 2 (literature review) narratively assessed the predictive strength and clinical utility of predictors for childhood OW/OB to inform the selection of candidate predictors for i-PATHWAY. (3) Study 3 (predictive analytics) used a Western Australian prospective birth cohortthe Raine Study (n 1,947)-and considered 14 candidate predictors to develop and internally validate (via bootstrapping) i-PATHWAY to predict childhood OW/OB at age 8-9 years. Missing data were handled using the multiple imputation by chained equations (mice) method. Predictive accuracy and clinical relevance were assessed via calibration, discrimination and decision-threshold analysis. (4) Study 4 (qualitative semi-structured interviews) investigated the attitudes of i-PATHWAY end-users-health professionals (n 18) and caregivers of infants (aged 0-2 years) (n 13) towards predicting childhood OW/OB in clinical practice and explored ways to optimise the language and phrasing of i-PATHWAY to promote sensitivity and acceptability.

show abstract

Interventions to prevent or treat childhood obesity in Māori & Pacific Islanders: a systematic review

Cited by 14 publications

References 22 publications

Healthier Together: Co‐design of a culturally tailored childhood obesity community prevention program for Māori & Pacific Islander children and families

Healthier Together: Co‐design of a culturally tailored childhood obesity community prevention program for Māori & Pacific Islander children and families

Response to ‘Systematic reviews do not always capture context of real-world intervention programmes for childhood obesity’ by Wild et al., 2021 in BMC Public Health

i-PATHWAY: a clinical prediction model to prevent childhood obesity

Contact Info

Product

Resources

About