Project SoL—A Community-Based, Multi-Component Health Promotion Intervention to Improve Healthy Eating and Physical Activity Practices among Danish Families with Young Children Part 2: Evaluation

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There is increasing interest in integrated and coordinated programs that intervene in multiple community settings/institutions at the same time and involve policy and system changes. The purpose of the paper is to analyse three comparable cases of Multi Level, Multi Component intervention programs (ML-MC) from across the world in order to give recommendations for research, policy and practice in this field. Through the comparison of three cases: Health and Local Community (SoL-program), Children’s Healthy Living (CHL) and B’More Healthy Communities for Kids (BHCK), this paper examines the potential of ML-MC community-based public health nutrition interventions to create sustainable change. The paper proposes methodology, guidelines and directions for future research through analysis and examination strengths and weaknesses in the programs. Similarities are that they engage and commit local stakeholders in a structured approach to integrate intervention components in order to create dose and intensity. In that way, they all make provisions for post intervention impact sustainability. All programs target the child and family members’ knowledge, attitudes, behavior, the policy level, and the environmental level. The study illustrates the diversity in communities as well as diversity in terms of which and how sites and settings such as schools, kindergartens, community groups and grocery stores became involved in the programs. Programs are also different in terms of involvement of media stakeholders. The comparison of the three cases suggests that there is a need to build collaboration and partnerships from the beginning, plan for sufficient intensity/dose, emphasize/create consistency across levels and components of the intervention, build synchronization across levels, and plan for sustainability.

Section: Methodsmentioning

confidence: 99%

“…Case 1: Promoting healthy eating and non-sedentary behavior in the Local Community SoL-program {from the Danish (Sundhed og Lokalsamfund)—Health & Local Community} [27,28]. …”

Section: Methodsmentioning

confidence: 99%

Multi-Level, Multi-Component Approaches to Community Based Interventions for Healthy Living—A Three Case Comparison

Mikkelsen

Novotny

Gittelsohn

2016

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“…All three MLMC interventions were grounded in ecological systems theory and applied the social ecological model to the design and implementation of the interventions. Each of the three cases (BHCK, CHL, SoL) have published multiple papers describing design [13,14], formative research [15,16], process evaluation [17,18], and impact findings [19,20,21]. The principal investigators (PIs) of the three interventions have presented and discussed their findings and experiences through a series of five consecutive ISBNPA (International Society of Behavioral Nutrition and Physical Activity) symposia.…”

Section: Methodsmentioning

confidence: 99%

“…Interventions were developed and implemented in childcare centers, schools and supermarkets, as well as in local mass media and social media. [16]. The supermarket intervention component improved consumers’ perception and attitudes towards healthier snacks, and increased sales of vegetables [20].…”

Section: Methodsmentioning

confidence: 99%

Challenges and Lessons Learned from Multi-Level Multi-Component Interventions to Prevent and Reduce Childhood Obesity

Gittelsohn

Novotny

Trude

et al. 2018

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Multi-level multi-component (MLMC) strategies have been recommended to prevent and reduce childhood obesity, but results of such trials have been mixed. The present work discusses lessons learned from three recently completed MLMC interventions to inform future research and policy addressing childhood obesity. B’more Healthy Communities for Kids (BHCK), Children’s Healthy Living (CHL), and Health and Local Community (SoL) trials had distinct cultural contexts, global regions, and study designs, but intervened at multiple levels of the socioecological model with strategies that address multiple components of complex food and physical activity environments to prevent childhood obesity. We discuss four common themes: (i) How to engage with community partners and involve them in development of intervention and study design; (ii) build and maintain intervention intensity by creating mutual promotion and reinforcement of the intervention activities across the multiple levels and components; (iii) conduct process evaluation for monitoring, midcourse corrections, and to engage stakeholder groups; and (iv) sustaining MLMC interventions and its effect by developing enduring and systems focused collaborations. The paper expands on each of these themes with specific lessons learned and presents future directions for MLMC trials.

“…With the rapidly increasing development of mobile Internet and the popularity of social networks, an increasing number of social media-based health management systems (SocialHMS) have emerged in recent years [1]. These social media-based systems have been widely used in registration [2], payment, decision making, chronic diseases management, health information and medical expenses inquiry [3], etc., and they greatly facilitate the convenience for people to obtain health services [4,5]. WeChat is one of the most popular social media platforms in China.…”

Section: Introductionmentioning

confidence: 99%

Social Media-Based Health Management Systems and Sustained Health Engagement: TPB Perspective

Guo

Liang

et al. 2019

Background: With the popularity of mobile Internet and social networks, an increasing number of social media-based health management systems (SocialHMS) have emerged in recent years. These social media-based systems have been widely used in registration, payment, decision-making, chronic diseases management, health information and medical expenses inquiry, etc., and they greatly facilitate the convenience for people to obtain health services. Objective: This study aimed to investigate the factors influencing sustained health engagement of SocialHMS by combining the theory of planned behavior (TPB) with the big-five theory and the trust theory. Method: We completed an empirical analysis based on the 494 pieces of data collected from Anhui Medical University first affiliated hospital (AMU) in East China through structural equation modeling and SmartPLS (statistical analysis software). Results: Openness to new experience has a significantly positive influence on attitude (path coefficient = 0.671, t = 24.0571, R2 = 0.451), perceived behavioral control (path coefficient = 0.752, t = 32.2893, R2 = 0.565), and perceived risk (path coefficient = 0.651, t = 18.5940, R2 = 0.424), respectively. Attitude, perceived behavioral control, subjective norms, and trust have a significantly positive influence on sustained health engagement (path coefficients = 0.206, 0.305, 0.197, 0.183 respectively, t = 3.6684, 4.9158, 4.3414, and 3.3715, respectively). The explained variance of the above factors to the sustained health engagement of SocialHMS is 60.7% (R2 = 0.607). Perceived risk has a significantly negative influence on trust (path coefficient = 0.825, t = 46.9598, R2 = 0.681). Conclusions: Attitude, perceived behavioral control, subjective norm, and trust are the determinants that affect sustained health engagement. The users’ personality trait of openness to new experience and perceived risk were also found to be important factors for sustained health engagement. For hospital managers, there is the possibility to take appropriate measures based on users’ personality to further enhance the implementation and utilization of SocialHMS. As for system suppliers, they can provide the optimal design for SocialHMS so as to meet users’ needs.