Test–retest reliability and construct validity of the DOiT (Dutch Obesity Intervention in Teenagers) questionnaire: measuring energy balance-related behaviours in Dutch adolescents

Janssen, E.H.C.; Singh, Amika S.; Nassau, Femke van; Brug, Johannes; Mechelen, Willem van; Paw, M.J.M. Chin A

doi:10.1017/s1368980012005253

Cited by 14 publications

(17 citation statements)

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“…This might have led to social desirability and recall bias. Although the questionnaire showed acceptable reliability and validity [ 27 ], the questionnaire targeted only traditional screen devices (i.e., time spent on computer use and television viewing). Adolescents reported to the research team that they found the questions assessing computer and screen time difficult to answer.…”

Section: Discussionmentioning

confidence: 99%

“…Six behavioural mediators were assessed in the DOiT questionnaire: consumption of SCB, consumption of high-energy snacks/sweets, sport participation, active transport to school, screen time (TV viewing and computer use) and breakfast consumption. Details on the questionnaire can be found elsewhere [ 27 ]. The questionnaire showed good test-retest reliability and moderate to good construct validity for the majority of items.…”

Section: Methodsmentioning

confidence: 99%

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The Dutch Obesity Intervention in Teenagers (DOiT) cluster controlled implementation trial: intervention effects and mediators and moderators of adiposity and energy balance-related behaviours

Nassau

Singh

Cerin

et al. 2014

Int J Behav Nutr Phys Act

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BackgroundThe Dutch Obesity Intervention in Teenagers (DOiT) programme is an evidence-based obesity prevention programme tailored to adolescents attending the first two years of prevocational education in the Netherlands. The initial programme showed promising results during an effectiveness trial. The programme was adapted and prepared for nationwide dissemination. To gain more insight into the process of translating evidence-based approaches into ‘real world’ (i.e., ‘natural’) conditions, our research aims were to evaluate the impact of the DOiT-implementation programme on adolescents’ adiposity and energy balance-related behaviours during natural dissemination and to explore the mediating and moderating factors underlying the DOiT intervention effects.MethodsWe conducted a cluster-controlled implementation trial with 20 voluntary intervention schools (n=1002 adolescents) and 9 comparable control schools (n = 484 adolescents). We measured adolescents’ body height and weight, skinfold thicknesses, and waist circumference. We assessed adolescents’ dietary and physical activity behaviours by means of self-report. Data were collected at baseline and at 20-months follow-up. We used multivariable multilevel linear or logistic regression analyses to evaluate the intervention effects and to test the hypothesised behavioural mediating factors. We checked for potential effect modification by gender, ethnicity and education level. ResultsWe found no significant intervention effects on any of the adiposity measures or behavioural outcomes. Furthermore, we found no mediating effects by any of the hypothesised behavioural mediators. Stratified analyses for gender showed that the intervention was effective in reducing sugar-containing beverage consumption in girls (B = -188.2 ml/day; 95% CI = -344.0; -32.3). In boys, we found a significant positive intervention effect on breakfast frequency (B = 0.29 days/week; 95% CI = 0.01; 0.58). Stratified analyses for education level showed an adverse intervention effect (B = 0.09; 95% CI = 0.02; 0.16) on BMI z-scores for adolescents attending the vocational education track.ConclusionsAlthough not successful in changing adolescents’ adiposity, the DOiT-implementation programme had some beneficial effects on specific obesity-related behaviours in subgroups. This study underlines the difficulty of translating intervention effectiveness in controlled settings to real world contexts. Adaptations to the implementation strategy are needed in order to promote implementation as intended by the teachers.Trial registrationCurrent Controlled Trials ISRCTN92755979.Electronic supplementary materialThe online version of this article (doi:10.1186/s12966-014-0158-0) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The Dutch Obesity Intervention in Teenagers (DOiT) cluster controlled implementation trial: intervention effects and mediators and moderators of adiposity and energy balance-related behaviours

Nassau

Singh

Cerin

et al. 2014

Int J Behav Nutr Phys Act

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“…A questionnaire is developed containing questions on: the number of small (eg, crisps, nuts and chocolate) and large (eg, hamburger, fries and pizza) snacks children eat; the number of sugar-sweetened beverages they drink; their sports and outdoor play participation; their attitude towards sports and outdoor play; their screen behaviour and their self-rated health. The questionnaire is based on validated items from the ENERGY-child questionnaire,37 the DOiT questionnaire38 and the EuroQol 39Table 1 presents the questionnaire items, and the validity and reliability of the original items.…”

Section: Methodsmentioning

confidence: 99%

Kids in Action: the protocol of a Youth Participatory Action Research project to promote physical activity and dietary behaviour

Anselma¹,

Altenburg²,

Chinapaw³

2019

BMJ Open

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IntroductionIn this study, researchers collaborate with children from a low socioeconomic neighbourhood in Amsterdam in developing, implementing and evaluating interventions targeting their health behaviours. This Youth Participatory Action Research project focuses on the promotion of physical activity and healthy dietary behaviour.Methods and analysisThis study is a controlled trial using participatory methods to develop interventions together with children aged 9–12 years. At four primary schools in a low socioeconomic neighbourhood in Amsterdam, an ‘Action Team’ is installed: a group of six to eight children who actively participate as co-researchers in developing, implementing and evaluating interventions. An academic researcher facilitates the participatory process. Four control schools, also located in low socioeconomic areas in and around Amsterdam, continue with their regular curriculum and do not participate in the participatory process. For the effect evaluation, physical activity and sedentary behaviour are assessed using accelerometers and self-reporting; dietary behaviour using self-reporting and motor fitness (strength, flexibility, coordination, speed and endurance) using the motor performance fitness test. Effectiveness of the interventions is evaluated by multilevel regression analysis. The process of co-creating interventions and the implemented interventions is continually evaluated during meetings of the Action Teams and with children participating in the interventions. Empowerment of children is evaluated during focus groups. Summaries and transcripts of meetings are coded and analysed to enrich children’s findings.Ethics and disseminationThe Medical Ethics Committee of the VU Medical Center approved the study protocol (2016.366).Trial registration numberTC=6604.

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“…A group of at least 120 adolescent girls50 74 75 will be recruited from one school to assess test-retest reliability of the questionnaire over a fortnight 76. To thank them for their time, the participants will be invited to enter a draw for a $A30 gift voucher at each sitting.…”

Section: Methods and Analysismentioning

confidence: 99%

Developing and trialling a school-based ovulatory-menstrual health literacy programme for adolescent girls: a quasi-experimental mixed-method protocol

et al. 2019

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IntroductionA review of international and Australian school-based resources suggests that teaching of the ovulatory-menstrual (OM) cycle is predominantly couched in biology. A whole-person framework that integrates spiritual, intellectual, social and emotional dimensions with the physical changes of the OM cycle is needed to facilitate adolescent OM health literacy. This paper describes the protocol for a study that aims to develop and trial an intervention for adolescent girls aged 13–16 years that enhances positive attitudes towards OM health coupled with developing skills to monitor and self-report OM health. These skills aim to foster acceptance of the OM cycle as a ‘vital sign’ and facilitate confident communication of common OM disturbances (namely, dysmenorrhoea, abnormal uterine bleeding and premenstrual syndrome), which are known to impact school and social activities.Methods and analysisPhase I will comprise a Delphi panel of women’s health specialists, public health professionals and curriculum consultants and focus groups with adolescent girls, teachers and school healthcare professionals. This will inform the development of an intervention to facilitate OM health literacy. The Delphi panel will also inform the development of a valid and reliable questionnaire to evaluate OM health literacy. Phase II will trial the intervention with a convenience sample of at least 175 adolescent girls from one single-sex school. The mixed-method evaluation of the intervention will include a pre-intervention and post-intervention questionnaire. One-on-one interviews with teachers and school healthcare professionals will expand the understanding of the barriers, enablers and suitability of implementation of the intervention in a school-based setting. Finally, focus groups with purposively selected trial participants will further refine the intervention.Ethics and disseminationThe study findings will be disseminated through local community seminars, conferences, peer-review articles and media channels where appropriate. The Curtin University of Human Research Ethics Committee has approved this study (approval HRE2018-0101). This project is registered with the ‘Australian and New Zealand Clinical Trials Registry’.Trial registration numberACTRN12619000031167; Pre-results.

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Test–retest reliability and construct validity of the DOiT (Dutch Obesity Intervention in Teenagers) questionnaire: measuring energy balance-related behaviours in Dutch adolescents

Cited by 14 publications

References 24 publications

The Dutch Obesity Intervention in Teenagers (DOiT) cluster controlled implementation trial: intervention effects and mediators and moderators of adiposity and energy balance-related behaviours

The Dutch Obesity Intervention in Teenagers (DOiT) cluster controlled implementation trial: intervention effects and mediators and moderators of adiposity and energy balance-related behaviours

Kids in Action: the protocol of a Youth Participatory Action Research project to promote physical activity and dietary behaviour

Developing and trialling a school-based ovulatory-menstrual health literacy programme for adolescent girls: a quasi-experimental mixed-method protocol

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