Abstract:
BACKGROUND:PEACH™QLD translated the PEACH™ Program, designed to manage overweight/obesity in primary school-aged children, from efficacious RCT and small scale community trial to a larger state-wide program. This paper describes the lessons learnt when upscaling to universal health coverage. METHODS:The 6-month, family-focussed program was delivered in Queensland, Australia from 2013 to 2016. Its implementation was planned by researchers who developed the program and conducted the RCT, and experienced project managers and practitioners across the health continuum. The intervention targeted parents as the agents of change and was delivered via parent-only group sessions. Concurrently, children attended fun, non-competitive activity sessions. Sessions were delivered by facilitators who received standardised training and were employed by a range of service providers. Participants were referred by health professionals or self-referred in response to extensive promotion and marketing. A pilot phase and a quality improvement framework were planned to respond to emerging challenges. RESULTS:Implementation challenges included engagement of the health system; participant recruitment; and engagement. A total of 1513 children (1216 families) enrolled, with 1122 children (919 families) in the face-to-face program (105 groups in 50 unique venues) and 391 children (297 families) in PEACH™ Online. Self-referral generated 68% of enrolments. Unexpected, concurrent and, far-reaching public health system changes contributed to poor program uptake by the sector (only 56 [53%] groups delivered by publicly-funded health organisations) requiring substantial modification of the original implementation plan. Process evaluation during the pilot phase and an ongoing quality improvement framework informed program adaptations that included changing from fortnightly to weekly sessions aligned with school terms, revision of parent materials, modification of eligibility criteria to include healthy weight children and provision of services privately. Comparisons between pilot versus state-wide waves showed comparable prevalence of families not attending any sessions (25% vs 28%) but improved number of sessions attended (median = 5 vs 7) and completion rates (43% vs 56%). CONCLUSIONS:Translating programs developed in the research context to enable implementation at scale is complex and presents substantial challenges. Planning must ensure there is flexibility to accommodate and proactively manage the system changes that are inevitable over time. TRIAL REGISTRATION:ACTRN12617000315314 . This trial was registered retrospectively on 28 February, 2017.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Croyden DL,Vidgen HA,Esdaile E,Hernandez E,Magarey A,Moores CJ,Daniels Ldoi
10.1186/s12889-018-5237-8subject
Has Abstractpub_date
2018-03-13 00:00:00pages
347issue
1issn
1471-2458pii
10.1186/s12889-018-5237-8journal_volume
18pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Early breastfeeding is defined as the initiation of breastfeeding within twenty four hours of birth. While the benefits of breastfeeding have been known for decades, only recently has the role of time to initiation of breastfeeding in neonatal mortality and morbidity been assessed. OBJECTIVE:To review the e...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/1471-2458-13-S3-S19
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Evidence is often missing on social differentials in effects of nutrition interventions. We evaluated the adherence to and effect of prenatal food and micronutrient supplementations on mortality before the age of five years in different social groups as defined by maternal schooling. METHODS:Data came from ...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-14-5
更新日期:2014-01-07 00:00:00
abstract:BACKGROUND:Approximately 65% of the United Arab Emirates (UAE) population are economic migrants from the low- and middle-income countries of South Asia. Emerging evidence suggests that expatriate populations from low or middle-income countries that migrate to high-income countries acculturate their lifestyle with the o...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1568-x
更新日期:2015-02-28 00:00:00
abstract:BACKGROUND:Helicobacter pylori (Hp) infection is associated with several upper gastrointestinal disorders. Local data on the epidemiology of the infection are scarce in Brazil. The purpose of this study is to measure the prevalence rate and to explore the associated factors among the adult population living in Pelotas,...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-5-118
更新日期:2005-11-10 00:00:00
abstract:BACKGROUND:Influenza is one of the most common vaccine-preventable diseases in travellers. By performing two cross-sectional questionnaire surveys during winter 2009 and winter 2010 among European travellers to resource-limited destinations, we aimed to investigate knowledge, attitudes and practices (KAP) regarding sea...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-402
更新日期:2010-07-07 00:00:00
abstract:BACKGROUND:Maternal mortality remains a major challenge to health systems worldwide. Although most pregnancies and births are uneventful, approximately 15% of all pregnant women develop potentially life-threatening complications. Home delivery in this context can be acutely threatening, particularly in developing count...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4159-1
更新日期:2017-04-04 00:00:00
abstract:BACKGROUND:The Chief Medical Officer for England has developed the first guidance in England and some of the first internationally on alcohol consumption by children. Using the most recent iteration of a large biennial survey of schoolchildren we measure the extent to which young people's drinking fell within the guide...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-547
更新日期:2010-09-10 00:00:00
abstract:BACKGROUND:The burden of disease of hearing disorders among adults is high, but a significant part goes undetected. Screening programs in combination with the delivery of hearing aids can alleviate this situation, but the economic attractiveness of such programs is unknown. This study aims to evaluate the population-le...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-9-135
更新日期:2009-05-12 00:00:00
abstract:BACKGROUND:Factors which determine the development of atopy and the observed rural-urban gradient in its prevalence are not fully understood. High body mass index (BMI) has been associated with asthma and potentially atopy in industrialized countries. In developing countries, the transition from rural to urban areas ha...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-469
更新日期:2011-06-14 00:00:00
abstract:BACKGROUND:The UK has one of the highest rates for deaths from fire and flames in children aged 0-14 years compared to other high income countries. Evidence shows that smoke alarms can reduce the risk of fire-related injury but little exists on their cost-effectiveness. We aimed to compare the cost effectiveness of dif...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-459
更新日期:2014-05-16 00:00:00
abstract:BACKGROUND:One potential promising strategy for increasing smoking cessation for Māori (Indigenous New Zealanders) and New Zealand resident Pacific Island people is Quit and Win competitions. The current uncontrolled pre and post study, WERO (WERO in Māori language means challenge), differs from previous studies in tha...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-14-599
更新日期:2014-06-13 00:00:00
abstract:BACKGROUND:In rich countries, smokers, active or passive, often belong to disadvantaged groups. Less is known of tobacco patterns in the developing world. Hence, we seek out to investigate mental and physical health consequences of smoke exposure as well as tobacco-related inequality in transitional middle-income Thail...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-2547-y
更新日期:2015-12-08 00:00:00
abstract:BACKGROUND:There are arguments for and against the wellbeing effects of internet use, with evidence shifting from negative to positive over time, although the effects are partly dependent upon the population sub-group concerned. There are good grounds for anticipating that the internet could be beneficial to people liv...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7199-x
更新日期:2019-07-02 00:00:00
abstract:BACKGROUND:The association between risky sexual behaviours and substance uses among Ghanaian youth were investigated. METHODS:An in-school cross-sectional representative survey was conducted among 12-18-year- old youth in Ghana in 2008 (N = 1195, response rate =90%). Logistic regression analyses were employed to inves...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-571
更新日期:2012-07-29 00:00:00
abstract:BACKGROUND:Environmental exposure may play an important role in the incidences of neural tube defects (NTD) of birth defects. Their influence on NTD may likely be non-linear; few studies have considered spatial autocorrelation of residuals in the estimation of NTD risk. We aimed to develop a spatial model based on gene...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-951
更新日期:2012-11-07 00:00:00
abstract:BACKGROUND:The prescription of statins is an evidence-based treatment to reduce the risk of cardiovascular events in patients with elevated cardiovascular risk or with a cardiovascular disorder (CVD). In spite of this, many of these patients do not receive statins. METHODS:We evaluated the impact of a brief educationa...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2458-13-623
更新日期:2013-07-02 00:00:00
abstract:BACKGROUND:We estimated the associations between exposure to early life growth faltering at the population level and adult height and education outcomes in a sample of 21 low- and middle-income countries. METHODS:We conducted a synthetic panel analysis of 425 birth cohorts across 126 regions in 21 LMICs surveyed in th...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-019-7203-5
更新日期:2019-07-04 00:00:00
abstract:BACKGROUND:In Brazil coronary heart disease (CHD) constitutes the most important cause of death in both sexes in all the regions of the country and interestingly, the difference between the sexes in the CHD mortality rates is one of the smallest in the world because of high rates among women. Since a question has been ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-1-3
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:The role of religious beliefs in the prevention of HIV and attitudes towards the infected has received considerable attention. However, little research has been conducted on Faith Leaders' (FLs) perceptions of antiretroviral therapy (ART) in the developing world. This study investigated FLs' attitudes toward...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-10-427
更新日期:2010-07-20 00:00:00
abstract:BACKGROUND:Previous studies show large variations in physical activity (PA) levels among adolescents. However, the number of studies is limited and even fewer studies have assessed PA in adolescents by accelerometer devices. This study aimed to describe accelerometer-measured PA levels in adolescents in a population-ba...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-020-09171-w
更新日期:2020-07-17 00:00:00
abstract:BACKGROUND:Transportation by motorcycle and bicycle has become popular in Taiwan, this study was designed to investigate the protective effect of helmet use during motorcycle and bicycle accidents by using a propensity score-matched study based on trauma registry system data. METHODS:Data of adult patients hospitalize...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-017-4649-1
更新日期:2017-08-07 00:00:00
abstract:BACKGROUND:Hepatitis B and C (HBV, HCV) infections are associated with high morbidity and mortality. Many countries with traditionally low prevalence (such as UK) are now planning interventions (screening, vaccination, and treatment) of high-risk immigrants from countries with high prevalence. This review aimed to synt...
journal_title:BMC public health
pub_type: 杂志文章,评审
doi:10.1186/s12889-015-1476-0
更新日期:2015-02-15 00:00:00
abstract:BACKGROUND:Dental caries is a major public health problem in many countries. Since the last territority-wide dental survey of Hong Kong preschool children was conducted in 2001, a survey to update the information is necessary. This study aimed to describe the dental caries experience of preschool children in Hong Kong ...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-12-767
更新日期:2012-09-11 00:00:00
abstract:BACKGROUND:In most endemic parts of the world, onchocerciasis (river blindness) control relies, or will soon rely, exclusively on mass treatment with the microfilaricide ivermectin. Worldwide eradication of the parasite by means of this drug is unlikely. Macrofilaricidal drugs are currently being developed for human us...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-1-12
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Most projections of type 2 diabetes (T2D) prevalence are simply based on demographic change (i.e. ageing). We developed a model to predict future trends in T2D prevalence in Tunisia, explicitly taking into account trends in major risk factors (obesity and smoking). This could improve assessment of policy opt...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-015-1416-z
更新日期:2015-02-07 00:00:00
abstract:BACKGROUND:It is well established that smoking rates in people with common mental disorders such as anxiety or depressive disorders are much higher than in people without mental disorders. It is less clear whether people with these mental disorders want to quit smoking, attempt to quit smoking or successfully quit smok...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-256
更新日期:2011-04-22 00:00:00
abstract:BACKGROUND:The prevalence of alcohol intake is increasing among women in some populations. Alcohol consumption plays an important role in the risk of major cardiovascular outcomes and total mortality. Here, we conducted a meta-analysis to estimate the association between alcohol intake and major cardiovascular outcomes...
journal_title:BMC public health
pub_type: 杂志文章,多中心研究,评审
doi:10.1186/s12889-015-2081-y
更新日期:2015-08-12 00:00:00
abstract:BACKGROUND:The prevalence of childhood overweight and obesity in developed countries appears to be plateauing. The purpose of this study was to provide the most recent data on the prevalence and trends in overweight and obesity among Chinese children and adolescents from 2011 to 2015. METHODS:We used data collected in...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/s12889-018-5483-9
更新日期:2018-05-02 00:00:00
abstract:BACKGROUND:International data on child maltreatment are largely derived from child protection agencies, and predominantly report only substantiated cases of child maltreatment. This approach underestimates the incidence of maltreatment and makes inter-jurisdictional comparisons difficult. There has been a growing recog...
journal_title:BMC public health
pub_type: 杂志文章
doi:10.1186/1471-2458-11-7
更新日期:2011-01-05 00:00:00
abstract:BACKGROUND:Technological advances have caused poor mobility and lower physical activity among humankind. This study was conducted to assess the impact of a digital media-based (multi-media, internet, and mobile phone) health intervention on promotion of women's physical activity. METHODS:In this quasi-experimental stu...
journal_title:BMC public health
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12889-018-5025-5
更新日期:2018-01-15 00:00:00