dc.contributor.author |
Foley, L |
en |
dc.contributor.author |
Ni Mhurchu, Cliona |
en |
dc.contributor.author |
Marsh, Samantha |
en |
dc.contributor.author |
Epstein, LH |
en |
dc.contributor.author |
Olds, T |
en |
dc.contributor.author |
Dewes, Ofanaite |
en |
dc.contributor.author |
Heke, I |
en |
dc.contributor.author |
Jiang, Yannan |
en |
dc.contributor.author |
Maddison, R |
en |
dc.date.accessioned |
2017-11-16T01:29:39Z |
en |
dc.date.issued |
2016-05-26 |
en |
dc.identifier.citation |
BMC Public Health 16:9 pages Article number 439 26 May 2016 |
en |
dc.identifier.issn |
1471-2458 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/36436 |
en |
dc.description.abstract |
The Screen Time Weight-loss Intervention Targeting Children at Home (SWITCH) trial tested a family intervention to reduce screen-based sedentary behaviour in overweight children. The trial found no significant effect of the intervention on children's screen-based sedentary behaviour. To explore these null findings, we conducted a pre-planned process evaluation, focussing on intervention delivery and uptake.SWITCH was a randomised controlled trial of a 6-month family intervention to reduce screen time in overweight children aged 9-12 years (n = 251). Community workers met with each child's primary caregiver to deliver the intervention content. Community workers underwent standard training and were monitored once by a member of the research team to assess intervention delivery. The primary caregiver implemented the intervention with their child, and self-reported intervention use at 3 and 6 months. An exploratory analysis determined whether child outcomes at 6 months varied by primary caregiver use of the intervention.Monitoring indicated that community workers delivered all core intervention components to primary caregivers. However, two thirds of primary caregivers reported using any intervention component "sometimes" or less frequently at both time points, suggesting that intervention uptake was poor. Additionally, analyses indicated no effect of primary caregiver intervention use on child outcomes at 6 months, suggesting the intervention itself lacked efficacy.Poor uptake, and the efficacy of the intervention itself, may have played a role in the null findings of the SWITCH trial on health behaviour and body composition.The trial was registered in the Australian and New Zealand Clinical Trials Registry (no. ACTRN12611000164998 ); registration date: 10/02/2011. |
en |
dc.format.medium |
Electronic |
en |
dc.language |
eng |
en |
dc.publisher |
BioMed Central |
en |
dc.relation.ispartofseries |
BMC Public Health |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://www.sherpa.ac.uk/romeo/issn/1471-2458/ |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
en |
dc.subject |
Humans |
en |
dc.subject |
Treatment Outcome |
en |
dc.subject |
Health Behavior |
en |
dc.subject |
Family |
en |
dc.subject |
Body Composition |
en |
dc.subject |
Video Games |
en |
dc.subject |
Television |
en |
dc.subject |
Child |
en |
dc.subject |
Child Health Services |
en |
dc.subject |
Process Assessment (Health Care) |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Patient Education as Topic |
en |
dc.subject |
Pediatric Obesity |
en |
dc.title |
Screen Time Weight-loss Intervention Targeting Children at Home (SWITCH): process evaluation of a randomised controlled trial intervention |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1186/s12889-016-3124-8 |
en |
pubs.volume |
16 |
en |
dc.description.version |
VoR - Version of Record |
en |
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
27230770 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
530012 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Medical Sciences |
en |
pubs.org-id |
Molecular Medicine |
en |
pubs.org-id |
Population Health |
en |
pubs.org-id |
Pacific Health |
en |
pubs.org-id |
Science |
en |
pubs.org-id |
Statistics |
en |
dc.identifier.eissn |
1471-2458 |
en |
pubs.number |
439 |
en |
pubs.record-created-at-source-date |
2017-11-16 |
en |
pubs.dimensions-id |
27230770 |
en |