2021 |
Nathan N, McCarthy N, Hope K, Sutherland R, Lecathelinais C, Hall A, et al., 'The impact of school uniforms on primary school student's physical activity at school: outcomes of a cluster randomized controlled trial.', Int J Behav Nutr Phys Act, 18 17 (2021)
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2021 |
Lane C, McCrabb S, Nathan N, Naylor PJ, Bauman A, Milat A, et al., 'How effective are physical activity interventions when they are scaled-up: a systematic review', International Journal of Behavioral Nutrition and Physical Activity, 18 (2021)
© 2021, The Author(s). Background: The ¿scale-up¿ of effective physical activity interventions is required if they are to yield improvements in population health. The purpose of t... [more]
© 2021, The Author(s). Background: The ¿scale-up¿ of effective physical activity interventions is required if they are to yield improvements in population health. The purpose of this study was to systematically review the effectiveness of community-based physical activity interventions that have been scaled-up. We also sought to explore differences in the effect size of these interventions compared with prior evaluations of their efficacy in more controlled contexts, and describe adaptations that were made to interventions as part of the scale-up process. Methods: We performed a search of empirical research using six electronic databases, hand searched reference lists and contacted field experts. An intervention was considered ¿scaled-up¿ if it had been intentionally delivered on a larger scale (to a greater number of participants, new populations, and/or by means of different delivery systems) than a preceding randomised control trial (¿pre-scale¿) in which a significant intervention effect (p < 0.05) was reported on any measure of physical activity. Effect size differences between pre-scale and scaled up interventions were quantified ([the effect size reported in the scaled-up study / the effect size reported in the pre-scale-up efficacy trial] × 100) to explore any scale-up ¿penalties¿ in intervention effects. Results: We identified 10 eligible studies. Six scaled-up interventions appeared to achieve significant improvement on at least one measure of physical activity. Six studies included measures of physical activity that were common between pre-scale and scaled-up trials enabling the calculation of an effect size difference (and potential scale-up penalty). Differences in effect size ranged from 132 to 25% (median = 58.8%), suggesting that most scaled-up interventions typically achieve less than 60% of their pre-scale effect size. A variety of adaptations were made for scale-up ¿ the most common being mode of delivery. Conclusion: The majority of interventions remained effective when delivered at-scale however their effects were markedly lower than reported in pre-scale trials. Adaptations of interventions were common and may have impacted on the effectiveness of interventions delivered at scale. These outcomes provide valuable insight for researchers and public health practitioners interested in the design and scale-up of physical activity interventions, and contribute to the growing evidence base for delivering health promotion interventions at-scale. Trial registration: PROSPERO CRD42020144842.
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2021 |
Wolfenden L, Foy R, Presseau J, Grimshaw JM, Ivers NM, Powell BJ, et al., 'Designing and undertaking randomised implementation trials: Guide for researchers', The BMJ, 372 (2021)
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Implementation science is the study o... [more]
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Implementation science is the study of methods to promote the systematic uptake of evidence based interventions into practice and policy to improve health. Despite the need for high quality evidence from implementation research, randomised trials of implementation strategies often have serious limitations. These limitations include high risks of bias, limited use of theory, a lack of standard terminology to describe implementation strategies, narrowly focused implementation outcomes, and poor reporting. This paper aims to improve the evidence base in implementation science by providing guidance on the development, conduct, and reporting of randomised trials of implementation strategies. Established randomised trial methods from seminal texts and recent developments in implementation science were consolidated by an international group of researchers, health policy makers, and practitioners. This article provides guidance on the key components of randomised trials of implementation strategies, including articulation of trial aims, trial recruitment and retention strategies, randomised design selection, use of implementation science theory and frameworks, measures, sample size calculations, ethical review, and trial reporting. It also focuses on topics requiring special consideration or adaptation for implementation trials. We propose this guide as a resource for researchers, healthcare and public health policy makers or practitioners, research funders, and journal editors with the goal of advancing rigorous conduct and reporting of randomised trials of implementation strategies.
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2021 |
Stanick CF, Halko HM, Nolen EA, Powell BJ, Dorsey CN, Mettert KD, et al., 'Pragmatic measures for implementation research: development of the Psychometric and Pragmatic Evidence Rating Scale (PAPERS).', Translational behavioral medicine, 11 11-20 (2021)
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2021 |
Reeves P, Edmunds K, Szewczyk Z, Grady A, Yoong SL, Wolfenden L, et al., 'Economic evaluation of a web-based menu planning intervention to improve childcare service adherence with dietary guidelines', Implementation Science, 16 (2021)
© 2020, The Author(s). Background: Despite the known benefits of healthy eating in childhood, few Australian childcare services provide food that is consistent with dietary guidel... [more]
© 2020, The Author(s). Background: Despite the known benefits of healthy eating in childhood, few Australian childcare services provide food that is consistent with dietary guidelines. The effectiveness of a web-based menu planning intervention to increase childcare service provision of healthy foods and decrease provision of discretionary foods in long day-care services in Australia was assessed in a randomised controlled trial. Here we consider the costs, consequences, cost-effectiveness and budget impact of the intervention using data collected within the trial. Methods: The prospective trial-based economic evaluation involved 54 childcare services across New South Wales (NSW), Australia. Services were randomised to a 12-month intervention or usual care. The intervention involved access to a web-based menu planning and decision support tool and online resources. Effectiveness measures included mean number of food groups, overall menu and individual food group compliance with dietary guidelines, and mean servings of food groups at 12 months. Costs (reported in $AUD, 2017/18) were evaluated from both health sector and societal perspectives. The direct cost to support uptake of the intervention was calculated, as were costs to each childcare service. The incremental cost of the intervention was calculated as the net difference in the cost to undertake menu planning and review plus the direct cost of the intervention. Incremental cost-effectiveness ratios (ICERs) including uncertainty intervals were estimated for differences in costs and effects between intervention and control groups. A relative value index was calculated to determine overall value for money. Results: Over the 12 months of the trial, we calculated a difference in cost between usual practice and intervention groups of - $482 (95% UI - $859, - $56). While the measured increase in menu and food group compliance within the trial did not reach statistical significance, there were significant improvements in mean servings of fruit and discretionary food, represented in the cost-consequence analysis. The calculated relative value index of 1.1 suggests that the intervention returns acceptable value for money for the outcomes generated. Conclusion: Compared to usual practice, web-based programmes may offer an efficient and sustainable alternative for childcare services to improve the provision of healthy foods to children in their care. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12616000974404
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2021 |
Wolfenden L, Barnes C, Lane C, McCrabb S, Brown HM, Gerritsen S, et al., 'Consolidating evidence on the effectiveness of interventions promoting fruit and vegetable consumption: an umbrella review.', Int J Behav Nutr Phys Act, 18 11 (2021)
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2021 |
Mclaughlin M, Delaney T, Hall A, Byaruhanga J, Mackie P, Grady A, et al., 'Associations Between Digital Health Intervention Engagement, Physical Activity, and Sedentary Behavior: Systematic Review and Meta-analysis.', J Med Internet Res, 23 e23180 (2021)
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2020 |
Jackson J, Wolfenden L, Grady A, Lum M, Leonard A, McCrabb S, et al., 'Early childhood education and care-based healthy eating interventions for improving child diet: a systematic review protocol.', Syst Rev, 9 181 (2020)
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2020 |
Foley BC, Owen KB, Bellew W, Wolfenden L, Reilly K, Bauman AE, Reece LJ, 'Physical Activity Behaviors of Children Who Register for the Universal, State-Wide Active Kids Voucher: Who Did the Voucher Program Reach?', Int J Environ Res Public Health, 17 (2020)
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2020 |
Tremain D, Freund M, Wolfenden L, Bowman J, Dunlop A, Bartlem K, et al., 'The provision of preventive care for modifiable health risk behaviours by clinicians within substance use treatment settings: A systematic review', PREVENTIVE MEDICINE, 130 (2020) [C1]
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2020 |
Jones J, Wolfenden L, Grady A, Finch M, Bolsewicz K, Wedesweiler T, Yoong SL, 'Implementation of continuous free play schedules in Australian childcare services: A cross-sectional study', Health Promotion Journal of Australia, 31 199-206 (2020) [C1]
© 2019 Australian Health Promotion Association Issue addressed: Modifying the scheduling of physical activity opportunities to provide children with more frequent opportunities fo... [more]
© 2019 Australian Health Promotion Association Issue addressed: Modifying the scheduling of physical activity opportunities to provide children with more frequent opportunities for outdoor free play has been demonstrated to increase child physical activity while in care. The primary aim of this study was to describe the implementation of continuous free play schedules to allow children to access outdoor play areas, consistent with sector guidelines in a national sample of Australian childcare services. Secondary aims were to investigate the associations between the implementation of such schedules and service characteristics, and assess the perceived barriers and enablers to implementation. Methods: A cross-sectional study was undertaken with a random sample of 326 centre-based childcare services located across Australia. Childcare service characteristics, continuous free play scheduling and perceived barriers and enablers to implementation were assessed via a survey administered to service managers online or via telephone. Results: A total of 203 service managers (62%) reported implementing a continuous free play schedule, for three periods of 126¿minutes per period, each day on average. Service type (long day care services), size (services with higher numbers of child enrolments [=80 children]) and socio-economic area (services located in lower socio-economic areas) were associated with the implementation of a continuous free play schedule. The most prevalent barriers to implementation included insufficient staff to ensure adequate supervision of children (69%) and service layout being unsuitable (65%), while the most prevalent enablers included advice on how to overcome staffing or supervision issues (89%) and to re-orientate the service layout (54%). Conclusions: There is scope to support the implementation of continuous free play schedules consistent with childcare sector guidelines. So what?: Future intervention research that targets the reported barriers and enablers to implementation is needed.
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2020 |
Nathan NK, Sutherland RL, Hope K, McCarthy NJ, Pettett M, Elton B, et al., 'Implementation of a school physical activity policy improves student physical activity levels: Outcomes of a cluster-randomized controlled trial', Journal of Physical Activity and Health, 17 1009-1018 (2020)
© 2020 Human Kinetics Publishers Inc.. All rights reserved. Aim: To assess the impact of a multistrategy intervention designed to improve teachers' implementation of a school... [more]
© 2020 Human Kinetics Publishers Inc.. All rights reserved. Aim: To assess the impact of a multistrategy intervention designed to improve teachers' implementation of a school physical activity (PA) policy on student PA levels. Methods: A cluster-randomized controlled trial was conducted in 12 elementary schools. Policy implementation required schools to deliver 150 minutes of organized PA for students each week via physical education, sport, or class-based activities such as energizers. Schools received implementation support designed using the theoretical domains framework to help them implement the current policy. Results: A total of 1,502 children in kindergarten to grade 6 participated. At follow-up compared with control, students attending intervention schools had, measured via accelerometer, significantly greater increases in school day counts per minute (97.5; 95% confidence interval [CI], 64.5 to 130.4; P <.001) and moderate to vigorous physical activity (MVPA) (3.0; 95% CI, 2.2-3.8, P <.001) and a greater decrease in sedentary time (-2.1; 95% CI, -3.9 to -0.4, P =.02) per school day. Teachers in intervention schools delivered significantly more minutes (36.6 min) of PA to their students at follow-up (95% CI, 2.7-70.5, P =.04). Conclusions: Supporting teachers to implement a PA policy improves student PA. Additional strategies may be needed to support teachers to implement activities that result in larger gains in student MVPA.
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2020 |
McCrabb S, Mooney K, Elton B, Grady A, Yoong SL, Wolfenden L, 'How to optimise public health interventions: a scoping review of guidance from optimisation process frameworks', BMC Public Health, 20 (2020)
© 2020, The Author(s). Background: Optimisation processes have the potential to rapidly improve the impact of health interventions. Optimisation can be defined as a deliberate, it... [more]
© 2020, The Author(s). Background: Optimisation processes have the potential to rapidly improve the impact of health interventions. Optimisation can be defined as a deliberate, iterative and data-driven process to improve a health intervention and/or its implementation to meet stakeholder-defined public health impacts within resource constraints. This study aimed to identify frameworks used to optimise the impact of health interventions and/or their implementation, and characterise the key concepts, steps or processes of identified frameworks. Methods: A scoping review of MEDLINE, CINAL, PsycINFO, and ProQuest Nursing & Allied Health Source databases was undertaken. Two reviewers independently coded the key concepts, steps or processes involved in each frameworks, and identified if it was a framework aimed to optimise interventions or their implementation. Two review authors then identified the common steps across included frameworks. Results: Twenty optimisation frameworks were identified. Eight frameworks were for optimising interventions, 11 for optimising implementation and one covered both intervention and implementation optimisation. The mean number of steps within the frameworks was six (range 3¿9). Almost half (n = 8) could be classified as both linear and cyclic frameworks, indicating that some steps may occur multiple times in a single framework. Two meta-frameworks are proposed, one for intervention optimisation and one for implementation strategy optimisation. Steps for intervention optimisation are: Problem identification; Preparation; Theoretical/Literature base; Pilot/Feasibility testing; Optimisation; Evaluation; and Long-term implementation. Steps for implementation strategy optimisation are: Problem identification; Collaborate; Plan/design; Pilot; Do/change; Study/evaluate/check; Act; Sustain/endure; and Disseminate/extend. Conclusions: This review provides a useful summary of the common steps followed to optimise a public health intervention or its implementation according to established frameworks. Further opportunities to study and/or validate such frameworks and their impact on improving outcomes exist.
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2020 |
Ronto R, Rathi N, Worsley A, Sanders T, Lonsdale C, Wolfenden L, 'Enablers and barriers to implementation of and compliance with school-based healthy food and beverage policies: A systematic literature review and meta-synthesis', Public Health Nutrition, 23 2840-2855 (2020) [C1]
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2020 |
Tremain D, Freund M, Bowman J, Wolfenden L, Wye P, Dunlop A, et al., 'Substance use treatment clinician attitudes to care for chronic disease health risk behaviours and associations of attitudes with care provision', Drug and Alcohol Review, 39 232-237 (2020) [C1]
© 2020 Australasian Professional Society on Alcohol and other Drugs Introduction and Aims: People who use substances have a high prevalence of modifiable chronic disease health ri... [more]
© 2020 Australasian Professional Society on Alcohol and other Drugs Introduction and Aims: People who use substances have a high prevalence of modifiable chronic disease health risk behaviours. Preventive care to address such risks has not traditionally been provided during substance use treatment. This study aimed to assess clinicians' attitudes towards preventive care and their association with care provision. Design and Methods: A cross-sectional study utilising computer-assisted telephone interviews was undertaken with clinicians (n = 54) of community-based substance use treatment services in one health district, Australia. Clinicians indicated their agreement with 10 attitudinal statements regarding their perceived role and self-efficacy in providing preventive care and perceptions of client interest in modifying behaviours. Logistic regression analyses examined the association between clinician attitudinal items and self-reported care provision. Results: Fifty-four clinicians (74%) agreed to participate. The most positive attitudes were preventive care being part of their role (100%), and they have the knowledge and skills to provide preventive care (100%). The least favourable attitude was clients were interested in changing their health risk behaviours (60%). Clinicians who reported that preventive care left little time to undertake acute care were more likely to assess for smoking (OR 8.06 [95% CI 1.31, 49.46]) and less likely to provide brief advice for all risks combined (OR 0.11 [95% CI 0.02, 0.63]). Discussion and Conclusions: Overall, clinicians reported positive attitudes regarding the preventive care provision for modifiable health risk behaviours in substance use treatment settings. Further research is required to investigate why, despite such positive attitudes, clinicians in substance use treatment settings do not routinely provide preventive care.
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2020 |
Shelton RC, Lee M, Brotzman LE, Wolfenden L, Nathan N, Wainberg ML, 'What Is Dissemination and Implementation Science?: An Introduction and Opportunities to Advance Behavioral Medicine and Public Health Globally', International Journal of Behavioral Medicine, 27 3-20 (2020) [C1]
© 2020, International Society of Behavioral Medicine. There has been a well-documented gap between research (e.g., evidence-based programs, interventions, practices, policies, gui... [more]
© 2020, International Society of Behavioral Medicine. There has been a well-documented gap between research (e.g., evidence-based programs, interventions, practices, policies, guidelines) and practice (e.g., what is routinely delivered in real-world community and clinical settings). Dissemination and implementation (D&I) science has emerged to address this research-to-practice gap and accelerate the speed with which translation and real-world uptake and impact occur. In recent years, there has been tremendous development in the field and a growing global interest, but much of the introductory literature has been U.S.-centric. This piece provides an introduction to D&I science and summarizes key concepts and progress of the field for a global audience, provides two case studies that highlight examples of D&I research globally, and identifies opportunities and innovations for advancing the field of D&I research globally.
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2020 |
McConnell-Nzunga J, Mâsse LC, Buckler EJ, Carson V, Faulkner GE, Lau EY, et al., 'Prevalence and relationships among physical activity policy, environment, and practices in licensed childcare centers from a manager and staff perspective', International Journal of Environmental Research and Public Health, 17 (2020) [C1]
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. Physical activity (PA) is critical to early childhood health and development, and childcare is a key setting for establis... [more]
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. Physical activity (PA) is critical to early childhood health and development, and childcare is a key setting for establishing physically active play. In British Columbia (BC), a provincial standard for active play in childcare was enacted, identified here as the Active Play (AP) standard. Pragmatic constraints limit real-world data collection for evaluating policy impact. We explored whether information about policies, practices, and the environment varied when it was collected from managers or staff. Surveys were distributed to BC childcare centers before AP standard enactment to ascertain current PA and fundamental movement skill policies and practices. The full sample (n = 1037 from 625 facilities) and a subsample of paired managers and staff (n = 261 centers) were used to explore agreement across managers and staff in reported prevalence and relationships among indicators. The policy prevalence and relationships for active play and outdoor play variables were relatively similar for manager and staff data, although the matched data had modest agreement and less than optimal intraclass correlations. The prevalence of manager-reported PA policies ranged from 47% for screen-time limits to 77% for fundamental movement skill activities. The manager and staff data highlighted indoor and outdoor space as a primary factor in AP standard adherence. With reliance on sampling staff unfeasible, it appears that the manager data may adequately describe the policies and practices of childcare providers with some notable issues.
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2020 |
Grady A, Wolfenden L, Wiggers J, Rissel C, Finch M, Flood V, et al., 'Effectiveness of a Web-Based Menu-Planning Intervention to Improve Childcare Service Compliance With Dietary Guidelines: Randomized Controlled Trial', JOURNAL OF MEDICAL INTERNET RESEARCH, 22 (2020)
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2020 |
Razak LA, Jones J, Clinton-McHarg T, Wolfenden L, Lecathelinais C, Morgan PJ, et al., 'Implementation of policies and practices to increase physical activity among children attending centre-based childcare: A cross-sectional study', Health Promotion Journal of Australia, 31 207-215 (2020) [C1]
© 2019 Australian Health Promotion Association Issue addressed: Supporting centre-based childcare services to create physical activity (PA) environments is a recommended strategy ... [more]
© 2019 Australian Health Promotion Association Issue addressed: Supporting centre-based childcare services to create physical activity (PA) environments is a recommended strategy to improve child PA. This study aimed to describe the implementation of PA policies and practices by these services, and to examine the associations with service characteristics. Methods: Nominated supervisors of childcare services (n¿=¿309) in the Hunter New England region, New South Wales, Australia, completed a telephone interview. Using previously validated measures, the interview assessed the implementation of evidence-based practices shown to be associated with child PA. This includes: (a) provision of active play opportunities, (b) portable play equipment availability, (c) delivery of daily fundamental movement skills, (d) having at least 50% of staff trained in promoting child PA the past 5¿years and (e) having written PA and small screen recreation policies. Results: Although 98% (95% CI 96, 99) of childcare services provided active play opportunities for at least 25% of their daily opening hours, only 8% (95% CI 5, 11) of services fully implemented all policies and practices; with no service characteristic associated with full implementation. Long day care service had twice the odds of having a written PA policy (OR 2.0, 95% CI 0.7, 5.8), compared to preschools (adjusted for service size, socio-economic disadvantage and geographical location). Conclusions: Improvements could be made to childcare services¿ operations to support the promotion of child PA. So what?: To ensure the benefits to child health, childcare services require support to implement a number of PA promoting policies and practices that are known to improve child PA.
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2020 |
Hammersley ML, Wyse RJ, Jones RA, Wolfenden L, Yoong S, Stacey F, et al., 'Translation of two healthy eating and active living support programs for parents of 2-6year old children: a parallel partially randomised preference trial protocol (the 'time for healthy habits' trial)', BMC PUBLIC HEALTH, 20 (2020)
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2020 |
Gogovor A, Zomahoun HTV, Ben Charif A, McLean RKD, Moher D, Milat A, et al., 'Essential items for reporting of scaling studies of health interventions (SUCCEED): protocol for a systematic review and Delphi process', SYSTEMATIC REVIEWS, 9 (2020)
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2020 |
Mclaughlin M, Duff J, Sutherland R, Campbell E, Wolfenden L, Wiggers J, 'Protocol for a mixed methods process evaluation of a hybrid implementation-effectiveness trial of a scaled-up whole-school physical activity program for adolescents: Physical Activity 4 Everyone (PA4E1)', TRIALS, 21 (2020)
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2020 |
Wolfenden L, Milat A, Rissel C, Mitchell J, Hughes CI, Wiggers J, 'From demonstration project to changes in health systems for child obesity prevention: the legacy of Good for Kids, Good for Life ', Australian and New Zealand Journal of Public Health, 44 3-4 (2020) [C1]
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2020 |
Nathan N, Murawski B, Hope K, Young S, Sutherland R, Hodder R, et al., 'The efficacy of workplace interventions on improving the dietary, physical activity and sleep behaviours of school and childcare staff: A systematic review', International Journal of Environmental Research and Public Health, 17 1-24 (2020) [C1]
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. There is a need for effective interventions that improve the health and wellbeing of school and childcare staff. This rev... [more]
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. There is a need for effective interventions that improve the health and wellbeing of school and childcare staff. This review examined the efficacy of workplace interventions to improve the dietary, physical activity and/or sleep behaviours of school and childcare staff. A secondary aim of the review was to assess changes in staff physical/mental health, productivity, and students¿ health behaviours. Nine databases were searched for controlled trials including randomised and non-randomised controlled trials and quasi-experimental trials published in English up to October 2019. PRISMA guidelines informed screening and study selection procedures. Data were not suitable for quantitative pooling. Of 12,396 records screened, seven articles (based on six studies) were included. Most studies used multi-component interventions including educational resources, work-based wellness committees and planned group practice (e.g., walking groups). Multiple outcomes were assessed, findings were mixed and on average, there was moderate risk of bias. Between-group differences in dietary and physical activity behaviours (i.e., fruit/vegetable intake, leisure-time physical activity) favoured intervention groups, but were statistically non-significant for most outcomes. Some of the studies also showed differences favouring controls (i.e., nutrient intake, fatty food consumption). Additional robust studies testing the efficacy of workplace interventions to improve the health of educational staff are needed.
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2020 |
Brown A, Barnes C, Byaruhanga J, McLaughlin M, Hodder RK, Booth D, et al., 'Effectiveness of technology-enabled knowledge translation strategies in improving the use of research in public health: Systematic review', Journal of Medical Internet Research, 22 (2020) [C1]
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2020 |
Morrow A, Tucker KM, Shaw TJ, Parkinson B, Abraham C, Wolfenden L, Taylor N, 'Understanding implementation success: protocol for an in-depth, mixed-methods process evaluation of a cluster randomised controlled trial testing methods to improve detection of Lynch syndrome in Australian hospitals', BMJ OPEN, 10 (2020)
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2020 |
Wolfenden L, Williams CM, Kingsland M, Yoong SL, Nathan N, Sutherland R, Wiggers J, 'Improving the impact of public health service delivery and research: a decision tree to aid evidence-based public health practice and research', Australian and New Zealand Journal of Public Health, 44 331-332 (2020)
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2020 |
Wyse R, Stacey F, Campbell L, Yoong S, Lecathelinais C, Wiggers J, et al., '5-Year Follow-Up of a Telephone Intervention to Increase Fruit and Vegetable Consumption in Preschoolers: The 'Healthy Habits' Cluster Randomised Trial.', Nutrients, 12 (2020)
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2020 |
Grady A, Barnes C, Wolfenden L, Lecathelinais C, Yoong SL, 'Barriers and Enablers to Adoption of Digital Health Interventions to Support the Implementation of Dietary Guidelines in Early Childhood Education and Care: Cross-Sectional Study.', J Med Internet Res, 22 e22036 (2020)
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2020 |
McConnell-Nzunga J, Weatherson KA, Masse L, Carson V, Faulkner G, Lau E, et al., 'Child care setting and its association with policies and practices that promote physical activity and physical literacy in the early years in British Columbia', Journal of Physical Activity and Health, 17 429-434 (2020) [C1]
© 2020 Human Kinetics, Inc. Background: Physical activity (PA) is critical to early child development, and child care is a key setting for promotion. The authors investigated diff... [more]
© 2020 Human Kinetics, Inc. Background: Physical activity (PA) is critical to early child development, and child care is a key setting for promotion. The authors investigated differences in daily PA and sedentary behavior practices as well as physical environments between family child care (FCC) and group child care (GCC) settings for children aged 3-5 years in Canada. Methods: Group child care (n = 581) and FCC (n = 357) managers completed surveys assessing the implementation of PA promoting practices and description of their environments. Crosstabulation and chi-square tests of association were used to examine differences between GCC and FCC. Results: The prevalence of facilities implementing 120 minutes of active play (odds ratio [OR] 2.23; 95% confidence interval [CI], 1.58-3.15), <30 minutes on screens (OR 1.35; 95% CI, 1.02-1.80), and 60-minute outdoors daily (OR 1.99; 95% CI, 1.4-2.9) was more likely in FCC compared with GCC. However, implementation of fundamental movement skill activities (OR 1.40; 95% CI, 1.01-1.92), breaking up prolonged sitting (OR 1.86; 95% CI, 1.36-2.5), and outdoor space for large group running games (OR 1.74; 95% CI, 1.07-2.83) were more likely in GCC. Conclusions: Child care setting was associated with daily PA and sedentary practices and outdoor space for PA. Interventions to support PA in child care should be tailored to different settings and the facilitators explored.
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2020 |
Beck AK, Baker AL, Carter G, Wratten C, Bauer J, Wolfenden L, et al., 'Assessing adherence, competence and differentiation in a stepped-wedge randomised clinical trial of a complex behaviour change intervention', Nutrients, 12 1-18 (2020) [C1]
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. Background: A key challenge in behavioural medicine is developing interventions that can be delivered adequately (i.e., w... [more]
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. Background: A key challenge in behavioural medicine is developing interventions that can be delivered adequately (i.e., with fidelity) within real-world consultations. Accordingly, clinical trials should (but tend not to) report what is actually delivered (adherence), how well (competence) and the distinction between intervention and comparator conditions (differentiation). Purpose: To address this important clinical and research priority, we apply best practice guidelines to evaluate fidelity within a real-world, stepped-wedge evaluation of ¿EAT: Eating As Treatment¿, a new dietitian delivered health behaviour change intervention designed to reduce malnutrition in head and neck cancer (HNC) patients undergoing radiotherapy. Methods: Dietitians (n = 18) from five Australian hospitals delivered a period of routine care and following a randomly determined order each site received training and began delivering the EAT Intervention. A 20% random stratified sample of audio-recorded consultations (control n = 196; intervention n = 194) was coded by trained, independent, raters using a study specific checklist and the Behaviour Change Counselling Inventory. Intervention adherence and competence were examined relative to apriori benchmarks. Differentiation was examined by comparing control and intervention sessions (adherence, competence, non-specific factors, and dose), via multiple linear regression, logistic regression, or mixed-models. Results: Achievement of adherence benchmarks varied. The majority of sessions attained competence. Post-training consultations were clearly distinct from routine care regarding motivational and behavioural, but not generic, skills. Conclusions: Although what level of fidelity is ¿good enough¿ remains an important research question, findings support the real-world feasibility of integrating EAT into dietetic consultations with HNC patients and provide a foundation for interpreting treatment effects.
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2020 |
Yoong SL, Grady A, Wiggers JH, Stacey FG, Rissel C, Flood V, et al., 'Child-level evaluation of a web-based intervention to improve dietary guideline implementation in childcare centers: a cluster-randomized controlled trial.', Am J Clin Nutr, 111 854-863 (2020)
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2020 |
Robson EK, Hodder RK, Kamper SJ, O'Brien KM, Williams A, Lee H, et al., 'Effectiveness of Weight-Loss Interventions for Reducing Pain and Disability in People With Common Musculoskeletal Disorders: A Systematic Review With Meta-Analysis.', J Orthop Sports Phys Ther, 50 319-333 (2020)
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2020 |
Mclaughlin M, Atkin AJ, Starr L, Hall A, Wolfenden L, Sutherland R, et al., 'Worldwide surveillance of self-reported sitting time: a scoping review.', The international journal of behavioral nutrition and physical activity, 17 (2020) [C1]
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2020 |
Yoong SL, Bolsewicz K, Grady A, Wyse R, Sutherland R, Hodder RK, et al., 'Adaptation of public health initiatives: expert views on current guidance and opportunities to advance their application and benefit', Health education research, 35 243-257 (2020) [C1]
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2020 |
Doherty E, Kingsland M, Wiggers J, Anderson AE, Elliott EJ, Symonds I, et al., 'Barriers to the implementation of clinical guidelines for maternal alcohol consumption in antenatal services: A survey using the theoretical domains framework', Health Promotion Journal of Australia, 31 133-139 (2020) [C1]
© 2019 Australian Health Promotion Association Issue addressed: The aim of this study was to assess potential barriers to the implementation of clinical guideline recommendations ... [more]
© 2019 Australian Health Promotion Association Issue addressed: The aim of this study was to assess potential barriers to the implementation of clinical guideline recommendations regarding maternal alcohol consumption by antenatal clinicians and managers. Methods: Cross-sectional surveys of antenatal clinicians and managers employed in a New South Wales Local Health District were undertaken. Survey items were developed based on 11 domains of the Theoretical Domains Framework. Consistent with previous studies, a cut point of less than 4 was applied to mean values of survey items (range: 1-5) to identify domains representing barriers to the implementation. Results: Thirty-three antenatal clinicians and eight managers completed the surveys. For clinicians, the domains with the lowest mean values included ¿environmental context and resources¿ (ie, complexity of appointments and availability of supporting systems) (mean: 3.13, SD: 0.93); ¿social influences¿ (ie, expectations of others that alcohol will be addressed) (mean: 3.33, SD: 0.68); ¿beliefs about capabilities¿ (ie, confidence in providing guideline recommendations) (mean: 3.51, SD: 0.67); and ¿behavioural regulation¿ (ie, planning and responding to feedback) (mean: 3.53, SD: 0.64). For managers, ¿emotion regulation¿ (ie, stress in managing change) (mean: 2.13, SD: 0.64) and ¿environmental context and resources¿ (ie, complexities of managing change) (mean: 3.13, SD: 0.83) were the lowest scoring domains. Conclusions: The antenatal service environment and availability of resources appear to be primary barriers to both clinicians and managers implementing guidelines for maternal alcohol consumption. So what?: In the development of interventions to support the delivery of clinical guideline recommendations addressing alcohol consumption during pregnancy, a broad range of potential barriers at both the clinician and manager levels need to be considered and targeted by effective implementation strategies.
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2020 |
Saragiotto BT, Kamper SJ, Hodder R, Silva PV, Wolfenden L, Lee H, et al., 'Interventions targeting smoking cessation for patients with chronic pain: An evidence synthesis', Nicotine and tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 22 135-140 (2020) [C1]
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2020 |
Sutherland R, Campbell E, McLaughlin M, Nathan N, Wolfenden L, Lubans DR, et al., 'Scale-up of the Physical Activity 4 Everyone (PA4E1) intervention in secondary schools: 12-month implementation outcomes from a cluster randomized controlled trial.', Int J Behav Nutr Phys Act, 17 100 (2020) [C1]
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2020 |
Rosewarne E, Hoek AC, Sacks G, Wolfenden L, Wu J, Reimers J, et al., 'A comprehensive overview and qualitative analysis of government-led nutrition policies in Australian institutions', BMC PUBLIC HEALTH, 20 (2020) [C1]
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2020 |
Brown A, Sutherland R, Janssen L, Hudson N, Chooi A, Reynolds R, et al., 'Enhancing the potential effects of text messages delivered via an m-health intervention to improve packing of healthy school lunchboxes.', Public Health Nutr, 1-10 (2020)
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2020 |
McCarthy N, Hope K, Sutherland R, Campbell E, Hodder R, Wolfenden L, Nathan N, 'Australian Primary School Principals', Teachers', and Parents' Attitudes and Barriers to Changing School Uniform Policies From Traditional Uniforms to Sports Uniforms', JOURNAL OF PHYSICAL ACTIVITY & HEALTH, 17 1019-1024 (2020)
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2020 |
Barnes C, Grady A, Nathan N, Wolfenden L, Pond N, McFayden T, et al., 'A pilot randomised controlled trial of a web-based implementation intervention to increase child intake of fruit and vegetables within childcare centres', Pilot and Feasibility Studies, 6 (2020)
© 2020, The Author(s). Background: As dietary behaviours developed during early childhood are known to track into adulthood, interventions that aim to improve child nutrition at a... [more]
© 2020, The Author(s). Background: As dietary behaviours developed during early childhood are known to track into adulthood, interventions that aim to improve child nutrition at a population level are recommended. Whilst early childhood education and care (ECEC) is a promising setting for interventions targeting children¿s nutrition behaviours, previous interventions have largely used high intensity, face-to-face approaches, limiting their reach, implementation and potential impact at a population level. Web-based modalities represent a promising means of supporting the delivery of childcare-based interventions whilst overcoming challenges of previous approaches; however, the feasibility of using such modalities to support implementation is largely unknown. As such, this study sought to collect feasibility and pilot data to inform the design of a web-based intervention together with health promotion officer support within childcare centres. Child dietary intake will also be assessed to provide an estimate of the impact of the implementation intervention. Methods: A superiority cluster randomised controlled trial with repeat cross-sectional data collection employing an effectiveness-implementation type-II hybrid design will be conducted with childcare centres within the Hunter New England region of New South Wales, Australia. Type-II hybrid designs provide the opportunity to assess intervention efficacy whilst piloting the feasibility of the implementation strategies. Centres allocated to the intervention group will receive access to a web-based program together with health promotion officer support to implement targeted healthy eating practices to improve child diet in care. A number of outcomes will be assessed to inform the feasibility to conduct a larger trial, including childcare centre and parent recruitment and consent rates for each component of data collection, uptake of the implementation strategies, acceptability of the intervention and implementation strategies, appropriateness of the implementation strategies and the contextual factors influencing implementation. Discussion: This study will provide high-quality evidence regarding the potential feasibility of a web-based intervention and the impact of healthy eating practices on child diet in care. Web-based modalities provide a promising approach for population-wide implementation support to childcare centres given their potential reach and consistency with existing infrastructure. Trial registration: Prospectively registered with Australian New Zealand Clinical Trial Registry (ACTRN12619001158156).
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2020 |
Pearson N, Naylor PJ, Ashe MC, Fernandez M, Yoong SL, Wolfenden L, 'Guidance for conducting feasibility and pilot studies for implementation trials', Pilot and Feasibility Studies, 6 1-12 (2020) [C1]
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2020 |
Lee K, Milat A, Grunseit A, Conte K, Wolfenden L, Bauman A, 'The intervention scalability assessment tool: A pilot study assessing five interventions for scalability', Public Health Research and Practice, 30 (2020) [C1]
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2020 |
Sutherland R, Nathan N, Brown A, Yoong S, Reynolds R, Walton A, et al., 'A cross-sectional study to determine the energy density and nutritional quality of primary-school children's lunchboxes', Public Health Nutrition, 23 1108-1116 (2020) [C1]
© The Authors 2020. Objective: The present study describes the energy content of primary-school children's lunchboxes and the proportion of lunchbox foods considered discreti... [more]
© The Authors 2020. Objective: The present study describes the energy content of primary-school children's lunchboxes and the proportion of lunchbox foods considered discretionary. Subgroup analyses by sex, socio-economic status, age and weight status were undertaken.Design: A cross-sectional study was conducted. Mean kilojoule content, number of items and categorisation of foods and drinks in lunchboxes as 'everyday' (healthy) or discretionary (sometimes) foods were assessed via a valid and reliable lunchbox observational audit.Setting: Twelve Catholic primary schools (Kindergarten-Grade 6) located in the Hunter region of New South Wales, Australia.Participants: Kindergarten to Grade 6 primary-school students.Results: In total, 2143 children (57 %) had parental consent to have their lunchboxes observed. School lunchboxes contained a mean of 2748 kJ, of which 61·2 % of energy was from foods consistent with the Australian Dietary Guidelines and 38·8 % of energy was discretionary foods. The proportion of lunchboxes containing only healthy foods was 12 %. Children in Kindergarten-Grade 2 packed more servings of 'everyday' foods (3·32 v. 2·98, P < 0·01) compared with children in Grades 3-6. Children in Grades 3-6 had a higher percentage of energy from discretionary foods (39·1 v. 33·8 %, P < 0·01) compared with children in Kindergarten-Grade 2 and children from the most socio-economically disadvantaged areas had significantly higher total kilojoules in the school lunchbox compared with the least disadvantaged students (2842 v. 2544 kJ, P = 0·03).Conclusions: Foods packed within school lunchboxes may contribute to energy imbalance. The development of school policies and population-based strategies to support parents overcome barriers to packing healthy lunchboxes are warranted.
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2020 |
Hodder RK, O'Brien KM, Tzelepis F, Wyse RJ, Wolfenden L, 'Interventions for increasing fruit and vegetable consumption in children aged five years and under', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2020) [C1]
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2020 |
Milat A, Lee K, Conte K, Grunseit A, Wolfenden L, van Nassau F, et al., 'Intervention Scalability Assessment Tool: A decision support tool for health policy makers and implementers', HEALTH RESEARCH POLICY AND SYSTEMS, 18 (2020) [C1]
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2020 |
Yoong SL, Hall A, Stacey F, Grady A, Sutherland R, Wyse R, et al., 'Nudge strategies to improve healthcare providers' implementation of evidence-based guidelines, policies and practices: a systematic review of trials included within Cochrane systematic reviews', IMPLEMENTATION SCIENCE, 15 (2020) [C1]
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2020 |
Yoong SL, Wolfenden L, 'Sustained effects of infant-onset 20-year dietary intervention', LANCET CHILD & ADOLESCENT HEALTH, 4 342-343 (2020)
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2020 |
Wolfenden L, Barnes C, Jones J, Finch M, Wyse RJ, Kingsland M, et al., 'Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services', Cochrane Database of Systematic Reviews, 2020 (2020) [C1]
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2020 |
Pearson N, Wolfenden L, Finch M, Yoong SL, Kingsland M, Nathan N, et al., 'A cross-sectional study of packed lunchbox foods and their consumption by children in early childhood education and care services.', Nutr Diet, (2020)
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2020 |
Lee K, Van Nassau F, Grunseit A, Conte K, Milat A, Wolfenden L, Bauman A, 'Scaling up population health interventions from decision to sustainability - A window of opportunity? A qualitative view from policy-makers', Health Research Policy and Systems, 18 (2020)
© 2020 The Author(s). Background: While known efficacious preventive health interventions exist, the current capacity to scale up these interventions is limited. In recent years, ... [more]
© 2020 The Author(s). Background: While known efficacious preventive health interventions exist, the current capacity to scale up these interventions is limited. In recent years, much attention has focussed on developing frameworks and methods for scale-up yet, in practice, the pathway for scale-up is seldom linear and may be highly dependent on contextual circumstances. Few studies have examined the process of scaling up from decision to implementation nor examined the sustainability of scaled-up interventions. This study explores decision-makers' perceptions from real-world scaled-up case studies to examine how scale-up decisions were made and describe enablers of successful scale-up and sustainability. Methods: This qualitative study included 29 interviews conducted with purposively sampled key Australian policy-makers, practitioners and researchers experienced in scale-up. Semi-structured interview questions obtained information regarding case studies of scaled-up interventions. The Framework Analysis method was used as the primary method of analysis of the interview data to inductively generate common and divergent themes within qualitative data across cases. Results: A total of 31 case studies of public health interventions were described by interview respondents based on their experiences. According to the interviewees' perceptions, decisions to scale up commonly occurred either opportunistically, when funding became available, or when a deliberate decision was made and funding allocated. The latter scenario was more common when the intervention aligned with specific political or strategic goals. Decisions to scale up were driven by a variety of key actors such as politicians, senior policy-makers and practitioners in the health system. Drivers of a successful scale-up process included good governance, clear leadership, and adequate resourcing and expertise. Establishing accountability structures and appropriate engagement mechanisms to encourage the uptake of interventions were also key enablers. Sustainability was influenced by evidence of impact as well as good acceptability among the general or target population. Conclusions: Much like Kingdon's Multiple Streams Theory of 'policy windows', there is a conceptually similar 'window for scale-up', driven by a complex interplay of factors such as political need, strategic context, funding and key actors. Researchers and policy-makers need to consider scalability from the outset and prepare for when the window for scale-up opens. Decision-makers need to provide longer term funding for scale-up to facilitate longer term sustainability and build on the resources already invested for the scale-up process.
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2020 |
Ahmadi MN, Nathan N, Sutherland R, Wolfenden L, Trost SG, 'Non-wear or sleep? Evaluation of five non-wear detection algorithms for raw accelerometer data', Journal of Sports Sciences, 38 399-404 (2020) [C1]
© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group. Detection of non-wear periods is an important step in accelerometer data processing. This study evaluat... [more]
© 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group. Detection of non-wear periods is an important step in accelerometer data processing. This study evaluated five non-wear detection algorithms for wrist accelerometer data and two rules for non-wear detection when non-wear and sleep algorithms are implemented in parallel. Non-wear algorithms were based on the standard deviation (SD), the high-pass filtered acceleration, or tilt angle. Rules for differentiating sleep from non-wear consisted of an override rule in which any overlap between non-wear and sleep was deemed non-wear; and a 75% rule in which non-wear periods were deemed sleep if the duration was < 75% of the sleep period. Non-wear algorithms were evaluated in 47 children who wore an ActiGraph GT3X+ accelerometer during school hours for 5¿days. Rules for differentiating sleep from non-wear were evaluated in 15 adults who wore a GeneActiv Original accelerometer continuously for 24¿hours. Classification accuracy for the non-wear algorithms ranged between 0.86¿0.95, with the SD of the vector magnitude providing the best performance. The override rule misclassified 37.1¿minutes of sleep as non-wear, while the 75% rule resulted in no misclassification. Non-wear algorithms based on the SD of the acceleration signal can effectively detect non-wear periods, while application of the 75% rule can effectively differentiate sleep from non-wear when examined concurrently.
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2020 |
Gonzalez S, Kingsland M, Hall A, Clinton-McHarg T, Lecathelinais C, Zukowski N, et al., 'Alcohol and fast food sponsorship in sporting clubs with junior teams participating in the Good Sports program: a cross-sectional study', Australian and New Zealand Journal of Public Health, 44 145-151 (2020) [C1]
© 2020 The Authors Objective: To examine: alcohol and fast food sponsorship of junior community sporting clubs; the association between sponsorship and club characteristics; and p... [more]
© 2020 The Authors Objective: To examine: alcohol and fast food sponsorship of junior community sporting clubs; the association between sponsorship and club characteristics; and parent and club representative attitudes toward sponsorship. Methods: A cross-sectional telephone survey of representatives from junior community football clubs across New South Wales and Victoria, Australia, and parents/carers of junior club members. Participants were from junior teams with Level 3 accreditation in the ¿Good Sports¿ program. Results: A total of 79 club representatives and 297 parents completed the survey. Half of participating clubs (49%) were sponsored by the alcohol industry and one-quarter (27%) were sponsored by the fast food industry. In multivariate analyses, the odds of alcohol sponsorship among rugby league clubs was 7.4 (95%CI: 1.8¿31.0, p=<0.006) that of AFL clubs, and clubs located in regional areas were more likely than those in major cities to receive fast food industry sponsorship (OR= 9.1; 95%CI: 1.0¿84.0, p=0.05). The majority (78¿81%) of club representatives and parents were supportive of restrictions to prohibit certain alcohol sponsorship practices, but a minority (42%) were supportive of restrictions to prohibit certain fast food sponsorship practices. Conclusions: Large proportions of community sports clubs with junior members are sponsored by the alcohol industry and the fast food industry. There is greater acceptability for prohibiting sponsorship from the alcohol industry than the fast food industry. Implications for public health: Health promotion efforts should focus on reducing alcohol industry and fast food industry sponsorship of junior sports clubs.
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2020 |
Fehily C, Hodder R, Bartlem K, Wiggers J, Wolfenden L, Dray J, et al., 'The effectiveness of interventions to increase preventive care provision for chronic disease risk behaviours in mental health settings: A systematic review and meta-analysis', Preventive Medicine Reports, 19 (2020) [C1]
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2020 |
Grady A, Seward K, Finch M, Wolfenden L, Wyse R, Wiggers J, et al., 'A three-arm randomised controlled trial of high-and low-intensity implementation strategies to support centre-based childcare service implementation of nutrition guidelines: 12-month follow-up', International Journal of Environmental Research and Public Health, 17 1-20 (2020) [C1]
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. The study aimed to compare the effectiveness of a suite of implementation strategies of varying intensities on centre-bas... [more]
© 2020 by the authors. Licensee MDPI, Basel, Switzerland. The study aimed to compare the effectiveness of a suite of implementation strategies of varying intensities on centre-based childcare service implementation of nutrition guideline recommendations at 12-month follow-up. A six-month three-arm parallel group randomised controlled trial was undertaken with 69 services, randomised to one of three arms: high-intensity strategies (executive support; group face-to-face training; provision of resources; multiple rounds of audit and feedback; ongoing face-to-face and phone support); low-intensity strategies (group face-to-face training; provision of resources; single round of audit and feedback); or usual care control. Across all study arms, only three high-intensity services were compliant with overall nutrition guidelines. A significant group interaction was found between the three arms for compliance with individual food groups. Relative to control, a significantly greater proportion of low-intensity services were compliant with dairy, and a significantly greater proportion of high-intensity services were compliant with fruit, vegetables, dairy, breads and cereals, and discretionary foods. No significant differences between the high-and low-intensity for individual food group compliance were found. High-intensity implementation strategies may be effective in supporting childcare service implementation of individual food group recommendations. Further research is warranted to identify strategies effective in increasing overall nutrition compliance.
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2019 |
Stain HJ, Baker AL, Jackson C, Lenroot R, Paulik G, Attia J, et al., 'Study protocol: a randomised controlled trial of a telephone delivered social wellbeing and engaged living (SWEL) psychological intervention for disengaged youth', BMC PSYCHIATRY, 19 (2019)
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2019 |
Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR, et al., 'The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission report', The Lancet, 393 791-846 (2019) [C1]
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2019 |
McFadyen T, Wolfenden L, Kingsland M, Tindall J, Sherker S, Heaton R, et al., 'Sustaining the implementation of alcohol management practices by community sports clubs: A randomised control trial', BMC Public Health, 19 (2019) [C1]
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2019 |
Wolfenden L, Ezzati M, Larijani B, Dietz W, 'The challenge for global health systems in preventing and managing obesity', Obesity Reviews, 20 185-193 (2019) [C1]
© 2019 World Obesity Federation Few health crises have been as predictable as the unfolding obesity pandemic. Clinical and public health services remain the front line of efforts ... [more]
© 2019 World Obesity Federation Few health crises have been as predictable as the unfolding obesity pandemic. Clinical and public health services remain the front line of efforts to reduce the burden of obesity. While a range of clinical practice guidelines exist, the need for clinical interventions exceeds the capacity of health systems to provide care for those affected with obesity, and routine clinical practices fall far short of guidelines recommendations even in high-income countries. In this manuscript, we discuss current recommendations regarding obesity interventions and key challenges facing global health systems in managing the health needs of people with obesity. Improving the provision of obesity-related health care is a considerable challenge and will require changing existing perceptions of obesity as a matter of personal failure to its recognition as a disease, innovative approaches to health system reform, clinician capacity building and implementation support, a focus on prevention, and wise resource allocation. Leadership from governments, the medical profession, and patient and community groups to address the issues raised in this manuscript is urgently needed to address the growing health concern.
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2019 |
Wyse R, Gabrielyan G, Wolfenden L, Yoong S, Swigert J, Delaney T, et al., 'Can changing the position of online menu items increase selection of fruit and vegetable snacks? A cluster randomized trial within an online canteen ordering system in Australian primary schools', American Journal of Clinical Nutrition, 109 1422-1430 (2019) [C1]
Copyright © American Society for Nutrition 2019. All rights reserved. Background: Manipulating the position of food items within the physical food environment has consistently bee... [more]
Copyright © American Society for Nutrition 2019. All rights reserved. Background: Manipulating the position of food items within the physical food environment has consistently been found to influence item selection. However, the extent to which this strategy is effective in an online food environment is unknown. Objective: This study investigated whether an intervention to position fruit and vegetable snack items as the first and last menu items in an online school canteen ordering system increased the selection of those items. It was hypothesized that at follow-up, a higher proportion of online lunch orders in intervention schools would contain the target items (fruit and vegetable snacks) in comparison to control schools. Design: Six primary schools in New South Wales, Australia, were recruited to a clustered randomized controlled trial conducted over an 8-wk period. Intervention schools received a redesigned menu where the target items were positioned first and last on the online menu. Control schools received no change to their online menu. Results: During the baseline period 1938 students (1203 intervention, 735 control) placed at least one online lunch order and were included in the study, with 16,109 orders placed throughout the study. There was no significant difference between groups over time in the proportion of orders that contained a ¿Fruit and Veggie Snack¿ item (OR = 1.136 [95% CI: 0.791, 1.632] P = 0.490). Conclusions: Evidence from this large trial with robust study design and objectively collected data suggests that positioning fruit and vegetable snack items first and last within an online canteen menu does not increase the selection of these items. Further research is warranted to confirm this finding with other target menu items (e.g., treats) and across other purchasing contexts and online food ordering platforms. This trial was registered at the Australian New Zealand Clinical Trials Registry, http://www.anzctr.org.au/ as ACTRN12616001520426.
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2019 |
Grady A, Wolfenden L, Rissel C, Green S, Reilly K, Yoong SL, 'Effectiveness of a dissemination strategy on the uptake of an online menu planning program: A controlled trial', Health Promotion Journal of Australia, 30 20-25 (2019) [C1]
© 2018 Australian Health Promotion Association Issue addressed: Online systems offer opportunities to provide effective, ongoing support to childcare services to implement dietary... [more]
© 2018 Australian Health Promotion Association Issue addressed: Online systems offer opportunities to provide effective, ongoing support to childcare services to implement dietary guidelines. The study aimed to assess the effectiveness of a dissemination strategy on childcare service: (i) adoption; and (ii) use of an online menu planning program designed to increase compliance with dietary guidelines. Methods: A nonrandomised controlled trial was conducted with long day care services across Australia. All services received an email invitation to access an online evidence-based menu planning program. Services in the intervention also received training, telephone contact and provision of a portable computer tablet to encourage program adoption and use. Outcomes were assessed at the 6-month follow-up using analytics data recorded by the online program. Outcomes included the proportion of services having accessed the program (adoption) and the proportion of services with a current menu entered in the program (use as intended). Results: Twenty-seven interventions and 19 control services took part. At the 6-month follow-up, 100% vs 58% of services had adopted the online menu planning program (OR: 14.67, 95% CI: 2.43-infinity; P¿<¿0.01) and 41% vs 5% of services had a current menu entered in the program (OR: 9.99, 95% CI: 1.01-534.57; P¿<¿0.01) in the intervention and control arms respectively. Conclusions: This study highlights the need for strategies to support adoption and use of an online menu planning program in childcare services if the potential benefits of such a program are to be achieved. Future research should explore the effectiveness of differing strategies to increase adoption and use of online programs at scale. So what?: Strategies to support childcare service uptake and use of online programs are required in order for the potential public health benefits of such technologies to be realised.
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2019 |
Zarychta K, Horodyska K, Gan Y, Chan CKY, Wiggers J, Wolfenden L, et al., 'Associations of Parental and Child Food and Exercise Aversion With Child Food Intake and Physical Activity', HEALTH PSYCHOLOGY, 38 1116-1127 (2019) [C1]
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2019 |
Hodder RK, O'Brien KM, Stacey FG, Tzelepis F, Wyse RJ, Bartlem KM, et al., 'Interventions for increasing fruit and vegetable consumption in children aged five years and under', Cochrane Database of Systematic Reviews, 2019 (2019) [C1]
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2019 |
Morrow A, Hogden E, Kang Y-J, Steinberg J, Canfell K, Solomon MJ, et al., 'Comparing theory and non-theory based implementation approaches to improving referral practices in cancer genetics: a cluster randomised trial protocol', TRIALS, 20 (2019)
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2019 |
Pond N, Finch M, Sutherland R, Wolfenden L, Nathan N, Kingsland M, et al., 'Cluster randomised controlled trial of an m-health intervention in centre-based childcare services to reduce the packing of discretionary foods in children's lunchboxes: study protocol for the ' SWAP IT Childcare' trial', BMJ OPEN, 9 (2019)
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2019 |
Clinton-McHarg T, Gonzalez S, Milner S, Sherker S, Kingsland M, Lecathelinais C, et al., 'Implementing health policies in Australian junior sports clubs: an RCT', BMC PUBLIC HEALTH, 19 (2019) [C1]
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2019 |
Sutherland R, Campbell E, Nathan N, Wolfenden L, Lubans DR, Morgan PJ, et al., 'A cluster randomised trial of an intervention to increase the implementation of physical activity practices in secondary schools: study protocol for scaling up the Physical Activity 4 Everyone (PA4E1) program', BMC PUBLIC HEALTH, 19 (2019)
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2019 |
Williamson A, Tait H, El Jardali F, Wolfenden L, Thackway S, Stewart J, et al., 'How are evidence generation partnerships between researchers and policy-makers enacted in practice? A qualitative interview study', Health Research Policy and Systems, 17 1-11 (2019) [C1]
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2019 |
Razak LA, Clinton-McHarg T, Jones J, Yoong SL, Grady A, Finch M, et al., 'Barriers to and facilitators of the implementation of environmental recommendations to encourage physical activity in center-based childcare services: A systematic review', Journal of Physical Activity and Health, 16 1175-1186 (2019) [C1]
© 2019 Human Kinetics, Inc. Background: Identifying factors influencing the implementation of evidence-based environmental recommendations to promote physical activity in childcar... [more]
© 2019 Human Kinetics, Inc. Background: Identifying factors influencing the implementation of evidence-based environmental recommendations to promote physical activity in childcare services is required to develop effective implementation strategies. This systematic review aimed to: (1) identify barriers and facilitators reported by center-based childcare services impacting the implementation of environmental recommendations to increase physical activity among children, (2) synthesize these factors according to the 14 domains of the "Theoretical Domains Framework," and (3) report any associations between service or provider characteristics and the reported implementation of such recommendations. Methods: Electronic searches were conducted in 6 scientific databases (eg, MEDLINE) and Google Scholar to identify studies reporting data from childcare staff or other stakeholders responsible for childcare operations. Included studies were based on childcare settings and published in English. From 2164 identified citations, 19 articles met the inclusion criteria (11 qualitative, 4 quantitative, and 4 mixed methods). Results: Across all articles, the majority of factors impacting implementation fell into the "environmental context and resources" domain (eg, time, equipment, and space; n = 19) and the "social influences" domain (eg, support from parents, colleagues, supervisors; n = 11). Conclusion: The current review provides guidance to improve the implementation of environmental recommendations in childcare services by addressing environmental, resource, and social barriers.
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2019 |
Bartlem K, Wolfenden L, Colyvas K, Campbell L, Freund M, Doherty E, et al., 'The association between the receipt of primary care clinician provision of preventive care and short term health behaviour change.', Preventive Medicine, 123 308-315 (2019) [C1]
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2019 |
Williams A, van Dongen JM, Kamper SJ, O'Brien KM, Wolfenden L, Yoong SL, et al., 'Economic evaluation of a healthy lifestyle intervention for chronic low back pain: A randomized controlled trial', European Journal of Pain (United Kingdom), 23 621-634 (2019) [C1]
© 2018 European Pain Federation - EFIC® Background: Economic evaluations which estimate cost-effectiveness of potential treatments can guide decisions about real-world healthcare ... [more]
© 2018 European Pain Federation - EFIC® Background: Economic evaluations which estimate cost-effectiveness of potential treatments can guide decisions about real-world healthcare services. We performed an economic evaluation of a healthy lifestyle intervention targeting weight loss, physical activity and diet for patients with chronic low back pain, who are overweight or obese. Methods: Eligible patients with chronic low back pain (n¿=¿160) were randomized to an intervention or usual care control group. The intervention included brief advice, a clinical consultation and referral to a 6-month telephone-based healthy lifestyle coaching service. The primary outcome was quality-adjusted life years (QALYs). Secondary outcomes were pain intensity, disability, weight and body mass index. Costs included intervention costs, healthcare utilization costs and work absenteeism costs. An economic analysis was performed from the societal perspective. Results: Mean total costs were lower in the intervention group than the control group (-$614; 95%CI: -3133 to 255). The intervention group had significantly lower healthcare costs (-$292; 95%CI: -872 to -33), medication costs (-$30; 95%CI: -65 to -4) and absenteeism costs (-$1,000; 95%CI: -3573 to -210). For all outcomes, the intervention was on average less expensive and more effective than usual care, and the probability of the intervention being cost-effective compared to usual care was relatively high (i.e., 0.81) at a willingness-to-pay of $0/unit of effect. However, the probability of cost-effectiveness was not as favourable among sensitivity analyses. Conclusions: The healthy lifestyle intervention seems to be cost-effective from the societal perspective. However, variability in the sensitivity analyses indicates caution is needed when interpreting these findings. Significance: This is an economic evaluation of a randomized controlled trial of a healthy lifestyle intervention for chronic low back pain. The findings suggest that a healthy lifestyle intervention may be cost-effective relative to usual care.
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2019 |
Nathan N, Janssen L, Sutherland R, Hodder RK, Evans CEL, Booth D, et al., 'The effectiveness of lunchbox interventions on improving the foods and beverages packed and consumed by children at centre-based care or school: a systematic review and meta-analysis', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 16 (2019) [C1]
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2019 |
McCrabb S, Lane C, Hall A, Milat A, Bauman A, Sutherland R, et al., 'Scaling-up evidence-based obesity interventions: A systematic review assessing intervention adaptations and effectiveness and quantifying the scale-up penalty', OBESITY REVIEWS, 20 964-982 (2019) [C1]
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2019 |
Grady A, Dodds P, Jones J, Wolfenden L, Yoong S, 'Prevalence of night sleep duration, sleep quality and sleep hygiene practices among children attending childcare services in New South Wales, Australia', Journal of Paediatrics and Child Health, 55 59-65 (2019) [C1]
© 2018 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) Aim: To describe parent-reported child: (i) sleep duration; (ii) sleep quality; (iii) s... [more]
© 2018 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) Aim: To describe parent-reported child: (i) sleep duration; (ii) sleep quality; (iii) sleep hygiene practices; and (iv) the proportion of children meeting sleep duration recommendations. Methods: A convenience sample of parents of Australian pre-school-aged children (3¿5 years) were surveyed from the Hunter New England region of New South Wales. The cross-sectional survey was conducted via computer-assisted telephone interview. The survey assessed parent and child demographic characteristics and parent-reported child sleep duration, quality and sleep hygiene practices. Results: A total of 488 eligible parents or guardians took part in the study. Parents reported that children slept an average of 11.03 h per night. Approximately 96% of children met daily sleep duration recommendations from sleep guidelines for their age group. The majority of parents reported that their child had ¿good¿ sleep quality (86.89%). Almost 40% reported that their child woke at least once a night. Sleep hygiene practices were relatively well established; however, a small proportion of parents indicated that they had no rules surrounding bedtime (13.52%) or television use before bed (14.52%). Conclusions: The current study describes the sleep duration, quality and sleep hygiene practices of a sample of pre-school-aged children in New South Wales, Australia. Future research using objective measures of sleep duration and hygiene, as well as assessing a broader spectrum of sleep hygiene practices, is needed.
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2019 |
Lacy KE, Spence AC, McNaughton SA, Crawford DA, Wyse RJ, Wolfenden L, Campbell KJ, 'Home environment predictors of vegetable and fruit intakes among Australian children aged 18 months', Appetite, 139 95-104 (2019) [C1]
© 2019 Suboptimal vegetable and fruit consumption by young children is common. Identifying predictors of vegetable and fruit intakes is important for informing strategies to promo... [more]
© 2019 Suboptimal vegetable and fruit consumption by young children is common. Identifying predictors of vegetable and fruit intakes is important for informing strategies to promote sufficient intakes of these foods from early life. The aim of the present study was to examine predictors of toddlers¿ vegetable and fruit intakes at age 18 months. This study involved secondary analysis of data from 361 child-mother dyads participating in the Melbourne Infant Feeding, Activity and Nutrition Trial in 2008¿2010 at child ages four, nine and 18 months. Children's vegetable and fruit intakes were assessed at age 18 months using multiple 24-h dietary recalls. Data on potential predictor measures were collected via parent-completed questionnaires when children were four or nine months of age. Bivariate and multivariable linear regression models were used to test associations between children's average daily vegetable or fruit intake and potential predictors controlling for treatment arm and clustering by parent group. Multivariable models also controlled for covariates and potential confounders. Home availability of vegetables at age nine months was found to predict children's vegetable intake at age 18 months and remained significant (ß = 20.19, 95% CI:7.23, 33.15, p = 0.003)in the multivariable model. Children's average daily fruit intake at age 18 months was predicted by maternal education at child age four months and the availability of fruits in their home at child age nine months. Maternal education remained significant (ß = 30.83, 95% CI:12.17, 49.48, p = 0.002)in the multivariable model. Strategies to promote adequate vegetable and fruit intakes among young children should address known barriers to the availability of vegetables and fruits in the home from early in life. Additionally, messages encouraging fruit consumption may need to be tailored to mothers with lower levels of education.
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2019 |
Innes-Hughes C, Rissel C, Thomas M, Wolfenden L, 'Reflections on the NSW healthy children Initiative: A comprehensive state-delivered childhood obesity prevention initiative', Public Health Research and Practice, 29 1-6 (2019) [C1]
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2019 |
McCarthy N, Nathan N, Hodder R, Lecathelinais C, Sutherland R, Campbell E, Wolfenden L, 'Australian primary school student's attitudes to changing from traditional school uniforms to sports uniforms and association with student characteristics', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 43 94-95 (2019)
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2019 |
Saragiotto B, Kamper S, Hodder R, Wolfenden L, Lee H, Oliveira V, et al., 'EFFECTIVENESS OF SMOKING CESSATION AND WEIGHT LOSS INTERVENTIONS FOR MUSCULOSKELETAL PAIN (vol 25, pg 1, 2018)', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 26 103-103 (2019)
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2019 |
Robson E, Kamper S, Saragiotto B, Williams C, O'Brien K, Williams A, et al., 'ECONOMIC EVALUATION OFA HEALTH BEHAVIOUR INTERVENTION FOR MUSCULOSKELETAL CONDITIONS (vol 25, pg 1, 2018)', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 26 102-103 (2019)
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2019 |
Britton B, Baker AL, Wolfenden L, Wratten C, Bauer J, Beck AK, et al., 'A Randomised Controlled Trial of a Health Behaviour Change Intervention Provided by Dietitians to Improve Nutrition in Patients With Head and Neck Cancer Undergoing Radiotherapy (TROG 12.03) Reply', INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 103 1283-1284 (2019)
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2019 |
Metse AP, Stockings E, Bailey J, Regan T, Bartlem K, Wolfenden L, et al., 'Rates of retention of persons with a mental health disorder in outpatient smoking cessation and reduction trials, and associated factors: protocol for a systematic review and meta-analysis', BMJ OPEN, 9 (2019)
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2019 |
Sutherland R, Brown A, Nathan N, Janssen L, Reynolds R, Walton A, et al., 'Protocol for an effectiveness- implementation hybrid trial to assess the effectiveness and cost-effectiveness of an m-health intervention to decrease the consumption of discretionary foods packed in school lunchboxes: the 'SWAP IT' trial', BMC PUBLIC HEALTH, 19 (2019)
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2019 |
Doherty E, Kingsland M, Wolfenden L, Wiggers J, Dray J, Hollis J, et al., 'Implementation strategies to improve preconception and antenatal care for tobacco smoking, alcohol consumption and weight management: a systematic review protocol', SYSTEMATIC REVIEWS, 8 (2019)
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2019 |
Reynolds R, Sutherland R, Nathan N, Janssen L, Lecathelinais C, Reilly K, et al., 'Feasibility and principal acceptability of school-based mobile communication applications to disseminate healthy lunchbox messages to parents', Health Promotion Journal of Australia, 30 108-113 (2019) [C1]
© 2018 Australian Health Promotion Association Issue addressed: This study aimed to assess the feasibility and acceptability of using an existing school-based mobile communication... [more]
© 2018 Australian Health Promotion Association Issue addressed: This study aimed to assess the feasibility and acceptability of using an existing school-based mobile communication application to deliver messages to parents on how to pack a healthy lunchbox. Methods: A telephone survey was conducted with 196 primary school principals within the Hunter New England region of New South Wales, Australia, in 2016. Results: Almost two thirds of primary schools (59%) currently use a school-based mobile communication application to communicate with parents. Most principals (91%) agreed school lunchboxes need improving, of which 80% agree it is a school's role to provide information and guidelines to parents. However, only 50% of principals reported currently providing such information. The provision of lunchbox messages to parents by a third party appeared an acceptable model of delivery by principals. Larger schools and schools in urban and lower socio-economic localities were more likely to have used a school-based mobile communication application. Conclusion: The majority of principals recognise student lunchboxes need improving. The use of school-based mobile communication applications appears to be feasible and acceptable by principals as a method of communicating lunchbox messages to parents. So what?: Use of school-based mobile communication applications may be an effective method for delivering health information at a population level. Future research should assess the potential efficacy of disseminating health interventions via this modality.
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2019 |
McKay H, Naylor P-J, Lau E, Gray SM, Wolfenden L, Milat A, et al., 'Implementation and scale-up of physical activity and behavioural nutrition interventions: an evaluation roadmap', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 16 (2019) [C1]
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2019 |
Delaney T, Sutherland R, Wyse R, Wolfenden L, Lecathelinais C, Janssen L, et al., 'A cross-sectional study of the nutritional quality of student canteen purchases from New South Wales primary-school canteens', Public Health Nutrition, 22 3092-3100 (2019) [C1]
© 2019 The Authors. Objective: To assess the nutritional quality of student canteen purchases at recess and lunch, including: (i) the mean energy (kilojoules), saturated fat (gram... [more]
© 2019 The Authors. Objective: To assess the nutritional quality of student canteen purchases at recess and lunch, including: (i) the mean energy (kilojoules), saturated fat (grams), total sugar (grams) and Na (milligrams) and percentage of energy from saturated fat and total sugar; and (ii) the proportion and types of foods purchased that are healthier (green) and less healthy (amber/red) according to a state school canteen policy.Design: A cross-sectional study of student canteen food and beverage recess and lunch purchases.Setting: Twenty-six randomly selected government primary schools that were non-compliant with a state school canteen policy from a region of New South Wales, Australia, were approached to participate.Participants: Students (aged 5-12 years) of participating schools.Results: Eighteen schools (69 %) consented to participate. On average students' recess purchases contained 571·2 kJ energy, 1·6 g saturated fat, 11·6 g total sugar and 132·4 mg Na with 10·0 % of energy from saturated fat and 37·8 % of energy from total sugar. Students' lunch purchases contained 685·4 kJ energy, 1·8 g saturated fat, 12·7 g total sugar and 151·4 mg Na with 9·5 % of energy from saturated fat and 31·8 % of energy from total sugar. Less healthy items represented 72 and 76 % of all items purchased at recess and lunch, respectively, with 'savoury snacks' and 'sugar-sweetened ice blocks and slushies' being the most common recess and lunch purchases, respectively.Conclusions: There is considerable scope to improve the nutritional quality of student purchases from primary-school canteens, with a high percentage of energy from total sugar. Future research is required to identify effective strategies to enhance compliance with canteen policies and support the purchase of healthier foods from school canteens.
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2019 |
Nathan N, Wiggers J, Bauman AE, Rissel C, Searles A, Reeves P, et al., 'A cluster randomised controlled trial of an intervention to increase the implementation of school physical activity policies and guidelines: study protocol for the physically active children in education (PACE) study', BMC PUBLIC HEALTH, 19 (2019)
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2019 |
Doherty E, Wiggers J, Wolfenden L, Anderson AE, Crooks K, Tsang TW, et al., 'Antenatal care for alcohol consumption during pregnancy: Pregnant women's reported receipt of care and associated characteristics', BMC Pregnancy and Childbirth, 19 1-17 (2019) [C1]
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2019 |
Williams A, Lee H, Kamper SJ, O Brien KM, Wiggers J, Wolfenden L, et al., 'Causal mechanisms of a healthy lifestyle intervention for patients with musculoskeletal pain who are overweight or obese', Clinical Rehabilitation, 33 1088-1097 (2019) [C1]
© The Author(s) 2019. Purpose: To assess the causal mechanisms of a healthy lifestyle intervention for patients with chronic low back pain and knee osteoarthritis, who are overwei... [more]
© The Author(s) 2019. Purpose: To assess the causal mechanisms of a healthy lifestyle intervention for patients with chronic low back pain and knee osteoarthritis, who are overweight or obese. Methods: We conducted causal mediation analyses of aggregated data from two randomized controlled trials (RCTs); which included 160 patients with chronic low back pain, and 120 patients with knee osteoarthritis. The intervention consisted of brief advice and referral to a six-month telephone-based healthy lifestyle coaching service. We used causal mediation to estimate the indirect, direct and path-specific effects of hypothesized mediators including: self-reported weight, diet, physical activity, and pain beliefs. Outcomes were pain intensity, disability, and quality of life (QoL). Results: The intervention did not reduce weight, improve diet or physical activity or change pain beliefs, and these mediators were not associated with the outcomes. Sensitivity analyses showed that our estimates were robust to the possible effects of unknown and unmeasured confounding. Conclusions: Our findings show that the intervention did not cause a meaningful change in the hypothesized mediators, and these mediators were not associated with patient-reported outcomes.
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2019 |
Finch M, Seward K, Wedesweiler T, Stacey F, Grady A, Jones J, et al., 'Challenges of Increasing Childcare Center Compliance With Nutrition Guidelines: A Randomized Controlled Trial of an Intervention Providing Training, Written Menu Feedback, and Printed Resources', American Journal of Health Promotion, 33 399-411 (2019) [C1]
© The Author(s) 2018. Purpose: To assess the effectiveness of an intervention including training, provision of written menu feedback, and printed resources on increasing childcare... [more]
© The Author(s) 2018. Purpose: To assess the effectiveness of an intervention including training, provision of written menu feedback, and printed resources on increasing childcare compliance with nutrition guidelines. Design: Parallel group randomized controlled trial. Setting: Hunter New England region, New South Wales, Australia. Participants: Forty-four childcare centers that prepare and provide food on-site to children while in care. Intervention: The intervention was designed using the Theoretical Domains Framework, targeted managers, and cooks and included implementation strategies that addressed identified barriers. Measures: Outcomes included the proportion of menus providing food servings (per child) compliant with overall nutrition guideline recommendations and each individual food group assessed via menu assessments. Cook knowledge of recommendations, intervention acceptability, adverse events, and barriers were also assessed via questionnaires with cooks and managers. Analysis: Logistic regression models, adjusted for baseline values of the outcome. Results: At baseline and follow-up, zero centers in the intervention and control groups were compliant with the overall menu guidelines or for the vegetable and meat food groups. Follow-up between-group differences in compliance for discretionary (33.3 vs 5, P =.18), dairy (41.7 vs 15, P =.16), breads and cereals (8.3 vs 10 P = 1.00), and fruit (16.7 vs 10, P =.48) were all nonsignificant. Relative to the control group, intervention centers showed a significantly greater increase in percentage of cooks with correct knowledge for vegetable servings (93.3 vs 36.4, P =.008). Conclusion: Although the application of the theoretical framework produced a broader understanding of the determinants of menu compliance, due to the complexity of guidelines, limited follow-up support, lower training uptake, and low intervention dose, the intervention was not effective in supporting the practice change required.
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2019 |
Finch M, Stacey F, Jones J, Yoong SL, Grady A, Wolfenden L, 'A randomised controlled trial of performance review and facilitated feedback to increase implementation of healthy eating and physical activity-promoting policies and practices in centre-based childcare', IMPLEMENTATION SCIENCE, 14 (2019) [C1]
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2019 |
Yoong SL, Grady A, Stacey F, Polimeni M, Clayton O, Jones J, et al., 'A pilot randomized controlled trial examining the impact of a sleep intervention targeting home routines on young children's (3-6 years) physical activity.', Pediatric obesity, 14 e12481 (2019) [C1]
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2019 |
Sutherland R, Nathan N, Brown A, Yoong S, Finch M, Lecathelinais C, et al., 'A randomized controlled trial to assess the potential efficacy, feasibility and acceptability of an m-health intervention targeting parents of school aged children to improve the nutritional quality of foods packed in the lunchbox 'SWAP IT'', International Journal of Behavioral Nutrition and Physical Activity, 16 1-13 (2019) [C1]
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2019 |
Reilly K, Nathan N, Grady A, Wu JHY, Wiggers J, Yoong SL, Wolfenden L, 'Barriers to implementation of a healthy canteen policy: A survey using the theoretical domains framework', Health Promotion Journal of Australia, 30 9-14 (2019) [C1]
© 2018 Australian Health Promotion Association Issue addressed: Improving implementation of school healthy canteen policies requires a comprehensive understanding of implementatio... [more]
© 2018 Australian Health Promotion Association Issue addressed: Improving implementation of school healthy canteen policies requires a comprehensive understanding of implementation barriers. Therefore, the aim of this study was to assess a range of barriers, as reported by canteen managers, using a quantitative survey instrument developed based on a theoretical framework. Methods: A cross sectional survey of primary school canteen managers from the Hunter New England region of New South Wales was conducted of eligible schools in the study region identified as having an operational canteen. Survey items assessed canteen manager employment status, canteen characteristics and potential barriers to healthy canteen policy implementation, aligned to the 14 domains of the theoretical domains framework via a 5-point Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree). The mean domain scores of canteen managers were calculated, less than four indicating the canteen manager considered the domain was a barrier. Canteen managers were also asked to provide the current canteen menu for audit by a dietitian. Results: Of the 184 participants, 20% (n¿=¿36) were assessed as having menus compliant with the state policy. The five most common domains identified as potential barriers to policy implementation were behavioural regulation (n¿=¿117, 65%), skills (n¿=¿105, 57%), beliefs about capabilities (n¿=¿100, 55%), reinforcement (n¿=¿95, 52%) and goals (n¿=¿95, 52%). Canteen managers who reported optimism as a barrier had significantly lower odds of having a menu compliant with the state policy (OR¿=¿0.39; 95% CI 0.16-0.95, P¿=¿0.038). Conclusions: This study provides further evidence of perceived and actual barriers that canteen managers face when attempting to implement a healthy canteen policy, and highlights the need to address differences in canteen characteristics when planning implementation support. So what?: For public health benefits of nutrition policies within schools to be realised, the barriers to implementation need to be identified and used to help guide implementation support strategies.
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2019 |
Gonzalez S, Clinton-McHarg T, Kingsland M, Hall A, Lecathelinais C, Milner S, et al., 'Promotion of healthy eating in clubs with junior teams in Australia: A cross-sectional study of club representatives and parents', Health Promotion Journal of Australia, 30 15-19 (2019) [C1]
© 2018 Australian Health Promotion Association Issues addressed: To: (i) describe the prevalence of policies and practices promoting healthy eating implemented by sports clubs wit... [more]
© 2018 Australian Health Promotion Association Issues addressed: To: (i) describe the prevalence of policies and practices promoting healthy eating implemented by sports clubs with junior teams; (ii) examine differences in such practices across geographic and operational characteristics of clubs; and (iii) describe the attitudes of club representatives and parents regarding the acceptability of sports clubs implementing policies and practices to promote healthy eating. Methods: Cross-sectional telephone surveys of junior community football club management representatives and parents/carers of junior players were conducted in the states of New South Wales and Victoria, Australia in 2016. Results: Seventy-nine of the 89 club representatives approached to participate completed the telephone survey. All clubs (100%; 95% CI 96.2-100.0) reported recommending fruit or water be provided to players after games or at half-time, 24% (95% CI 14.4-33.7) reported promoting healthy food options through prominent positioning at point of sale and only 8% (95% CI 1.6-13.6) of clubs had a written healthy eating policy. There were no significant differences between the mean number of healthy eating policies and practices implemented by club socio-economic or geographic characteristics. Club representatives and parents/carers were supportive of clubs promoting healthy eating for junior players. Conclusions: While there is strong support within sporting clubs with junior teams for policies and practices to promote healthy eating, their implementation is highly variable. So what?: A considerable opportunity remains for health promotion policy and practice improvement in clubs with junior teams, particularly regarding policies related to nutrition.
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2019 |
Reilly K, Yoong SL, Sutherland R, Wiggers JH, Delaney T, Reynolds RC, et al., 'Secondary school implementation of a healthy eating policy', HEALTH PROMOTION JOURNAL OF AUSTRALIA, (2019)
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2019 |
Wolfenden L, Nathan N, Reilly K, Delaney T, Janssen LM, Reynolds R, et al., 'Two-year follow-up of a randomised controlled trial to assess the sustainability of a school intervention to improve the implementation of a school-based nutrition policy', Health Promotion Journal of Australia, 30 26-33 (2019) [C1]
© 2019 Australian Health Promotion Association Issue addressed: School-based nutrition policies can have a positive effect on the school food environment. The primary aim of this ... [more]
© 2019 Australian Health Promotion Association Issue addressed: School-based nutrition policies can have a positive effect on the school food environment. The primary aim of this study was to assess the primary school adherence to a mandatory state-wide healthy canteen policy 12¿months after an effective multi-strategic implementation intervention concluded. Methods: Primary schools were randomised to (a) a 12-14¿months multi-strategic intervention or (b) no-intervention (control). The intervention aimed to improve implementation of a state-wide canteen policy by encouraging schools to remove unhealthy food and beverages (classified as ¿¿red¿¿ or ¿¿banned¿¿) from canteen menus and replace with healthy items (classified as ¿¿green¿¿). No implementation support was provided to either group by the research team between the 12 and 24¿months data collection period. Results: Seventy schools participated, of which 56 schools were assessed at 24-month follow-up. Intervention schools were less likely to have a menu which contained ¿¿red/banned¿¿ items at 24-month follow-up (RR¿=¿2.28; 95% CI: 1.18-4.40; P¿=¿0.01). Intervention schools, however, were not more likely than controls to have a menu which contained >50% ¿¿green¿¿ items at 24-month follow-up (RR¿=¿1.29; 95% CI: 0.98-1.70; P¿=¿0.10). Intervention schools were more likely to adhere to both policy components (no red/banned items and >50% green items on the menu) than control schools (RR¿=¿2.61; 95% CI: 1.29-5.29; P¿=¿0.006). Among intervention schools that were fully adherent to the policy following implementation support (12-month post baseline), all were also adherent at the 24-month follow-up. Conclusion: The intervention was effective in achieving long-term school adherence to a state-wide canteen policy at 24-month follow-up. So what?: The findings suggest that sustained improvements in implementation of school nutrition policies is possible following a period (12¿months) of comprehensive implementation support.
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2019 |
Wolfenden L, Chai LK, Jones J, McFadyen T, Hodder R, Kingsland M, et al., 'What happens once a program has been implemented? A call for research investigating strategies to enhance public health program sustainability', Australian and New Zealand Journal of Public Health, 43 3-4 (2019) [C1]
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2019 |
Wolfenden L, Jones J, Parmenter B, Razak LA, Wiggers J, Morgan PJ, et al., 'Efficacy of a free-play intervention to increase physical activity during childcare: A randomized controlled trial', Health Education Research, 34 98-112 (2019) [C1]
© ° The Author(s) 2018. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com. The primary aim of this study was t... [more]
© ° The Author(s) 2018. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com. The primary aim of this study was to assess the efficacy of a childcare-based intervention in increasing child physical activity by allowing children unrestricted access to outdoor areas for free-play when structured activity is not taking place. A randomized controlled trial was conducted in six childcare services. Intervention services provided children unrestricted access outdoors for active free-play, while control services provided their usual scheduled periods of outdoor play. Consent was obtained from 231 children. Child moderate to vigorous activity (MVPA), the primary trial outcome, was assessed via accelerometer at baseline and 3 months post baseline. Intervention effects were examined using Generalised Linear Mixed Models. Controlling for child age, gender and baseline outcome measure, at follow-up there were no significant differences between groups in minutes of MVPA in-care (mean difference: 4.85; 95% CI: -3.96, 13.66; P = 0.28), proportion of wear time in-care spent in MVPA (mean difference: 1.52%; 95% CI: -0.50, 3.53; P = 0.14) or total physical activity in-care (mean difference in counts per minute: 23.18; 95% CI: -4.26, 50.61; P = 0.10), nor on measures of child cognition (P = 0.45-0.91). It was concluded that interventions addressing multiple aspects of the childcare and home environment might provide the greatest potential to improve child physical activity.
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2019 |
Stockings E, Black N, Bartlem KM, Metse AP, Regan T, Bailey JM, et al., 'Outpatient interventions for smoking cessation and reduction for adults with a mental disorder', Cochrane Database of Systematic Reviews, 2019 (2019)
Copyright © 2019 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The... [more]
Copyright © 2019 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary objective of this review is to determine the effectiveness of smoking reduction and cessation interventions (alone, or in combination with other interventions), delivered primarily in an outpatient or community-based setting among individuals with mental disorders, on rates of abstinence at the longest follow-up (minimum six months), mental health symptoms and adverse events. Secondary objectives are to examine the impact of such interventions on rates of abstinence at the end of the intervention, change in daily cigarette consumption, and quality-of-life or other function scores. We will explore (via subgroup analyses) potential differential effects on the basis of intervention type, control group type, recruitment setting (inpatient versus outpatient), mental disorder type, and motivation to quit at study intake. We may come across studies testing interventions which aim to increase the uptake of smoking interventions in people with a mental disorder. This may comprise interventions that either are incorporated into the system of delivering care, aimed at health professionals (e.g. Within a community mental health facility), as well as interventions aimed directly at people with a mental disorder to increase uptake. In this case we aim to examine whether these interventions increase the uptake of the smoking cessation treatment among people with a mental disorder, as well as whether they ultimately result in increased quit rates.
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2019 |
Gilligan C, Wolfenden L, Foxcroft DR, Williams AJ, Kingsland M, Hodder RK, et al., 'Family-based prevention programmes for alcohol use in young people', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2019) [C1]
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2019 |
Yoong SL, Grady A, Seward K, Finch M, Wiggers J, Lecathelinais C, et al., 'The Impact of a Childcare Food Service Intervention on Child Dietary Intake in Care: An Exploratory Cluster Randomized Controlled Trial', American Journal of Health Promotion, 33 991-1001 (2019) [C1]
© The Author(s) 2019. Purpose: To assess the efficacy of a food service implementation intervention designed to increase provision of foods consistent with nutrition guidelines on... [more]
© The Author(s) 2019. Purpose: To assess the efficacy of a food service implementation intervention designed to increase provision of foods consistent with nutrition guidelines on child consumption of fruit, vegetables, breads/cereals, meat/alternatives, dairy, and diet quality in care. Design: Exploratory cluster randomized controlled trial. Setting: Twenty-five childcare centers in New South Wales, Australia. Sample: Three hundred ninety-five children aged 2 to 5 years. Intervention: Centers were randomized to the intervention or control group. Intervention development was guided by the Theoretical Domains Framework and included securing executive support, provision of group training, resources, audit and feedback, and one-on-one support. The intervention was delivered across six months and the study was conducted between March and December 2016. Measures: Child diet was assessed by educators using a validated questionnaire modified for completion in childcare center. Analysis: Data were analyzed in SAS using generalized linear mixed models adjusted for clustering. Results: Children in the intervention group consumed significantly higher number of serves of vegetables (0.4 serves; P <.001), wholegrain cereals (0.7 serves; P =.02), and meat/alternatives (0.5 serves; P <.001), and had higher diet quality scores (10.3; P <.001). Conclusions: A food service intervention targeting the provision of food significantly improved child dietary intake in care. Such findings are relevant to health promotion practitioners responsible for supporting improvements in child diet.
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2019 |
Wyse R, Delaney T, Gibbins P, Ball K, Campbell K, Yoong SL, et al., 'Cluster randomised controlled trial of an online intervention to improve healthy food purchases from primary school canteens: a study protocol of the 'click & crunch' trial', BMJ OPEN, 9 (2019)
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2019 |
Dario AB, Kamper SJ, O'Keeffe M, Zadro J, Lee H, Wolfenden L, Williams CM, 'Family history of pain and risk of musculoskeletal pain in children and adolescents: a systematic review and meta-analysis', Pain, 160 2430-2439 (2019) [C1]
Emerging evidence suggests that musculoskeletal (MSK) pain should be viewed from a biopsychosocial perspective and consider the influence of family factors. We conducted a review ... [more]
Emerging evidence suggests that musculoskeletal (MSK) pain should be viewed from a biopsychosocial perspective and consider the influence of family factors. We conducted a review with meta-analysis to provide summary estimates of effect of family history of pain on childhood MSK pain and explore whether specific family pain factors influence the strength of the association (PROSPERO CRD42018090130). Included studies reported associations between family history of pain and nonspecific MSK pain in children (age <19 years). The outcome of interest was MSK pain in children. We assessed the methodological quality using a modified version of the Quality in Prognosis Studies instrument and quality of evidence for the main analyses using the GRADE criteria. After screening of 7281 titles, 6 longitudinal and 23 cross-sectional studies were included. Moderate quality evidence from 5 longitudinal studies (n = 42,131) showed that children with a family history of MSK pain had 58% increased odds of experiencing MSK pain themselves (odds ratio [OR] 1.58, 95% confidence interval 1.20-2.09). Moderate quality evidence from 18 cross-sectional studies (n = 17,274) supported this finding (OR 2.02, 95% 1.69-2.42). Subgroup analyses showed that the relationship was robust regardless of whether a child's mother, father, or sibling experienced pain. Odds were higher when both parents reported pain compared with one ([mother OR = 1.61; father OR = 1.59]; both parents OR = 2.0). Our findings show moderate quality evidence that children with a family history of pain are at higher risk of experiencing MSK pain. Understanding the mechanism by which this occurs would inform prevention and treatment efforts.
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2019 |
Ooi JY, Wiggers JH, Kingsland M, Lecathelinais C, Tindal J, McFadyen T, et al., 'Exposure to fast-food and sweetened-drink marketing at community sports clubs in Australia', PUBLIC HEALTH RESEARCH & PRACTICE, 29 (2019) [C1]
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2019 |
Wolfenden L, Reilly K, Kingsland M, Grady A, Williams CM, Nathan N, et al., 'Identifying opportunities to develop the science of implementation for community-based non-communicable disease prevention: A review of implementation trials', Preventive Medicine, 118 279-285 (2019) [C1]
© 2018 Implementation of interventions in community organisations such as schools, childcare centres, and sporting clubs are recommended to target a range of modifiable risks of n... [more]
© 2018 Implementation of interventions in community organisations such as schools, childcare centres, and sporting clubs are recommended to target a range of modifiable risks of non-communicable diseases. Poor implementation, however, is common and has contributed to the failure of non-communicable disease interventions globally. This study aimed to characterise experimental research regarding strategies to improve implementation of chronic disease prevention programs in community settings. The review used data collected in three comprehensive systematic reviews undertaken between August 2015 and July 2017. Randomised controlled trials, including cluster design, and non-randomised trials with a parallel control group were included. The data were extracted to describe trial characteristics, implementation strategies employed, implementation outcomes and study quality. Of the 40 implementation trials included in the study, unhealthy diet was the most common risk factor targeted (n = 20). The most commonly reported implementation strategies were educational meetings (n = 38, 95%), educational materials (n = 36, 90%) and educational outreach visits (n = 29, 73%). Few trials were conducted ¿at-scale¿ (n = 8, 20%) or reported adverse effects (n = 5, 13%). The reporting of implementation related outcomes; intervention adoption (n = 13, 33%); appropriateness (n = 11, 28%); acceptability (n = 8, 20%); feasibility (n = 8, 20%); cost (n = 3, 8%); and sustainability (n = 2, 5%); was limited. For the majority of trials, risk of bias was high for blinding of study personnel/participants and outcome assessors. Testing of strategies to improve implementation of non-communicable disease prevention strategies in community settings, delivered ¿at-scale¿, utilising implementation frameworks, including a comprehensive range of implementation outcomes should be priority areas for future research in implementation science.
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2019 |
McCrabb S, Baker AL, Attia J, Balogh ZJ, Lott N, Palazzi K, et al., 'Comorbid tobacco and other substance use and symptoms of anxiety and depression among hospitalised orthopaedic trauma patients', BMC PSYCHIATRY, 19 (2019) [C1]
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2019 |
Yoong SL, Nathan N, Reilly K, Sutherland R, Straus S, Barnes C, et al., 'Adapting implementation strategies: a case study of how to support implementation of healthy canteen policies', Public Health, 177 19-25 (2019) [C1]
© 2019 The Royal Society for Public Health Objectives: Although evidence-based interventions (EBIs) and effective strategies to implement them exist, they cannot be used by policy... [more]
© 2019 The Royal Society for Public Health Objectives: Although evidence-based interventions (EBIs) and effective strategies to implement them exist, they cannot be used by policy makers and practitioners if they do not align with end users¿ needs. As such, adaptations to EBIs and implementation approaches are likely to occur to increase ¿fit¿ with end users¿ capacity. This article describes an approach undertaken by a population health service delivery unit in one Australian state to develop an adapted implementation strategy to support the implementation of the mandatory healthy canteen policy (EBI) to all schools located in the service delivery region. Study design: This is a case study of adapting an intervention to improve implementation of the healthy canteen policy. Methods and results: This is a six-step pragmatic, empirically driven approach. The steps include (i) adapt, where appropriate, the EBI to facilitate implementation; (ii) identify end users¿ capacity for implementation; (iii) identify opportunities to adapt the implementation interventions while preserving meaningful intervention impact; (iv) undertake program adaptation; (v) develop training and resources to support delivery of implementation strategies and; (vi) evaluate the adapted intervention. This article describes the application of these steps by the authors to develop an adapted support strategy consistent with end users¿ needs. Conclusions: This study provides some guidance on how to adapt implementation support approaches particularly when EBIs cannot be adapted. Future empirical research providing guidance on making practical adaptation decisions are needed.
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2019 |
Rowland B, Kingsland M, Wolfenden L, Murphy A, Gillham KE, Fuller-Tyszkiewicz M, Wiggers J, 'The impact of an alcohol consumption intervention in community sports clubs on safety and participation: an RCT', Australian and New Zealand Journal of Public Health, 43 114-119 (2019) [C1]
© 2018 The Authors Objective: Sports clubs have been identified as settings where high levels of risky alcohol consumption occurs. Settings characterised by such behaviour are lik... [more]
© 2018 The Authors Objective: Sports clubs have been identified as settings where high levels of risky alcohol consumption occurs. Settings characterised by such behaviour are likely to negatively impact on levels of safety, participation and amenity. Design: The study was part of a randomised control trial, designed to help community sports clubs responsibly manage the sale and consumption of alcohol; the primary outcome was reduction in alcohol consumption. This study examined the secondary effects of safety and participation. Methods: A multilevel analysis examining the pathways between the alcohol intervention, risky alcohol consumption, and safety and participation was undertaken. Results: It was identified that average overall risky consumption at the club level mediated the association between the intervention and increased participation; the intervention reduced overall hazardous consumption, which in turn increased participation at the club. Conclusion: Interventions that target responsible alcohol management can also increase club participation. Implications for public health: Given the number of individuals involved with sports clubs, responsibly managing alcohol will also ensure that sports clubs are health promoting settings that promote community participation and engagement.
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2019 |
Williams A, Kamper S, Wiggers J, O'Brien K, Lee H, Wolfenden L, et al., 'DO MUSCULOSKELETAL CONDITIONS INCREASE THE RISK OF CHRONIC DISEASE: A SYSTEMATIC REVIEWAND META- ANALYSIS OF COHORT STUDIES (vol 25, pg 1, 2018)', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, 26 114-114 (2019)
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2019 |
Horodyska K, Boberska M, Kruk M, Szczuka Z, Wiggers J, Wolfenden L, et al., 'Perceptions of Physical Activity Promotion, Transportation Support, Physical Activity, and Body Mass: an Insight into Parent-Child Dyadic Processes', International Journal of Behavioral Medicine, 26 255-265 (2019) [C1]
© 2019, The Author(s). Background: Socio-ecological models indicate that family, school, and¿community environment explains children¿s physical activity and body weight. This stud... [more]
© 2019, The Author(s). Background: Socio-ecological models indicate that family, school, and¿community environment explains children¿s physical activity and body weight. This study investigated whether parental perceptions of school/community-based physical activity (PA) promotion programs as well as parental and child perceptions of parental instrumental support for child PA (transportation provision) would predict child body weight. Child moderate-to-vigorous physical activity (MVPA) was hypothesized to mediate these associations. Method: Data of 879 parent-child dyads were collected at two measurement points: the baseline (T1) and the 7¿8-month follow-up (T2). Parents were 23¿68¿years old (83.3% women), while children were 5¿11¿years old (52.4% girls). Parents and children reported their perceptions of environment, support (T1), and MVPA (T1, T2). Parental and child body weight and height were measured objectively (T1, T2). Results: Path analyses indicated indirect effects of parental perceptions of school/community-based PA policies (T1) and parental perceptions of transportation provision (T1) on child body weight (T2), with child MVPA (T2) operating as the mediator. There were no direct or indirect effects of child perceptions of parental transportation provision (T1) on child MVPA or body weight (T2). Similar patterns of associations were found for the total sample and the subsample of children with overweight/obesity. Conclusion: Parental perceptions of school/community-based PA policies and transportation provision may explain changes in child MVPA and body weight. Interventions aimed at prevention of child overweight/obesity may benefit from a focus on parental transportation provision to PA facilities and parental awareness of PA promotion at local environment.
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2019 |
Virgara R, Maher C, Lewis LK, Phillips A, Wolfenden L, Okely A, et al., 'Interventions in outside-school hours childcare settings for promoting physical activity amongst schoolchildren aged 4 to 12 years', Cochrane Database of Systematic Reviews, 2019 (2019)
© 2019 The Cochrane Collaboration. This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary objective is to assess the effects of physic... [more]
© 2019 The Cochrane Collaboration. This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary objective is to assess the effects of physical activity interventions for increasing physical activity in children aged 4 to 12 years in outside-school hours childcare settings (i.e. the hours of the day when formal school lessons have either not begun or have finished and/or during school holiday periods). Our secondary objectives are to assess the effects of interventions on markers of children¿s cardiovascular health, quality of life, process evaluation and to identify any unintended adverse outcomes (e.g. injuries, distress).
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2019 |
Wolfenden L, Bolsewicz K, Grady A, McCrabb S, Kingsland M, Wiggers J, et al., 'Optimisation: Defining and exploring a concept to enhance the impact of public health initiatives', Health Research Policy and Systems, 17 (2019) [C1]
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2018 |
Lee H, Hall A, Nathan N, Reilly KL, Seward K, Williams CM, et al., 'Mechanisms of implementing public health interventions: A pooled causal mediation analysis of randomised trials', Implementation Science, 13 1-11 (2018) [C1]
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2018 |
Tremain D, Freund M, Wye P, Bowman J, Wolfenden L, Dunlop A, et al., 'Providing routine chronic disease preventive care in community substance use services: A pilot study of a multistrategic clinical practice change intervention', BMJ Open, 8 (2018) [C1]
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2018 |
McCarter KL, Baker A, Britton B, Halpin S, Beck A, Carter G, et al., 'Head and neck cancer patient experience of a new dietitian-delivered health behaviour intervention: "You know you have to eat to survive ', SUPPORTIVE CARE IN CANCER, 26 2167-2175 (2018) [C1]
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2018 |
McCarter KL, Baker A, Britton B, Beck A, Carter G, Bauer J, et al., 'Effectiveness of clinical practice change strategies in improving dietitian care for head and neck cancer patients according to evidence based clinical guidelines: A stepped wedge randomised controlled trial.', Translational Behavioral Medicine, 8 166-174 (2018) [C1]
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2018 |
O'Brien KM, Hodder RK, Wiggers J, Williams A, Campbell E, Wolfenden L, et al., 'Effectiveness of telephone-based interventions for managing osteoarthritis and spinal pain: a systematic review and meta-analysis', PEERJ, 6 (2018) [C1]
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2018 |
Johnson NA, Kypri K, Latter J, Dunlop A, Brown A, Saitz R, et al., 'Effect of electronic brief intervention on uptake of specialty treatment in hospital outpatients with likely alcohol dependence: Pilot randomized trial and qualitative interviews.', Drug and alcohol dependence, 183 253-260 (2018) [C1]
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2018 |
Abdul Razak L, Yoong SL, Wiggers J, Morgan P, Jones J, Finch M, et al., 'Impact of scheduling multiple free-play periods in childcare on child moderate-to-vigorous physical activity: a cluster randomised trial', International Journal of Behavioral Nutrition and Physical Activity, 15 1-13 (2018) [C1]
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2018 |
McFadyen T, Tindall J, Wiggers J, Kingsland M, Sherker S, Gillham K, et al., 'Alcohol management practices in community sporting clubs: Validation of an online self-report tool', Drug and Alcohol Review, 37 580-587 (2018) [C1]
© 2018 Australasian Professional Society on Alcohol and other Drugs Introduction and Aims: Those involved in organised sport have a high risk of excessive alcohol consumption and ... [more]
© 2018 Australasian Professional Society on Alcohol and other Drugs Introduction and Aims: Those involved in organised sport have a high risk of excessive alcohol consumption and alcohol-related harm, the implementation of alcohol management practices have been proven to reduce these risks. Measuring alcohol management practice implementation by sporting clubs is impeded by a lack of valid tools. The aim of this study was to determine the validity of online self-report of alcohol-management practices by community football clubs via comparison with observational methods. Design and Methods: A cross-sectional study was undertaken with a sample of community football clubs within Australia. The implementation of 12 alcohol management practices was collected via: (i) an online survey; and (ii) observational audit at a clubs home ground. The prevalence of implementation of alcohol management practices for both data collection methods was calculated as was percent agreement and Kappa/Prevalence Adjusted and Bias Adjusted Kappa (PABAK) statistics. Results: Data were collected from 58 football clubs. For both assessment methods, implementation prevalence was greater than 80% for 6 of the 12 alcohol management practices. A total of 75% (n = 9) of practices had at least 70% agreement between the online and observation methods of assessment. Kappa/PABAK scores ranged from -0.08 (poor agreement) to 0.97 (almost perfect agreement). Discussion and Conclusion: The online survey provided valid measure of assessing some but not all alcohol management practices in community sporting clubs. The validity of the measure may be improved by enhancements to the manner in which the self-report data are collected.
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2018 |
Yoong SL, Stockings E, Chai LK, Tzelepis F, Wiggers J, Oldmeadow C, et al., 'Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: A systematic review and meta-analysis of country level data', Australian and New Zealand Journal of Public Health, 42 303-308 (2018) [C1]
© 2018 The Authors. Objective: To describe the prevalence and change in prevalence of electronic nicotine delivery systems (ENDS) use in youth by country and combustible smoking s... [more]
© 2018 The Authors. Objective: To describe the prevalence and change in prevalence of electronic nicotine delivery systems (ENDS) use in youth by country and combustible smoking status. Methods: Databases and the grey literature were systematically searched to December 2015. Studies describing the prevalence of ENDS use in the general population aged =20 years in a defined geographical region were included. Where multiple estimates were available within countries, prevalence estimates of ENDS use were pooled for each country separately. Results: Data from 27 publications (36 surveys) from 13 countries were included. The prevalence of ENDS ever use in 2013¿2015 among youth were highest in Poland (62.1%; 95%CI: 59.9-64.2%), and lowest in Italy (5.9%; 95%CI: 3.3-9.2%). Among non-smoking youth, the prevalence of ENDS ever use in 2013¿2015 varied, ranging from 4.2% (95%CI: 3.8-4.6%) in the US to 14.0% in New Zealand (95%CI: 12.7-15.4%). The prevalence of ENDS ever use among current tobacco smoking youth was the highest in Canada (71.9%, 95%CI: 70.9-72.8%) and lowest in Italy (29.9%, 95%CI: 18.5-42.5%). Between 2008 and 2015, ENDS ever use among youth increased in Poland, Korea, New Zealand and the US; decreased in Italy and Canada; and remained stable in the UK. Conclusions: There is considerable heterogeneity in ENDS use among youth globally across countries and also between current smokers and non-smokers. Implications for public health: Population-level survey data on ENDS use is needed to inform public health policy and messaging globally.
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2018 |
Wolfenden L, Stockings E, Yoong SL, 'Regulating e-cigarettes in Australia: implications for tobacco use by young people', MEDICAL JOURNAL OF AUSTRALIA, 208 8-+ (2018)
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2018 |
O'Brien KM, Wiggers J, Williams A, Campbell E, Hodder RK, Wolfenden L, et al., 'Telephone-based weight loss support for patients with knee osteoarthritis: a pragmatic randomised controlled trial', Osteoarthritis and Cartilage, 26 485-494 (2018) [C1]
© 2018 Osteoarthritis Research Society International Objective: To determine the effectiveness of telephone-based weight loss support in reducing the intensity of knee pain in pat... [more]
© 2018 Osteoarthritis Research Society International Objective: To determine the effectiveness of telephone-based weight loss support in reducing the intensity of knee pain in patients with knee osteoarthritis, who are overweight or obese, compared to usual care. Design: We conducted a parallel randomised controlled trial (RCT), embedded within a cohort multiple RCT of patients on a waiting list for outpatient orthopaedic consultation at a tertiary referral hospital in NSW, Australia. Patients with knee osteoarthritis, classified as overweight or obese [body mass index (BMI) between =27 kg/m2 and <40 kg/m2] were randomly allocated to receive referral to an existing non-disease specific government funded 6-month telephone-based weight management and healthy lifestyle service or usual care. The primary outcome was knee pain intensity measured using an 11-point numerical rating scale (NRS) over 6-month follow-up. A number of secondary outcomes, including self-reported weight were measured. Data analysis was by intention-to-treat according to a pre-published analysis plan. Results: Between May 19 and June 30 2015, 120 patients were randomly assigned to the intervention (59 analysed, one post-randomisation exclusion) or usual care (60 analysed). We found no statistically significant between group differences in pain intensity [area under the curve (AUC), mean difference 5.4, 95%CI: -13.7 to 24.5, P = 0.58] or weight change at 6 months (self-reported; mean difference -0.4, 95%CI: -2.6 to 1.8, P = 0.74). Conclusions: Among patients with knee osteoarthritis who are overweight, telephone-based weight loss support, provided using an existing 6-month weight management and healthy lifestyle service did not reduce knee pain intensity or weight, compared with usual care. Trial registration number: ACTRN12615000490572
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2018 |
Nathan N, Elton B, Babic M, McCarthy N, Sutherland R, Presseau J, et al., 'Barriers and facilitators to the implementation of physical activity policies in schools: A systematic review', Preventive Medicine, 107 45-53 (2018) [C1]
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2018 |
Williams A, Wiggers J, O'Brien KM, Wolfenden L, Yoong SL, Hodder RK, et al., 'Effectiveness of a healthy lifestyle intervention for chronic low back pain: a randomised controlled trial.', Pain, 159 1137-1146 (2018) [C1]
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2018 |
Reilly KL, Reeves P, Deeming S, Yoong SL, Wolfenden L, Nathan N, Wiggers J, 'Economic analysis of three interventions of different intensity in improving school implementation of a government healthy canteen policy in Australia: Costs, incremental and relative cost effectiveness', BMC Public Health, 18 1-9 (2018) [C1]
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2018 |
Fehily C, Bartlem K, Wiggers J, Wolfenden L, Regan T, Dray J, et al., 'Systematic review of interventions to increase the provision of care for chronic disease risk behaviours in mental health settings: review protocol', SYSTEMATIC REVIEWS, 7 (2018)
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2018 |
Wolfenden L, Goldman S, Stacey FG, Grady A, Kingsland M, Williams CM, et al., 'Strategies to improve the implementation of workplace-based policies or practices targeting tobacco, alcohol, diet, physical activity and obesity.', Cochrane Database Syst Rev, 11 CD012439 (2018) [C1]
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2018 |
Grady A, Seward K, Finch M, Fielding A, Stacey F, Jones J, et al., 'Barriers and Enablers to Implementation of Dietary Guidelines in Early Childhood Education Centers in Australia: Application of the Theoretical Domains Framework.', Journal of nutrition education and behavior, 50 229-237.e1 (2018) [C1]
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2018 |
Williams A, Kamper SJ, Wiggers JH, O'Brien KM, Lee H, Wolfenden L, et al., 'Musculoskeletal conditions may increase the risk of chronic disease: A systematic review and meta-analysis of cohort studies', BMC Medicine, 16 (2018) [C1]
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2018 |
Yoong SL, Stockings E, Wolfenden L, 'Regulating e-cigarettes in Australia: Implications for tobacco use by young people', Medical Journal of Australia, 208 415-415.e1 (2018)
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2018 |
Milner S, Sherker S, Clinton-McHarg T, Dray J, Zukowski N, Gonzalez S, et al., 'Cluster randomised controlled trial of a multicomponent intervention to support the implementation of policies and practices that promote healthier environments at junior sports clubs: study protocol', BMJ OPEN, 8 (2018)
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2018 |
McFadyen T, Wolfenden L, Kingsland M, Tindall J, Rowland B, Sherker S, et al., 'Randomised controlled trial of a web-based programme in sustaining best practice alcohol management practices at community sports clubs: a study protocol', BMJ OPEN, 8 (2018)
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2018 |
Ooi JY, Sutherland R, Nathan N, Yoong SL, Janssen L, Wrigley J, Wolfenden L, 'A cluster randomised controlled trial of a sugar-sweetened beverage intervention in secondary schools: Pilot study protocol', Nutrition and Health, 24 217-229 (2018)
© The Author(s) 2018. Background: Due to the rising prevalence of overweight and obesity in children and adolescents, reducing childhood overweight and obesity rates is a public-h... [more]
© The Author(s) 2018. Background: Due to the rising prevalence of overweight and obesity in children and adolescents, reducing childhood overweight and obesity rates is a public-health priority. A significant source of excess sugar and energy in children¿s diets comes from sugar-sweetened beverages (SSB), with adolescents having the highest intake of all age groups. However, existing interventions targeting SSB intake in adolescents have multiple limitations. Schools have proven to be an appropriate setting for improving student health. Aim: To assess the effectiveness of a school-based SSB intervention in reducing daily SSB consumption and daily percentage energy from SSBs of secondary-school students. Methods: A pilot study (switchURsip) was designed based on the Health Promoting Schools framework components. A convenience sample of schools in New South Wales, Australia will be used to recruit six schools (three intervention; three control). The study incorporates strategies that focus on factors associated with SSB intake in adolescents. These strategies include: lesson plans on SSB; communication with students and parents; school challenge to build peer support; and school nutrition environment modifications. Support strategies to facilitate implementation are executive leadership and school committees, auditing and feedback, providing resources, staff professional learning and communication and marketing. Conclusion: The high intake of SSB in adolescents has been consistently linked to having overweight and obesity, hence, interventions in this area should be prioritised. This pilot study intends to address identified evidence gaps by piloting the first intervention in Australia of its kind to reduce SSB intake in adolescents.
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2018 |
McFadyen T, Chai LK, Wyse R, Kingsland M, Yoong SL, Clinton-McHarg T, et al., 'Strategies to improve the implementation of policies, practices or programmes in sporting organisations targeting poor diet, physical inactivity, obesity, risky alcohol use or tobacco use: a systematic review', BMJ open, 8 (2018) [C1]
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2018 |
Seward K, Wolfenden L, Finch M, Wiggers J, Wyse R, Jones J, Yoong SL, 'Improving the implementation of nutrition guidelines in childcare centres improves child dietary intake: findings of a randomised trial of an implementation intervention.', Public health nutrition, 21 607-617 (2018) [C1]
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2018 |
Stockings E, Bartlem K, Hall A, Hodder R, Gilligan C, Wiggers J, et al., 'Whole-of-community interventions to reduce population-level harms arising from alcohol and other drug use: A systematic review and meta-analysis', Addiction, 113 1984-2018 (2018) [C1]
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2018 |
Clinton-McHarg T, Janssen L, Delaney T, Reilly K, Regan T, Nathan N, et al., 'Availability of food and beverage items on school canteen menus and association with items purchased by children of primary-school age', Public Health Nutrition, 21 2907-2914 (2018) [C1]
© The Authors 2018Â. Objective To (i) describe the proportion of foods and beverages available on school canteen menus classified as having high ('green'), moderate (&ap... [more]
© The Authors 2018Â. Objective To (i) describe the proportion of foods and beverages available on school canteen menus classified as having high ('green'), moderate ('amber') or low ('red') nutritional value; (ii) describe the proportion of these items purchased by students; and (iii) examine the association between food and beverage availability on school canteen menus and food and beverage purchasing by students.Design A cross-sectional study was conducted as part of a larger randomised controlled trial (RCT).Setting A nested sample of fifty randomly selected government schools from the Hunter New England region of New South Wales, Australia, who had participated in an RCT of an intervention to improve the availability of healthy foods sold from school canteens, was approached to participate.Subjects School principals, canteen managers and students.Results The average proportion of green, amber and red items available on menus was 47·9, 47·4 and 4·7 %, respectively. The average proportion of green, amber and red items purchased by students was 30·1, 61·8 and 8·1 %, respectively. There was a significant positive relationship between the availability and purchasing of green (R 2=0·66), amber (R 2=0·57) and red menu items (R 2=0·61). In each case, a 1 % increase in the availability of items in these categories was associated with a 1·21, 1·35 and 1·67 % increase in purchasing of items of high, moderate and low nutritional value, respectively.Conclusions The findings provide support for school-based policies to improve the relative availability of healthy foods for sale in these settings.
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2018 |
McCarter K, Baker A, Britton B, Wolfenden L, Wratten C, bauer J, et al., 'Smoking, drinking, and depression: comorbidity in head and neck cancer patients undergoing radiotherapy', Cancer Medicine, 7 2382-2390 (2018) [C1]
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2018 |
Hodder RK, Freund M, Bowman J, Wolfenden L, Campbell E, Dray J, et al., 'Differential intervention effectiveness of a universal school-based resilience intervention in reducing adolescent substance use within student subgroups: Exploratory assessment within a cluster-randomised controlled trial', BMJ Open, 8 (2018) [C1]
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2018 |
Johnson NA, Kypri K, Saunders JB, Saitz R, Attia J, Latter J, et al., 'Effect of electronic screening and brief intervention on hazardous or harmful drinking among adults in the hospital outpatient setting: A randomized, double-blind, controlled trial', Drug and Alcohol Dependence, 191 78-85 (2018) [C1]
© 2018 Elsevier B.V. Background: Most trials of electronic alcohol screening and brief intervention (e-SBI) have been conducted in young people. The aim of this study was to evalu... [more]
© 2018 Elsevier B.V. Background: Most trials of electronic alcohol screening and brief intervention (e-SBI) have been conducted in young people. The aim of this study was to evaluate the effect of e-SBI in adults with hazardous or harmful drinking. Methods: This individually randomized, parallel, two-group, double-blind controlled trial was conducted in the outpatient department of a large public hospital in Australia. Consenting adults who scored 5¿9 on the AUDIT-C (837/3225; 26%) were randomized in a 1:1 ratio by computer to screening alone (442/837; 53%) or to 10 min of assessment and personalized feedback on their alcohol consumption (comparisons with medical guidelines and age and sex-specific norms), peak blood alcohol concentration, expenditure on alcohol, and risk of alcohol dependence (395/837; 47%). The two primary outcomes, assessed six months after randomization, were the number of standard drinks (10 g ethanol) consumed by participants in the last seven days and their AUDIT score. Results: 693/837 (83%) and 635/837 (76%) participants were followed-up at 6 and 12 months, respectively. There was no statistically significant difference between the groups in the median number of standard drinks consumed in the last seven days (intervention: 12; control: 10.5; rate ratio, 1.12 [95% confidence interval, 0.96¿1.31]; P =.17) or in their median AUDIT score (intervention: 7; control: 7; mean difference, 0.28 [-0.42 to 0.98]; P =.44). Conclusion: These results do not support the implementation of an e-SBI program comprising personalized feedback and normative feedback for adults with hazardous or harmful drinking in the hospital outpatient setting.
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2018 |
Kingsland M, Doherty E, Anderson AE, Crooks K, Tully B, Tremain D, et al., 'A practice change intervention to improve antenatal care addressing alcohol consumption by women during pregnancy: research protocol for a randomised stepped-wedge cluster trial', IMPLEMENTATION SCIENCE, 13 (2018)
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2018 |
Hodder RK, O'Brien KM, Stacey FG, Wyse RJ, Clinton-Mcharg T, Tzelepis F, et al., 'Interventions for increasing fruit and vegetable consumption in children aged five years and under', Cochrane Database of Systematic Reviews, 2018 (2018)
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2018 |
Grady A, Yoong S, Sutherland R, Lee H, Nathan N, Wolfenden L, 'Improving the public health impact of eHealth and mHealth interventions', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 42 118-119 (2018)
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2018 |
Brown A, Sutherland R, Nathan N, Lecathelinais C, Reynolds R, Janssen L, et al., 'Assessing the Effectiveness, Feasibility and Acceptability of an m-Health Intervention to Improve the Nutritional Quality of Primary School Aged Children's Lunchboxes', Asia-Pacific Journal of Clinical Oncology, 14 17-17 (2018)
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2018 |
Reilly KL, Nathan N, Wiggers J, Yoong SL, Wolfenden L, 'Scale up of a multi-strategic intervention to increase implementation of a school healthy canteen policy: Findings of an intervention trial', BMC Public Health, 18 (2018) [C1]
© 2018 The Author(s). Background: Implementation interventions delivered in schools to improve food provision have been found to improve student diet and reduce child obesity risk... [more]
© 2018 The Author(s). Background: Implementation interventions delivered in schools to improve food provision have been found to improve student diet and reduce child obesity risk. If the health benefits of food availability policies are to be realised, interventions that are effective need to be implemented at scale, across an entire population of schools. This study aims to assess the potential effectiveness of an intervention in increasing the implementation, at scale, of a healthy canteen policy by Australian primary schools. Methods: A non-controlled before and after study was conducted in primary schools located in the Hunter New England region of New South Wales, Australia. Schools received a multi-component intervention adapted from a previous efficacious and cost-effective randomised control trial. The primary trial outcome was the proportion of canteen menus compliant with the state healthy canteen policy, assessed via menu audit at baseline and follow-up by dietitians. Secondary outcomes included policy reach and adoption and maintenance policy implementation. Results: Of the 173 schools eligible for inclusion in the trial, 168 provided menus at baseline and 157 menus were collected at follow-up. At follow-up, multiple imputation analysis found 35% (55/157) of schools compared to 17% (29/168) at baseline (OR = 2.8 (1.6-4.7), p = < 0.001) had menus compliant with the state healthy canteen policy. As an assessment of the impact of the intervention on policy reach, canteen manager and principal knowledge of the policy increased from 64% (n = 76) and 38% (n = 44) respectively at baseline to 69% (n = 89) and 60% (n = 70) at follow-up (p = 0.393, p = 0.026). Adoption of the policy increased from 80% (n = 93) at baseline to 90% (n = 104) at follow-up (p = 0.005) for principals, and from 86% (n = 105) to 96% (n = 124) (p = 0.0001) for canteen managers. Multiple imputation analysis showed intervention effects were maintained six-months post intervention (33% of menus compliant OR = 2.6 (1.5-4.5), p = < 0.001 compared to baseline). Conclusions: This study found school canteen compliance with a healthy food policy increased in association with a multi-strategy intervention delivered at scale. The study provides evidence for public health policy makers and practitioners regarding strategies and modes of support required to support improvement in nutrition policy implementation across entire populations of schools.
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2018 |
Reilly K, Nathan N, Wu JHY, Delaney T, Wyse R, Cobcroft M, et al., 'Assessing the potential impact of a front-of-pack nutritional rating system on food availability in school canteens: A randomised controlled trial', Appetite, 121 309-315 (2018) [C1]
© 2017 Background Front-of-pack graphical nutritional rating of products is becoming an important strategy in many countries to improve healthy food purchases by consumers. Eviden... [more]
© 2017 Background Front-of-pack graphical nutritional rating of products is becoming an important strategy in many countries to improve healthy food purchases by consumers. Evidence of the effectiveness of such on facilitating healthy food choices by school food service providers has not been reported. The primary aim of the study was to assess the impact of providing front-of-pack nutritional rating information on school canteen managers¿ likely food selections. Secondary outcomes were canteen manager awareness, attitudes and reported barriers to using the front-of-pack information. Methods A randomised controlled trial involving primary school canteen managers was conducted in a single region in New South Wales, Australia. Eligible participants were randomised to an intervention or control group and asked in a telephone interview which of 12 common food products sold in school canteens they would sell. Both groups received product name and brand information. The intervention group also received information regarding the nutritional rating of products. Results Canteen managers in the intervention group were significantly more likely than those in the control group to indicate they would sell three of the six ¿healthier¿ products (p = 0.036, 0.005, 0.009). There was no difference between groups in the likelihood of making available for sale any of the six ¿less healthy¿ products. The majority of canteen managers who had heard of a product nutritional rating system agreed that it was helpful in identifying ¿healthier¿ foods (88%, n = 31). Conclusions The inclusion of product nutritional rating information has the potential to improve the availability of some ¿healthier¿ items on canteen menus and contribute to improving child dietary intake. Further research is required to determine whether the use of product nutritional rating information actually makes a difference to canteen manager choices.
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2018 |
O'Farrell A, Kingsland M, Kenny S, Eldin N, Wiggers J, Wolfenden L, Allwright S, 'A multi-faceted intervention to reduce alcohol misuse and harm amongst sports people in Ireland: A controlled trial', Drug and Alcohol Review, 37 14-22 (2018) [C1]
© 2017 The Authors Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs Introducti... [more]
© 2017 The Authors Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs Introduction and Aims: Alcohol misuse and harm are more prevalent amongst sports people than non-sports people. Few studies have trialled interventions to address alcohol misuse for this group. The study aimed to test the effectiveness of an intervention to reduce alcohol misuse and related harms amongst amateur sports people in Ireland. Design and Methods: A controlled trial was conducted in two counties in Ireland. A random selection of sports clubs in one county received a 4 month multi-faceted intervention. All sports clubs in a non-adjacent county acted as control sites. Consumption of more than 21 units of alcohol per week and six or more standard drinks on a single occasion at least once per week was the primary study outcome. Alcohol Use Disorders Identification Test scores and number of alcohol-related harms were also reported. Outcomes were assessed for cross-sectional samples of players at pre-intervention and post-intervention and paired samples of players who completed surveys at both times. Generalised linear mixed model analysis was used. Results: There was no evidence of effect for the primary outcomes or Alcohol Use Disorders Identification Test scores. There was a statistically significant difference in the median number of alcohol-related harms reported by intervention group players compared with control group players at post-intervention for the paired samples [intervention: 0; control: 3; incident rate ratio 0.56 (0.37, 0.84); P = 0.005]. Discussion and Conclusions: Intervention in community sports clubs may be effective in reducing the number of alcohol-related harms. Low levels of intervention participation and inadequate intervention dose are possible reasons for lack of a broader intervention effect. [O'Farrell A, Kingsland M, Kenny S, Eldin N, Wiggers J, Wolfenden L, Allwright S. A multi-faceted intervention to reduce alcohol misuse and harm amongst sports people in Ireland: A controlled trial. Drug Alcohol Rev 2018;37:14¿22].
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2018 |
McCarter K, Britton B, Baker AL, Halpin SA, Beck AK, Carter G, et al., 'Interventions to improve screening and appropriate referral of patients with cancer for psychosocial distress: Systematic review', BMJ Open, 8 (2018) [C1]
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2017 |
Beck AK, Britton B, Baker A, Odelli C, Wratten C, Bauer J, et al., 'Preliminary report: training head and neck cancer dietitians in behaviour change counselling', Psycho-Oncology, 26 405-407 (2017) [C1]
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2017 |
Seward K, Wolfenden L, Wiggers J, Finch M, Wyse R, Oldmeadow C, et al., 'Measuring implementation behaviour of menu guidelines in the childcare setting: confirmatory factor analysis of a theoretical domains framework questionnaire (TDFQ)', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 14 (2017) [C1]
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2017 |
Jones J, Yoong SL, Wyse R, Ward DS, Wolfenden L, 'Improving the impact of obesity prevention interventions in the childcare setting: The need for a systematic application of implementation science', JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 53 211-213 (2017)
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2017 |
Skouteris H, Edwards S, Morris H, Cox R, Baur L, Wolfenden L, Huang TT, 'Early childhood education and health working in partnership: the critical role early childhood educators can play in childhood obesity prevention', Early Child Development and Care, 187 1239-1243 (2017) [C1]
© 2017 Informa UK Limited, trading as Taylor & Francis Group. Preschool children¿s interest in popular culture is linked to many determinants of obesity development includin... [more]
© 2017 Informa UK Limited, trading as Taylor & Francis Group. Preschool children¿s interest in popular culture is linked to many determinants of obesity development including branded energy-dense foods and sedentary play using digital technologies. In addition, highly packaged foods and throwaway toys reinforce unsustainable environmental habits encouraged by immersive marketing systems. Interrupting the effects of these systems demands multiple and diverse solutions. Our solution engages early childhood educators in obesity prevention by doing what they do best¿pedagogy, curricula and care. Assisting young children to interact with their interests and developing habits like Healthy eating, Active play and environmentally Sustainable practices (HAS) is unique methodology. We believe that building the capacity of educators to co-create HAS curricula using children¿s interests has the potential to develop life-long well-being and sustainability habits. HAS curricula aid in young children¿s development of agentic decision-making abilities through the transformation of everyday concepts into higher-order mature concepts.
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2017 |
Tremain D, Freund M, Wolfenden L, Wye P, Bowman J, Dunlop A, et al., 'Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community-based substance use treatment services', Drug and Alcohol Review, 36 369-377 (2017) [C1]
© 2016 The Authors Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs Introducti... [more]
© 2016 The Authors Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs Introduction and Aims: Health risk behaviours, such as smoking, nutrition and physical inactivity, are significant contributors to chronic disease for people with substance use disorders. This study reports the prevalence of these behaviours amongst substance use treatment clients, their attitudes towards modifying such behaviours and the acceptability of receiving support to do so. Client characteristics associated with risk status and interest in modifying behaviours were examined. Design and Methods: A cross-sectional survey was undertaken with clients of 15 community substance use treatment services within in New South Wales, Australia. Data for the study were collected via computer assisted telephone interviews. Results: Of those contactable and eligible, 386 (71%) clients completed the survey. Clients reported a high prevalence of smoking (80%), insufficient fruit and/or vegetable consumption (89%) and insufficient physical activity (31%). Overall, 51¿69% of clients reported considering modifying their health risk behaviours and 88¿97% thought it was acceptable to be provided preventive care to address such behaviours. Younger clients were more likely to smoke (18¿34 years (odds ratio [OR] = 4.6 [95% confidence interval [CI] = 1.9, 11.3]); 35¿54 years (OR = 2.6 [95% CI = 1.2, 5.7])) and be interested in increasing vegetable consumption (18¿34 years (OR = 4.4 [95% CI = 1.3, 14.8]); 35¿54 years (OR = 8.0 [95% CI = 2.5, 25.4])) than older clients (=55 years). Discussion and Conclusions: There is a high prevalence of health risk behaviours amongst clients of community substance use treatment services. However, contrary to commonly cited barriers to care provision, clients are interested in modifying their risk behaviours and report that receiving preventive care to address these behaviours is acceptable. [Tremain D, Freund M, Wolfenden L, Wye P, Bowman J, Dunlop A, Gillham K, Bartlem K, McElwaine K, Gow B, Wiggers J. Modifiable health risk behaviours and attitudes towards behaviour change of clients attending community-based substance use treatment services. Drug Alcohol Rev 2017;36:369¿377.].
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2017 |
McFadyen T, Wolfenden L, Wiggers J, Tindall J, Yoong SL, Lecathelinais C, et al., 'The Feasibility and Acceptability of a Web-Based Alcohol Management Intervention in Community Sports Clubs: A Cross-Sectional Study.', JMIR Res Protoc, 6 e123 (2017) [C1]
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2017 |
Powell BJ, Stanick CF, Halko HM, Dorsey CN, Weiner BJ, Barwick MA, et al., 'Toward criteria for pragmatic measurement in implementation research and practice: a stakeholder-driven approach using concept mapping.', Implementation science : IS, 12 1-7 (2017) [C1]
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2017 |
McLaren N, Kamper SJ, Hodder RK, Wiggers JH, Wolfenden L, Bowman J, et al., 'Increased Substance Use and Poorer Mental Health in Adolescents With Problematic Musculoskeletal Pain', Journal of Orthopaedic and Sports Physical Therapy, 47 705-711 (2017) [C1]
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2017 |
Wyse R, Wiggers J, Delaney T, Ooi JY, Marshall J, Clinton-McHarg T, Wolfenden L, 'The price of healthy and unhealthy foods in Australian primary school canteens', Australian and New Zealand Journal of Public Health, 41 45-47 (2017) [C1]
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2017 |
Wolfenden L, Nathan NK, Sutherland R, Yoong SL, Hodder RK, Wyse RJ, et al., 'Strategies for enhancing the implementation of school-based policies or practices targeting risk factors for chronic disease', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2017) [C1]
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2017 |
Delaney T, Wyse R, Yoong SL, Sutherland R, Wiggers J, Ball K, et al., 'Cluster randomized controlled trial of a consumer behavior intervention to improve healthy food purchases from online canteens.', The American journal of clinical nutrition, 106 1311-1320 (2017) [C1]
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2017 |
Hodder RK, Wolfenden L, 'Comparison of online and paper survey participation rates in a child health survey by parents of secondary school students', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 41 547-548 (2017)
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2017 |
Seward K, Finch M, Yoong SL, Wyse R, Jones J, Grady A, et al., 'Factors that influence the implementation of dietary guidelines regarding food provision in centre based childcare services: A systematic review', Preventive Medicine, 105 197-205 (2017) [C1]
© 2017 Children attending centre based childcare services consume as much as two thirds of their daily dietary requirements while in care. However, such services often fail to pro... [more]
© 2017 Children attending centre based childcare services consume as much as two thirds of their daily dietary requirements while in care. However, such services often fail to provide foods that are consistent with guideline recommendations. Developing strategies to improve childcare service adherence to menu dietary guidelines requires a comprehensive understanding of factors that may impede or promote implementation. The primary aim of this systematic review is to describe factors (barriers and facilitators) that may influence the implementation of menu dietary guidelines regarding food provision in centre-based childcare services and to map these factors to a theoretical framework. Over 7000 citations were identified from all sources. Duplicate abstracts were removed and selection criteria applied. Twelve studies (1994¿2015) were included in the review. Dual data extraction was conducted and the reported factors were synthesised using the theoretical domains framework (TDF). Barriers and facilitators identified in qualitative studies were classified into 8 and 10 of the 14 TDF domains. Barriers and facilitators reported in quantitative studies covered 6 and 3 TDF domains respectively. The most common domain of which both barriers and facilitators to the implementation of menu dietary guidelines were identified was ¿environmental context and resources¿. This is the first study that comprehensively assesses literature to identify factors that influence the implementation of menu dietary guidelines in childcare services utilising a theoretical framework. Findings provide guidance to support researchers and policy makers design strategies to improve menu dietary guideline implementation and, as such have the potential to improve food provision in care.
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2017 |
Yoong SL, Grady A, Wiggers J, Flood V, Rissel C, Finch M, et al., 'A randomised controlled trial of an online menu planning intervention to improve childcare service adherence to dietary guidelines: a study protocol', BMJ OPEN, 7 (2017)
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2017 |
Reeves P, Deeming S, Ramanathan S, Wiggers J, Wolfenden L, Searles A, 'Measurement of the translation and impact from a childhood obesity trial programme: rationale and protocol for a research impact assessment', HEALTH RESEARCH POLICY AND SYSTEMS, 15 (2017)
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2017 |
Delaney T, Wyse R, Yoong SL, Sutherland R, Wiggers J, Ball K, et al., 'Cluster randomised controlled trial of a consumer behaviour intervention to improve healthy food purchases from online canteens: study protocol', BMJ OPEN, 7 (2017)
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2017 |
Wiggers J, McElwaine K, Freund M, Campbell L, Bowman J, Wye P, et al., 'Increasing the provision of preventive care by community healthcare services: a stepped wedge implementation trial', IMPLEMENTATION SCIENCE, 12 (2017) [C1]
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2017 |
Hodder RK, Stacey FG, Wyse RJ, O'Brien KM, Clinton-McHarg T, Tzelepis F, et al., 'Interventions for increasing fruit and vegetable consumption in children aged five years and under', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2017) [C1]
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2017 |
McCrabb S, Baker AL, Attia J, Balogh ZJ, Lott N, Naylor J, et al., 'Smoke-free recovery from trauma surgery: A pilot trial of an online smoking cessation program for orthopaedic trauma patients', International Journal of Environmental Research and Public Health, 14 1-12 (2017) [C1]
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2017 |
Dray J, Bowman J, Campbell E, Freund M, Hodder R, Wolfenden L, et al., 'Effectiveness of a pragmatic school-based universal intervention targeting student resilience protective factors in reducing mental health problems in adolescents', Journal of Adolescence, 57 74-89 (2017) [C1]
© 2017 The Authors Worldwide, 10¿20% of adolescents experience mental health problems. Strategies aimed at strengthening resilience protective factors provide a potential approach... [more]
© 2017 The Authors Worldwide, 10¿20% of adolescents experience mental health problems. Strategies aimed at strengthening resilience protective factors provide a potential approach for reducing mental health problems in adolescents. This study evaluated the effectiveness of a universal, school-based intervention targeting resilience protective factors in reducing mental health problems in adolescents. A cluster randomised controlled trial was conducted in 20 intervention and 12 control secondary schools located in socio-economically disadvantaged areas of NSW, Australia. Data were collected from 3115 students at baseline (Grade 7, 2011), of whom 2149 provided data at follow up (Grade 10, 2014; enrolments in Grades 7 to 10 typically aged 12¿16 years; 50% male; 69.0% retention). There were no significant differences between groups at follow-up for three mental health outcomes: total SDQ, internalising problems, and prosocial behaviour. A small statistically significant difference in favour of the control group was found for externalising problems. Findings highlight the continued difficulties in developing effective, school-based prevention programs for mental health problems in adolescents. Trial registration ANZCTR (Ref no: ACTRN12611000606987).
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2017 |
Stacey FG, Finch M, Wolfenden L, Grady A, Jessop K, Wedesweiler T, et al., 'Evidence of the Potential Effectiveness of Centre-Based Childcare Policies and Practices on Child Diet and Physical Activity: Consolidating Evidence from Systematic Reviews of Intervention Trials and Observational Studies', Current Nutrition Reports, 6 228-246 (2017) [C1]
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2017 |
Sutherland RL, Nathan NK, Lubans DR, Cohen K, Davies LJ, Desmet C, et al., 'An RCT to Facilitate Implementation of School Practices Known to Increase Physical Activity.', American journal of preventive medicine, 53 818-828 (2017) [C1]
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2017 |
Hodder RK, Wolfenden L, Kamper SJ, Lee H, Williams A, O'Brien KM, Williams CM, 'Developing implementation science to improve the translation of research to address low back pain: A critical review', Best Practice and Research: Clinical Rheumatology, 30 1050-1073 (2017) [C1]
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2017 |
Lee H, Mansell G, McAuley JH, Kamper SJ, Hübscher M, Moseley GL, et al., 'Causal mechanisms in the clinical course and treatment of back pain', Best Practice and Research: Clinical Rheumatology, 30 1074-1083 (2017) [C1]
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2017 |
McCrabb S, Baker AL, Attia J, Balogh ZJ, Lott N, Palazzi K, et al., 'Who is More Likely to Use the Internet for Health Behavior Change? A Cross-Sectional Survey of Internet Use Among Smokers and Nonsmokers Who Are Orthopedic Trauma Patients.', JMIR Ment Health, 4 e18 (2017) [C1]
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2017 |
McCrabb S, Balogh Z, Baker AL, Harris IA, Attia J, Lott N, et al., 'Development of an online smoking cessation program for use in hospital and following discharge: Smoke-free recovery', BMJ Innovations, 3 115-122 (2017) [C1]
© 2017, BMJ Publishing Group. All rights reserved. Background Tobacco smoking can have negative health outcomes on recovery from surgery. Although it is recommended best practice ... [more]
© 2017, BMJ Publishing Group. All rights reserved. Background Tobacco smoking can have negative health outcomes on recovery from surgery. Although it is recommended best practice to provide patients with advice to quit and follow-up support, provision of postdischarge support is rare. Developing an online smoking cessation program may help address this gap. Objectives This paper describes the development and pretesting of an online smoking cessation program (smoke-free recovery, SFR) tailored to the orthopaedic trauma population for use while in hospital and post-discharge. Methods Drawing on the DoTTI framework for developing an online program, the following steps were followed for program development: (1) design and development; (2) testing early iteration; (3) testing for effectiveness and (4) integration and implementation. This article describes the first two stages of SFR program development. Results SFR is a 10-module online smoking cessation program tailored for patients with orthopaedic trauma. Of the participants who completed testing early iterations, none reported any difficulties orientating themselves to the program or understanding program content. The main themes were that it was ¿helpful¿, provision of ¿help to quit¿ was low and SFR increased thoughts of ¿staying quit post discharge¿. Conclusions This study found that a theory and evidence-based approach as the basis for an online smoking cessation program for patients with orthopaedic trauma was acceptable to users. A randomised controlled trial will be conducted to examine whether the online smoking cessation program is effective in increasing smoking cessation and how it can be integrated and implemented into hospital practice (stages three and four of the DoTTI framework).
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2017 |
Nathan N, Sutherland R, Beauchamp MR, Cohen K, Hulteen RM, Babic M, et al., 'Feasibility and efficacy of the Great Leaders Active StudentS (GLASS) program on children's physical activity and object control skill competency: A non-randomised trial', Journal of Science and Medicine in Sport, 20 1081-1086 (2017) [C1]
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2017 |
Thomas J, Noel-Storr A, Marshall I, Wallace B, McDonald S, Mavergames C, et al., 'Living systematic reviews: 2. Combining human and machine effort', Journal of Clinical Epidemiology, 91 31-37 (2017) [C1]
© 2017 The Authors New approaches to evidence synthesis, which use human effort and machine automation in mutually reinforcing ways, can enhance the feasibility and sustainability... [more]
© 2017 The Authors New approaches to evidence synthesis, which use human effort and machine automation in mutually reinforcing ways, can enhance the feasibility and sustainability of living systematic reviews. Human effort is a scarce and valuable resource, required when automation is impossible or undesirable, and includes contributions from online communities (¿crowds¿) as well as more conventional contributions from review authors and information specialists. Automation can assist with some systematic review tasks, including searching, eligibility assessment, identification and retrieval of full-text reports, extraction of data, and risk of bias assessment. Workflows can be developed in which human effort and machine automation can each enable the other to operate in more effective and efficient ways, offering substantial enhancement to the productivity of systematic reviews. This paper describes and discusses the potential¿and limitations¿of new ways of undertaking specific tasks in living systematic reviews, identifying areas where these human/machine ¿technologies¿ are already in use, and where further research and development is needed. While the context is living systematic reviews, many of these enabling technologies apply equally to standard approaches to systematic reviewing.
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2017 |
Akl EA, Meerpohl JJ, Elliott J, Kahale LA, Schünemann HJ, Agoritsas T, et al., 'Living systematic reviews: 4. Living guideline recommendations', Journal of Clinical Epidemiology, 91 47-53 (2017) [C1]
© 2017 Elsevier Inc. While it is important for the evidence supporting practice guidelines to be current, that is often not the case. The advent of living systematic reviews has m... [more]
© 2017 Elsevier Inc. While it is important for the evidence supporting practice guidelines to be current, that is often not the case. The advent of living systematic reviews has made the concept of ¿living guidelines¿ realistic, with the promise to provide timely, up-to-date and high-quality guidance to target users. We define living guidelines as an optimization of the guideline development process to allow updating individual recommendations as soon as new relevant evidence becomes available. A major implication of that definition is that the unit of update is the individual recommendation and not the whole guideline. We then discuss when living guidelines are appropriate, the workflows required to support them, the collaboration between living systematic reviews and living guideline teams, the thresholds for changing recommendations, and potential approaches to publication and dissemination. The success and sustainability of the concept of living guideline will depend on those of its major pillar, the living systematic review. We conclude that guideline developers should both experiment with and research the process of living guidelines.
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2017 |
Simmonds M, Salanti G, McKenzie J, Elliott J, Agoritsas T, Hilton J, et al., 'Living systematic reviews: 3. Statistical methods for updating meta-analyses', Journal of Clinical Epidemiology, 91 38-46 (2017) [C1]
© 2017 Elsevier Inc. A living systematic review (LSR) should keep the review current as new research evidence emerges. Any meta-analyses included in the review will also need upda... [more]
© 2017 Elsevier Inc. A living systematic review (LSR) should keep the review current as new research evidence emerges. Any meta-analyses included in the review will also need updating as new material is identified. If the aim of the review is solely to present the best current evidence standard meta-analysis may be sufficient, provided reviewers are aware that results may change at later updates. If the review is used in a decision-making context, more caution may be needed. When using standard meta-analysis methods, the chance of incorrectly concluding that any updated meta-analysis is statistically significant when there is no effect (the type I error) increases rapidly as more updates are performed. Inaccurate estimation of any heterogeneity across studies may also lead to inappropriate conclusions. This paper considers four methods to avoid some of these statistical problems when updating meta-analyses: two methods, that is, law of the iterated logarithm and the Shuster method control primarily for inflation of type I error and two other methods, that is, trial sequential analysis and sequential meta-analysis control for type I and II errors (failing to detect a genuine effect) and take account of heterogeneity. This paper compares the methods and considers how they could be applied to LSRs.
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2017 |
Elliott JH, Synnot A, Turner T, Simmonds M, Akl EA, McDonald S, et al., 'Living systematic review: 1. Introduction the why, what, when, and how', Journal of Clinical Epidemiology, 91 23-30 (2017) [C1]
© 2017 Elsevier Inc. Systematic reviews are difficult to keep up to date, but failure to do so leads to a decay in review currency, accuracy, and utility. We are developing a nove... [more]
© 2017 Elsevier Inc. Systematic reviews are difficult to keep up to date, but failure to do so leads to a decay in review currency, accuracy, and utility. We are developing a novel approach to systematic review updating termed ¿Living systematic review¿ (LSR): systematic reviews that are continually updated, incorporating relevant new evidence as it becomes available. LSRs may be particularly important in fields where research evidence is emerging rapidly, current evidence is uncertain, and new research may change policy or practice decisions. We hypothesize that a continual approach to updating will achieve greater currency and validity, and increase the benefits to end users, with feasible resource requirements over time.
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2017 |
Ben Charif A, Zomahoun HTV, LeBlanc A, Langlois L, Wolfenden L, Yoong SL, et al., 'Effective strategies for scaling up evidence-based practices in primary care: A systematic review', Implementation Science, 12 (2017) [C1]
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2017 |
Metse AP, Wiggers J, Wye P, Wolfenden L, Freund M, Clancy R, et al., 'Efficacy of a universal smoking cessation intervention initiated in inpatient psychiatry and continued post-discharge: A randomised controlled trial', Australian and New Zealand Journal of Psychiatry, 51 366-381 (2017) [C1]
© The Royal Australian and New Zealand College of Psychiatrists. Objective: Interventions are required to redress the disproportionate tobacco-related health burden experienced by... [more]
© The Royal Australian and New Zealand College of Psychiatrists. Objective: Interventions are required to redress the disproportionate tobacco-related health burden experienced by persons with a mental illness. This study aimed to assess the efficacy of a universal smoking cessation intervention initiated within an acute psychiatric inpatient setting and continued post-discharge in reducing smoking prevalence and increasing quitting behaviours. Method: A randomised controlled trial was undertaken across four psychiatric inpatient facilities in Australia. Participants (N = 754) were randomised to receive either usual care (n = 375) or an intervention comprising a brief motivational interview and self-help material while in hospital, followed by a 4-month pharmacological and psychosocial intervention (n = 379) upon discharge. Primary outcomes assessed at 6 and 12 months post-discharge were 7-day point prevalence and 1-month prolonged smoking abstinence. A number of secondary smoking-related outcomes were also assessed. Subgroup analyses were conducted based on psychiatric diagnosis, baseline readiness to quit and nicotine dependence. Results: Seven-day point prevalence abstinence was higher for intervention participants (15.8%) than controls (9.3%) at 6 months post-discharge (odds ratio = 1.07, p = 0.04), but not at 12 months (13.4% and 10.0%, respectively; odds ratio = 1.03, p = 0.25). Significant intervention effects were not found on measures of prolonged abstinence at either 6 or 12 months post-discharge. Differential intervention effects for the primary outcomes were not detected for any subgroups. At both 6 and 12 months post-discharge, intervention group participants were significantly more likely to smoke fewer cigarettes per day, have reduced cigarette consumption by 3/450% and to have made at least one quit attempt, relative to controls. Conclusions: Universal smoking cessation treatment initiated in inpatient psychiatry and continued post-discharge was efficacious in increasing 7-day point prevalence smoking cessation rates and related quitting behaviours at 6 months post-discharge, with sustained effects on quitting behaviour at 12 months. Further research is required to identify strategies for achieving longer term smoking cessation.
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2017 |
Hodder RK, Freund M, Wolfenden L, Bowman J, Nepal S, Dray J, et al., 'Systematic review of universal school-based resilience interventions targeting adolescent tobacco, alcohol or illicit substance use: A meta-analysis', Preventive Medicine, 100 248-268 (2017) [C1]
© 2017 Elsevier Inc. Universal school-based interventions that address adolescent ¿resilience¿ may represent a means of reducing adolescent substance use, however previous systema... [more]
© 2017 Elsevier Inc. Universal school-based interventions that address adolescent ¿resilience¿ may represent a means of reducing adolescent substance use, however previous systematic reviews have not examined the effectiveness of such an intervention approach. A systematic review was undertaken to 1) assess whether universal school-based ¿resilience¿ interventions are effective in reducing the prevalence of tobacco, alcohol or illicit substance use by adolescents, and 2) describe such effectiveness per intervention characteristic subgroups. Eligible studies were peer-reviewed reports (1994¿2015) of randomised controlled trials including participants aged 5¿18¿years that reported adolescent tobacco, alcohol or illicit substance use, and implemented a universal school-based ¿resilience¿ intervention (i.e. those addressing both individual (e.g. self-esteem) and environmental (e.g. school connectedness) protective factors of resilience). Trial effects for binary outcomes were synthesised via meta-analyses and effect sizes reported as odds ratios. Subgroup (by intervention type, prevention approach, setting, intervention duration, follow-up length) and sensitivity analyses (excluding studies at high risk of bias) were conducted. Nineteen eligible studies were identified from 16,619 records (tobacco: n¿=¿15, alcohol: n¿=¿17, illicit: n¿=¿11). An overall intervention effect was found for binary measures of illicit substance use (n¿=¿10; OR: 0.78, 95%CI: 0.6¿0.93, p¿=¿0.007,Tau2¿=¿0.0, I2¿=¿0%), but not tobacco or alcohol use. A similar result was found when studies assessed as high risk of bias were excluded. Overall intervention effects were evident for illicit substance use within multiple intervention characteristic subgroups, but not tobacco and alcohol. Such results support the implementation of universal school-based interventions that address ¿resilience¿ protective factors to reduce adolescent illicit substance use, however suggest alternate approaches are required for tobacco and alcohol use. PROSPERO registration: CRD42014004906.
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2017 |
Nathan N, Wiggers J, Wyse R, Williams CM, Sutherland R, Yoong SL, et al., 'Factors associated with the implementation of a vegetable and fruit program in a population of Australian elementary schools', Health Education Research, 32 197-205 (2017) [C1]
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2017 |
McCrabb S, Baker AL, Attia J, Balogh ZJ, Lott N, Palazzi K, et al., 'Smoking, Quitting, and the Provision of Smoking Cessation Support: A Survey of Orthopaedic Trauma Patients', Journal of Orthopaedic Trauma, 31 e255-e262 (2017) [C1]
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved. Objective: This study investigates orthopaedic trauma patients smoking cessation history, intentions to quit, rec... [more]
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved. Objective: This study investigates orthopaedic trauma patients smoking cessation history, intentions to quit, receipt of smoking cessation care during hospital admission, and patient-related factors associated with receipt of smoking cessation care. Methods: An online cross-sectional survey of orthopaedic trauma patients was conducted in 2 public hospitals in New South Wales, Australia. Prevalence of smoking and associated variables were described. Logistic regressions were used to examine whether patient characteristics were associated with receipt of smoking cessation care. Results: Eight hundred nineteen patients (response rate 73%) participated. More than 1 in 5 patients (21.8%) were current smokers (n = 175). Of the current smokers, more than half (55.3%) indicated making a quit attempt in the last 12 months and the majority (77.6%) were interested in quitting. More than a third of smokers (37.4%) were not advised to quit; 44.3% did not receive any form of nicotine replacement therapy; and 24.1% reported that they did not receive any of these 3 forms of smoking cessation care during their admission. Provision of care was not related to patient characteristics. Conclusions: The prevalence of smoking among the sample was high. Respondents were interested in quitting; however, the provision of care during admission was low. Smoking cessation interventions need to be developed to increase the provision of care and to promote quit attempts in this Australian population.
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2017 |
Wolfenden L, Yoong SL, Williams CM, Grimshaw J, Durrheim DN, Gillham K, Wiggers J, 'Embedding researchers in health service organizations improves research translation and health service performance: the Australian Hunter New England Population Health example.', Journal of clinical epidemiology, 85 3-11 (2017) [C1]
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2017 |
Metse AP, Wiggers JH, Wye PM, Wolfenden L, Prochaska JJ, Stockings EA, et al., 'Smoking and mental illness: A bibliometric analysis of research output over time', Nicotine and Tobacco Research, 19 24-31 (2017) [C1]
© The Author 2016. Introduction: The prevalence of smoking among persons with a mental illness has remained unchanged, being 2-3 times higher than the general population in high-i... [more]
© The Author 2016. Introduction: The prevalence of smoking among persons with a mental illness has remained unchanged, being 2-3 times higher than the general population in high-income countries. Assessment of the volume and characteristics of research output over time can assist in identifying research priorities to promote progress within a field. The aim of this study was to undertake such an assessment in the field of smoking and mental illness. Methods: A descriptive repeat cross-sectional study was conducted of peer-reviewed publications in Medline and PsycINFO for the periods 1993-1995, 2003-2005, and 2013-2015. Publications were classified as data- or non-data-based; data-based publications were further categorized by study type, population, setting, and for intervention-focused publications by level of evidence and research translation phase. Results: Included were 547 articles published in 1993-1995 (n = 65), 2003-2005 (n = 153), and 2013-2015 (n = 329). The number and proportion of data-based publications significantly increased over time, although their focus remained predominantly descriptive (=83%); less than 14% of publications in any period had an intervention focus. The proportion of publications reporting on study populations with multiple diagnostic categories and recruiting from nonmental health settings, significantly increased from 1993-1995 to 2003-2005, however then plateaued by 2013-2015. The level of evidence provided by intervention-focused publications was suggested to increase over time, however there was no evident variation in translation phase. Conclusions: Research has increased over time to characterize smoking among those with a mental illness; however more is needed to inform the development and implementation of effective cessation interventions for this group. Implications: This is the first study to examine the volume and characteristics of research publications in the field of smoking and mental illness over time. The number of publications increased fivefold between 1993-1995 and 2013-2015. Between 1993-1995 and 2003-2005, progression was also indicated by increased: data-based publications, diagnostic diversity of samples, and variation in study settings; however further increases in such measures were not evident in 2013-2015. Notably, it continues to be the case that few intervention studies are undertaken. To achieve meaningful changes in the smoking prevalence of this group, a greater focus on research that assesses the effectiveness and implementation of tailored cessation interventions is required.
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2017 |
Hodder RK, Freund M, Bowman J, Wolfenden L, Campbell E, Dray J, et al., 'Effectiveness of a pragmatic school-based universal resilience intervention in reducing tobacco, alcohol and illicit substance use in a population of adolescents: cluster-randomised controlled trial', BMJ OPEN, 7 (2017) [C1]
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2017 |
McCrabb S, Baker AL, Attia J, Balogh ZJ, Lott N, Palazzi K, et al., 'Hospital smoke-free policy: Compliance, enforcement, and practices. A staff survey in two large public hospitals in Australia', International Journal of Environmental Research and Public Health, 14 (2017) [C1]
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2017 |
Jones J, Wyse R, Wiggers J, Yoong SL, Finch M, Lecathelinais C, et al., 'Dietary intake and physical activity levels of children attending Australian childcare services.', Nutr Diet, 74 446-453 (2017) [C1]
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2017 |
Dray J, Bowman J, Campbell E, Freund M, Wolfenden L, Hodder RK, et al., 'Systematic Review of Universal Resilience-Focused Interventions Targeting Child and Adolescent Mental Health in the School Setting', Journal of the American Academy of Child and Adolescent Psychiatry, 56 813-824 (2017) [C1]
© 2017 American Academy of Child and Adolescent Psychiatry Objective To examine the effect of universal, school-based, resilience-focused interventions on mental health problems i... [more]
© 2017 American Academy of Child and Adolescent Psychiatry Objective To examine the effect of universal, school-based, resilience-focused interventions on mental health problems in children and adolescents. Method Eligible studies were randomized controlled trials (RCTs) of universal, school-based interventions that included strategies to strengthen a minimum of 3 internal resilience protective factors, and included an outcome measure of mental health problems in children and adolescents aged 5 to 18 years. Six databases were searched from 1995 to 2015. Results were pooled in meta-analyses by mental health outcome (anxiety symptoms, depressive symptoms, hyperactivity, conduct problems, internalizing problems, externalizing problems, and general psychological distress), for all trials (5-18 years). Subgroup analyses were conducted by age (child: 5-10 years; adolescent: 11-18 years), length of follow-up (short: post-=12 months; long: >12 months), and gender (narrative). Results A total of 57 included trials were identified from 5,984 records, with 49 contributing to meta-analyses. For all trials, resilience-focused interventions were effective relative to a control in reducing 4 of 7 outcomes: depressive symptoms, internalizing problems, externalizing problems, and general psychological distress. For child trials (meta-analyses for 6 outcomes), interventions were effective for anxiety symptoms and general psychological distress. For adolescent trials (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. For short-term follow-up, interventions were effective for 2 of 7 outcomes: depressive symptoms and anxiety symptoms. For long-term follow-up (meta-analyses for 5 outcomes), interventions were effective for internalizing problems. Conclusion The findings may suggest most promise for using universal resilience-focused interventions at least for short-term reductions in depressive and anxiety symptoms for children and adolescents, particularly if a cognitive-behavioral therapy-based approach is used. The limited number of trials providing data amenable for meta-analysis for some outcomes and subgroups, the variability of interventions, study quality, and bias mean that it is not possible to draw more specific conclusions. Identifying what intervention qualities (such as number and type of protective factor) achieve the greatest positive effect per mental health problem outcome remains an important area for future research. Systematic review protocol and registration Systematic Review of Universal Resilience Interventions Targeting Child and Adolescent Mental Health in the School Setting; http://dx.doi.org/10.1186/s13643-015-0172-6; PROSPERO CRD42015025908.
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2017 |
Wyse R, Yoong SL, Dodds P, Campbell L, Delaney T, Nathan N, et al., 'Online canteens: Awareness, use, barriers to use, and the acceptability of potential online strategies to improve public health nutrition in primary schools', Health Promotion Journal of Australia, 28 67-71 (2017) [C1]
© Australian Health Promotion Association 2017. Issue addressed: This study of primary school principals assessed the awareness, use, barriers to use and acceptability of online c... [more]
© Australian Health Promotion Association 2017. Issue addressed: This study of primary school principals assessed the awareness, use, barriers to use and acceptability of online canteens. Methods: A telephone survey of 123 primary school principals within the Hunter New England Region of New South Wales, Australia was conducted from September 2014 to November 2014. Results: Fifty-six percent of principals were aware of the existence of online canteens, with 8% having implemented such a system, and 38% likely to do so in the future. Medium/large schools were more likely to be aware of or to use online canteens, however there were no differences in awareness or use in relation to school rurality or socioeconomic advantage. Principals cited parent internet access as the most commonly identified perceived barrier to online canteen use, and the majority of principals (71-93%) agreed that it would be acceptable to implement a range of consumer behaviour strategies via an online canteen. Conclusions: Study findings suggest that despite relatively low levels of current use, online canteens have the potential to reach a large proportion of school communities in the future, across geographical and socioeconomic divides, and that the nutrition interventions which they have the capacity to deliver are considered acceptable to school principals. So what? Online canteens may represent an opportunity to deliver nutrition interventions to school communities. Future research should examine the feasibility and potential effectiveness of interventions delivered via this modality.
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2017 |
Hollis JL, Sutherland R, Williams AJ, Campbell E, Nathan N, Wolfenden L, et al., 'A systematic review and meta-analysis of moderate-to-vigorous physical activity levels in secondary school physical education lessons', International Journal of Behavioral Nutrition and Physical Activity, 14 (2017) [C1]
© 2017 The Author(s). Background: Schools play an important role in physical activity promotion for adolescents. The systematic review aimed to determine the proportion of seconda... [more]
© 2017 The Author(s). Background: Schools play an important role in physical activity promotion for adolescents. The systematic review aimed to determine the proportion of secondary (middle and high) school physical education (PE) lesson time that students spend in moderate to vigorous physical activity (MVPA), and to assess if MVPA was moderated by school level (middle and high school), type of physical activity measurement and type of PE activities. Methods: A systematic search of nine electronic databases was conducted (PROSPERO2014:CRD42014009649). Studies were eligible if they were published between 2005 and 2014; written in English; assessed MVPA in PE lessons of secondary (middle and high) school students; and used a quantitative MVPA measure (i.e., accelerometry, heart rate monitoring, pedometers or observational measures). Two reviewers examined the retrieved articles, assessed risk of bias, and performed data extraction. Random effects meta-analysis was used to calculate a pooled estimate of the percent of PE lesson time spent in MVPA and to assess moderator effects where data allowed. Results: The search yielded 5,132 potentially relevant articles; 28 articles representing 25 studies (7 middle and 18 high school) from seven countries were included. Twelve studies measured MVPA through observational measures, seven used accelerometers, five used heart rate monitors and four used pedometers (including three studies using a mix of measures). Meta-analysis of 15 studies found that overall, students spent a mean (95% CI) of 40.5% (34.8-46.2%) of PE in MVPA. Middle school students spent 48.6% (41.3-55.9%) of the lesson in MVPA (n=5 studies) and high school students 35.9% (28.3-43.6%) (n=10 studies). Studies measuring MVPA using accelerometers (n=5) showed that students spent 34.7% (25.1-44.4%) of the lesson in MVPA, while 44.4% (38.3-50.5%) was found for lessons assessed via observation (n=9), 43.1% (24.3-61.9%) of the lesson for a heart rate based study, and 35.9% (31.0-40.8%) for a pedometer-measured study. Conclusions: The proportion of PE spent in MVPA (40.5%) is below the US Centre for Disease Control and Prevention and the UK Associations for Physical Education recommendation of 50%. Findings differed according to the method of MVPA assessment. Additional strategies and intervention research are needed to build more active lesson time in PE.
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2017 |
Wolfenden L, Nathan N, Janssen LM, Wiggers J, Reilly K, Delaney T, et al., 'Multi-strategic intervention to enhance implementation of healthy canteen policy: a randomised controlled trial', IMPLEMENTATION SCIENCE, 12 (2017) [C1]
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2017 |
Lee H, Wiggers J, Kamper SJ, Williams A, O'Brien KM, Hodder RK, et al., 'Mechanism evaluation of a lifestyle intervention for patients with musculoskeletal pain who are overweight or obese: protocol for a causal mediation analysis', BMJ OPEN, 7 (2017)
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2016 |
Nathan N, Yoong SL, Sutherland R, Reilly K, Delaney T, Janssen L, et al., 'Effectiveness of a multicomponent intervention to enhance implementation of a healthy canteen policy in Australian primary schools: a randomised controlled trial', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 13 (2016) [C1]
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2016 |
McCarter K, Martinez U, Britton B, Baker A, Bonevski B, Carter G, et al., 'Smoking cessation care among patients with head and neck cancer: a systematic review', BMJ OPEN, 6 (2016) [C1]
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2016 |
Flatz A, Pfeifer N, Radtke T, Kriemler S, Klerings I, Wolfenden L, von Elm E, 'Interventions implemented through sporting organisations for promoting healthy behaviour or improving health outcomes', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2016)
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2016 |
Finch M, Jones J, Yoong S, Wiggers J, Wolfenden L, 'Effectiveness of centre-based childcare interventions in increasing child physical activity: A systematic review and meta-analysis for policymakers and practitioners', Obesity Reviews, 17 412-428 (2016) [C1]
© 2016 World Obesity. Context: The review describes the effectiveness of physical activity interventions implemented in centre-based childcare services and (i) examines characteri... [more]
© 2016 World Obesity. Context: The review describes the effectiveness of physical activity interventions implemented in centre-based childcare services and (i) examines characteristics of interventions that may influence intervention effects; (ii) describes the effects of pragmatic interventions and non-pragmatic interventions; (iii) assesses adverse effects; and (iv) describes cost-effectiveness of interventions Methods: Data sources were Cochrane Central Register of Controlled trials, MEDLINE, EMBASE, PsycINFO, ERIC, CINAHL, SCOPUS and SPORTDISCUS. Studies selected included randomized controlled trials conducted in centre-based childcare including an intervention to increase objectively measured physical activity in children aged less than 6years. Data were converted into standardized mean difference (SMD) and analysed using a random effects model. Results: Overall interventions significantly improved child physical activity (SMD 0.44; 95% confidence interval [CI]: 0.12-0.76). Significant effects were found for interventions that included structured activity (SMD 0.53; 95% CI: 0.12-0.94), delivery by experts (SMD 1.26; 95% CI: 0.20-2.32) and used theory (SMD 0.76; 95% CI: 0.08-1.44). Non-pragmatic (SMD 0.80; 95% CI: 0.12-1.48) but not pragmatic interventions (SMD 0.10; 95% CI:-0.13-0.33) improved child physical activity. One trial reported adverse events, and no trials reported cost data. Conclusions: Intervention effectiveness varied according to intervention and trial design characteristics. Pragmatic trials were not effective, and information on cost and adverse effects was lacking. Evidence gaps remain for policymakers and practitioners regarding the effectiveness and feasibility of childcare-based physical activity interventions.
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2016 |
Bartlem KM, Bowman J, Freund M, Wye PM, Barker D, McElwaine KM, et al., 'Effectiveness of an intervention in increasing the provision of preventive care by community mental health services: a non-randomized, multiple baseline implementation trial', IMPLEMENTATION SCIENCE, 11 (2016) [C1]
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2016 |
Sutherland RL, Campbell EM, Lubans DR, Morgan PJ, Nathan NK, Wolfenden L, et al., 'The Physical Activity 4 Everyone Cluster Randomized Trial: 2-Year Outcomes of a School Physical Activity Intervention Among Adolescents.', Am J Prev Med, 51 195-205 (2016) [C1]
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2016 |
Slattery C, Freund M, Gillham K, Knight J, Wolfenden L, Bisquera A, Wiggers J, 'Increasing smoking cessation care across a network of hospitals: an implementation study', IMPLEMENTATION SCIENCE, 11 (2016) [C1]
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2016 |
Wolfenden L, Grimshaw J, Williams CM, Yoong SL, 'Time to consider sharing data extracted from trials included in systematic reviews', SYSTEMATIC REVIEWS, 5 (2016)
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2016 |
Hollis JL, Williams AJ, Sutherland R, Campbell E, Nathan N, Wolfenden L, et al., 'A systematic review and meta-analysis of moderate-to-vigorous physical activity levels in elementary school physical education lessons', Preventive Medicine, 86 34-54 (2016) [C1]
© 2015 Elsevier Inc. Objective: To examine elementary school students' moderate-to-vigorous physical activity (MVPA) levels during physical education (PE) lessons. Methods: A... [more]
© 2015 Elsevier Inc. Objective: To examine elementary school students' moderate-to-vigorous physical activity (MVPA) levels during physical education (PE) lessons. Methods: A systematic search of nine electronic databases was conducted (PROSPERO2014:CRD42014009649). Studies were eligible if they were in English; published between 2005-April 2014; assessed MVPA levels in PE lessons of elementary school children (aged four-12 years); and used an objective MVPA measure. Two reviewers retrieved articles, assessed risk of bias, and performed data extraction. The findings were synthesised using a meta-analysis. Results: The search yielded 5132 articles. Thirteen studies from nine countries met the inclusion criteria. Eight studies measured MVPA through observational measures, five used accelerometry and one used heart rate monitoring. The percentage of PE lesson time spent in MVPA ranged between 11.4-88.5%. Meta-analysis of seven studies (direct observations; 4 accelerometers) found that children spent a mean (95% CI) 44.8 (28.2-61.4)% of PE lesson time in MVPA. When measured using direct observation and accelerometers, children spent 57.6 (47.3-68.2) and 32.6 (5.9-59.3)% of PE lesson time in MVPA, respectively. The review has limitations; the search strategy was restricted to studies in English; theses, dissertations and conference abstracts were excluded; and six studies that provided insufficient data were excluded from the meta-analysis. Conclusion: MVPA levels during elementary school PE lessons do not meet the United States Centre for Disease Control and Prevention and the United Kingdom's Association of Physical Education recommendation (50% of lesson time), but is higher than estimated in the previous review (34.2%). Interventions to increase MVPA in PE lessons are needed.
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2016 |
Bartlem K, Bowman J, Ross K, Freund M, Wye P, McElwaine K, et al., 'Mental health clinician attitudes to the provision of preventive care for chronic disease risk behaviours and association with care provision', BMC Psychiatry, 16 (2016) [C1]
© 2016 Bartlem et al. Background: Preventive care for chronic disease risk behaviours by mental health clinicians is sub-optimal. Little research has examined the association betw... [more]
© 2016 Bartlem et al. Background: Preventive care for chronic disease risk behaviours by mental health clinicians is sub-optimal. Little research has examined the association between clinician attitudes and such care delivery. This study aimed to explore: i) the attitudes of a multi-disciplinary group of community mental health clinicians regarding their perceived role, perception of client interest, and perceived self-efficacy in the provision of preventive care, ii) whether such attitudes differ by professional discipline, and iii) the association between these attitudes and clinician provision of such care. Method: A telephone survey was conducted with 151 Australian community mental health clinicians regarding their attitudes towards provision of assessment, advice and referral addressing smoking, nutrition, alcohol, and physical activity, and their reported provision of such care. Logistic regression was used to examine the association between attitudes and care delivery, and attitudinal differences by professional discipline. Results: Most clinicians reported that: their manager supported provision of preventive care; such care was part of their role; it would not jeopardise their practitioner-client relationships, clients found preventive care acceptable, and that they had the confidence, knowledge and skills to modify client health behaviours. Half reported that clients were not interested in changing their health behaviours, and one third indicated that the provision of preventive care negatively impacted on time available for delivery of acute care. The following attitudes were positively associated with the provision of preventive care: role congruence, client interest in change, and addressing health risk behaviours will not jeopardise the client-clinician relationship. Conclusions: Strategies are required to translate positive attitudes to improved client care and address attitudes which may hinder the provision of preventive care in community mental health.
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2016 |
Metse AP, Wiggers J, Wye P, Moore L, Clancy R, Wolfenden L, et al., 'Smoking and environmental characteristics of smokers with a mental illness, and associations with quitting behaviour and motivation; a cross sectional study', BMC PUBLIC HEALTH, 16 (2016) [C1]
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2016 |
Yoong SL, Nathan N, Wolfenden L, Wiggers J, Reilly K, Oldmeadow C, et al., 'CAFE: a multicomponent audit and feedback intervention to improve implementation of healthy food policy in primary school canteens: a randomised controlled trial', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 13 (2016) [C1]
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2016 |
O'Brien KM, Wiggers J, Williams A, Campbell E, Wolfenden L, Yoong S, et al., 'Randomised controlled trial of referral to a telephone-based weight management and healthy lifestyle programme for patients with knee osteoarthritis who are overweight or obese: a study protocol', BMJ OPEN, 6 (2016)
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2016 |
Kingsland M, Wiggers JH, Vashum KP, Hodder RK, Wolfenden L, 'Interventions in sports settings to reduce risky alcohol consumption and alcohol-related harm: a systematic review.', Systematic reviews, 5 12 (2016) [C1]
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2016 |
Nathan N, Wolfenden L, Williams CM, 'Educational interventions are effective in treating childhood obesity: (PEDro synthesis)', BRITISH JOURNAL OF SPORTS MEDICINE, 50 130-+ (2016)
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2016 |
Wolfenden L, Finch M, Wyse R, Clinton-McHarg T, Yoong SL, 'Time to focus on implementation: the need to re-orient research on physical activity in childcare services', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 40 209-210 (2016)
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2016 |
Clinton-McHarg T, Yoong SL, Tzelepis F, Regan T, Fielding A, Skelton E, et al., 'Psychometric properties of implementation measures for public health and community settings and mapping of constructs against the Consolidated Framework for Implementation Research: a systematic review', IMPLEMENTATION SCIENCE, 11 (2016) [C1]
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2016 |
Williams A, Wiggers J, O'Brien KM, Wolfenden L, Yoong S, Campbell E, et al., 'A randomised controlled trial of a lifestyle behavioural intervention for patients with low back pain, who are overweight or obese: study protocol', BMC MUSCULOSKELETAL DISORDERS, 17 (2016)
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2016 |
Karimkhani C, Trikha R, Aksut B, Jones T, Boyers LN, Schlichte M, et al., 'Identifying gaps for research prioritisation: Global burden of external causes of injury as reflected in the Cochrane Database of Systematic Reviews.', Injury, 47 1151-1157 (2016) [C1]
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2016 |
Sutherland R, Reeves P, Campbell E, Lubans DR, Morgan PJ, Nathan N, et al., 'Cost effectiveness of a multi-component school-based physical activity intervention targeting adolescents: The 'Physical Activity 4 Everyone' cluster randomized trial', International Journal of Behavioral Nutrition and Physical Activity, 13 (2016) [C1]
© 2016 The Author(s). Background: Few school-based interventions have been successful in reducing physical activity decline and preventing overweight and obesity in adolescent pop... [more]
© 2016 The Author(s). Background: Few school-based interventions have been successful in reducing physical activity decline and preventing overweight and obesity in adolescent populations. As a result, few cost effectiveness analyses have been reported. The aim of this paper is to report the cost and cost effectiveness of the Physical Activity 4 Everyone (PA4E1) intervention which was a multi-component intervention implemented in secondary schools located in low-income communities. Cost effectiveness was assessed using both the physical activity and weight status trial outcomes. Methods: Intervention and Study Design: The PA4E1 cluster randomised controlled trial was implemented in 10 Australian secondary schools (5 intervention: 5 control) and consisted of intervention schools receiving seven physical activity promotion strategies and six additional strategies that supported school implementation of the intervention components. Costs associated with physical activity strategies, and intervention implementation strategies within the five intervention schools were estimated and compared to the costs of usual physical activity practices of schools in the control group. The total cost of implementing the intervention was estimated from a societal perspective, based on the number of enrolled students in the target grade at the start of the intervention (Grade 7, n = 837). Economic Outcomes: The economic analysis outcomes were cost and incremental cost effectiveness ratios for the following: minutes of moderate-to-vigorous physical activity (MVPA) per day gained, MET hours gained per person/day; Body Mass Index (BMI) unit avoided; and 10 % reduction in BMI z-score. Results: The intervention cost AUD $329,952 over 24 months, or AUD$394 per student in the intervention group. This resulted in a cost effectiveness ratio of AUD$56 ($35-$147) per additional minute of MVPA, AUD$1 ($0.6-$2.7) per MET hour gained per person per day, AUD$1408 ($788-$6,570) per BMI unit avoided, and AUD$563 ($282-$3,942) per 10 % reduction in BMI z-score. Conclusion: PA4E1 is a cost effective intervention for increasing the physical activity levels and reducing unhealthy weight gain in adolescence, a period in which physical activity typically declines. Additional modelling could explore the potential economic impact of the intervention on morbidity and mortality. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN12612000382875.
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2016 |
Wolfenden L, Milat AJ, Lecathelinais C, Skelton E, Clinton-McHarg T, Williams C, et al., 'A bibliographic review of public health dissemination and implementation research output and citation rates', Preventive Medicine Reports, 4 441-443 (2016) [C1]
© 2016 The Authors The aim of this study was to describe the research output and citation rates (academic impact) of public health dissemination and implementation research accord... [more]
© 2016 The Authors The aim of this study was to describe the research output and citation rates (academic impact) of public health dissemination and implementation research according to research design and study type. A cross sectional bibliographic study was undertaken in 2013. All original data-based studies and review articles focusing on dissemination and implementation research that had been published in 10 randomly selected public health journals in 2008 were audited. The electronic database ¿Scopus¿ was used to calculate 5-year citation rates for all included publications. Of the 1648 publications examined, 216 were original data-based research or literature reviews focusing on dissemination and implementation research. Of these 72% were classified as descriptive/epidemiological, 26% were intervention and just 1.9% were measurement research. Cross-sectional studies were the most common study design (47%). Reviews, randomized trials, non-randomized trials and decision/cost-effectiveness studies each represented between 6 and 10% of all output. Systematic reviews, randomized controlled trials and cohort studies were the most frequently cited study designs. The study suggests that publications that had the greatest academic impact (highest citation rates) made up only a small proportion of overall public health dissemination and implementation research output.
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2016 |
Kool B, Ziersch A, Robinson P, Wolfenden L, Lowe JB, 'The 'Seven deadly sins' of rejected papers', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 40 3-4 (2016)
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2016 |
Seward K, Wolfenden L, Finch M, Wiggers J, Wyse R, Jones J, et al., 'Multistrategy childcare-based intervention to improve compliance with nutrition guidelines versus usual care in long day care services: a study protocol for a randomised controlled trial', BMJ OPEN, 6 (2016)
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2016 |
Tremain D, Freund M, Wye P, Wolfenden L, Bowman J, Dunlop A, et al., 'Provision of Chronic Disease Preventive Care in Community Substance Use Services: Client and Clinician Report', Journal of Substance Abuse Treatment, 68 24-30 (2016) [C1]
© 2016 The Authors. Introduction: People with substance use problems have a higher prevalence of modifiable health risk behaviors. Routine clinician provision of preventive care m... [more]
© 2016 The Authors. Introduction: People with substance use problems have a higher prevalence of modifiable health risk behaviors. Routine clinician provision of preventive care may be effective in reducing such health behaviors. This study aimed to examine clinician provision of preventive care to clients of community substance use treatment services. Methods: A cross-sectional survey was undertaken with 386 clients and 54 clinicians of community substance use treatment services in one health district in New South Wales, Australia. Client- and clinician-reported provision of three elements of care (assessment, brief advice and referral) for three health risk behaviors (tobacco smoking, insufficient fruit and/or vegetable consumption and insufficient physical activity) was assessed, with associations with client characteristics examined. Results: Provision was highest for tobacco smoking assessment (90% client reported, 87% clinician reported) and brief advice (79% client reported, 80% clinician reported) and lowest for fruit and vegetable consumption (assessment 23%, brief advice 25%). Few clients reported being offered a referral (<. 10%). Assessment of physical activity and brief advice for all behaviors was higher for clients residing in rural/remote areas. Conclusion: Assessment and brief advice were provided to the majority of clients for smoking, but sub-optimally for the other behaviors. Further investigation of barriers to the provision of preventive care within substance use treatment settings is required, particularly for referral to ongoing support.
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2016 |
Paul C, Wolfenden L, Tzelepis F, Yoong S, Bowman J, Wye P, et al., 'Nicotine replacement therapy as a smoking cessation aid among disadvantaged smokers: What answers do we need?', Drug and Alcohol Review, 35 785-789 (2016) [C1]
© 2015 Australasian Professional Society on Alcohol and other Drugs In Australia and New Zealand, population groups who experience social disadvantage smoke at much higher rates t... [more]
© 2015 Australasian Professional Society on Alcohol and other Drugs In Australia and New Zealand, population groups who experience social disadvantage smoke at much higher rates than the general population. As there are limited data specific to these groups regarding the success of nicotine replacement therapy for smoking cessation, this commentary will provide an overview of the relevant international literature supplemented with observational data relevant to the policy contexts in Australia and New Zealand. [Paul C, Wolfenden L, Tzelepis F, Yoong S, Bowman J, Wye P, Sherwood E, Rose S, Wiggers J. Nicotine replacement therapy as a smoking cessation aid among disadvantaged smokers: What answers do we need? Drug Alcohol Rev 2016;35:785¿789].
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2016 |
Wolfenden L, Kingsland M, Rowland B, Dodds P, Sidey M, Sherker S, Wiggers J, 'The impact of alcohol management practices on sports club membership and revenue', Health Promotion Journal of Australia, 27 159-161 (2016) [C1]
© Australian Health Promotion Association 2016.Issue addressed The aim of this study was to assess the impact of an alcohol management intervention on community sporting club reve... [more]
© Australian Health Promotion Association 2016.Issue addressed The aim of this study was to assess the impact of an alcohol management intervention on community sporting club revenue (total annual income) and membership (number of club players, teams and spectators). Methods The study employed a cluster randomised controlled trial design that allocated clubs either an alcohol accreditation intervention or a control condition. Club representatives completed a scripted telephone survey at baseline and again ~3 years following. Demographic information about clubs was collected along with information about club income. Results Number of players and senior teams were not significantly different between treatment groups following the intervention. The intervention group, however, showed a significantly higher mean number of spectators. Estimates of annual club income between groups at follow-up showed no significant difference in revenue. Conclusions This study found no evidence to suggest that efforts to reduce alcohol-related harm in community sporting clubs will compromise club revenue and membership. So what? These findings suggest that implementation of an intervention to improve alcohol management of sporting clubs may not have the unintended consequence of harming club viability.
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2016 |
Wolfenden L, Williams CM, Wiggers J, Nathan N, Yoong SL, 'Improving the translation of health promotion interventions using effectiveness-implementation hybrid designs in program evaluations', Health Promotion Journal of Australia, 27 204-207 (2016) [C1]
© Australian Health Promotion Association 2016. Bridging the gap between research-based evidence and public health policy and practice is a considerable challenge to public health... [more]
© Australian Health Promotion Association 2016. Bridging the gap between research-based evidence and public health policy and practice is a considerable challenge to public health improvement this century, requiring a rethinking of conventional approaches to health research production and use. Traditionally the process of research translation has been viewed as linear and unidirectional, from epidemiological research to identify health problems and determinants, to efficacy and effectiveness trials and studies of strategies to maximise the implementation and dissemination of evidence-based interventions in practice. A criticism of this approach is the considerable time it takes to achieve translation of health research into practice. Hybrid evaluation designs provide one means of accelerating the research translation process by simultaneously collecting information regarding intervention impacts and implementation and dissemination strategy. However, few health promotion research trials employ such designs and often fail to report information to enable assessment of the feasibility and potential impact of implementation and dissemination strategies. In addition to intervention effects, policy makers and practitioners also want to know the impact of implementation strategies. This commentary will define the three categories of effectiveness-implementation hybrid designs, describe their application in health promotion evaluation, and discuss the potential implications of more systematic use of such designs for the translation of health promotion and evaluation.So what?Greater use of effectiveness-implementation hybrid designs may accelerate research translation by providing more practice- and policy-relevant information to end-users, more quickly.
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2016 |
Milat AJ, Newson R, King L, Rissel C, Wolfenden L, Bauman A, et al., 'A guide to scaling up population health interventions.', Public health research & practice, 26 (2016) [C1]
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2016 |
Daly JB, Mackenzie LJ, Freund M, Wolfenden L, Roseby R, Wiggers JH, 'Interventions by Health care professionals who provide routine child health care to reduce tobacco smoke exposure in children a review and meta-Analysis', JAMA Pediatrics, 170 138-147 (2016) [C1]
Copyright 2016 American Medical Association. All rights reserved. IMPORTANCE Reducing child exposure to tobacco smoke is a public health priority. Guidelines recommend that health... [more]
Copyright 2016 American Medical Association. All rights reserved. IMPORTANCE Reducing child exposure to tobacco smoke is a public health priority. Guidelines recommend that health care professionals in child health settings should address tobacco smoke exposure (TSE) in children. OBJECTIVE To determine the effectiveness of interventions delivered by health care professionals who provide routine child health care in reducing TSE in children. DATA SOURCES A secondary analysis of 57 trials included in a 2014 Cochrane review and a subsequent extended searchwas performed. Controlled trials (published through June 2015) of interventions that focused on reducing child TSE, with no restrictions placed on who delivered the interventions,were identified. Secondary data extractionwas performed in August 2015. STUDY SELECTION Controlled trials of routine child health care delivered by health care professionals (physicians, nurses, medical assistants, health educators, and dieticians) that addressed the outcomes of interest (TSE reduction in children and parental smoking behaviors) were eligible for inclusion in this review and meta-Analysis. DATA EXTRACTION AND SYNTHESIS Study details and quality characteristicswere independently extracted by 2 authors. If outcome measures were sufficiently similar, meta-Analysis was performed using the random-effects model by DerSimonian and Laird. Otherwise, the results were described narratively. MAIN OUTCOMES AND MEASURES The primary outcome measurewas reduction in child TSE. Secondary outcomes of interest were parental smoking cessation, parental smoking reduction, and maternal postpartum smoking relapse prevention. RESULTS Sixteen studiesmet the selection criteria. Narrative analysis of the 6 trials that measured child TSE indicated no intervention effects relative to comparison groups. Similarly, meta-Analysis of 9 trials that measured parental smoking cessation demonstrated no overall intervention effect (n = 6399) (risk ratio 1.05; 95%CI, 0.74-1.50; P = .78). Meta-Analysis of the 3 trials that measured maternal postpartum smoking relapse prevention demonstrated a significant overall intervention effect (n = 1293) (risk ratio 1.53; 95%CI, 1.10-2.14; P = .01). High levels of study heterogeneity likely resulted from variability in outcome measures, length of follow up, intervention strategies, and unknown intervention fidelity. CONCLUSIONS AND RELEVANCE Interventions delivered by health care professionals who provide routine child health care may be effective in preventing maternal smoking relapse. Further research is required to improve the effectiveness of such interventions in reducing child TSE and increasing parental smoking cessation. The findings of this meta-Analysis have policy and practice implications relating to interventions by routine pediatric health care professionals that aim to reduce child exposure to tobacco smoke.
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2016 |
Wolfenden L, Wiggers J, Morgan P, Abdul Razak L, Jones J, Finch M, et al., 'A randomised controlled trial of multiple periods of outdoor free-play to increase moderate-to-vigorous physical activity among 3 to 6 year old children attending childcare: study protocol', BMC Public Health, (2016)
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2016 |
Yoong SL, Dodds P, Hure A, Clinton-Mcharg T, Skelton E, Wiggers J, Wolfenden L, 'Healthier options do not reduce total energy of parent intended fast food purchases for their young children: A randomised controlled trial', Nutrition and Dietetics, 73 146-152 (2016) [C1]
© 2015 Dietitians Association of Australia. Aim: This study aimed to assess the impact of including healthier options on fast food restaurant menus on total energy of parent-repor... [more]
© 2015 Dietitians Association of Australia. Aim: This study aimed to assess the impact of including healthier options on fast food restaurant menus on total energy of parent-reported intended purchases and frequency to eat at fast food outlets for young children. Methods: Parents from an existing health survey cohort were approached to participate. They were eligible to participate if they resided in the Hunter region in NSW, could understand English and had a child aged between 3 and 12 years. Parents were randomised using a random number function embedded in the computer assisted telephone interview software, to receive one of two hypothetical fast food menus: one with healthier options and the other without healthier options (standard menu). After receiving these menus, participants completed a second telephone survey. Parents reported intended food purchases for their nominated child and intended number of visits to the fast food outlet with the hypothetical menu. Results: There was no significant difference in total energy of parent-reported intended purchases for their child, between the standard menu with (n = 101) and without (n = 113) healthier options (P = 0.60). There was also no difference in the frequency of intending to eat at the fast food restaurant between the two groups (P = 0.80). Conclusions: The provision of healthier options in itself may not reduce the total energy of intended purchases of parents for young children at fast food restaurants.
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2016 |
Wolfenden L, Regan T, Williams CM, Wiggers J, Kingsland M, Milat A, et al., 'Strategies to improve the implementation of workplace-based policies or practices targeting tobacco, alcohol, diet, physical activity and obesity', Cochrane Database of Systematic Reviews, 2016 (2016)
© 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary a... [more]
© 2016 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: The primary aim of this review is to determine the effectiveness of implementation strategies for policies, practices or programmes that aim to improve health behaviours or reduce unhealthy behaviours commonly associated with risk factors for chronic disease in the workplace. Specifically, this review will target interventions that address diet, physical inactivity, obesity, risky alcohol use and tobacco use. In addition, this review will determine: the effectiveness of implementation strategies on health behaviour outcomes (nutrition, physical activity, obesity, alcohol use and smoking); the cost-effectiveness of these strategies; the existence of adverse outcomes resulting from the implementation of these strategies.
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2016 |
Hollis JL, Sutherland R, Campbell L, Morgan PJ, Lubans DR, Nathan N, et al., 'Effects of a 'school-based' physical activity intervention on adiposity in adolescents from economically disadvantaged communities: secondary outcomes of the 'Physical Activity 4 Everyone' RCT', INTERNATIONAL JOURNAL OF OBESITY, 40 1486-1493 (2016) [C1]
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2016 |
Wolfenden L, Jones J, Williams CM, Finch M, Wyse RJ, Kingsland M, et al., 'Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2016) [C1]
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2016 |
Gilligan C, Wolfenden L, Foxcroft DR, Kingsland M, Williams AJ, Hodder RK, et al., 'Family-based prevention programs for alcohol use in young people', Cochrane Database of Systematic Reviews, 2016 (2016)
© 2016 The Cochrane Collaboration. This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the effectiveness of universal, selective a... [more]
© 2016 The Cochrane Collaboration. This is the protocol for a review and there is no abstract. The objectives are as follows: To assess the effectiveness of universal, selective and indicated family-based prevention programs in preventing alcohol use, or problem drinking, in school-aged children (up to 18 years of age). Specifically, on these outcomes, the review aims: To assess the effectiveness of universal family-based prevention programs for all children up to 18 years ('universal interventions'). To assess the effectiveness of selective family-based prevention programs for children up to 18 years at elevated risk of alcohol use or problem drinking ('selective interventions'). To assess the effectiveness of indicated family-based prevention programs for children up to 18 years currently consuming alcohol ('indicated interventions').
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2016 |
Wolfenden L, Milat AJ, Lecathelinais C, Sanson-Fisher RW, Carey ML, Bryant J, et al., 'What is generated and what is used: A description of public health research output and citation', European Journal of Public Health, 26 523-525 (2016) [C1]
© 2016 The Author. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. The aim of this short report was to describe the ... [more]
© 2016 The Author. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. The aim of this short report was to describe the output and citation rates of public health. Data-based publications and literature reviews from the year 2008, and their 5-year citation rates were extracted from 10 randomly selected public health journals. In total, 86.2% of publications were descriptive/epidemiological studies, 56.8% used cross-sectional (56.8%) designs and 77.8% were classified as research translation stage 2. Reviews and publications describing randomized controlled trials were the most highly cited, but were infrequently published. Strategies to address the discordance between public health research output and research citation may improve the impact of public health research.
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2016 |
Yoong SL, Chai LK, Williams CM, Wiggers J, Finch M, Wolfenden L, 'Systematic review and meta-analysis of interventions targeting sleep and their impact on child body mass index, diet, and physical activity', Obesity, 24 1140-1147 (2016) [C1]
© 2016 The Obesity Society. Objective This review aimed to examine the impact of interventions involving an explicit sleep component on child body mass index (BMI), diet, and phys... [more]
© 2016 The Obesity Society. Objective This review aimed to examine the impact of interventions involving an explicit sleep component on child body mass index (BMI), diet, and physical activity. Methods A systematic search was undertaken in six databases to identify randomized controlled trials examining the impact of interventions with a sleep component on child BMI, dietary intake, and/or physical activity. A random effects meta-analysis was conducted assessing the impact of included interventions on child BMI. Results Of the eight included trials, three enforced a sleep protocol and five targeted sleep as part of multicomponent behavioral interventions either exclusively or together with nutrition and physical activity. Meta-analysis of three studies found that multicomponent behavioral interventions involving a sleep component were not significantly effective in changing child BMI (n = 360,-0.04 kg/m2 [-0.18, 0.11], I2 = 0%); however, only one study included in the meta-analysis successfully changed sleep duration in children. There were some reported improvements to adolescent diet, and only one trial examined the impact on child physical activity, where a significant effect was observed. Conclusions Findings from the included studies suggest that where improvements in child sleep duration were achieved, a positive impact on child BMI, nutrition, and physical activity was also observed.
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2016 |
Wiggers JH, Hacker A, Kingsland M, Lecathelinais C, Tindall J, Bowman JA, Wolfenden L, 'Facilitating police recording of the alcohol-related characteristics of assault incidents: A stepped wedge implementation trial', Drug and Alcohol Review, 35 30-39 (2016) [C1]
© 2016 Australasian Professional Society on Alcohol and other Drugs. Introduction and Aims: Enforcement of liquor licensing laws is limited by inadequate police information system... [more]
© 2016 Australasian Professional Society on Alcohol and other Drugs. Introduction and Aims: Enforcement of liquor licensing laws is limited by inadequate police information systems. This study aimed to: (i) determine the effectiveness of an intervention in facilitating police recording of the alcohol consumption characteristics of people involved in assaults; and (ii) describe such characteristics by geographic area and setting of alcohol consumption.Design and Methods: A stepped wedge trial was conducted across New South Wales, Australia. An intervention to facilitate police recording of alcohol consumption information for people involved in incidents was implemented. For people involved in an assault the proportion for which alcohol consumption information was recorded was assessed. The proportion of assaults that were alcohol related, the proportions of people that consumed alcohol prior to the assault, were intoxicated, and had consumed alcohol in various settings, are described.Results: Post-intervention, alcohol consumption information was recorded for 85-100% of people involved in an assault incident. The proportion of incidents recorded as alcohol-related increased significantly (26-44.5%; P<0.0001). The proportion of assaults classified as alcohol related was significantly greater in regional/rural areas (50-47%) than in metropolitan areas (38%). More people in metropolitan areas (54%) consumed alcohol on licensed premises prior to an assault than in regional/rural areas (39-42%), with approximately 70% of persons intoxicated regardless of setting of alcohol consumption. Twenty percent of premises accounted for 60% of assaults linked to licensed premises.Discussion and Conclusions: The intervention was effective in enhancing the recording of alcohol-related information for assault incidents. Such information could enhance targeted policing of liquor licensing laws. [Wiggers JH, Hacker A, Kingsland M, Lecathelinais C, Tindall J, Bowman JA, Wolfenden L. Facilitating police recording of the alcohol-related characteristics of assault incidents: A stepped wedge implementation trial. Drug Alcohol Rev 2015;00:000-000].
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2016 |
O Brien KM, Williams A, Wiggers J, Wolfenden L, Yoong S, Campbell E, et al., 'Effectiveness of a healthy lifestyle intervention for low back pain and osteoarthritis of the knee: Protocol and statistical analysis plan for two randomised controlled trials', Brazilian Journal of Physical Therapy, 20 477-489 (2016) [C1]
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2016 |
Hodder RK, Freund M, Bowman J, Wolfenden L, Gillham K, Dray J, Wiggers J, 'Association between adolescent tobacco, alcohol and illicit drug use and individual and environmental resilience protective factors.', BMJ Open, 6 e012688 (2016) [C1]
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2016 |
James E, Freund M, Booth A, Duncan MJ, Johnson N, Short CE, et al., 'Comparative efficacy of simultaneous versus sequential multiple health behavior change interventions among adults: A systematic review of randomised trials', Preventive Medicine, 89 211-223 (2016) [C1]
© 2016. Background: Growing evidence points to the benefits of addressing multiple health behaviors rather than single behaviors. Purpose: This review evaluates the relative effec... [more]
© 2016. Background: Growing evidence points to the benefits of addressing multiple health behaviors rather than single behaviors. Purpose: This review evaluates the relative effectiveness of simultaneous and sequentially delivered multiple health behavior change (MHBC) interventions. Secondary aims were to identify: a) the most effective spacing of sequentially delivered components; b) differences in efficacy of MHBC interventions for adoption/cessation behaviors and lifestyle/addictive behaviors, and c) differences in trial retention between simultaneously and sequentially delivered interventions. Methods: MHBC intervention trials published up to October 2015 were identified through a systematic search. Eligible trials were randomised controlled trials that directly compared simultaneous and sequential delivery of a MHBC intervention. A narrative synthesis was undertaken. Results: Six trials met the inclusion criteria and across these trials the behaviors targeted were smoking, diet, physical activity, and alcohol consumption. Three trials reported a difference in intervention effect between a sequential and simultaneous approach in at least one behavioral outcome. Of these, two trials favoured a sequential approach on smoking. One trial favoured a simultaneous approach on fat intake. There was no difference in retention between sequential and simultaneous approaches. Conclusions: There is limited evidence regarding the relative effectiveness of sequential and simultaneous approaches. Given only three of the six trials observed a difference in intervention effectiveness for one health behavior outcome, and the relatively consistent finding that the sequential and simultaneous approaches were more effective than a usual/minimal care control condition, it appears that both approaches should be considered equally efficacious. PROSPERO registration number: CRD42015027876.
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2016 |
Yoong SL, Jones J, Marshall J, Wiggers J, Seward K, Finch M, et al., 'A theory-based evaluation of a dissemination intervention to improve childcare cooks' intentions to implement nutritional guidelines on their menus', IMPLEMENTATION SCIENCE, 11 (2016) [C1]
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2016 |
Yoong SL, Finch M, Nathan N, Wiggers J, Lecathelinais C, Jones J, et al., 'A longitudinal study assessing childcare services' adoption of obesity prevention policies and practices', Journal of Paediatrics and Child Health, 52 765-770 (2016) [C1]
© 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) Aim: Despite ongoing investments to improve the obesogenic environments of childcare se... [more]
© 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians) Aim: Despite ongoing investments to improve the obesogenic environments of childcare settings, little is known regarding how these services have changed their physical activity and nutrition-promoting practices. This study aims to describe changes in the proportion of Australian childcare services that have adopted best-practice healthy eating and physical activity practices between 2006 and 2013 and to assess whether adoption varied by socio-economic status and locality. Methods: A randomly selected sample of nominated supervisors (n = 358) from childcare services located in New South Wales, Australia, participated in a telephone survey in 2006, 2009, 2010 and 2013. Supervisors reported on their service's adoption of six practices: (i) having written nutrition and physical activity policies; (ii) staff trained in physical activity and nutrition in the past year; (iii) scheduled time for fundamental movement skills and (iv) outdoor play; (v) weekly or less screen time opportunities; and (vi) serving only non-sweetened beverages. Results: A significant increase in the prevalence of services adopting all but one practice, between 2006 and 2013 was identified. Ninety one percent of services adopted four or more practices, a significant increase from 38% in 2006. There were no differences in the proportion of services adopting each practice by locality and socio-economic status. Conclusions: Government investment in obesity prevention programmes can equitably improve childcare service's adoption of healthy eating and physical activity promoting practices on a jurisdiction-wide basis. The establishment of a routine system to monitor adoption of a broader range of practices by childcare services is warranted.
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2016 |
Reilly K, Nathan N, Wolfenden L, Wiggers J, Sutherland R, Wyse R, Yoong SL, 'Validity of four measures in assessing school canteen menu compliance with state-based healthy canteen policy', Health Promotion Journal of Australia, 27 215-221 (2016) [C1]
© Australian Health Promotion Association 2016. Issue addressed In order to assess the impact of healthy school canteen policies on food availability for students, valid methods o... [more]
© Australian Health Promotion Association 2016. Issue addressed In order to assess the impact of healthy school canteen policies on food availability for students, valid methods of measuring compliance are needed that can be applied at scale. The aim of this study is to assess the validity and direct cost of four methods to assess policy compliance: 1) principal and 2) canteen manager self-report via a computer-assisted telephone interview; and 3) comprehensive and 4) quick menu audits by dietitians, compared with observations. Methods A cross-sectional study took place in the Hunter region of NSW, Australia, in a sample of 38 primary schools that had previously participated in a randomised controlled trial to improve healthy canteen policy compliance. Policy compliance was assessed using the four methods specified above. Percentage agreement, kappa, sensitivity and specificity compared with observations was calculated together with the direct time taken and costs of each method. Indirect costs (including set-up costs) for all measures have not been included. Results Agreement with observations was substantial for the quick menu audit (kappa=0.68), and moderate for the comprehensive menu audit (kappa=0.42). Principal and canteen manager self-report resulted in poor agreement and low specificity with the gold standard. The self-reported measures had the lowest cost, followed by the quick menu audit and lastly the comprehensive menu audit. Conclusion The quick menu audit represents a valid and potentially low-cost method of supporting policy implementation at scale. So what? This study demonstrates that a quick menu audit represents a valid measure of undertaking assessment of school canteen policy compliance at a population level.
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2016 |
Sutherland R, Campbell E, Lubans DR, Morgan PJ, Okely AD, Nathan N, et al., ''Physical activity 4 everyone' school-based intervention to prevent decline in adolescent physical activity levels: 12 month (mid-intervention) report on a cluster randomised trial', British Journal of Sports Medicine, 50 488-495 (2016) [C1]
Background: Adolescence is a recognised period of physical activity decline, particularly among low-income communities. We report the 12-month (midpoint) effects of a 2-year multi... [more]
Background: Adolescence is a recognised period of physical activity decline, particularly among low-income communities. We report the 12-month (midpoint) effects of a 2-year multicomponent physical activity intervention implemented in disadvantaged secondary schools. Methods: A cluster randomised trial was undertaken in 10 secondary schools located in disadvantaged areas in New South Wales, Australia. Students in Grade 7 were recruited, with follow-up in Grade 8. The intervention was guided by socioecological theory and included seven physical activity strategies, and six implementation adoption strategies. The primary outcome was mean minutes of moderate-to-vigorous physical activity (MVPA) per day assessed using Actigraph GT3X accelerometers. Outcome data were analysed using repeated measures linear mixed models. Results: At baseline, 1150 (93%) students participated in the data collection (mean age 12 years, 48% boys) and 1050 (79%) students participated at 12-month follow-up. By the 12-month follow-up, the six implementation adoption strategies had been used to support schools to deliver four of the seven physical activity elements. There was a significant group-by-time interaction for mean minutes of MVPA per day in favour of the intervention group (adjusted difference between groups at follow-up=3.85 min, 95% CI (0.79 to 6.91), p=0.01), including significantly more vigorous physical activity (2.45 min, p=0.01), equating to 27 min more MVPA per week. Summary: At 12-month follow-up, the intervention had reduced the decline in physical activity among adolescents from disadvantaged schools. The intervention may assist students to meet physical activity guidelines.
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2015 |
Wyse R, Wolfenden L, Bisquera A, 'Characteristics of the home food environment that mediate immediate and sustained increases in child fruit and vegetable consumption: Mediation analysis from the Healthy Habits cluster randomised controlled trial', International Journal of Behavioral Nutrition and Physical Activity, 12 (2015) [C1]
© 2015 Wyse et al. Background: The home food environment can influence the development of dietary behaviours in children, and interventions that modify characteristics of the home... [more]
© 2015 Wyse et al. Background: The home food environment can influence the development of dietary behaviours in children, and interventions that modify characteristics of the home food environment have been shown to increase children's fruit and vegetable consumption. However to date, interventions to increase children's fruit and vegetable consumption have generally produced only modest effects. Mediation analysis can help in the design of more efficient and effective interventions by identifying the mechanisms through which interventions have an effect. This study aimed to identify characteristics of the home food environment that mediated immediate and sustained increases in children's fruit and vegetable consumption following the 4-week Healthy Habits telephone-based parent intervention. Method: Analysis was conducted using 2-month (immediate) and 12-month (sustained) follow-up data from a cluster randomised control trial of a home food environment intervention to increase the fruit and vegetable consumption of preschool children. Using recursive path analysis, a series of mediation models were created to investigate the direct and indirect effects of immediate and sustained changes to characteristics of the home food environment (fruit and vegetable availability, accessibility, parent intake, parent providing behaviour, role-modelling, mealtime eating practices, child feeding strategies, and pressure to eat), on the change in children's fruit and vegetable consumption. Results: Of the 394 participants in the randomised trial, 357 and 329 completed the 2- and 12-month follow-up respectively. The final mediation model suggests that the effect of the intervention on the children's fruit and vegetable consumption was mediated by parent fruit and vegetable intake and parent provision of these foods at both 2- and 12-month follow-up. Conclusion: Analysis of data from the Healthy Habits trial suggests that two environmental variables (parental intake and parent providing) mediate the immediate and sustained effect of the intervention, and it is recommended these variables be targeted in subsequent home food environment interventions to bring about immediate and sustained changes in child fruit and vegetable intake. Trial registration:ACTRN12609000820202 .
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2015 |
Johnson NA, Kypri K, Latter J, McElduff P, Attia J, Saitz R, et al., 'Effect of telephone follow-up on retention and balance in an alcohol intervention trial', Preventive Medicine Reports, 2 746-749 (2015) [C1]
© 2015 The Authors. Objectives: Telephone follow-up is not currently recommended as a strategy to improve retention in randomized trials. The aims of this study were to estimate t... [more]
© 2015 The Authors. Objectives: Telephone follow-up is not currently recommended as a strategy to improve retention in randomized trials. The aims of this study were to estimate the effect of telephone follow-up on retention, identify participant characteristics predictive of questionnaire completion during or after telephone follow-up, and estimate the effect of including participants who provided follow-up data during or after telephone follow-up on balance between randomly allocated groups in a trial estimating the effect of electronic alcohol screening and brief intervention on alcohol consumption in hospital outpatients with hazardous or harmful drinking. Method: Trial participants were followed up 6. months after randomization (June-December 2013) using e-mails containing a hyperlink to a web-based questionnaire when possible and by post otherwise. Telephone follow-up was attempted after two written reminders and participants were invited to complete the questionnaire by telephone when contact was made. Results: Retention before telephone follow-up was 62.1% (520/837) and 82.8% (693/837) afterward: an increase of 20.7% (173/837). Therefore, 55% (95% CI 49%-60%) of the 317 participants who had not responded after two written reminders responded during or after the follow-up telephone call. Age. <. 55. years, a higher AUDIT-C score and provision of a mobile/cell phone number were predictive of questionnaire completion during or after telephone follow-up. Balance between randomly allocated groups was present before and after inclusion of participants who completed the questionnaire during or after telephone follow-up. Conclusion: Telephone follow-up improved retention in this randomized trial without affecting balance between the randomly allocated groups.
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2015 |
Wolfenden L, Jones J, Finch M, Wyse RJ, Yoong SL, Steele EJ, et al., 'Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services', Cochrane Database of Systematic Reviews, 2015 (2015)
© 2015 The Cochrane Collaboration. This is the protocol for a review and there is no abstract. The objectives are as follows: The primary aim of the review is to examine the effec... [more]
© 2015 The Cochrane Collaboration. This is the protocol for a review and there is no abstract. The objectives are as follows: The primary aim of the review is to examine the effectiveness of strategies aimed at improving the implementation by childcare services of policies, practices or programmes that promote child healthy eating, physical activity and/or obesity prevention. The secondary aims of the review are to: describe the impact of such strategies on childcare service staffknowledge, skills or attitudes; describe the cost or cost-effectiveness of such strategies; describe any adverse effects of such strategies on childcare services, service staffor children; examine the effect of such strategies on child diet, physical activity or weight status.
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2015 |
Williams CM, Nathan NK, Wyse RJ, Yoong SL, Delaney T, Wiggers J, et al., 'Strategies for enhancing the implementation of school-based policies or practices targeting risk factors for chronic disease', Cochrane Database of Systematic Reviews, 2015 (2015)
© 2015 The Cochrane Collaboration. This is the protocol for a review and there is no abstract. The objectives are as follows: The primary aims of the review are to examine the eff... [more]
© 2015 The Cochrane Collaboration. This is the protocol for a review and there is no abstract. The objectives are as follows: The primary aims of the review are to examine the effectiveness of strategies aiming to improve the implementation of school-based policies, programs or practices that aim to promote healthy or reduce unhealthy behaviours relating to child diet, physical activity, obesity, or tobacco or alcohol use. Secondary objectives of the review are to: examine the effectiveness of implementation strategies on health behavioural (e.g. fruit and vegetable consumption) and anthropometric outcomes (e.g. BMI, weight); describe the impact of such strategies on the knowledge, skills or attitudes of stakeholders involved in implementing health promoting policies, programs or practices; describe the cost or cost effectiveness of such strategies; describe any unintended adverse effects of strategies on schools, school staff or children.
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2015 |
Jones J, Wyse R, Finch M, Lecathelinais C, Wiggers J, Marshall J, et al., 'Effectiveness of an intervention to facilitate the implementation of healthy eating and physical activity policies and practices in childcare services: a randomised controlled trial', IMPLEMENTATION SCIENCE, 10 (2015) [C1]
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2015 |
Pederson H, Okl T, Boyers LN, Karimkhani C, Rosenfeld RM, Nasser M, et al., 'Identifying otolaryngology systematic review research gaps: Comparing global burden of disease 2010 results with cochrane database of systematic review content', JAMA Otolaryngology - Head and Neck Surgery, 141 67-72 (2015) [C1]
Copyright 2014 American Medical Association. All rights reserved. IMPORTANCE: Burden of disease should inform research prioritization. OBJECTIVE: To determine whether systematic r... [more]
Copyright 2014 American Medical Association. All rights reserved. IMPORTANCE: Burden of disease should inform research prioritization. OBJECTIVE: To determine whether systematic reviews and protocols published in the Cochrane Database of Systematic Reviews (CDSR) appropriately reflect disease burden for otolaryngologic conditions as measured by the Global Burden of Disease (GBD) 2010 project. DESIGN: Two investigators independently assessed 10 otolaryngologic conditions in CDSR for systematic review and protocol representation from March to June 2014. The otolaryngologic diseases were matched to their respective GBD 2010 disability-adjusted life-years (DALYs) to assess their correlation. MAIN OUTCOMES AND MEASURES: Relationship of CDSR representation (based on systematic reviews and protocols) with percentage of total 2010 DALYs, 2010 DALY rank, and DALY percentage change from 1990 to 2010 for 10 otolaryngologic conditions. RESULTS: All 10 otolaryngologic conditions were represented by at least 1 systematic review in CDSR. The number of reviews and protocols in CDSR was well matched with GBD 2010 disability metrics for only 1 disease, mouth cancer. Upper respiratory infections, otitis media, thyroid cancer, and cleft lip and cleft palate were overrepresented in CDSR, and esophageal cancer, "other hearing loss," nasopharynx cancer, larynx cancer, and "cancer of other part of pharynx and oropharynx" were underrepresented. CONCLUSIONS AND RELEVANCE: The representation of otolaryngologic conditions in CDSR correlates poorly with DALY metrics. The results of this study may guide future research prioritization and allocation of funds.
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2015 |
Hills A, Nathan N, Robinson K, Fox D, Wolfenden L, 'Improvement in primary school adherence to the NSW Healthy School Canteen Strategy in 2007 and 2010', Health Promotion Journal of Australia, 26 89-92 (2015) [C1]
© 2015 Australian Health Promotion Association. Issue addressed Since 2005, a government-endorsed strategy guiding food sold in New South Wales school canteens has been in place. ... [more]
© 2015 Australian Health Promotion Association. Issue addressed Since 2005, a government-endorsed strategy guiding food sold in New South Wales school canteens has been in place. This study describes the changes in school canteen food between 2007 and 2010 and characterises schools most likely to adhere to strategy guidelines. Methods Menus obtained from a cohort of primary and central schools in the Hunter New England region of New South Wales were audited using a traffic light system of classification. Energy dense, nutrient-poor or 'red' items are restricted; 'amber' are to be selected carefully and healthier 'green' items are encouraged. Results In 2007, 7% of schools had no red items on their menu. In 2010, this improved to 22% (P<0.05). In 2010, small schools (OR=1.9, 95% CI=1.25-3.05, P=0.003); lower socioeconomic schools (OR=1.3, 95% CI=1.02-1.78, P=0.03); non-government (OR=1.7, 95% CI=1.22-2.23, P=0.001) and rural schools (OR=1.7, 95% CI=1.30-2.25, P<0.001) had higher odds of having red items on the menu. No significant change occurred in the proportion of green foods listed for sale between 2007 and 2010. Conclusions Proportion of schools adhering to strategy guidelines had increased slightly, however, most continue to list red items for regular sale. So what? For health policies to improve public health they need implementation. Findings suggest more work is required, particularly in small schools, rural schools and non-government schools.
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2015 |
Wolfenden L, Ziersch A, Robinson P, Lowe J, Wiggers J, 'Reducing research waste and improving research impact', Australian and New Zealand Journal of Public Health, 39 303-304 (2015) [C3]
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2015 |
Dray J, Bowman J, Wolfenden L, Campbell E, Freund M, Hodder R, Wiggers J, 'Systematic review of universal resilience interventions targeting child and adolescent mental health in the school setting: Review protocol', Systematic Reviews, (2015) [C3]
© 2015 Dray et al. Background: The mental health of children and adolescents is a key area of health concern internationally. Previous empirical studies suggest that resilience ma... [more]
© 2015 Dray et al. Background: The mental health of children and adolescents is a key area of health concern internationally. Previous empirical studies suggest that resilience may act as a protective mechanism towards the development of mental health problems. Resilience refers to the ability to employ a collection of protective factors to return to or maintain positive mental health following disadvantage or adversity. Schools represent a potential setting within which protective factors of all children and adolescents may be fostered through resilience-focussed interventions. Despite this potential, limited research has investigated the effectiveness of universal school-based resilience-focussed interventions on mental health outcomes in children and adolescents. The objective of the present review is to assess the effects of universal school-based resilience-focussed interventions, relative to a comparison group, on mental health outcomes in children and adolescents. Methods/design: Eligible studies will be randomised (including cluster-randomised) controlled trials of universal interventions explicitly described as resilience-focussed or comprising strategies to strengthen a minimum of three internal protective factors, targeting children aged 5 to 18 years, implemented within schools, and reporting a mental health outcome. Screening for studies will be conducted across six electronic databases: MEDLINE, PsycINFO, Educational Resources Information Center (ERIC), Excerpta Medica database (EMBASE), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the Cochrane Central Register of Controlled Trials (CENTRAL). Two reviewers will retrieve eligible articles, assess risk of bias, and extract data. Where studies are sufficiently homogenous and reported outcomes are amenable for pooled synthesis, meta-analysis will be performed. Narrative description will be used to synthesise trial outcome data where data cannot be combined or heterogeneity exists. Discussion: This review will aid in building an evidence base for the effectiveness of universal school-based resilience-focussed interventions and in doing so provide an opportunity to better inform the development of interventions to potentially prevent mental health problems in child and adolescent populations. Systematic review registration: PROSPERO CRD42015025908
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2015 |
Rowland BC, Wolfenden L, Dodds P, Kingsland M, Gillham KE, Wiggers JH, 'The impact of a hypothetical designated driver program on intended alcohol-related behavior: an RCT', HEALTH PROMOTION INTERNATIONAL, 30 7-15 (2015) [C1]
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2015 |
Yoong SL, Hall A, Williams CM, Skelton E, Oldmeadow C, Wiggers J, et al., 'Alignment of systematic reviews published in the Cochrane database of systematic reviews and the database of abstracts and reviews of effectiveness with global burden-of-disease data: A bibliographic analysis', Journal of Epidemiology and Community Health, 69 708-714 (2015) [C1]
Background: Systematic reviews of high-quality evidence are used to inform policy and practice. To improve community health, the production of such reviews should align with burde... [more]
Background: Systematic reviews of high-quality evidence are used to inform policy and practice. To improve community health, the production of such reviews should align with burden of disease. This study aims to assess if the volume of research output from systematic reviews proportionally aligns with burden of disease assessed using percentages of mortality and disability-adjusted life years (DALYs). Methods: A cross-sectional audit of reviews published between January 2012 and August 2013 in the Cochrane Database of Systematic Reviews (CDSR) and Database of Abstracts of Reviews of Effects (DARE) was undertaken. Percentages of mortality and DALYs were obtained from the 2010 Global Burden of Disease study. Standardised residual differences (SRD) based on percentages of mortality and DALYs were calculated, where conditions with SRD of more than or less than three were considered overstudied or understudied, respectively. Results: 1029 reviews from CDSR and 1928 reviews from DARE were examined. There was a significant correlation between percentage DALYs and systematic reviews published in CDSR and DARE databases (CDSR: r=0.68, p=0.001; DARE: r=0.60, p < 0.001). There was no significant correlation between percentage mortality and number of systematic reviews published in either database (CDSR: r=0.34, p=0.14; DARE: r=0.22, p=0.34). Relative to percentage of mortality, mental and behavioural disorders, musculoskeletal conditions and other non-communicable diseases were overstudied. Maternal disorders were overstudied relative to percentages of mortality and DALYs in CDSR. Conclusions: The focus of systematic reviews is moderately correlated with DALYs. A number of conditions may be overstudied relative to percentage of mortality particularly in the context of health and medical reviews.
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2015 |
Finch M, Yoong SL, Thomson RJ, Seward K, Cooney M, Jones J, et al., 'A pragmatic randomised controlled trial of an implementation intervention to increase healthy eating and physical activity-promoting policies, and practices in centre-based childcare services: Study protocol', BMJ Open, 5 (2015) [C3]
© 2015, BMJ Publishing Group. All rights reserved. Background: Promotion of healthy eating and physical activity in early childhood is recommended as a global chronic disease prev... [more]
© 2015, BMJ Publishing Group. All rights reserved. Background: Promotion of healthy eating and physical activity in early childhood is recommended as a global chronic disease prevention strategy. Centre-based childcare services represent a promising setting to provide children with opportunities to improve healthy eating and physical activity. Evidence to inform implementation of childcare obesity prevention guidelines into routine practice in childcare, however, is lacking. This study aims to assess the effectiveness of an intervention, delivered to childcare staff, aiming to increasing service implementation of healthy eating and physical activity-promoting policies and practices. Methods and analysis: A pragmatic parallel group randomised controlled trial will be undertaken with 165 childcare services in the Hunter New England region of New South Wales, Australia. Services will be randomised to receive either a 10-month evidence-based performance review intervention with other resources to support practice change, or to a waitlist control group. The primary trial outcome is the proportion of services implementing all of the following recommended healthy eating and physical activity promoting practices: written nutrition, physical activity and small screen recreation policies; providing information to families regarding healthy eating (including breastfeeding), physical activity and small screen time; providing twice weekly healthy eating learning experiences to children; providing water and only plain milk to children; providing fundamental movement skills activities for children every day; and limiting and using electronic screen time more for educational purposes and learning experiences. Effectiveness will be assessed using a telephone interview of practice implementation with childcare staff at baseline and 12 months following baseline. Ethics and dissemination: The study was approved by the Hunter New England Human Research Ethics Committee and the University of Newcastle Human Research Ethics Committee. Study findings will be disseminated widely through peer-reviewed publications and conference presentations. Trial registration number: Australian New Zealand Clinical Trials Registry ACTRN12614000972628.
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2015 |
Yoong SL, Williams CM, Finch M, Wyse R, Jones J, Freund M, et al., 'Childcare Service Centers' Preferences and Intentions to Use a Web-Based Program to Implement Healthy Eating and Physical Activity Policies and Practices: A Cross-Sectional Study', JOURNAL OF MEDICAL INTERNET RESEARCH, 17 (2015)
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2015 |
Wolfenden L, Kingsland M, Rowland BC, Dodds P, Gillham K, Yoong SL, et al., 'Improving availability, promotion and purchase of fruit and vegetable and non sugar-sweetened drink products at community sporting clubs: A randomised trial', International Journal of Behavioral Nutrition and Physical Activity, 12 (2015) [C1]
© Wolfenden et al. Background: Amateur sporting clubs represent an attractive setting for health promotion. This study assesses the impact of a multi-component intervention on the... [more]
© Wolfenden et al. Background: Amateur sporting clubs represent an attractive setting for health promotion. This study assesses the impact of a multi-component intervention on the availability, promotion and purchase of fruit and vegetable and non sugar -sweetened drink products from community sporting club canteens. We also assessed the impact the intervention on sporting club revenue from the sale of food and beverages. Method: A repeat cross-sectional, parallel group, cluster randomized controlled trial was undertaken with amateur community football clubs in New South Wales, Australia. The intervention was conducted over 2.5 winter sporting seasons and sought to improve the availability and promotion of fruit and vegetables and non sugar-sweetened drinks in sporting club canteens. Trial outcomes were assessed via telephone surveys of sporting club representatives and members. Results: Eighty five sporting clubs and 1143 club members participated in the study. Relative to the control group, at follow-up, clubs allocated to the intervention were significantly more likely to have fruit and vegetable products available at the club canteen (OR = 5.13; 95% CI 1.70-15.38), were more likely to promote fruit and vegetable selection using reduced pricing and meal deals (OR = 34.48; 95% CI 4.18-250.00) and members of intervention clubs were more likely to report purchase of fruit and vegetable (OR = 2.58 95% CI; 1.08-6.18) and non sugar -sweetened drink (OR = 1.56; 95% CI 1.09-2.25) products. There was no significant difference between groups in the annual club revenue from food and non-alcoholic beverage sales. Conclusion: The findings demonstrate that the intervention can improve the nutrition environment of sporting clubs and the purchasing behaviour of members. Trial registration: Australian New Zealand Clinical Trials Registry: ACTRN12609000224224.
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2015 |
Rowland BC, Wolfenden L, Gillham K, Kingsland M, Richardson B, Wiggers J, 'Is alcohol and community sport a good mix? Alcohol management, consumption and social capital in community sports clubs', Australian and New Zealand Journal of Public Health, 39 210-215 (2015) [C1]
© 2014 Public Health Association of Australia. Objective: Community sports clubs provide an important contribution to the health and wellbeing of individuals and the community; ho... [more]
© 2014 Public Health Association of Australia. Objective: Community sports clubs provide an important contribution to the health and wellbeing of individuals and the community; however, they have also been associated with risky alcohol consumption. This study assessed whether a club's alcohol management strategies were related to risky alcohol consumption by members and levels of social capital, as measured in terms of participation in and perceived safety of the club. Method: A total of 723 sports club members from 33 community football clubs in New South Wales, Australia, completed a computer assisted telephone interview (CATI) and a management representative from each club also completed a CATI. The club representative reported on the club's implementation of 11 alcohol management practices, while club members reported their alcohol consumption and perceived levels of safety at the club and participation in the club. Results: A structural equation model identified having the bar open for more than four hours; having alcohol promotions; and serving intoxicated patrons were associated with increased risky alcohol consumption while at the club; which in turn was associated with lower levels of perceived club safety and member participation. Conclusion and implications: The positive contribution of community sports clubs to the community may be diminished by specific inadequate alcohol management practices. Changing alcohol management practices can reduce alcohol consumption, and possibly increase perceived aspects of social capital, such as safety and participation.
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2015 |
Kingsland M, Wolfenden L, Tindall J, Rowland B, Sidey M, Mcelduff P, Wiggers JH, 'Improving the implementation of responsible alcohol management practices by community sporting clubs: A randomised controlled trial', Drug and Alcohol Review, 34 447-457 (2015) [C1]
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2015 |
Kingsland M, Wolfenden L, Tindall J, Rowland BC, Lecathelinais C, Gillham KE, et al., 'Tackling risky alcohol consumption in sport: A cluster randomised controlled trial of an alcohol management intervention with community football clubs', Journal of Epidemiology and Community Health, (2015) [C1]
Background An increased prevalence of risky alcohol consumption and alcohol-related harm has been reported for members of sporting groups and at sporting venues compared with non-... [more]
Background An increased prevalence of risky alcohol consumption and alcohol-related harm has been reported for members of sporting groups and at sporting venues compared with non-sporting populations. While sports clubs and venues represent opportune settings to implement strategies to reduce such risks, no controlled trials have been reported. The purpose of the study was to examine the effectiveness of an alcohol management intervention in reducing risky alcohol consumption and the risk of alcohol-related harm among community football club members. Method A cluster randomised controlled trial of an alcohol management intervention was undertaken with non-elite, community football clubs and their members in New South Wales, Australia. Risky alcohol consumption (5+ drinks) at the club and risk of alcohol-related harm using the Alcohol Use Disorders Identification Test (AUDIT) were measured at baseline and postintervention. Results Eighty-eight clubs participated in the trial (n=43, Intervention; n=45, Control) and separate cross-sectional samples of club members completed the baseline (N=1411) and postintervention (N=1143) surveys. Postintervention, a significantly lower proportion of intervention club members reported: risky alcohol consumption at the club (Intervention: 19%; Control: 24%; OR: 0.63 (95% CI 0.40 to 1.00); p=0.05); risk of alcohol-related harm (Intervention: 38%; Control: 45%; OR: 0.58 (95% CI 0.38 to 0.87); p<0.01); alcohol consumption risk (Intervention: 47%; Control: 55%; OR: 0.60 (95% CI 0.41 to 0.87); p<0.01) and possible alcohol dependence (Intervention: 1%; Control: 4%; OR: 0.20 (95% CI 0.06 to 0.65); p<0.01). Conclusions With large numbers of people worldwide playing, watching and sports officiating, enhancing club-based alcohol management interventions could make a substantial contribution to reducing the burden of alcohol misuse in communities.
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2015 |
Yoong SL, Clinton-Mcharg T, Wolfenden L, 'Systematic reviews examining implementation of research into practice and impact on population health are needed', Journal of Clinical Epidemiology, 68 788-791 (2015) [C1]
© 2015 Elsevier Inc. Objectives To examine the research translation phase focus (T1-T4) of systematic reviews published in the Cochrane Database of Systematic Reviews (CDSR) and D... [more]
© 2015 Elsevier Inc. Objectives To examine the research translation phase focus (T1-T4) of systematic reviews published in the Cochrane Database of Systematic Reviews (CDSR) and Database of Abstracts of Reviews of Effects (DARE). Briefly, T1 includes reviews of basic science experiments; T2 includes reviews of human trials leading to guideline development; T3 includes reviews examining how to move guidelines into policy and practice; and T4 includes reviews describing the impact of changing health practices on population outcomes. Study Design and Setting A cross-sectional audit of randomly selected reviews from CDSR (n = 500) and DARE (n = 500) was undertaken. The research translation phase of reviews, overall and by communicable disease, noncommunicable disease, and injury subgroups, were coded by two researchers. Results A total of 898 reviews examined a communicable, noncommunicable, or injury-related condition. Of those, 98% of reviews within CDSR focused on T2, and the remaining 2% focused on T3. In DARE, 88% focused on T2, 8.7% focused on T1, 2.5% focused on T3, and 1.3% focused on T4. Almost all reviews examining communicable (CDSR 100%, DARE 93%), noncommunicable (CDSR 98%, DARE 87%), and injury (CDSR 95%, DARE 88%) were also T2 focused. Conclusion Few reviews exist to guide practitioners and policy makers with implementing evidence-based treatments or programs.
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2015 |
Wolfenden L, Finch M, Nathan N, Weaver N, Wiggers J, Yoong SL, et al., 'Factors associated with early childhood education and care service implementation of healthy eating and physical activity policies and practices in Australia: a cross-sectional study', Translational Behavioral Medicine, 5 327-334 (2015) [C1]
© 2015, Society of Behavioral Medicine. Many early childhood education and care (ECEC) services fail to implement recommended policies and practices supportive of healthy eating a... [more]
© 2015, Society of Behavioral Medicine. Many early childhood education and care (ECEC) services fail to implement recommended policies and practices supportive of healthy eating and physical activity. The purpose of this study was to assess whether certain theoretically-based factors are associated with implementation of healthy eating and physical activity policies and practices in a sample of ECEC services. A cross-sectional survey was conducted with Service Managers of ECEC services. The survey assessed the operational characteristics, policy, and practice implementation, and 13 factors were suggested by Damschroder¿s Consolidated Framework for Implementation Research to impede or promote implementation. Logistic regression analyses found a significant association between implementation factor score and full implementation (OR 1.38; 95% CI 1.18¿1.61; p = <0.01), indicating that for every one point increase in implementation score, ECEC services were 38¿% more likely to be fully implementing the policies and practices. The findings highlight the opportunities for improving implementation of obesity prevention interventions in this setting by developing interventions that address such factors.
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2015 |
Wolfenden L, Yoong SL, Wiggers J, 'Local implementation of obesity policy', The Lancet, 386 1039 (2015) [C3]
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2015 |
McCarter KL, Britton B, Baker A, Halpin S, Beck A, Carter G, et al., 'Interventions to improve screening and appropriate referral of patients with cancer for distress: Systematic review protocol', BMJ Open, 5 (2015) [C3]
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2015 |
Britton B, McCarter K, Baker A, Wolfenden L, Wratten C, Bauer J, et al., 'Eating As Treatment (EAT) study protocol: a stepped-wedge, randomised controlled trial of a health behaviour change intervention provided by dietitians to improve nutrition in patients with head and neck cancer undergoing radiotherapy.', BMJ open, 5 e008921 (2015) [C3]
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2015 |
Tzelepis F, Paul CL, Wiggers J, Kypri K, Bonevski B, McElduff P, et al., 'Targeting multiple health risk behaviours among vocational education students using electronic feedback and online and telephone support: Protocol for a cluster randomised trial Health behavior, health promotion and society', BMC Public Health, 15 (2015) [C3]
© 2015 Tzelepis et al. Background: Technical and Further Education (TAFE) colleges are the primary provider of vocational education in Australia. Most TAFE students are young adul... [more]
© 2015 Tzelepis et al. Background: Technical and Further Education (TAFE) colleges are the primary provider of vocational education in Australia. Most TAFE students are young adults, a period when health risk behaviours become established. Furthermore, high rates of smoking, risky alcohol consumption, inadequate fruit and vegetable intake and insufficient physical activity have been reported in TAFE students. There have been no intervention studies targeting multiple health risk behaviours simultaneously in this population. The proposed trial will examine the effectiveness of providing TAFE students with electronic feedback regarding health risk behaviours and referral to a suite of existing online and telephone services addressing smoking, risky alcohol consumption, fruit and vegetable intake, and physical activity levels. Methods/Design: A two arm, parallel, cluster randomised trial will be conducted within TAFE campuses in New South Wales (NSW), Australia. TAFE classes will be randomly allocated to an intervention or control condition (50 classes per condition). To be eligible, students must be: enrolled in a course that runs for more than 6 months; aged 16 years or older; and not meet Australian health guideline recommendations for at least one of the following: smoking, alcohol consumption, fruit and/or vegetable intake, or physical activity. Students attending intervention classes, will undertake via a computer tablet a risk assessment for health risk behaviours, and for behaviours not meeting Australian guidelines be provided with electronic feedback about these behaviours and referral to evidence-based online programs and telephone services. Students in control classes will not receive any intervention. Primary outcome measures that will be assessed via online surveys at baseline and 6 months post-recruitment are: 1) daily tobacco smoking; 2) standard drinks of alcohol consumed per week; 3) serves of fruit consumed daily; 4) serves of vegetables consumed daily; and 5) metabolic equivalent minutes of physical activity per week. Discussion: Proactive enrolment to existing online and telephone services has the potential to address modifiable determinants of disease. This trial will be the first to examine a potentially scalable intervention targeting multiple health risk behaviours among students in the vocational training setting.
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2015 |
Nathan N, Wolfenden L, Williams CM, Yoong SL, Lecathelinais C, Bell AC, et al., 'Adoption of obesity prevention policies and practices by Australian primary schools: 2006 to 2013', HEALTH EDUCATION RESEARCH, 30 262-271 (2015) [C1]
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2015 |
Yoong SL, Nathan NK, Wyse RJ, Preece SJ, Williams CM, Sutherland RL, et al., 'Assessment of the School Nutrition Environment: A Study in Australian Primary School Canteens', American Journal of Preventive Medicine, 49 215-222 (2015) [C1]
© 2015 American Journal of Preventive Medicine. Introduction Schools represent a valuable setting for interventions to improve children's diets, as they offer structured oppo... [more]
© 2015 American Journal of Preventive Medicine. Introduction Schools represent a valuable setting for interventions to improve children's diets, as they offer structured opportunities for ongoing intervention. Modifications to the school food environment can increase purchasing of healthier foods and improve children's diets. This study examines the availability of healthy food and drinks, implementation of pricing and promotion strategies in Australian primary school canteens, and whether these varied by school characteristics. Methods In 2012 and 2013, canteen managers of primary schools in the Hunter New England region of New South Wales reported via telephone interview the pricing and promotion strategies implemented in their canteens to encourage healthier food and drink purchases. A standardized audit of canteen menus was performed to assess the availability of healthy options. Data were analyzed in 2014. Results Overall, 203 (79%) canteen managers completed the telephone interview and 170 provided menus. Twenty-nine percent of schools had menus that primarily consisted of healthier food and drinks, and 11% did not sell unhealthy foods. Less than half reported including only healthy foods in meal deals (25%), labeling menus (43%), and having a comprehensive canteen policy (22%). A significantly larger proportion of schools in high socioeconomic areas (OR=3.0) and large schools (OR=4.4) had primarily healthy options on their menus. School size and being a Government school were significantly associated with implementation of some pricing and promotion strategies. Conclusions There is a need to monitor canteen environments to inform policy development and research. Future implementation research to improve the food environments of disadvantaged schools in particular is warranted.
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2015 |
Rowland B, Tindall J, Wolfenden L, Gillham K, Ramsden R, Wiggers J, 'Alcohol management practices in community football clubs: Association with risky drinking at the club and overall hazardous alcohol consumption', DRUG AND ALCOHOL REVIEW, 34 438-446 (2015) [C1]
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2015 |
Nathan N, Wolfenden L, Rose B, Robertson K, Wiggers J, 'Benefits of policy support of a healthy eating initiative in schools', Australian and New Zealand Journal of Public Health, 39 94-95 (2015) [C3]
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2015 |
Bartlem K, Bowman J, Freund M, Wye P, Lecathelinais C, McElwaine K, et al., 'Acceptability and receipt of preventive care for chronic-disease health risk behaviors reported by clients of community mental health services', Psychiatric Services, 66 857-864 (2015) [C1]
Objective: Compared with the general population, people with a mental illness have a greater prevalence of behaviors that contribute to higher chronic disease rates. Mental health... [more]
Objective: Compared with the general population, people with a mental illness have a greater prevalence of behaviors that contribute to higher chronic disease rates. Mental health clinical guidelines recommend preventive care to address such behaviors; however, little information is available about whether clients consider preventive care acceptable or about the prevalence of such care in mental health services. This article describes acceptability and receipt of assessment, advice, and referral for smoking, inadequate fruit and vegetable consumption, harmful alcohol consumption, and physical inactivity, as reported by community mental health service clients. The association between preventive care, diagnosis, and number of clinical appointments was examined. Methods: A cross-sectional telephone interview was conducted with clients (N=558) of community mental health services in Australia. Results: Although preventive care was highly acceptable to clients (86%297%), receipt of preventive care was low. Client receipt of risk assessment ranged from 26% (assessment of fruit or vegetable intake) to 76% (assessment of alcohol consumption). The proportion of clients at risk of and assessed for unhealthy behavior who then received brief advice ranged from 69% (fruit or vegetable intake) to 85% (physical activity), whereas only 38% (alcohol consumption) to 49% (smoking) received any referral. A greater number of mental health appointments were associated with higher prevalence of preventive care, as were diagnoses of diabetes or respiratory conditions and not having a schizophrenia diagnosis. Conclusions: Practice change strategies are required to increase the delivery of routine preventive care within mental health services if clients are to benefit from clinical guidelines.
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2015 |
Wolfenden L, Kingsland M, Rowland BC, Dodds P, Gillham K, Yoong SL, et al., 'Improving availability, promotion and purchase of fruit and vegetable and non sugar-sweetened drink products at community sporting clubs: a randomised trial.', The international journal of behavioral nutrition and physical activity, 12 35 (2015)
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2015 |
Colin Bell A, Finch M, Wolfenden L, Fitzgerald M, Morgan PJ, Jones J, et al., 'Child physical activity levels and associations with modifiable characteristics in centre-based childcare', Australian and New Zealand Journal of Public Health, 39 232-236 (2015) [C1]
© 2015 Public Health Association of Australia. Objective: To describe children's physical activity levels during childcare and associations with modifiable characteristics. M... [more]
© 2015 Public Health Association of Australia. Objective: To describe children's physical activity levels during childcare and associations with modifiable characteristics. Methods: A cross-sectional study of 328 preschool children (43% girls; age 3-5 years) and 145 staff from 20 long day care centres in the Hunter Region of NSW, Australia. Pedometers assessed child physical activity levels. Centre characteristics and staff attitudes and behaviours towards children's physical activity were assessed using surveys, interviews and observational audit. Results were analysed using descriptive statistics and linear regression. Results: Over the measurement period, average step count of children was 15.8 (SD=6.8) steps/minute. Four-year-olds had the highest step counts (16.4, SD=7.1, p=0.03) with no differences by sex. Step counts were significantly higher in centres that had a written physical activity policy (+3.8 steps/minute, p=0.03) and where staff led structured physical activity (+3.7 steps/minute, p<0.001) and joined in active play (+2.9 steps/minute, p=0.06). Conclusions: Written physical activity policy, structured staff-led physical activity and staff joining in active play were associated with higher levels of physical activity. Implications: Childcare physical activity interventions should consider including strategies to encourage written physical activity policies and support structured staff led physical activities.
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2015 |
Colin Bell A, Davies L, Finch M, Wolfenden L, Francis JL, Sutherland R, Wiggers J, 'An implementation intervention to encourage healthy eating in centre-based child-care services: Impact of the Good for Kids Good for Life programme', Public Health Nutrition, 18 1610-1619 (2015) [C1]
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2015 |
Williams CM, Nathan N, Delaney T, Yoong SL, Wiggers J, Preece S, et al., 'CAFÉ: A multicomponent audit and feedback intervention to improve implementation of healthy food policy in primary school canteens: Protocol of a randomised controlled trial', BMJ Open, 5 (2015) [C1]
Introduction: A number of jurisdictions internationally have policies requiring schools to implement healthy canteens. However, many schools have not implemented such policies. On... [more]
Introduction: A number of jurisdictions internationally have policies requiring schools to implement healthy canteens. However, many schools have not implemented such policies. One reason for this isthat current support interventions cannot feasibly be delivered to large numbers of schools. A promising solution to support population-wide implementation of healthy canteen practices is audit and feedback. The effectiveness of this strategy has, however, not previously been assessed in school canteens. This study aims to assess the effectiveness and cost-effectiveness of an audit and feedback intervention, delivered by telephone and email, in increasing the number of school canteens that have menus complying with a government healthy-canteen policy. Methods and analysis: Seventy-two schools, across the Hunter New England Local Health District in New South Wales Australia, will be randomised to receive the multicomponent audit and feedback implementation intervention or usual support. The intervention will consist of between two and four canteen menu audits over 12 months. Each menu audit will be followed by two modes of feedback: a written feedback report and a verbal feedback/support via telephone. Primary outcomes, assessed by dieticians blind to group status and as recommended by the Fresh Tastes @ School policy, are: (1) the proportion of schools with a canteen menu containing foods or beverages restricted for sale, and; (2) the proportion of schools that have a menu which contains more than 50% of foods classified as healthy canteen items. Secondary outcomes are: the proportion of menu items in each category ('red', 'amber' and 'green'), canteen profitability and cost-effectiveness. Ethics and dissemination: Ethical approval has been obtained by from the Hunter New England Human Research Ethics Committee and the University of Newcastle Human Research Ethics Committee. The findings will be disseminated in usual forums, including peer-reviewed publication and conference presentations.
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2015 |
Yoong SL, Williams CM, Finch M, Wyse R, Jones J, Freund M, et al., 'Childcare service centers' preferences and intentions to use a web-based program to implement healthy eating and physical activity policies and practices:a cross-sectional study', Journal of Medical Internet Research, 17 (2015) [C1]
Background: Overweight and obesity is a significant public health problem that impacts a large number of children globally. Supporting childcare centers to deliver healthy eating ... [more]
Background: Overweight and obesity is a significant public health problem that impacts a large number of children globally. Supporting childcare centers to deliver healthy eating and physical activity-promoting policies and practices is a recommended strategy for obesity prevention, given that such services provide access to a substantial proportion of children during a key developmental period. Electronic Web-based interventions represent a novel way to support childcare service providers to implement such policies and practices. Objective: This study aimed to assess: (1) childcare centers' current use of technology, (2) factors associated with intention to use electronic Web-based interventions, and (3) Web-based features that managers rated as useful to support staff with implementing healthy eating and physical activity-promoting policies and practices. Methods: A computer-Assisted telephone interview (CATI) was conducted with service managers from long day care centers and preschools. The CATI assessed the following: (1) childcare center characteristics, (2) childcare centers' use of electronic devices, (3) intention to use a hypothetical electronic Web-based program-Assessed using the Technology Acceptance Model (TAM) with ratings between 1 (strongly disagree) and 7 (strongly agree), and (4) features rated as useful to include in a Web-based program. Results: Overall, 214 service centers out of 277 (77.3%) consented to participate. All service centers except 2 reported using computers (212/214, 99.1%), whereas 40.2% (86/214) used portable tablets. A total of 71.9% (151/210) of childcare service managers reported a score of 6 or more for intention to use a hypothetical electronic Web-based program. In a multivariable logistic regression analysis, intention to use the program was significantly associated with perceived ease of use (P=.002, odds ratio [OR] 3.9, 95% CI 1.6-9.2) and perceived usefulness (P<.001, OR 28,95% CI 8.0-95.2). Features reported by service managers as useful or very useful for a Web-based program included decision-support tools to support staff with menu planning (117/129, 90.7%), links to relevant resources (212/212, 100%), updated information on guidelines (208/212, 98.1%), and feedback regarding childcare center performance in relation to other childcare centers (212/212, 100%). Conclusions: Childcare service managers reported high intention to use a Web-based program and identified several useful features to support staff to implement healthy eating and physical activity policies and practices. Further descriptive and intervention research examining the development and use of such a program to support childcare centers with the implementation of healthy eating and physical activity-promoting policies and practices is warranted.
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2015 |
Beck AK, Baker A, Britton B, Wratten C, Bauer J, Wolfenden L, Carter G, 'Fidelity considerations in translational research: Eating As Treatment - a stepped wedge, randomised controlled trial of a dietitian delivered behaviour change counselling intervention for head and neck cancer patients undergoing radiotherapy', Trials, 16 (2015) [C3]
© 2015 Beck et al. Background: The confidence with which researchers can comment on intervention efficacy relies on evaluation and consideration of intervention fidelity. Accordin... [more]
© 2015 Beck et al. Background: The confidence with which researchers can comment on intervention efficacy relies on evaluation and consideration of intervention fidelity. Accordingly, there have been calls to increase the transparency with which fidelity methodology is reported. Despite this, consideration and/or reporting of fidelity methods remains poor. We seek to address this gap by describing the methodology for promoting and facilitating the evaluation of intervention fidelity in The EAT (Eating As Treatment) project: a multi-site stepped wedge randomised controlled trial of a dietitian delivered behaviour change counselling intervention to improve nutrition (primary outcome) in head and neck cancer patients undergoing radiotherapy. Methods/Design: In accordance with recommendations from the National Institutes of Health Behaviour Change Consortium Treatment Fidelity Workgroup, we sought to maximise fidelity in this stepped wedge randomised controlled trial via strategies implemented from study design through to provider training, intervention delivery and receipt. As the EAT intervention is designed to be incorporated into standard dietetic consultations, we also address unique challenges for translational research. Discussion: We offer a strong model for improving the quality of translational findings via real world application of National Institutes of Health Behaviour Change Consortium recommendations. Greater transparency in the reporting of behaviour change research is an important step in improving the progress and quality of behaviour change research. Trial registration number:ACTRN12613000320752(Date of registration 21 March 2013)
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2015 |
Wolfenden L, Nathan N, Williams CM, 'Computer-tailored interventions to facilitate health behavioural change.', Br J Sports Med, 49 1478-1479 (2015) [C2]
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2014 |
Yoong SLI, Wolfenden L, Clinton-McHarg T, Waters E, Pettman TL, Steele E, Wiggers J, 'Exploring the pragmatic and explanatory study design on outcomes of systematic reviews of public health interventions: a case study on obesity prevention trials', Journal of public health (Oxford, England), 36 170-176 (2014) [C3]
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2014 |
Metse AP, Bowman JA, Wye P, Stockings E, Adams M, Clancy R, et al., 'Evaluating the efficacy of an integrated smoking cessation intervention for mental health patients: study protocol for a randomised controlled trial.', Trials, 15 266 (2014) [C3]
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2014 |
Dray J, Bowman J, Freund M, Campbell E, Wolfenden L, Hodder RK, Wiggers J, 'Improving adolescent mental health and resilience through a resilience-based intervention in schools: study protocol for a randomised controlled trial.', Trials, 15 289 (2014) [C3]
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2014 |
Dodds P, Wyse R, Jones J, Wolfenden L, Lecathelinais C, Williams A, et al., 'Validity of a measure to assess healthy eating and physical activity policies and practices in Australian childcare services', BMC Public Health, 14 (2014) [C1]
Childcare services represent a valuable obesity prevention opportunity, providing access to a large portion of children at a vital point in their development. Few rigorously valid... [more]
Childcare services represent a valuable obesity prevention opportunity, providing access to a large portion of children at a vital point in their development. Few rigorously validated measures exist to measure healthy eating and physical activity policies and practices in this setting, and no such measures exist that are specific to the childcare setting in Australia. Methods. This was a cross sectional study, comparing two measures (pen and paper survey and observation) of healthy eating and physical activity policies and practices in childcare services. Research assistants attended consenting childcare services (n = 42) across the Hunter region of New South Wales, Australia and observed practices for one day. Nominated Supervisors and Room Leaders of the service also completed a pen and paper survey during the day of observation. Kappa statistics and proportion agreement were calculated for a total of 43 items relating to healthy eating and physical activity policies and practices. Results: Agreement ranged from 38%-100%. Fifty one percent of items showed agreement of greater than or equal to 80%. Items assessing the frequency with which staff joined in active play with children reported the lowest percent agreement, while items assessing availability of beverages such as juice, milk and cordial, as well as the provision of foods such as popcorn, pretzels and sweet biscuits, reported the highest percent agreement. Kappa scores ranged from -0.06 (poor agreement) to 1 (perfect agreement). Of the 43 items assessed, 27 were found to have moderate or greater agreement. Conclusions: The study found that Nominated Supervisors and Room Leaders were able to accurately report on a number of healthy eating and physical activity policies and practices. Items assessing healthy eating practices tended to have higher kappa scores than those assessing physical activity related policies or practices. The tool represents a useful instrument for public health researchers and policy makers working in this setting. © 2014Dodds et al.; licensee BioMed Central Ltd.
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2014 |
Delaney T, Williams C, Wyse R, Yoong SL, Nathan N, Wolfenden L, 'Identifying social influences on the implementation of canteen practices in primary schools', Obesity Research & Clinical Practice, 8 24-24 (2014)
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2014 |
Wolfenden L, Nathan N, Williams CM, Delaney T, Reilly KL, Freund M, et al., 'A randomised controlled trial of an intervention to increase the implementation of a healthy canteen policy in Australian primary schools: study protocol.', Implement Sci, 9 147 (2014) [C3]
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2014 |
Williams CM, Nathan N, Wolfenden L, 'Physical activity promotion in primary care has a sustained influence on activity levels of sedentary adults', British Journal of Sports Medicine, 48 1069-1070 (2014) [C3]
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2014 |
Wolfenden L, Wyse R, Campbell E, Brennan L, Campbell KJ, Fletcher A, et al., 'Randomized controlled trial of a telephone-based intervention for child fruit and vegetable intake: Long-term follow-up', American Journal of Clinical Nutrition, 99 543-550 (2014) [C1]
Background: Telephone-based interventions can be effective in increasing child fruit and vegetable intake in the short term (<6 mo). The long-term efficacy of such intervention... [more]
Background: Telephone-based interventions can be effective in increasing child fruit and vegetable intake in the short term (<6 mo). The long-term efficacy of such interventions, however, is unknown. Objectives: The primary aim of this study was to determine whether the short-term (<6 mo) impact of a telephone-based intervention on children's fruit and vegetable intake was sustained over a longer term. A secondary aim of the study was to assess the long-term impact of the intervention on the intake of foods high in fat, salt, or sugar (noncore foods). Design: The study used a cluster randomized controlled trial design. Parents were recruited from Australian preschools between February and August 2010 and allocated to receive an intervention consisting of print materials and 4 telephone-counseling calls delivered over 1 mo or to a print information-only control group. The primary endpoint for the trial was the 18-mo postbaseline follow-up. Linear regression models were used to assess between-group differences in child consumption of fruit and vegetables and noncore foods by subscales of the Children's Dietary Questionnaire. Results: Fruit and vegetable subscale scores were significantly higher, indicating greater child fruit and vegetable intake, among children in the intervention group at the 12-mo (16.77 compared with 14.89; P < 0.01) but not the 18-mo (15.98 compared with 16.82; P = 0.14) follow-up. There were no significant differences between groups at either of the follow-up periods in the noncore food subscale score. Conclusion: Further research to identify effective maintenance strategies is required to maximize the benefits of telephone-based interventions on child diet. This trial was registered at http://www.anzctr.org. au/ as ACTRN12609000820202. © 2014 American Society for Nutrition.
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2014 |
Finch M, Wolfenden L, Morgan PJ, Freund M, Jones J, Wiggers J, 'A cluster randomized trial of a multi-level intervention, delivered by service staff, to increase physical activity of children attending center-based childcare', PREVENTIVE MEDICINE, 58 9-16 (2014) [C1]
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2014 |
Wolfenden L, Wyse R, Nichols M, Allender S, Millar L, McElduff P, 'A systematic review and meta-analysis of whole of community interventions to prevent excessive population weight gain', PREVENTIVE MEDICINE, 62 193-200 (2014) [C1]
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2014 |
Dodds P, Wolfenden L, Chapman K, Wellard L, Hughes C, Wiggers J, 'The effect of energy and traffic light labelling on parent and child fast food selection: a randomised controlled trial', APPETITE, 73 23-30 (2014) [C1]
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2014 |
Wolfenden L, Carruthers J, Wyse R, Yoong S, 'Translation of tobacco control programs in schools: Findings from a rapid review of systematic reviews of implementation and dissemination interventions', Health Promotion Journal of Australia, 25 136-138 (2014) [C3]
© Australian Health Promotion Association 2014. Issue addressed: School-based programs targeting the prevention of tobacco use are a key strategy for reducing the overall tobacco-... [more]
© Australian Health Promotion Association 2014. Issue addressed: School-based programs targeting the prevention of tobacco use are a key strategy for reducing the overall tobacco-related mortality and morbidity in the community. While substantial research investment has resulted in the identification of various effective tobacco prevention interventions in schools, this research investment will not result in public health benefits, unless effectively disseminated and implemented. This rapid review aimed to identify effective implementation or dissemination interventions, targeting the adoption of school-based tobacco prevention programs. Methods: A systematic search was conducted to identify published systematic reviews that examined the effectiveness of implementation and dissemination strategies for facilitating the adoption of tobacco policies or programs in schools from 1992 to 2012. Results: The search yielded 1028 results, with one relevant systematic review being identified. The review included two controlled studies examining the implementation and dissemination of tobacco prevention programs and guidelines. The two randomised trials examined the delivery of active face-to-face training to implement a school-based curriculum compared with video-delivered or mail-based training. Improvements in the implementation of the programs were reported for the face-to-face training arm in both trials. Conclusions: Little rigorous evidence exists to guide the implementation and dissemination of tobacco prevention programs in schools. So what?: Few systematic reviews exist to inform the implementation of evidence-based tobacco prevention programs in schools. In the absence of a strong evidence base, health care policymakers and practitioners may need to draw on setting-based frameworks or parallel evidence from other settings to design strategies to facilitate the adoption of tobacco prevention initiatives.
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2014 |
Bartlem KM, Bowman JA, Freund M, Wye PM, McElwaine KM, Wolfenden L, et al., 'Care provision to prevent chronic disease by community mental health clinicians', American Journal of Preventive Medicine, 47 762-770 (2014) [C1]
© 2014 American Journal of Preventive Medicine. Background People with a mental illness have higher prevalence of behavioral risks for chronic disease than the general population.... [more]
© 2014 American Journal of Preventive Medicine. Background People with a mental illness have higher prevalence of behavioral risks for chronic disease than the general population. Despite recommendations regarding the provision of preventive care by mental health services, limited research has examined the extent to which such care is provided.Purpose To examine mental health clinician provision of care for preventable chronic disease risks, and whether such care was associated with the availability of practice support strategies.Methods A cross-sectional survey was undertaken of 151 community mental health clinicians in New South Wales, Australia regarding the provision of three elements of preventive care (i.e., assessment, brief advice, and referral/follow-up) for four health risk behaviors (i.e., tobacco smoking, inadequate fruit and vegetable consumption, harmful alcohol consumption, and inadequate physical activity). Clinicians reported the availability of 16 strategies to support such care delivery. Data were collected in 2010 and analyzed in 2012-2013.Results Preventive care provision varied by both care element and risk behavior. Optimal care (each care element provided to at least 80% of clients for all health behaviors) was provided by few clinicians: assessment (8.6%), brief advice (24.5%), and referral/follow-up (9.9%). Less than half of clinicians reported more than four support strategies were available (44.4%). The availability of five or more strategies was associated with increased optimal preventive care.Conclusions The provision of preventive care focused on chronic disease prevention in community mental health services is suboptimal. Interventions to increase the routine provision of such care should involve increasing the availability of evidence-based strategies to support care provision.
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2014 |
McElwaine KM, Freund M, Campbell EM, Knight J, Bowman JA, Wolfenden L, et al., 'Increasing preventive care by primary care nursing and allied health clinicians a non-randomized controlled trial', American Journal of Preventive Medicine, 47 424-434 (2014) [C1]
© 2014 American Journal of Preventive Medicine. Background: Although primary care nurse and allied health clinician consultations represent key opportunities for the provision of ... [more]
© 2014 American Journal of Preventive Medicine. Background: Although primary care nurse and allied health clinician consultations represent key opportunities for the provision of preventive care, it is provided suboptimally. Purpose: To assess the effectiveness of a practice change intervention in increasing primary care nursing and allied health clinician provision of preventive care for four health risks. Design: Two-group (intervention versus control), non-randomized controlled study assessing the effectiveness of the intervention in increasing clinician provision of preventive care. Setting/participants: Randomly selected clients from 17 primary healthcare facilities participated in telephone surveys that assessed their receipt of preventive care prior to (September 2009-2010, n=876) and following intervention (October 2011-2012, n=1,113). Intervention: The intervention involved local leadership and consensus processes, electronic medical record system modification, educational meetings and outreach, provision of practice change resources and support, and performance monitoring and feedback. Main outcome measures: The primary outcome was differential change in client-reported receipt of three elements of preventive care (assessment, brief advice, referral/follow-up) for each of four behavioral risks individually (smoking, inadequate fruit and vegetable consumption, alcohol overconsumption, physical inactivity) and combined. Logistic regression assessed intervention effectiveness. Results: Analyses conducted in 2013 indicated significant improvements in preventive care delivery in the intervention compared to the control group from baseline to follow-up for assessment of fruit and vegetable consumption (+23.8% vs -1.5%); physical activity (+11.1% vs -0.3%); all four risks combined (+16.9% vs -1.0%) and for brief advice for inadequate fruit and vegetable consumption (+19.3% vs -2.0%); alcohol overconsumption (+14.5% vs -8.9%); and all four risks combined (+14.3% vs +2.2%). The intervention was ineffective in increasing the provision of the remaining forms of preventive care. Conclusions: The intervention's impact on the provision of preventive care varied by both care element and risk type. Further intervention is required to increase the consistent provision of preventive care, particularly referral/follow-up.
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2014 |
Kypri K, Wolfenden L, Langley J, Hutchesson M, Voas R, 'Public, official, and industry submissions on a Bill to increase the alcohol minimum purchasing age: A critical analysis', International Journal of Drug Policy, (2014) [C1]
Background: In 2005 a Bill was introduced to the New Zealand parliament to increase the alcohol minimum purchasing age (MPA) from 18 to 20 years and submissions were invited from ... [more]
Background: In 2005 a Bill was introduced to the New Zealand parliament to increase the alcohol minimum purchasing age (MPA) from 18 to 20 years and submissions were invited from interested parties. We sought to characterise and critique the arguments tendered for and against the proposal. Methods: We used template analysis to study written submissions on the Bill from 178 people and organisations in New Zealand. Independent raters coded submissions according to the source, whether for or opposed, and the arguments employed. Results: The most common sources of submissions were members of the public (28%), the alcohol industry (20%), and NGOs (20%). Overall, 40% opposed increasing the MPA, 40% were in favour, 4% supported a split MPA (18 years for on-premise, 20 years for off-premise), 7% were equivocal, and 8% offered no comment. The most common proponents of increasing the MPA were NGOs (36%) and members of the public (30%) and their arguments concerned the expected positive effects on public health (36%) and public disorder/property damage (16%), while 24% argued that other strategies should be used as well. The most common sources of opposition to increasing the MPA were the alcohol industry (50%) and the public (20%). It was commonly claimed that the proposed law change would be ineffective in reducing harm (22%), that other strategies should be used instead (16%), that it would infringe adult rights (15%), and that licensed premises are safe environments for young people (14%). There were noteworthy examples of NGOs and government agencies opposing the law change. The alcohol industry maximised its impact via multiple submissions appealing to individual rights while neglecting to report or accurately characterise the scientific evidence. Several health and welfare agencies presented confused logic and/or were selective in their use of scientific evidence. Conclusion: In contrast to the fragmented and inconsistent response from government and NGOs, the alcohol industry was organised and united, with multiple submissions from the sector with most at stake, namely the hospitality industry, and supporting submissions from the manufacturing, import, and wholesale sectors. Systematic reviews of research evidence should be routinely undertaken to guide the legislature and submissions should be categorised on the basis of pecuniary interest. © 2014 Elsevier B.V. All rights reserved.
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2014 |
Dodds P, Wolfenden L, Chapman K, Wellard L, Hughes C, Wiggers J, 'The effect of energy and traffic light labelling on parent and child fast food selection: a randomised controlled trial.', Appetite, 73 23-30 (2014)
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2014 |
Yoong SL, Skelton E, Jones J, Wolfenden L, 'Do childcare services provide foods in line with the 2013 Australian Dietary guidelines? A cross-sectional study', Australian and New Zealand Journal of Public Health, 38 595-596 (2014) [C3]
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2014 |
Williams CM, Williams A, O Brien K, Wolfenden L, Wiggers J, 'Preventative care strategies for common risk factors of chronic disease and musculoskeletal pain in patients waiting for specialist consultation', Obesity Research & Clinical Practice, 8 115-115 (2014)
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2014 |
Wolfenden L, Wiggers J, 'Strengthening the rigour of population-wide, community-based obesity prevention evaluations', Public Health Nutrition, 17 407-421 (2014) [C1]
Abstract Objective The aim of the present study was to review the methodological literature regarding evaluation methods for complex public health interventions broadly and, based... [more]
Abstract Objective The aim of the present study was to review the methodological literature regarding evaluation methods for complex public health interventions broadly and, based on such methods, to critically reflect on the evaluation of contemporary community-based obesity prevention programmes. Design A systematic review of the methods and community-based literature was performed by one reviewer. Results The review identified that there is considerable scope to improve the rigour of community-based obesity prevention programmes through: prospective trial registration; the use of more rigorous research designs, particularly where routine databases including an objective measure of adiposity are available; implementing strategies to quantify and reduce the risk of selective non-participation bias; the development and use of validated instruments to assess intervention impacts; reporting of intervention process and context information; and more comprehensive analyses of trial outcomes. Conclusions To maximise the quality and utility of community-based obesity prevention evaluations, programme implementers and evaluators need to carefully examine the strengths and pitfalls of evaluation decisions and seek to maximise evaluation rigour in the context of political, resource and practical constraints. © The Authors 2012.
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2014 |
Wellard L, Chapman K, Wolfenden L, Dodds P, Hughes C, Wiggers J, 'Who is responsible for selecting children's fast food meals, and what impact does this have on energy content of the selected meals?', Nutrition and Dietetics, 71 172-177 (2014) [C1]
© 2014 Dietitians Association of Australia. Aim: The present study aimed to: (i) document the role of parents in children's fast food meal selection; (ii) determine whether p... [more]
© 2014 Dietitians Association of Australia. Aim: The present study aimed to: (i) document the role of parents in children's fast food meal selection; (ii) determine whether parental demographics, weight status or fast food consumption frequency were associated with who selects children's fast food meals; and (iii) determine whether the total energy content of children's meals selected from a hypothetical fast food menu was associated with selection responsibility. Methods: A cross-sectional survey of 477 parents of children aged 3-12 years in New South Wales, Australia, was conducted. Participants completed two computer-assisted telephone interviews. The first collected demographic and anthropometric data including height and weight. Participants were subsequently mailed a hypothetical fast food menu. The second interview asked who was responsible for selecting their children's fast food meals, and what items would be chosen. Energy content of the selections was examined. Results: Most parents (60%) stated that they shared meal selection responsibility with their children. Parents with higher education levels (P < 0.01) or younger children (P < 0.01) were more likely to take responsibility for meal selection. When parents stated that children were responsible, they chose fast food meals with significantly higher energy content than when responsibility was shared (P < 0.01). Conclusions: The present study shows that parents are influential in children's fast food intake. Parents should be encouraged to play an active role in assisting children to make healthier fast food choices, to reduce the impact of high-energy meals on their overall diets.
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2014 |
Johnson NA, Kypri K, Latter J, McElduff P, Saunders JB, Saitz R, et al., 'Prevalence of unhealthy alcohol use in hospital outpatients', Drug and Alcohol Dependence, 144 270-273 (2014) [C1]
© 2014 Elsevier Ireland Ltd. Background: Few studies have examined the prevalence of unhealthy alcohol use in the hospital outpatient setting. Our aim was to estimate the prevalen... [more]
© 2014 Elsevier Ireland Ltd. Background: Few studies have examined the prevalence of unhealthy alcohol use in the hospital outpatient setting. Our aim was to estimate the prevalence of unhealthy alcohol use among patients attending a broad range of outpatient clinics at a large public hospital in Australia. Methods: Adult hospital outpatients were invited to complete the Alcohol Use Disorders Identification Test Consumption questions (AUDIT-C) using an iPad as part of a randomised trial testing the efficacy of alcohol electronic screening and brief intervention. Unhealthy alcohol use was defined as an AUDIT-C score =5 among men and =4 among women. Results: Sixty percent (3616/6070) of invited hospital outpatients consented, of whom 89% (3206/3616) provided information on their alcohol consumption (either reported they had not consumed any alcohol in the last 12 months or completed the AUDIT-C). The prevalence of unhealthy alcohol use was 34.7% (95% confidence interval [CI]: 33.0-36.3%). The prevalence among men aged 18-24 years, 25-39 years, 40-59 years and 60 years and older, was 74.4% (95% CI: 68.4-80.4%), 54.3% (95% CI: 48.7-59.8%), 44.1% (95% CI: 39.9-48.3%), and 27.0% (95% CI: 23.6-30.4%), respectively (43.1% overall; 95% CI: 40.8-45.5%). The prevalence among women aged 18-24 years, 25-39 years, 40-59 years, and 60 years and older, was 48.6% (95% CI: 39.2-58.1%), 36.9% (95% CI: 31.2-42.6%), 25.2% (95% CI: 21.5-29.0%) and 14.5% (95% CI: 11.7-17.3%), respectively (24.9% overall; 95% CI: 22.7-27.1%). Conclusion: A large number of hospital outpatients who are not currently seeking treatment for their drinking could benefit from effective intervention in this setting.
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2014 |
Milat AJ, King L, Newson R, Wolfenden L, Rissel C, Bauman A, Redman S, 'Increasing the scale and adoption of population health interventions: experiences and perspectives of policy makers, practitioners, and researchers', HEALTH RESEARCH POLICY AND SYSTEMS, 12 (2014) [C1]
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2014 |
Jones RA, Lubans DR, Morgan PJ, Okely AD, Parletta N, Wolfenden L, et al., 'School-based obesity prevention interventions: Practicalities and considerations', Obesity Research and Clinical Practice, 8 e497-e510 (2014) [C1]
© 2013 Asian Oceanian Association for the Study of Obesity. Pediatric obesity continues to be a major public health concern. Once established it is difficult to treat, therefore w... [more]
© 2013 Asian Oceanian Association for the Study of Obesity. Pediatric obesity continues to be a major public health concern. Once established it is difficult to treat, therefore well-designed and evaluated prevention interventions are vitally important. Schools have an important role in the prevention of childhood obesity, however, their involvement can be limited by a number of constraints and barriers, which need to be considered when designing interventions. Members of the Prevention Stream of the Australasian Child and Adolescent Obesity Research Network have extensive experience in implementing and evaluating school-based obesity prevention initiatives. Based on their collective experience and evidence from implementation research, the aim of this paper was to highlight six areas to consider when designing, implementing and evaluating obesity prevention initiatives in schools. Further, this paper aimed to provide guidance for overcoming some of the challenges and barriers faced in school-based obesity prevention research. The six key areas discussed include: design and analysis; school-community engagement; planning and recruitment; evaluation; implementation; and feedback and sustainability.
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2014 |
Ganann R, Fitzpatrick-Lewis D, Ciliska D, Peirson LJ, Warren RL, Fieldhouse P, et al., 'Enhancing nutritional environments through access to fruit and vegetables in schools and homes among children and youth: a systematic review', BMC Research Notes, 7 422-422 (2014) [C1]
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2014 |
Wyse R, Campbell KJ, Brennan L, Wolfenden L, 'A cluster randomised controlled trial of a telephone-based intervention targeting the home food environment of preschoolers (The Healthy Habits Trial): the effect on parent fruit and vegetable consumption', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 11 (2014) [C1]
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2014 |
Jones J, Wolfenden L, Wyse R, Finch M, Yoong SL, Dodds P, et al., 'A randomised controlled trial of an intervention to facilitate the implementation of healthy eating and physical activity policies and practices in childcare services.', BMJ Open, 4 e005312 (2014) [C3]
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2014 |
Hodder RK, Freund M, Wolfenden L, Bowman J, Gillham K, Dray J, Wiggers J, 'Systematic review of universal school-based resilience interventions targeting adolescent tobacco, alcohol or illicit drug use: review protocol.', BMJ Open, 4 e004718 (2014) [C3]
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2013 |
Ganann R, Fitzpatrick-Lewis D, Ciliska D, Dobbins M, Krishnaratne S, Beyers J, et al., 'Community-based interventions for enhancing access to or consumption of fruit and vegetables (or both) among five to 18-year olds', Cochrane Database of Systematic Reviews, 2013 (2013)
© 2013 The Cochrane Collaboration. This is the protocol for a review and there is no abstract. The objectives are as follows: To examine the effects of community-based interventio... [more]
© 2013 The Cochrane Collaboration. This is the protocol for a review and there is no abstract. The objectives are as follows: To examine the effects of community-based interventions designed to increase fruit and vegetable access, consumption or both among five to 18-year olds.
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2013 |
Johnson NA, Kypri K, Saunders JB, Saitz R, Attia J, Dunlop A, et al., 'The hospital outpatient alcohol project (HOAP): protocol for an individually randomized, parallel-group superiority trial of electronic alcohol screening and brief intervention versus screening alone for unhealthy alcohol use.', Addict Sci Clin Pract, 8 14 (2013) [C3]
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2013 |
Wolfenden L, McKeough A, Bowman J, Paolini S, Francis L, Wye P, Puhl R, 'Experimental investigation of parents and their children's social interaction intentions towards obese children', JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 49 604-607 (2013) [C1]
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2013 |
Yoong SL, Wolfenden L, Finch M, Williams A, Dodds P, Gillham K, Wyse R, 'A randomised controlled trial of an active telephone-based recruitment strategy to increase childcare-service staff attendance at a physical activity and nutrition training workshop', Health Promotion Journal of Australia, 24 224-226 (2013) [C1]
Issue addressed: Centre-based childcare services represent a promising setting to target the prevention of excessive weight gain in preschool-aged children. Staff training is a ke... [more]
Issue addressed: Centre-based childcare services represent a promising setting to target the prevention of excessive weight gain in preschool-aged children. Staff training is a key component of multi-strategy interventions to improve implementation of effective physical activity and nutrition promoting practices for obesity prevention in childcare services. This randomised controlled trial aimed to examine whether an active telephone-based strategy to invite childcare-service staff to attend a training workshop was effective in increasing the proportion of services with staff attending training, compared with a passive strategy. Methods: Services were randomised to an active telephone-based or a passive-recruitment strategy. Those in the active arm received an email invitation and one to three follow-up phone calls, whereas services in the passive arm were informed of the availability of training only via newsletters. The proportion of services with staff attending the training workshop was compared between the two arms. Results: One hundred and twenty-eight services were included in this study. A significantly larger proportion (52%) of services in the active arm compared with those in the passive-strategy arm (3.1%) attended training (d.f.=1, ¿2=34.3; P<0.001). Conclusions: An active, telephone-based recruitment strategy significantly increased the proportion of childcare services with staff attending training. Further strategies to improve staff attendance at training need to be identified and implemented. So what? Active-recruitment strategies including follow-up telephone calls should be utilised to invite staff to participate in training, in order to maximise the use of training as an implementation strategy for obesity prevention in childcare services. © 2013 Australian Health Promotion Association.
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2013 |
Wolfenden L, Kypri K, Britton B, James EL, Francis JL, Wyse R, 'Effects of Introductory Information on Self-Reported Health Behavior', EPIDEMIOLOGY, 24 170-172 (2013) [C1]
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2013 |
Nathan N, Wolfenden L, Morgan PJ, 'Pre-service primary school teachers' experiences of physical education', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 37 294-294 (2013) [C3]
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2013 |
Sutherland R, Campbell E, Lubans DR, Morgan PJ, Okely AD, Nathan N, et al., 'A cluster randomised trial of a school-based intervention to prevent decline in adolescent physical activity levels: study protocol for the 'Physical Activity 4 Everyone' trial', BMC PUBLIC HEALTH, 13 (2013) [C3]
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2013 |
Kingsland M, Wolfenden L, Rowland BC, Gillham KE, Kennedy VJ, Ramsden RL, et al., 'Alcohol consumption and sport: a cross-sectional study of alcohol management practices associated with at-risk alcohol consumption at community football clubs', BMC PUBLIC HEALTH, 13 (2013) [C1]
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2013 |
McElwaine KM, Freund M, Campbell EM, Knight J, Bowman JA, Doherty EL, et al., 'The delivery of preventive care to clients of community health services', BMC HEALTH SERVICES RESEARCH, 13 (2013) [C1]
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2013 |
Fletcher A, Wolfenden L, Wyse R, Bowman J, McElduff P, Duncan S, 'A randomised controlled trial and mediation analysis of the 'Healthy Habits', telephone-based dietary intervention for preschool children', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 10 (2013) [C1]
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2013 |
Nathan N, Wolfenden L, Morgan PJ, Bell AC, Barker D, Wiggers J, 'Validity of a self-report survey tool measuring the nutrition and physical activity environment of primary schools', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 10 (2013) [C1]
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2013 |
Bell AC, Wolfenden L, Sutherland R, Coggan L, Young K, Fitzgerald M, et al., 'Harnessing the power of advertising to prevent childhood obesity', INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 10 (2013) [C1]
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2012 |
Bell C, Finch M, Wolfenden L, Morgan P, Freund M, Jones J, Wiggers J, 'Predictors of preschool age children's physical activity at long day care', Journal of Science and Medicine in Sport, 15 S111-S111 (2012)
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2012 |
Campbell E, Campbell KJ, Wiggers JH, Brennan L, Fletcher AL, Bowman JA, et al., 'A cluster randomized controlled trial of a telephone-based parent intervention to increase preschoolers' fruit and vegetable consumption', American Journal of Clinical Nutrition, 96 102-110 (2012) [C1]
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2012 |
Rowe SC, Wiggers JH, Wolfenden L, Francis JL, Freund MA, 'Evaluation of an educational policing strategy to reduce alcohol-related crime associated with licensed premises', Canadian Journal of Public Health, 103 S8-S14 (2012) [C1]
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2012 |
Wolfenden L, Bell C, Wiggers JH, Butler M, James EL, Chipperfield KM, 'Engaging parents in child obesity prevention: Support preferences of parents', Journal of Paediatrics and Child Health, 48 E4-E6 (2012) [C1]
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2012 |
Sawyer AL, Wolfenden L, Kennedy VJ, Kingsland M, Young KG, Tindall J, et al., 'Alcohol sponsorship of community football clubs: The current situation', Health Promotion Journal of Australia, 23 70-72 (2012) [C1]
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2012 |
Young K, Kennedy V, Kingsland M, Sawyer A, Rowland B, Wiggers JH, Wolfenden L, 'Healthy food and beverages in senior community football club canteens in New South Wales, Australia', Health Promotion Journal of Australia, 23 149-152 (2012) [C1]
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2012 |
Hardy LL, Grunseit A, Khambalia A, Bell C, Wolfenden L, Milat AJ, 'Co-occurrence of obesogenic risk factors among adolescents', Journal of Adolescent Health, 51 265-271 (2012) [C1]
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2012 |
Rowe SC, Wiggers JH, Kingsland M, Nicholas C, Wolfenden L, 'Alcohol consumption and intoxication among people involved in police-recorded incidents of violence and disorder in non-metropolitan New South Wales', Australian and New Zealand Journal of Public Health, 36 33-40 (2012) [C1]
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2012 |
Wolfenden L, Paul CL, Tzelepis F, Freund MA, Wiggers JH, Gillham K, 'Acceptability of proactive telephone recruitment to a telephone support service to encourage healthy eating, physical activity and weight loss', Australian and New Zealand Journal of Public Health, 36 295-296 (2012) [C1]
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2012 |
Wolfenden L, Kingsland M, Rowland B, Kennedy V, Gillham K, Wiggers JH, 'Addressing alcohol use in community sports clubs: Attitudes of club representatives', Australian and New Zealand Journal of Public Health, 36 93-94 (2012) [C3]
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2012 |
Wolfenden L, Wyse RJ, Britton BI, Campbell KJ, Hodder RK, Stacey FG, et al., 'Interventions for increasing fruit and vegetable consumption in children aged 5 years and under', COCHRANE DATABASE OF SYSTEMATIC REVIEWS, (2012) [C1]
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2012 |
Nathan NK, Wolfenden L, Bell AC, Wyse R, Morgan PJ, Butler MT, et al., 'Effectiveness of a multi-strategy intervention in increasing the implementation of vegetable and fruit breaks by Australian primary schools: A non-randomized controlled trial', BMC Public Health, 12 651 (2012) [C1]
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2012 |
Wolfenden L, Wiggers JH, Paul CL, Freund MA, Lecathelinais C, Wye PM, Gillham K, 'Increasing the use of preventative health services to promote healthy eating, physical activity and weight management: The acceptability and potential effectiveness of a proactive telemarketing approach', BMC Public Health, 12 (2012) [C1]
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2012 |
Hodder RK, Freund MA, Bowman JA, Wolfenden L, Campbell EM, Wye PM, et al., 'A cluster randomised trial of a school-based resilience intervention to decrease tobacco, alcohol and illicit drug use in secondary school students: Study protocol', BMC Public Health, 12 1009 (2012) [C3]
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2012 |
Finch M, Wolfenden L, Falkiner M, Edenden D, Pond N, Hardy L, et al., 'Impact of a population based intervention to increase the adoption of multiple physical activity practices in centre based childcare services: A quasi experimental, effectiveness study', International Journal of Behavioral Nutrition and Physical Activity, 9 1-13 (2012) [C1]
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2012 |
Kingsland M, Wiggers JH, Wolfenden L, 'Interventions in sports settings to reduce alcohol consumption and alcohol-related harm: A systematic review protocol', BMJ Open, 2 1-5 (2012) [C3]
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2011 |
Wyse R, Campbell EM, Nathan NK, Wolfenden L, 'Associations between characteristics of the home food environment and fruit and vegetable intake in preschool children: A cross-sectional study', BMC Public Health, 11 938 (2011) [C1]
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2011 |
McElwaine KM, Freund MA, Campbell EM, Knight JJ, Slattery C, Doherty E, et al., 'The effectiveness of an intervention in increasing community health clinician provision of preventive care: A study protocol of a non-randomised, multiple-baseline trial', BMC Health Services Research, 11 354 (2011) [C3]
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2011 |
Wye PM, Bowman JA, Wiggers JH, Freund MA, Wolfenden L, Stockings EA, 'Treating nicotine dependence in mental health hospitals', Mental Health and Substance Use: Dual Diagnosis, 4 130-143 (2011) [C1]
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2011 |
Kingsland M, Wolfenden L, Rowland BC, Tindall J, Gillham KE, McElduff P, et al., 'A cluster randomised controlled trial of a comprehensive accreditation intervention to reduce alcohol consumption at community sports clubs: Study protocol', BMJ Open, 1 e000328 (2011) [C3]
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2011 |
Nathan NK, Wolfenden L, Butler M, Bell AC, Wyse R, Campbell EM, et al., 'Vegetable and fruit breaks in Australian primary schools: prevalence, attitudes, barriers and implementation strategies', Health Education Research, 26 722-731 (2011) [C1]
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2011 |
Wolfenden L, Neve M, Farrell L, Lecathelinais C, Bell C, Milat A, et al., 'Physical activity policies and practices of childcare centres in Australia', Journal of Paediatrics and Child Health, 47 73-76 (2011) [C1]
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2011 |
Innes-Hughes C, Hardy LL, Venugopal K, King LA, Wolfenden L, Rangan A, 'Children's consumption of energy-dense nutrient-poor foods, fruit and vegetables: Are they related? An analysis of data from a cross sectional survey', Health Promotion Journal of Australia, 22 210-216 (2011) [C1]
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2011 |
Wolfenden L, Stojanovski E, Wiggers JH, Gillham K, Bowman JA, Richie C, 'Demographic, smoking, and clinical characteristics associated with smoking cessation care provided to patients preparing for surgery', Journal of Addictions Nursing, 22 171-175 (2011) [C1]
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2011 |
Wyse R, Wolfenden L, Campbell EM, Campbell K, Brennan L, Fletcher A, et al., 'A pilot study of a telephone-based parental intervention to increase fruit and vegetable consumption in 3-5-year-old children', Public Health Nutrition, 14 2245-2253 (2011) [C1]
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2011 |
Wolfenden L, Hardy LL, Wiggers JH, Milat AJ, Bell C, Sutherland RL, 'Prevalence and socio-demographic associations of overweight and obesity among children attending child-care services in rural and regional Australia', Nutrition & Dietetics, 68 15-20 (2011) [C1]
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2010 |
Rowe SC, Wiggers JH, Wolfenden L, Francis JL, 'Establishments licensed to serve alcohol and their contribution to police-recorded crime in Australia: Further opportunities for harm reduction', Journal of Studies on Alcohol and Drugs, 71 909-916 (2010) [C1]
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2010 |
Hinkley T, Wolfenden L, Sugiyami T, Porter C, Zask A, Bundy A, 'Physical activity in early childhood: Characteristics, influences and interventions', Journal of Science and Medicine in Sport, 12 e168-e169 (2010)
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2010 |
Wolfenden L, Neve M, Farrell L, Lecathelinais C, Sutherland R, Bell C, et al., 'How supportive are childcare services policies and practices to child physical activity?', Journal of Science and Medicine in Sport, 12 e169-e170 (2010)
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2010 |
Wolfenden L, Brennan L, Britton B, 'Intelligent obesity interventions using Smartphones', Preventive Medicine, 51 519-520 (2010) [C3]
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2010 |
Wolfenden L, Wyse R, Britton B, Campbell K, Hodder R, Stacey FJ, et al., 'Interventions for increasing fruit and vegetable consumption in preschool aged children', Cochrane Database of Systematic Reviews, 1-11 (2010)
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2010 |
Finch M, Wolfenden L, Morgan PJ, Freund MA, Wyse R, Wiggers JH, 'A cluster randomised trial to evaluate a physical activity intervention among 3-5 year old children attending long day care services: Study protocol', BMC Public Health, 534 1-10 (2010) [C1]
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2010 |
Falkiner M, Wolfenden L, Bell C, Nathan NK, 'Obesity prevention and human service organisations: A survey of managers', Developing Practice: The Child, Youth and Family Work Journal, 21-28 (2010) [C1]
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2010 |
Falkiner M, Wolfenden L, Nathan NK, Francis JL, Rowe S, Bell C, 'Advice on healthy eating and physical activity where it is needed most: Empowering home-visiting human services to provide the right information at the right time to vulnerable families', Developing Practice: The Child, Youth and Family Work Journal, 29-41 (2010) [C1]
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2010 |
Wolfenden L, Falkiner M, Bell C, 'Addressing the burden of obesity among disadvantaged families', Developing Practice: The Child, Youth and Family Work Journal, 11-20 (2010) [C1] |
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2010 |
Wolfenden L, Wiggers JH, Tursan D'Espaignet E, Bell C, 'How useful are systematic reviews of child obesity interventions?', Obesity Reviews, 11 159-165 (2010) [C1]
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2010 |
Ganann R, Fitzpatrick-Lewis D, Ciliska D, Dobbins M, Krishnaratne S, Beyers J, et al., 'Community-based interventions for enhancing access to or consumption of fruit and vegetables (or both) among five to 18-year olds (Protocol)', The Cochrane Database of Systematic Reviews, 1-11 (2010) [C1]
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2010 |
Smith B, Grunseit A, Hardy LL, King L, Wolfenden L, Milat A, 'Parental influences on child physical activity and screen viewing time: A population based study', BMC Public Health, 10 1-11 (2010) [C1]
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2010 |
Wyse R, Wolfenden L, Campbell EM, Brennan L, Campbell KJ, Fletcher AL, et al., 'A cluster randomised trial of a telephone-based intervention for parents to increase fruit and vegetable consumption in their 3- to 5-year-old children: Study protocol', BMC Public Health, 10 1-12 (2010) [C1]
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2009 |
Wolfenden L, Wiggers JH, Campbell EM, Knight JJ, Kerridge R, Spiegelman A, 'Providing comprehensive smoking cessation care to surgical patients: The case for computers', Drug and Alcohol Review, 28 60-65 (2009) [C1]
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2009 |
Wolfenden L, Kypri K, Freund MA, Hodder R, 'Obtaining active parental consent for school-based research: A guide for researchers', Australian and New Zealand Journal of Public Health, 33 270-275 (2009) [C1]
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2008 |
Wolfenden L, Wiggers JH, Campbell EM, Knight JJ, 'Pilot of a preoperative smoking cessation intervention incorporating post-discharge support from a Quitline', Health Promotion Journal of Australia, 19 158-160 (2008) [C1]
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2008 |
Wolfenden L, 'Smoke-free licensed premises: what will be the broader public health benefits?', Australian and New Zealand Journal of Public Health, 32 88 (2008) [C3]
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2008 |
Wolfenden L, Wiggers JH, Campbell EM, Knight JJ, Kerridge R, Moore K, et al., 'Feasibility, acceptability, and cost of referring surgical patients for postdischarge cessation support from a quitline', Nicotine & Tobacco Research, 10 1105-1108 (2008) [C1]
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2008 |
Tursan D'Espaignet E, Bulsara M, Wolfenden L, Byard RW, Stanley FJ, 'Trends in sudden infant death syndrome in Australia from 1980-2002', Forensic Science, Medicine and Pathology, 4 83-90 (2008) [C1]
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2008 |
Knight J, Slattery C, Green S, Porter AJ, Valentine M, Wolfenden L, 'Smoke-free hospitals: An opportunity for public health', Journal of Public Health, 30 516 (2008) [C3]
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2008 |
Wolfenden L, Campbell EM, Wiggers JH, Walsh RA, Bailey LJ, 'Helping hospital patients quit: What the evidence supports and what guidelines recommend', Preventive Medicine, 46 346-357 (2008) [C1]
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2008 |
Hopewell S, Wolfenden L, Clarke M, 'Reporting of adverse events in systematic reviews can be improved: survey results', Journal of Clinical Epidemiology, 61 597-602 (2008) [C1]
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2007 |
Wolfenden L, Wiggers J, Knight J, Campbell E, 'Smoking and surgery: an opportunity for health improvement', AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, 31 386-387 (2007)
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2007 |
Wolfenden L, Wiggers JH, Knight JJ, Campbell EM, 'Smoking and surgery: An opportunity for health improvement (Letter)', Australian and New Zealand Journal of Public Health, 31 386-387 (2007) [C3]
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2007 |
Wolfenden L, Dalton A, Bowman JA, Knight JJ, Burrows S, Wiggers JH, 'Computerized assessment of surgical patients for tobacco use: accuracy and acceptability', Journal of Public Health, 29 183-185 (2007) [C1]
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2007 |
Wolfenden L, Wiggers JH, 'Addressing the health costs of the Iraq war: the role of health organisations', Medical Journal of Australia, 186 380-381 (2007) [C3]
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2005 |
Wolfenden L, Wiggers JH, Knight JJ, Campbell EM, Spigelman AD, Kerridge R, Moore K, 'Increasing smoking cessation care in a preoperative clinic: a randomized controlled trial', Preventive Medicine, 41 284-290 (2005) [C1]
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2005 |
Wolfenden L, Wiggers JH, Knight JJ, Campbell EM, Rissel C, Kerridge R, et al., 'A programme for reducing smoking in pre-operative surgical patients: randomised controlled trial', Anaesthesia, 60 172-179 (2005) [C1]
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2004 |
Wolfenden L, Paul CL, Mitchell E, 'Managing Nicotine Dependence in NSW Hospital Patients', NSW Public Health Bulletin, 15 98-101 (2004) [C3]
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2004 |
Wolfenden L, Freund M, Campbell E, Wiggers J, Paul C, Mitchell E, 'Managing nicotine dependence in NSW hospital patients', NSW Public Health Bulletin, 15 98-99 (2004) [C1]
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2003 |
Wolfenden L, Campbell EM, Walsh RA, Wiggers JH, 'Smoking cessation interventions for in-patients: a selective review with recommendations for hospital-based health professionals', Drug and Alcohol Review, 437-452 (2003) [C1]
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Delaney T, Mclaughlin M, Hall A, Yoong SL, Brown A, O'Brien K, et al., 'Associations between digital health intervention engagement and dietary intake: A Systematic Review (Preprint)
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Mclaughlin M, Delaney T, Hall A, Byaruhanga J, Mackie P, Grady A, et al., 'Associations Between Digital Health Intervention Engagement, Physical Activity, and Sedentary Behavior: Systematic Review and Meta-analysis (Preprint)
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Brown A, Barnes C, Byaruhanga J, McLaughlin M, Hodder RK, Booth D, et al., 'Effectiveness of Technology-Enabled Knowledge Translation Strategies in Improving the Use of Research in Public Health: Systematic Review (Preprint)
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Sutherland R, Brown A, Nathan N, Yoong S, Janssen L, Chooi A, et al., 'Effectiveness of a multi-component m-health-based intervention to decrease the consumption of discretionary foods packed in school lunchboxes: the SWAP IT effectiveness-implementation hybrid type 1 trial. (Preprint)
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Grady A, Barnes C, Wolfenden L, Lecathelinais C, Yoong SL, 'Barriers and Enablers to Adoption of Digital Health Interventions to Support the Implementation of Dietary Guidelines in Early Childhood Education and Care: Cross-Sectional Study (Preprint)
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Sutherland R, Brown A, Nathan N, Yoong S, Janssen L, Chooi A, et al., 'Effectiveness of a multi-component m-health-based intervention to decrease the consumption of discretionary foods packed in school lunchboxes: the SWAP IT effectiveness-implementation hybrid type 1 trial. (Preprint)', Journal of Medical Internet Research,
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