
Dr Nicole Nathan
MRFF Investigator Fellow
School of Medicine and Public Health
- Email:nicole.nathan@newcastle.edu.au
- Phone:(02) 4924 6257
Health economies of scale
How can we make positive change on a state-wide or even national scale? Dr Nicole Nathan is working on improving the health of our nation.
When we roll out health programs across multiple institutions and communities, each one with its unique set of challenges, how can we ensure that the positive consequences of all that hard work actually reaches everyone it needs to reach?
Dr Nicole Nathan specialises in implementation science in health policy. Having worked across multiple Hunter New England (HNE) health programs and projects, she knows just how policy workers and researchers can ensure that they don’t fall short on making real and measurable changes within the community.
Like many of us, Nicole was nudged in the direction of her field by a supportive and enthusiastic teacher. Following in her mentor’s footsteps, Nicole originally trained as a PE teacher – but like many teachers, she struggled to find a permanent position close to home. Looking outside of the box, she applied for a position with Hunter New England Population Health, recognising that her expertise in the field of health and fitness would likely make her a suitable candidate.
“Before I started, my idea of health promotion was making pamphlets and doing speeches in schools. Then I started working on a state wide physical activity project, and saw that that’s exactly what health promotion is not!” reveals Nicole. “If you want to make a difference at a population level, you need to be working at scale. That project took me down the path of, 'I need to know how to do this better' – so I did my Masters in Public Health at UON.”
From a statewide issue to a national program
In 2005, the Global Obesity Summit shifted the way public health programs were funded across the state. Prior to the summit, funding was divided between local health districts. The government then realised that for improvement to occur in childhood obesity, significant investment was required. HNE Health put up a tender and were successfully granted the project funds for Australia’s largest childhood obesity prevention program, ‘Good for Kids, Good for Life’.
“The program was whole of community, however I was brought on to manage the school stream component as that was my area of expertise,” explains Nicole. Not long after the project started, she started her PhD in implementation science, working on the Crunch and Sip fruit and veg break program.
“I feel like my whole career had mapped to that point. I started off as a PE teacher, improving health for children - then I developed my research skills, and now I'm doing that same thing but at a wider level.”
When Nicole first made the shift from the classroom to public health research, she missed having that direct impact on the children and communities she worked with. But as she moved forward with her Crunch and Sip project, she began to realise the impact of her research was just as significant – but even wider reaching.
“Even by a conservative estimate, we know there are 100,000 children in the HNE region having a piece of vegetable or fruit every day because of our program. So that for me was the face that I needed.”
“I love it when I drive past a school and they’ve got their Crunch and Sip sign up. I love it because it's just part of school culture now – we’ll go into schools that don’t even know we’re responsible for it all, and they tell us they’ll have to stop for a Crunch and Sip. Parents just expect it now.”
So, what does it take to roll out a successful evidence-based state-wide public health project?
“If you want a school to adopt a policy or program, then you've got to know what the barriers are and then support them to overcome these barriers. “One of the most common barriers for schools is time – teachers ask, ‘how can we possibly make time for this?’ – they’ve already got a crowded curriculum. So our job is to then support teachers overcome such barriers by helping them to embed the policies or programs into their usual practices or routines.
Implementation science asks: when is it necessary to use this ‘bells and whistles’ approach (as Nicole affectionately calls it), and when is it possible to scale back the intervention and still see a significant effect?
“There’s got to be that initial training and consistent support, but sometimes doing that by email or text message can be just as effective – and that’s obviously more scalable than repeatedly driving out to every institution.
“We've got 430 schools in the region - we're a health service and our remit is to provide support to all 430 of those schools.
“What I'm providing in Newcastle needs to be able to be provided to a school in Moree or Boggabilla. We shouldn't be delivering something that can't be scaled - so all of our programs need to keep an eye on that. We need to make sure there's equity and that we're supporting everyone.”
What’s next on the horizon? Nicole has recently received three fellowships: an NHMRC Translating Research Into Practice (TRIP) Fellowship, Hunter New England Clinical Research Fellowship and a Sir Winston Churchill Fellowship, which will aim to assess the effectiveness of a multi-component intervention to support schools implement a mandatory state-wide physical activity policy.
“This is a really exciting opportunity as this will be the first randomised controlled trial to examine the impact of an implementation strategy for a physical activity policy in schools, Nicole says.
Health economies of scale
How can we make positive change on a state-wide or even national scale? Dr Nicole Nathan is working on improving the health of our nation.
Career Summary
Qualifications
- Doctor of Philosophy, University of Newcastle
- Master of Health Science, University of Newcastle
Keywords
- Child obesity prevention
- Implementation Science
- Physical Activity
- Population Health
- School-based interventions
Professional Experience
UON Appointment
Title | Organisation / Department |
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MRFF Investigator Fellow | University of Newcastle School of Medicine and Public Health Australia |
MRFF Investigator Fellow | University of Newcastle School of Medicine and Public Health Australia |
Professional appointment
Dates | Title | Organisation / Department |
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9/1/2017 - | Clinical Research Fellow | Hunter New England Health Hunter New England Population Health Australia |
9/1/2006 - | Health Promotion Program Manager | Hunter New England Area Health Service Hunter New England Population Health Australia |
7/1/2002 - 31/12/2005 | Health Promotion Project Officer | Hunter New England Area Health Service Hunter New England Population Health Australia |
Awards
Award
Year | Award |
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2016 |
Sir Winston Churchill Fellowship Sir Winston Churchill Memorial Trust |
2015 |
Excellence in Obesity Prevention Award for ‘Good for Kids. Good for Life’ World Health Organization (WHO) Collaboration of Community-based Obesity Prevention Sites (CO-OPS) |
2013 |
Healthy Living project of the year for ‘Good for Kids. Good for Life.’ Child Obesity Prevention Project. NSW Health Innovation Award |
Prize
Year | Award |
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2013 |
National Preventive Health Agency Research Translation Award National Preventative Health Agency |
Publications
For publications that are currently unpublished or in-press, details are shown in italics.
Journal article (97 outputs)
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2021 |
Sutherland R, Ooi JY, Finch M, Yoong SL, Nathan N, Wrigley J, et al., 'A cluster randomised controlled trial of a secondary school intervention to reduce intake of sugar-sweetened beverages: mid-intervention impact of switchURsip environmental strategies.', Health Promot J Austr, (2021)
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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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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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 |
Shoesmith A, Hall A, Hope K, Sutherland R, Hodder RK, Trost SG, et al., 'Associations between in-school-hours physical activity and child health-related quality of life: A cross-sectional study in a sample of Australian primary school children', Preventive Medicine Reports, 20 (2020) © 2020 The Author(s) The aim of the current study was to examine the association between Australian primary school children's objectively measured in-school-hours weekly phys... [more] © 2020 The Author(s) The aim of the current study was to examine the association between Australian primary school children's objectively measured in-school-hours weekly physical activity (PA) and their health-related quality of life (HRQoL). A cross-sectional study of 1128 Grade 2 and 3 children, aged 7¿9 years, from 62 primary schools was conducted in New South Wales, Australia between October 2017 and April 2018. Children's PA was assessed via an accelerometer worn for five days during school hours. Their parents completed a telephone interview, answering demographic, child HRQoL and out-of-school-hours PA questions. Children's in-school-hours PA was classified as total PA and moderate-to-vigorous PA (MVPA). HRQoL scores were aggregated and reported at the high construct level domains (Total Quality of Life (Total HRQoL), Physical and Psychosocial Health Summary Scores). Multiple linear mixed regression analyses accounting for clustering were conducted to evaluate the association between children's in-school-hours weekly PA and their HRQoL. After adjusting for potential confounders, significant positive associations were found between children's in-school-hours weekly total PA and Total HRQoL (0.62 units, 95% CI: 0.29; 0.94, p < 0.001), Physical (0.71 units, 95% CI: 0.38; 1.04, p = 0.001) and Psychosocial (0.58 units, 95% CI: 0.19; 0.97, p = 0.004) scores, with a stronger association observed between average weekly MVPA than average weekly total PA. There were also positive associations between PA and HRQoL for each sex when analysed separately. Our findings demonstrate a positive association between children's objectively-measured in-school-hours PA and parent-reported child HRQoL, strengthening evidence supporting the continued implementation of school-based PA programs for broader health outcomes.
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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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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 |
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 |
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 |
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, 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 |
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 |
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 |
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 |
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 |
Müller AM, Maher CA, Vandelanotte C, Hingle M, Middelweerd A, Lopez ML, et al., 'Physical Activity, Sedentary Behavior, and Diet-Related eHealth and mHealth Research: Bibliometric Analysis.', Journal of medical Internet research, 20 e122 (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 |
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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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 |
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 |
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 |
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 |
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 |
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 |
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 |
Borde R, Smith JJ, Sutherland R, Nathan N, Lubans DR, 'Methodological considerations and impact of school-based interventions on objectively measured physical activity in adolescents: a systematic review and meta-analysis', Obesity Reviews, 18 476-490 (2017) [C1] © 2017 World Obesity Federation Objective: The aims of this systematic review and meta-analysis are (i) to determine the impact of school-based interventions on objectively measur... [more] © 2017 World Obesity Federation Objective: The aims of this systematic review and meta-analysis are (i) to determine the impact of school-based interventions on objectively measured physical activity among adolescents and (ii) to examine accelerometer methods and decision rule reporting in previous interventions. Methods: A systematic search was performed to identify randomized controlled trials targeting adolescents (age: =10¿years), conducted in the school setting, and reporting objectively measured physical activity. Random effects meta-analyses were conducted to determine the pooled effects of previous interventions on total and moderate-to-vigorous physical activity. Potential moderators of intervention effects were also explored. Results: Thirteen articles met the inclusion criteria, and twelve were included in the meta-analysis. The pooled effects were small and non-significant for both total physical activity (standardized mean difference¿=¿0.02 [95% confidence interval¿=¿-0.13 to 0.18]) and moderate-to-vigorous physical activity (standardized mean difference¿=¿0.24 [95% confidence interval¿=¿-0.08 to 0.56]). Sample age and accelerometer compliance were significant moderators for total physical activity, with a younger sample and higher compliance associated with larger effects. Conclusion: Previous school-based physical activity interventions targeting adolescents have been largely unsuccessful, particularly for older adolescents. There is a need for more high-quality research using objective monitoring in this population. Future interventions should comply with best-practice recommendations regarding physical activity monitoring protocols.
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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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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 |
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 |
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 |
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 |
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 |
Vandelanotte C, Müller AM, Short CE, Hingle M, Nathan N, Williams SL, et al., 'Past, Present, and Future of eHealth and mHealth Research to Improve Physical Activity and Dietary Behaviors', Journal of Nutrition Education and Behavior, 48 219-228.e1 (2016) [C1] © 2016 Society for Nutrition Education and Behavior. Because physical inactivity and unhealthy diets are highly prevalent, there is a need for cost-effective interventions that ca... [more] © 2016 Society for Nutrition Education and Behavior. Because physical inactivity and unhealthy diets are highly prevalent, there is a need for cost-effective interventions that can reach large populations. Electronic health (eHealth) and mobile health (mHealth) solutions have shown promising outcomes and have expanded rapidly in the past decade. The purpose of this report is to provide an overview of the state of the evidence for the use of eHealth and mHealth in improving physical activity and nutrition behaviors in general and special populations. The role of theory in eHealth and mHealth interventions is addressed, as are methodological issues. Key recommendations for future research in the field of eHealth and mHealth are provided.
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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 |
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 |
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 education in secondary schools located in low-income communities: Physical activity levels, lesson context and teacher interaction', Journal of Science and Medicine in Sport, 19 135-141 (2016) [C1] © 2014. Objectives: Physical education (PE) plays an important role in contributing to students' physical activity (PA); however, moderate-to-vigorous PA (MVPA) within PE is ... [more] © 2014. Objectives: Physical education (PE) plays an important role in contributing to students' physical activity (PA); however, moderate-to-vigorous PA (MVPA) within PE is lower than recommended. Little is known about the PA levels of students from disadvantaged schools within PE. This study aimed to describe: (i) the PA levels of students from disadvantaged secondary schools during PE lessons, (ii) the lesson context and teacher interactions occurring during PE, and (iii) the associations between teacher, school or PE lesson characteristics with student physical activity levels in PE. Design: Cross-sectional study of 100 Grade 7 PE lessons across 10 secondary schools. Methods: System for observing fitness instruction time (SOFIT) was used to assess student PA, lesson context, and teacher interaction. Teacher and school characteristics were collected via survey. Mean proportion of lesson time was used to describe PA, lesson context and teacher interaction. Associations between each outcome variable and each characteristic were examined using 2-sample t-tests, ANOVAs and linear regression. Results: Thirty-nine percent of PE lesson was spent in MVPA, and less than 10% spent in VA. Lessons in schools in urban areas included significantly more MVPA than rural areas (P = 0.04). Male teachers and more experienced teachers conducted lessons with significantly more VA than female and less experienced teachers (P = 0.04 and 0.02). MVPA was also higher in lessons conducted by more experienced teachers. Conclusions: PA during PE lessons within disadvantaged secondary schools is below international recommendations. Male teachers, more experienced teachers and schools in urban regions teach more active lessons.
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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 |
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 |
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, 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 |
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 |
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 |
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 |
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 |
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 |
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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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 |
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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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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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 |
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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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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Show 94 more journal articles |
Conference (29 outputs)
Year | Citation | Altmetrics | Link | ||||||||
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2020 |
Murawski B, Hall A, Reilly K, Hope K, Nathan N, 'Reducing cancer risk through the workplace: Findings from a pilot trial to improve the physical activity and diet of school staff', ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY (2020)
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2020 |
Ooi JY, Yoong SL, Sutherland R, Wrigley J, Lecathelinais C, Reilly K, et al., 'Prevalence of current school-level nutrition policies and practices of secondary schools in NSW, Australia', HEALTH PROMOTION JOURNAL OF AUSTRALIA (2020)
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2019 |
Reilly K, Nathan N, Yoong SL, Wiggers J, Wolfenden L, 'Scale up of a multi-strategic intervention to increase implementation of a mandatory school healthy food service policy: The 'healthy food@school' program', IMPLEMENTATION SCIENCE (2019)
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2017 |
Nathan N, Yoong SL, Reilly K, Sutherland R, Wiggers J, Wolfenden L, 'Increasing Australian schools' implementation of a mandatory state-wide school healthy food policy: results of three randomised-controlled trials', IMPLEMENTATION SCIENCE (2017)
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2015 |
Sutherland RL, Campbell L, Lubans D, Morgan P, Oakley A, Nathan N, et al., 'Mid-intervention findings from the Physical Activity 4 Every1 trial: a cluster RCT in secondary schools located in low-income communities', Edinburgh, UK (2015) [E3]
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2015 |
Wolfenden L, Nathan NR, Yoong S, Rose B, Aikman V, Williams C, et al., 'Improving implementation of NSW healthy canteen policy: Findings from a series of RCTs conducted by the Hunter New England Population Health Research Group', 4th Annual NHMRC Symposium on Research Translation jointly with CIPHER, Sydney, NSW (2015) [E3]
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2014 |
Nathan N, Wolfenden L, Williams CM, Yoong SL, Lecathelinais C, Bell AC, et al., 'Physical Activity Policies and Practices in Australian Primary Schools 2006-2013: How Far Have We Really Come?', JOURNAL OF PHYSICAL ACTIVITY & HEALTH, Toronto, CANADA (2014)
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2014 |
Yoong SL, Wolfenden L, Finch M, Nathan N, Lecathelinais C, Dodds P, et al., 'ASSESSING CHANGES IN THE ADOPTION OF OBESITY PREVENTION PRACTICES IN AUSTRALIAN CHILDCARE SERVICES', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, Brainerd, MN (2014)
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2014 |
Wolfenden L, Finch M, Yoong SL, Nathan N, Waever N, Jones J, et al., 'FACTORS ASSOCIATED WITH THE IMPLEMENTATION OF OBESITY PREVENTION PRACTICES IN AUSTRALIAN CHILDCARE SERVICES', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE, Brainerd, MN (2014)
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2014 |
Wiggers JH, Nathan N, Wolfenden L, Williams CM, Yoong SZ, Lecathelinais C, et al., 'OBESITY PREVENTION POLICIES AND PRACTICES IN AUST RALIAN PRIMARY SCHOOLS 2006-2013: HOW FAR HAVE WE COME?', INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE (2014)
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2014 |
Sutherland R, Campbell E, Lubans DR, Morgan PJ, Okely AD, Nathan N, et al., 'Objectively Measured Sedentary Behavior in Secondary School Physical Education Lessons', JOURNAL OF PHYSICAL ACTIVITY & HEALTH, Toronto, CANADA (2014)
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Show 26 more conferences |
Grants and Funding
Summary
Number of grants | 34 |
---|---|
Total funding | $7,647,242 |
Click on a grant title below to expand the full details for that specific grant.
20211 grants / $1,562,830
Sustaining the implementation of evidence-based chronic disease prevention programs in education$1,562,830
Funding body: Department of Health
Funding body | Department of Health |
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Project Team | Doctor Nicole Nathan |
Scheme | MRFF Investigator |
Role | Lead |
Funding Start | 2021 |
Funding Finish | 2025 |
GNo | G2000053 |
Type Of Funding | C1300 - Aust Competitive - Medical Research Future Fund |
Category | 1300 |
UON | Y |
20202 grants / $1,095,459
A randomised trial of an intervention to sustain schools’ implementation of a state-wide physical activity policy$1,054,151
Funding body: NHMRC (National Health & Medical Research Council)
Funding body | NHMRC (National Health & Medical Research Council) |
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Project Team | Doctor Nicole Nathan, Professor Luke Wolfenden, Professor John Wiggers, Doctor Rachel Sutherland, Adrian Bauman, Chris Rissel, Patti-Jean Naylor |
Scheme | Partnership Projects |
Role | Lead |
Funding Start | 2020 |
Funding Finish | 2026 |
GNo | G1900842 |
Type Of Funding | C1100 - Aust Competitive - NHMRC |
Category | 1100 |
UON | Y |
SWAP-IT Healthy lunchbox program$41,308
Funding body: Hunter Medical Research Institute
Funding body | Hunter Medical Research Institute |
---|---|
Project Team | Doctor Rachel Sutherland, Doctor Rachel Sutherland, Professor Luke Wolfenden, Doctor Nicole Nathan |
Scheme | Research Grant |
Role | Investigator |
Funding Start | 2020 |
Funding Finish | 2021 |
GNo | G2001068 |
Type Of Funding | C3120 - Aust Philanthropy |
Category | 3120 |
UON | Y |
20191 grants / $22,000
Disseminating an efficacious healthy eating intervention to primary schools across the Hunter New England region$22,000
Funding body: Hunter Medical Research Institute
Funding body | Hunter Medical Research Institute |
---|---|
Project Team | Doctor Rebecca Wyse, Doctor Rebecca Hodder, Doctor Rachel Sutherland, Doctor Nicole Nathan |
Scheme | Research Grant |
Role | Investigator |
Funding Start | 2019 |
Funding Finish | 2020 |
GNo | G1901537 |
Type Of Funding | C3120 - Aust Philanthropy |
Category | 3120 |
UON | Y |
20184 grants / $719,200
A technology based solution to support parents to improve their child’s diet ‘Swap What’s Packed in the lunchbox: ‘SWAP-It’$499,500
Funding body: nib Foundation
Funding body | nib Foundation |
---|---|
Project Team | Professor Luke Wolfenden, Doctor Rachel Sutherland, Doctor Nicole Nathan, Doctor Serene Yoong, Professor John Wiggers |
Scheme | Multi-Year Partnerships |
Role | Investigator |
Funding Start | 2018 |
Funding Finish | 2021 |
GNo | G1700907 |
Type Of Funding | C3112 - Aust Not for profit |
Category | 3112 |
UON | Y |
Addressing the health risk behaviours of the education workforce: A program to enhance the wellbeing of primary school teachers$124,700
Funding body: Teachers Health Foundation
Funding body | Teachers Health Foundation |
---|---|
Project Team | Doctor Nicole Nathan, Professor Luke Wolfenden, Doctor Serene Yoong, Associate Professor Flora Tzelepis, Doctor Rachel Sutherland, Doctor Rebecca Hodder, Doctor Kathryn Reilly, Doctor Elaine Toomey |
Scheme | Research Funding |
Role | Lead |
Funding Start | 2018 |
Funding Finish | 2020 |
GNo | G1800853 |
Type Of Funding | C3112 - Aust Not for profit |
Category | 3112 |
UON | Y |
Enhancing Teacher's Health$70,000
Funding body: Hunter New England Population Health
Funding body | Hunter New England Population Health |
---|---|
Project Team | Doctor Nicole Nathan, Professor Luke Wolfenden, Doctor Serene Yoong, Associate Professor Flora Tzelepis, Doctor Rachel Sutherland, Doctor Rebecca Hodder, Doctor Kathryn Reilly, Doctor Elaine Toomey |
Scheme | Research Project |
Role | Lead |
Funding Start | 2018 |
Funding Finish | 2018 |
GNo | G1800924 |
Type Of Funding | C2220 - Aust StateTerritoryLocal - Other |
Category | 2220 |
UON | Y |
Pilot cluster randomised controlled trial assessing the potential impact of an online intervention to improve child dietary intake in childcare$25,000
Funding body: Hunter Medical Research Institute
Funding body | Hunter Medical Research Institute |
---|---|
Project Team | Doctor Alice Grady, Doctor Serene Yoong, Professor Luke Wolfenden, Doctor Nicole Nathan, Miss Courtney Barnes |
Scheme | Project Grant |
Role | Investigator |
Funding Start | 2018 |
Funding Finish | 2018 |
GNo | G1801365 |
Type Of Funding | C3120 - Aust Philanthropy |
Category | 3120 |
UON | Y |
20179 grants / $1,550,390
A randomised trial of an intervention to facilitate the implementation of a state-wide primary school physical activity policy.$594,340
Funding body: NHMRC (National Health & Medical Research Council)
Funding body | NHMRC (National Health & Medical Research Council) |
---|---|
Project Team | Doctor Luke Wolfenden, Professor John Wiggers, Professor Adrian Bauman, Professor Chris Rissel, Dr Nicole Nathan |
Scheme | Partnership Grant |
Role | Investigator |
Funding Start | 2017 |
Funding Finish | 2020 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
A randomized trial of an intervention to facilitate the implementation of a state-wide school physical activity policy$254,400
Funding body: Hunter New England Local Health District
Funding body | Hunter New England Local Health District |
---|---|
Project Team | Dr Nicole Nathan |
Scheme | Clinical Research Fellowship |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2019 |
GNo | |
Type Of Funding | Other Public Sector - Local |
Category | 2OPL |
UON | N |
Peer Leadership and Physical Literacy Promotion among Elementary School Children$253,219
Funding body: Social Sciences and Humanities Research Council of Canada
Funding body | Social Sciences and Humanities Research Council of Canada |
---|---|
Project Team | Mark Beauchamp, Guy Faulkner, Patti-Jean Naylor, Ryan Rhodes, Yan Liu, David Lubans, Nicole Nathan |
Scheme | Social Sciences and Humanities Research Council of Canada |
Role | Investigator |
Funding Start | 2017 |
Funding Finish | 2020 |
GNo | |
Type Of Funding | International - Competitive |
Category | 3IFA |
UON | N |
A randomised trial of an intervention to facilitate the implementation of a state-wide primary school physical activity policy.$204,000
Funding body: Hunter New England Population Health
Funding body | Hunter New England Population Health |
---|---|
Project Team | Doctor Luke Wolfenden, Professor John Wiggers, Professor Adrian Bauman, Professor Chris Rissel, Dr Nicole Nathan |
Scheme | Partnership Projects Partner Funding |
Role | Investigator |
Funding Start | 2017 |
Funding Finish | 2020 |
GNo | |
Type Of Funding | Other Public Sector - Local |
Category | 2OPL |
UON | N |
Increasing the implementation of a mandatory primary school physical activity policy$181,107
Funding body: NHMRC (National Health & Medical Research Council)
Funding body | NHMRC (National Health & Medical Research Council) |
---|---|
Project Team | Doctor Nicole Nathan |
Scheme | Translating Research into Practice (TRIP) Fellowships |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2019 |
GNo | G1600651 |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | Y |
A randomised trial of an intervention to facilitate the implementation of a state-wide school physical activity policy$30,000
Funding body: NSW Office of Preventative Health
Funding body | NSW Office of Preventative Health |
---|---|
Project Team | Doctor Luke Wolfenden, Professor John Wiggers, Professor Adrian Bauman, Professor Chris Rissel, Dr Nicole Nathan |
Scheme | Partnership Projects Partner Funding |
Role | Investigator |
Funding Start | 2017 |
Funding Finish | 2020 |
GNo | |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | N |
A randomised controlled trial to assess the impact of a uniform intervention on girl’s physical activity at school$25,000
Funding body: Hunter Medical Research Institute
Funding body | Hunter Medical Research Institute |
---|---|
Project Team | Doctor Nicole Nathan, Professor Luke Wolfenden, Doctor Rachel Sutherland, Doctor Serene Yoong, Professor John Wiggers |
Scheme | Project Grant |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2017 |
GNo | G1701511 |
Type Of Funding | C3120 - Aust Philanthropy |
Category | 3120 |
UON | Y |
Feasibility and Efficacy Of The Active Wear For Everyone (AWE) Project$4,974
Funding body: PRC Health Behaviour
Funding body | PRC Health Behaviour |
---|---|
Project Team | Dr Nicole Nathan, Dr Rachel Sutherland, Dr Lorraine Paras, Mr Mark Babic, Ms Kathryn Reilly |
Scheme | Pilot Grant |
Role | Lead |
Funding Start | 2017 |
Funding Finish | 2017 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
Systematic review to examine the effectiveness of resilience interventions in reducing tobacco, alcohol and illicit substance use in children and adolescents with chronic pain. $3,350
Funding body: PRC Health Behaviour
Funding body | PRC Health Behaviour |
---|---|
Project Team | Hodder RK, Lee H, Nathan N, Kamper S, Williams C |
Scheme | Pilot Grant |
Role | Investigator |
Funding Start | 2017 |
Funding Finish | 2017 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20165 grants / $1,104,648
Implementation trial of multicomponent school-based physical activity and healthy nutrition $990,779
Funding body: NSW Ministry of Health
Funding body | NSW Ministry of Health |
---|---|
Project Team | Wiggers John, Sutherland Rachel, Campbell Libby, Wolfenden Luke, Oldmeadow Christopher, Searles Andrew, Lubans David, Nathan Nicole, Morgan Phillip |
Scheme | Translational Research Grant Scheme (TRGS) |
Role | Investigator |
Funding Start | 2016 |
Funding Finish | 2019 |
GNo | |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | N |
Research to gather baseline data regarding operations and provision of healthy food and drinks of licensed school canteens$78,030
Funding body: Health Administration Corporation
Funding body | Health Administration Corporation |
---|---|
Project Team | Doctor Luke Wolfenden, Professor John Wiggers, Doctor Rebecca Wyse, Ms Tessa Delaney, Doctor Serene Yoong, Dr Rachel Sutherland, Dr Nicole Nathan |
Scheme | Research Grant |
Role | Investigator |
Funding Start | 2016 |
Funding Finish | 2016 |
GNo | |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | N |
Sir Winston Churchill Fellowship$21,479
Funding body: The Winston Churchill Memorial Trust
Funding body | The Winston Churchill Memorial Trust |
---|---|
Project Team | Nicole Nathan |
Scheme | The Northern Districts Education Centre (Sydney) Sir Winston Churchill Fellowship |
Role | Lead |
Funding Start | 2016 |
Funding Finish | 2017 |
GNo | |
Type Of Funding | Aust Competitive - Non Commonwealth |
Category | 1NS |
UON | N |
A systematic review of barriers and facilitators to the implementation of physical activity policies and programs in schools and application to the Theoretical Domains Framework$9,360
Funding body: Hunter Cancer Research Alliance (HCRA)
Funding body | Hunter Cancer Research Alliance (HCRA) |
---|---|
Project Team | Dr Nicole Nathan, Dr Rachel Sutherland, Dr Serene Yoong, Dr Rebecca Hodder, Prof John Wiggers, A/Prof Luke Wolfenden |
Scheme | HCRA Implementation Flagship program |
Role | Lead |
Funding Start | 2016 |
Funding Finish | 2017 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
Teachers Health Program in Schools$5,000
Funding body: Teachers Mutual Bank
Funding body | Teachers Mutual Bank |
---|---|
Project Team | Doctor Luke Wolfenden, Dr Nicole Nathan |
Scheme | Research Project |
Role | Investigator |
Funding Start | 2016 |
Funding Finish | 2016 |
GNo | |
Type Of Funding | External |
Category | EXTE |
UON | N |
20152 grants / $12,950
Interventions to change the behaviour of health care practitioners and organizational practice to promote and improve weight management in children and adolescents.$9,450
Funding body: HCRA Hunter Cancer Research Alliance
Funding body | HCRA Hunter Cancer Research Alliance |
---|---|
Project Team | Sze Lin Yoon, Luke Wolfenden, Christopher WIlliams, Nicole Nathan, John Wiggers |
Scheme | Research Project |
Role | Investigator |
Funding Start | 2015 |
Funding Finish | 2015 |
GNo | |
Type Of Funding | External |
Category | EXTE |
UON | N |
PhD completion grant.$3,500
Funding body: Faculty of Health and Medicine, University of Newcastle
Funding body | Faculty of Health and Medicine, University of Newcastle |
---|---|
Project Team | Nicole Nathan |
Scheme | Faculty Grant |
Role | Lead |
Funding Start | 2015 |
Funding Finish | 2015 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20135 grants / $581,005
Moving from policy to practice: A randomised trial of an implementation intervention to facilitate the adoption of a statewide healthy canteen policy$416,263
Funding body: ARC (Australian Research Council)
Funding body | ARC (Australian Research Council) |
---|---|
Project Team | Doctor Luke Wolfenden, Professor John Wiggers, Conjoint Associate Professor Andrew Bell, Doctor Megan Freund, Ms Karen Gillham, Doctor Libby Campbell, Ms Rachel Sutherland, Dr Nicole Nathan |
Scheme | Linkage Projects |
Role | Investigator |
Funding Start | 2013 |
Funding Finish | 2015 |
GNo | |
Type Of Funding | Aust Competitive - Commonwealth |
Category | 1CS |
UON | N |
Moving from policy to practice: A randomised trial of an implementation intervention to facilitate the adoption of a statewide healthy canteen policy$127,998
Funding body: Hunter New England Population Health
Funding body | Hunter New England Population Health |
---|---|
Project Team | Doctor Luke Wolfenden, Professor John Wiggers, Conjoint Associate Professor Andrew Bell, Doctor Megan Freund, Ms Karen Gillham, Doctor Libby Campbell, Ms Rachel Sutherland, Dr Nicole Nathan |
Scheme | Linkage Projects Partner Funding |
Role | Investigator |
Funding Start | 2013 |
Funding Finish | 2015 |
GNo | |
Type Of Funding | Other Public Sector - Local |
Category | 2OPL |
UON | N |
Strategies to increase adoption of obesity prevention and public health trials$13,637
Funding body: Priority Research Centre for Health Behaviour (CHB)
Funding body | Priority Research Centre for Health Behaviour (CHB) |
---|---|
Project Team | Finch Meghan, Yoong Serene, Wolfenden Luke, Nathan Nicole, Wiggers John |
Scheme | Pilot Grants |
Role | Investigator |
Funding Start | 2013 |
Funding Finish | 2013 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
A pilot trial of tailored electronic educational material for professional development and self-efficacy of school staff to implement health policies in schools. $13,266
Funding body: PRC Health Behaviour
Funding body | PRC Health Behaviour |
---|---|
Project Team | Christopher Williams, Nicole Nathan, Luke Wolfenden, John Wiggers. |
Scheme | Pilot Grant |
Role | Investigator |
Funding Start | 2013 |
Funding Finish | 2013 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
A pilot trial of an intervention to facilitate the implementation of a state-wide healthy canteen policy$9,841
Funding body: Priority Research Centre for Health Behaviour (CHB)
Funding body | Priority Research Centre for Health Behaviour (CHB) |
---|---|
Project Team | Nathan Nicole, Wiggers John, Freund Megan, Gillham Karen, Sutherland Rachel, Williams Christopher Wolfenden, Luke, White, Jim |
Scheme | Pilot Grants |
Role | Lead |
Funding Start | 2013 |
Funding Finish | 2013 |
GNo | |
Type Of Funding | Internal |
Category | INTE |
UON | N |
20101 grants / $330,820
Physical activity 4 every 1. NSW Health Promotion Demonstration Grant.$330,820
Funding body: NSW Ministry of Health
Funding body | NSW Ministry of Health |
---|---|
Project Team | John Wiggers, Philip Morgan, David Lubans, Libby Campbell, Luke Wolfenden, Karen Gillham, Nicole Nathan. |
Scheme | Health Promotion Demonstration Grant |
Role | Investigator |
Funding Start | 2010 |
Funding Finish | 2013 |
GNo | |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | N |
20061 grants / $30,750
Follow-Up Survey of Exercise Leaders Trained through the Rural Falls Injury Prevention Program$30,750
Funding body: NSW Ministry of Health
Funding body | NSW Ministry of Health |
---|---|
Project Team | Nicole Nathan |
Scheme | Research Project |
Role | Lead |
Funding Start | 2006 |
Funding Finish | 2006 |
GNo | |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | N |
20032 grants / $135,190
The Implementation and Evaluation of Forming Lifeball Groups for Veterans Living in 4 Regional and Rural Areas of NSW$73,700
Funding body: NSW Ministry of Health
Funding body | NSW Ministry of Health |
---|---|
Project Team | Deborah Radvan, Nicole Nathan, John Wiggers |
Scheme | Research & Evaluation Grants |
Role | Investigator |
Funding Start | 2003 |
Funding Finish | 2004 |
GNo | |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | N |
The Implementation and Evaluation of Forming Lifeball Groups for Veterans Living in 4 Regional and Rural Areas of NSW$61,490
Funding body: Department of Veterans` Affairs
Funding body | Department of Veterans` Affairs |
---|---|
Project Team | Deborah Radvan, Nicole Nathan, John Wiggers |
Scheme | Research Project |
Role | Investigator |
Funding Start | 2003 |
Funding Finish | 2003 |
GNo | |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | N |
20011 grants / $502,000
Needle and Syringe Program Enhancement Funds $502,000
Funding body: NSW Ministry of Health
Funding body | NSW Ministry of Health |
---|---|
Project Team | Robyn Considine, Jenny Knight, Milly Licata, Nicole Nathan, Karen Gillham |
Scheme | Drug and Alcohol Grants Program |
Role | Investigator |
Funding Start | 2001 |
Funding Finish | 2003 |
GNo | |
Type Of Funding | Other Public Sector - State |
Category | 2OPS |
UON | N |
Research Supervision
Number of supervisions
Current Supervision
Commenced | Level of Study | Research Title | Program | Supervisor Type |
---|---|---|---|---|
2020 | PhD | A Randomised Trial of an Intervention to Sustain Primary Schools’ Implementation of a State-Wide Physical Activity Policy | PhD (Public Health & BehavSci), College of Health, Medicine and Wellbeing, The University of Newcastle | Principal Supervisor |
2019 | PhD | The Impact of School Uniforms on Students Physical Activity at School | PhD (Public Health & BehavSci), College of Health, Medicine and Wellbeing, The University of Newcastle | Principal Supervisor |
2018 | PhD | Childhood Obesity Prevention | PhD (Behavioural Science), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2018 | PhD | Improving the Dietary Intake of Children in Centre-Based Child Care Services in NSW, Australia | PhD (Behavioural Science), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2018 | PhD | A technology based intervention to improve the nutritional value of primary school children’s lunchboxes: The SWAP-It trial | Public Health, The Faculty of Health, The University of Newcastle | Co-Supervisor |
2018 | PhD | A Cluster Randomised Controlled Trial of an Intervention to Increase the Implementation of School Physical Activity Policies and Guidelines | PhD (Public Health & BehavSci), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2017 | PhD | A cluster randomised controlled trial of a sugar-sweetened beverage intervention in secondary schools | Public Health, The University of Newcastle | Co-Supervisor |
2017 | PhD | Acceptability, Feasibility and Potential Effectiveness of a Secondary School Nutrition Intervention | PhD (Behavioural Science), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2015 | PhD | Improving Population Wide Implementation of Healthy Food Policy in Primary Schools | Public Health, Faculty of Health and Medicine, University of Newcastle | Co-Supervisor |
Past Supervision
Year | Level of Study | Research Title | Program | Supervisor Type |
---|---|---|---|---|
2018 | PhD | Improving Population Wide Implementation of a Healthy Food Policy in Primary Schools | PhD (Behavioural Science), College of Health, Medicine and Wellbeing, The University of Newcastle | Co-Supervisor |
2011 | Masters | The impact of the NSW Healthy School canteen strategy and its influence on school food service | Public Health, HETI (Health Education and Training Institute) | Principal Supervisor |
Research Collaborations
The map is a representation of a researchers co-authorship with collaborators across the globe. The map displays the number of publications against a country, where there is at least one co-author based in that country. Data is sourced from the University of Newcastle research publication management system (NURO) and may not fully represent the authors complete body of work.
Country | Count of Publications | |
---|---|---|
Australia | 116 | |
United Kingdom | 35 | |
United States | 11 | |
Canada | 10 | |
Ireland | 2 | |
More... |
News
More than $10 million to support innovations in health service delivery
May 21, 2020
Dr Nicole Nathan
Position
MRFF Investigator Fellow
School of Medicine and Public Health
College of Health, Medicine and Wellbeing
Contact Details
nicole.nathan@newcastle.edu.au | |
Phone | (02) 4924 6257 |
Fax | (02) 4924 6022 |
Link |
Office
Room | Booth Building Wallsend Health Campus Room 1105 |
---|---|
Building | Booth Building Wallsend Health Campus |
Location | Wallsend , |