Feasibility of the ToyBox-Scotland obesity prevention intervention in preschools: results of a cluster randomised controlled trial

S. Malden, J. Reilly, A. Gibson, F. Bardid, M. De Craemer, O. Androutsos, Y. Manios, C. Summerbell, G. Cardon, A. Hughes

Research output: Contribution to journalConference Contribution

Abstract

Introduction: The ToyBox-Scotland intervention is an 18-week practitioner-led programme that aims to increase physical activity, reduce sedentary behaviour, and promote healthy snacking and water consumption. We adapted the original Toybox intervention (Manios et al. 2012) using a co-production approach for implementation in Scottish preschools. Examining the feasibility and acceptability of effective public health interventions is critical to ensure success can be translated from one context to another. Therefore, this study aimed to evaluate the feasibility and acceptability of implementing the adapted ToyBox intervention in Scottish preschools.
Methods: A feasibility cluster randomised controlled trial was conducted involving six preschools in Glasgow, randomly assigned to the intervention or usual-care control group. Participants were 3-5 year old children and their parents. Of interest for this feasibility study were parameters such as recruitment and retention rates, and SDs of outcome measures to inform a full scale trial (namely physical activity, sleep and sedentary time via accelerometry, body composition via bioelectrical impedance analysis (BIA), and measures of diet and home screen time via parental questionnaire). Process evaluation involved focus groups with practitioners, interviews with participating parents and pre/post practitioner logbooks and parental questionnaires.
Results: The overall trial recruitment rate was 18%. 36 children (16 girls) provided at least one valid measurement at baseline and follow-up (attrition rate = 16.6%). Anthropometric measures were acceptable and feasible. Parental questionnaire response rates were low (20%). 61% and 27% of participants provided valid accelerometer data for baseline only, and for baseline and follow-up respectively. A process evaluation has recently been conducted and results will be presented at the congress.
Conclusion: Overall, the intervention was feasible and acceptable in Scottish preschools. Process evaluation results will help identify ways in which recruitment of preschools, and recruitment and retention of trial participants-particularly regarding accelerometry compliance, can be maximised in Scottish preschools. Such information will be useful for the development of a future full-scale trial.
LanguageEnglish
Article numberP02.091
Pages213-213
Number of pages1
JournalObesity Facts
Volume12
Issue numberSuppl 1
Early online date17 Apr 2019
DOIs
Publication statusPublished - 30 Apr 2019
Event26th European Congress on Obesity - Glasgow
Duration: 28 Apr 20191 May 2019

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Scotland
Accelerometry
Randomized Controlled Trials
Obesity
Parents
Exercise
Snacks
Feasibility Studies
Body Composition
Focus Groups
Electric Impedance
Drinking
Compliance
Sleep
Public Health
Outcome Assessment (Health Care)
Interviews
Diet
Control Groups
Surveys and Questionnaires

Keywords

  • childhood obesity
  • obesity prevention
  • preschool
  • Scotland
  • ToyBox Scotland
  • physical activity
  • exercise

Cite this

@article{3e86cd5803c84157981c9834a50d61ac,
title = "Feasibility of the ToyBox-Scotland obesity prevention intervention in preschools: results of a cluster randomised controlled trial",
abstract = "Introduction: The ToyBox-Scotland intervention is an 18-week practitioner-led programme that aims to increase physical activity, reduce sedentary behaviour, and promote healthy snacking and water consumption. We adapted the original Toybox intervention (Manios et al. 2012) using a co-production approach for implementation in Scottish preschools. Examining the feasibility and acceptability of effective public health interventions is critical to ensure success can be translated from one context to another. Therefore, this study aimed to evaluate the feasibility and acceptability of implementing the adapted ToyBox intervention in Scottish preschools. Methods: A feasibility cluster randomised controlled trial was conducted involving six preschools in Glasgow, randomly assigned to the intervention or usual-care control group. Participants were 3-5 year old children and their parents. Of interest for this feasibility study were parameters such as recruitment and retention rates, and SDs of outcome measures to inform a full scale trial (namely physical activity, sleep and sedentary time via accelerometry, body composition via bioelectrical impedance analysis (BIA), and measures of diet and home screen time via parental questionnaire). Process evaluation involved focus groups with practitioners, interviews with participating parents and pre/post practitioner logbooks and parental questionnaires. Results: The overall trial recruitment rate was 18{\%}. 36 children (16 girls) provided at least one valid measurement at baseline and follow-up (attrition rate = 16.6{\%}). Anthropometric measures were acceptable and feasible. Parental questionnaire response rates were low (20{\%}). 61{\%} and 27{\%} of participants provided valid accelerometer data for baseline only, and for baseline and follow-up respectively. A process evaluation has recently been conducted and results will be presented at the congress. Conclusion: Overall, the intervention was feasible and acceptable in Scottish preschools. Process evaluation results will help identify ways in which recruitment of preschools, and recruitment and retention of trial participants-particularly regarding accelerometry compliance, can be maximised in Scottish preschools. Such information will be useful for the development of a future full-scale trial.",
keywords = "childhood obesity, obesity prevention, preschool, Scotland, ToyBox Scotland, physical activity, exercise",
author = "S. Malden and J. Reilly and A. Gibson and F. Bardid and {De Craemer}, M. and O. Androutsos and Y. Manios and C. Summerbell and G. Cardon and A. Hughes",
year = "2019",
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Feasibility of the ToyBox-Scotland obesity prevention intervention in preschools : results of a cluster randomised controlled trial. / Malden, S.; Reilly, J.; Gibson, A.; Bardid, F.; De Craemer, M.; Androutsos, O.; Manios, Y.; Summerbell, C.; Cardon, G.; Hughes, A.

Vol. 12, No. Suppl 1, P02.091, 30.04.2019, p. 213-213.

Research output: Contribution to journalConference Contribution

TY - JOUR

T1 - Feasibility of the ToyBox-Scotland obesity prevention intervention in preschools

T2 - results of a cluster randomised controlled trial

AU - Malden, S.

AU - Reilly, J.

AU - Gibson, A.

AU - Bardid, F.

AU - De Craemer, M.

AU - Androutsos, O.

AU - Manios, Y.

AU - Summerbell, C.

AU - Cardon, G.

AU - Hughes, A.

PY - 2019/4/30

Y1 - 2019/4/30

N2 - Introduction: The ToyBox-Scotland intervention is an 18-week practitioner-led programme that aims to increase physical activity, reduce sedentary behaviour, and promote healthy snacking and water consumption. We adapted the original Toybox intervention (Manios et al. 2012) using a co-production approach for implementation in Scottish preschools. Examining the feasibility and acceptability of effective public health interventions is critical to ensure success can be translated from one context to another. Therefore, this study aimed to evaluate the feasibility and acceptability of implementing the adapted ToyBox intervention in Scottish preschools. Methods: A feasibility cluster randomised controlled trial was conducted involving six preschools in Glasgow, randomly assigned to the intervention or usual-care control group. Participants were 3-5 year old children and their parents. Of interest for this feasibility study were parameters such as recruitment and retention rates, and SDs of outcome measures to inform a full scale trial (namely physical activity, sleep and sedentary time via accelerometry, body composition via bioelectrical impedance analysis (BIA), and measures of diet and home screen time via parental questionnaire). Process evaluation involved focus groups with practitioners, interviews with participating parents and pre/post practitioner logbooks and parental questionnaires. Results: The overall trial recruitment rate was 18%. 36 children (16 girls) provided at least one valid measurement at baseline and follow-up (attrition rate = 16.6%). Anthropometric measures were acceptable and feasible. Parental questionnaire response rates were low (20%). 61% and 27% of participants provided valid accelerometer data for baseline only, and for baseline and follow-up respectively. A process evaluation has recently been conducted and results will be presented at the congress. Conclusion: Overall, the intervention was feasible and acceptable in Scottish preschools. Process evaluation results will help identify ways in which recruitment of preschools, and recruitment and retention of trial participants-particularly regarding accelerometry compliance, can be maximised in Scottish preschools. Such information will be useful for the development of a future full-scale trial.

AB - Introduction: The ToyBox-Scotland intervention is an 18-week practitioner-led programme that aims to increase physical activity, reduce sedentary behaviour, and promote healthy snacking and water consumption. We adapted the original Toybox intervention (Manios et al. 2012) using a co-production approach for implementation in Scottish preschools. Examining the feasibility and acceptability of effective public health interventions is critical to ensure success can be translated from one context to another. Therefore, this study aimed to evaluate the feasibility and acceptability of implementing the adapted ToyBox intervention in Scottish preschools. Methods: A feasibility cluster randomised controlled trial was conducted involving six preschools in Glasgow, randomly assigned to the intervention or usual-care control group. Participants were 3-5 year old children and their parents. Of interest for this feasibility study were parameters such as recruitment and retention rates, and SDs of outcome measures to inform a full scale trial (namely physical activity, sleep and sedentary time via accelerometry, body composition via bioelectrical impedance analysis (BIA), and measures of diet and home screen time via parental questionnaire). Process evaluation involved focus groups with practitioners, interviews with participating parents and pre/post practitioner logbooks and parental questionnaires. Results: The overall trial recruitment rate was 18%. 36 children (16 girls) provided at least one valid measurement at baseline and follow-up (attrition rate = 16.6%). Anthropometric measures were acceptable and feasible. Parental questionnaire response rates were low (20%). 61% and 27% of participants provided valid accelerometer data for baseline only, and for baseline and follow-up respectively. A process evaluation has recently been conducted and results will be presented at the congress. Conclusion: Overall, the intervention was feasible and acceptable in Scottish preschools. Process evaluation results will help identify ways in which recruitment of preschools, and recruitment and retention of trial participants-particularly regarding accelerometry compliance, can be maximised in Scottish preschools. Such information will be useful for the development of a future full-scale trial.

KW - childhood obesity

KW - obesity prevention

KW - preschool

KW - Scotland

KW - ToyBox Scotland

KW - physical activity

KW - exercise

UR - http://eco2019.org/

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DO - 10.1159/000497797

M3 - Conference Contribution

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SP - 213

EP - 213

IS - Suppl 1

M1 - P02.091

ER -