Establishing consensus on key public health indicators for the monitoring and evaluating childhood obesity interventions: a Delphi panel study.
Childhood obesity
Delphi
Evaluation
Health policy
Intervention
Obesity
Public health
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
17 Nov 2020
17 Nov 2020
Historique:
received:
16
10
2019
accepted:
02
11
2020
entrez:
18
11
2020
pubmed:
19
11
2020
medline:
15
5
2021
Statut:
epublish
Résumé
Childhood obesity is influenced by myriad individual, societal and environmental factors that are not typically reflected in current interventions. Socio-ecological conditions evolve and require ongoing monitoring in terms of assessing their influence on child health. The aim of this study was to identify and prioritise indicators deemed relevant by public health authorities for monitoring and evaluating childhood obesity interventions. A three-round Delphi Panel composed of experts from regions across Europe, with a remit in childhood obesity intervention, were asked to identify indicators that were a priority in their efforts to address childhood obesity in their respective jurisdictions. In Round 1, 16 panellists answered a series of open-ended questions to identify the most relevant indicators concerning the evaluation and subsequent monitoring of interventions addressing childhood obesity, focusing on three main domains: built environments, dietary environments, and health inequalities. In Rounds 2 and 3, panellists rated the importance of each of the identified indicators within these domains, and the responses were then analysed quantitatively. Twenty-seven expert panellists were invited to participate in the study. Of these, 16/27 completed round 1 (5 9% response rate), 14/16 completed round 2 (87.5% response rate), and 8/14 completed the third and final round (57% response rate). Consensus (defined as > 70% agreement) was reached on a total of 45 of the 87 indicators (49%) across three primary domains (built and dietary environments and health inequalities), with 100% consensus reached for 5 of these indicators (6%). Forty-five potential indicators were identified, pertaining primarily to the dietary environment, built environment and health inequalities. These results have important implications more widely for evaluating interventions aimed at childhood obesity reduction and prevention.
Sections du résumé
BACKGROUND
BACKGROUND
Childhood obesity is influenced by myriad individual, societal and environmental factors that are not typically reflected in current interventions. Socio-ecological conditions evolve and require ongoing monitoring in terms of assessing their influence on child health. The aim of this study was to identify and prioritise indicators deemed relevant by public health authorities for monitoring and evaluating childhood obesity interventions.
METHOD
METHODS
A three-round Delphi Panel composed of experts from regions across Europe, with a remit in childhood obesity intervention, were asked to identify indicators that were a priority in their efforts to address childhood obesity in their respective jurisdictions. In Round 1, 16 panellists answered a series of open-ended questions to identify the most relevant indicators concerning the evaluation and subsequent monitoring of interventions addressing childhood obesity, focusing on three main domains: built environments, dietary environments, and health inequalities. In Rounds 2 and 3, panellists rated the importance of each of the identified indicators within these domains, and the responses were then analysed quantitatively.
RESULTS
RESULTS
Twenty-seven expert panellists were invited to participate in the study. Of these, 16/27 completed round 1 (5 9% response rate), 14/16 completed round 2 (87.5% response rate), and 8/14 completed the third and final round (57% response rate). Consensus (defined as > 70% agreement) was reached on a total of 45 of the 87 indicators (49%) across three primary domains (built and dietary environments and health inequalities), with 100% consensus reached for 5 of these indicators (6%).
CONCLUSION
CONCLUSIONS
Forty-five potential indicators were identified, pertaining primarily to the dietary environment, built environment and health inequalities. These results have important implications more widely for evaluating interventions aimed at childhood obesity reduction and prevention.
Identifiants
pubmed: 33203390
doi: 10.1186/s12889-020-09814-y
pii: 10.1186/s12889-020-09814-y
pmc: PMC7670696
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1733Subventions
Organisme : Horizon 2020 Framework Programme
ID : 727688
Références
J Adv Nurs. 2003 Feb;41(4):376-82
pubmed: 12581103
Health Technol Assess. 1998;2(3):i-iv, 1-88
pubmed: 9561895
Int J Obes (Lond). 2018 Dec;42(12):1963-1976
pubmed: 30242238
Eur J Public Health. 2019 Jun 1;29(3):425-431
pubmed: 30312403
Korean J Fam Med. 2017 Sep;38(5):284-290
pubmed: 29026489
Med Teach. 2005 Nov;27(7):639-43
pubmed: 16332558
PLoS One. 2017 Feb 2;12(2):e0171077
pubmed: 28152005
Annu Int Conf IEEE Eng Med Biol Soc. 2020 Jul;2020:5864-5867
pubmed: 33019308
J Clin Epidemiol. 2019 Apr;108:110-120
pubmed: 30557677
Nutrients. 2020 Aug 17;12(8):
pubmed: 32824588
Int J Pediatr Obes. 2008;3(2):120-2
pubmed: 18465438
BMJ Open. 2014 Dec 30;4(12):e006682
pubmed: 25550297
J Adv Nurs. 2000 Oct;32(4):1008-15
pubmed: 11095242
J Aging Soc Policy. 2019 May-Jun;31(3):234-249
pubmed: 29883271
Patient. 2020 Feb;13(1):11-21
pubmed: 31544219
Int J Obes (Lond). 2018 Dec;42(12):1951-1962
pubmed: 30022056
Clin Obes. 2013 Feb;3(1-2):3-6
pubmed: 25586386
BMJ Open. 2016 Sep 06;6(9):e011788
pubmed: 27601495
BMC Public Health. 2019 Jun 3;19(1):680
pubmed: 31159749
Lancet Diabetes Endocrinol. 2019 Mar;7(3):231-240
pubmed: 30704950
Med Educ. 2001 Oct;35(10):928-37
pubmed: 11564196
Int J Obes (Lond). 2019 Dec;43(12):2573-2586
pubmed: 30655580
J Adv Nurs. 1994 Jan;19(1):180-6
pubmed: 8138622
J Health Soc Behav. 1995;Spec No:80-94
pubmed: 7560851