Mapping service activity: the example of childhood obesity schemes in England
Mapping service activity: the example of childhood obesity schemes in England
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DOI：
10.1186/1471-2458-10-310
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发表时间：
2010-06-04
影响因子：
4.5
通讯作者：
Arai, Lisa
中科院分区：
文献类型：
--
作者：
Aicken, Catherine;Roberts, Helen;Arai, Lisa
背景资料：儿童肥胖是高的富裕国家的政策议程上，许多干预措施已经制定，以解决it. This工作描述了一个概述的计划，肥胖和超重的儿童和青少年在英格兰，和'映射'的方法，我们used.Methods：我们的搜索策略，纳入标准和编码框架必须适合描述一个潜在的大量的计划在很短的时间内。数据是从主要的举报人、计划的宣传和报告以及网上调查中收集的。要纳入该计划，这些计划必须以英格兰为基地，遵循至少持续两周的结构化方案，促进健康体重，并专门针对超重和/或肥胖的儿童和青少年（4-18岁）。数据被输入一个编码框架，记录每一计划的类似信息，包括任何基础研究证据、评价或监测报告。在与卫生部和跨政府肥胖股的同事协商确定优先问题。结果：确定了51个计划。有些项目在多个地区开展，通过对多地点项目负责人提供的项目数量进行估计，我们发现，任何时候都有314至375个地方项目在运行。不确定性主要是由于最大的计划提供者在摸底调查时正在迅速扩大，因此只能提供正在实施的方案的估计数。许多计划在方法上是相似的，是最近建立的，并遵循NICE关于促进健康体重的干预措施的指导方针。严格的评价是罕见的。结论：我们的方法使我们能够产生一个快速的概述服务活动在广泛的地理区域和一系列的组织和部门。为了建立儿童肥胖干预措施的证据基础，需要对这些方案进行严格的评估。这一概述可以作为评估肥胖干预措施的起点。更一般地说，这种快速和系统的方法可以转移到其他类型的保健和社会护理服务活动，并可能成为一种工具，为公共卫生规划提供信息。
Background: Childhood obesity is high on the policy agenda of wealthier nations, and many interventions have been developed to address it. This work describes an overview of schemes for obese and overweight children and young people in England, and the 'mapping' approach we used.Methods: Our search strategy, inclusion criteria and coding frame had to be suitable for describing a potentially large number of schemes within a short timeframe. Data were collected from key informants, scheme publicity and reports, and via a web-survey. To be included, schemes had to be based in England, follow a structured programme lasting at least two weeks, promote healthy weight, and be delivered exclusively to overweight and/or obese children and young people (age range 4-18). Data were entered into a coding frame recording similar information for each scheme, including any underpinning research evidence, evaluation or monitoring reports. Priority questions were identified in consultation with colleagues from the Department of Health and the Cross Government Obesity Unit.Results: Fifty-one schemes were identified. Some operated in multiple areas, and by using estimates of the number of schemes provided by multi-site scheme leads, we found that between 314 and 375 local programmes were running at any time. Uncertainty is largely due to the largest scheme provider undergoing rapid expansion at the time of the mapping exercise and therefore able to provide only an estimate of the number of programmes running. Many schemes were similar in their approach, had been recently established and were following NICE guidelines on interventions to promote healthy weight. Rigorous evaluation was rare.Conclusions: Our methods enabled us to produce a rapid overview of service activity across a wide geographic area and a range of organisations and sectors. In order to develop the evidence base for childhood obesity interventions, rigorous evaluation of these schemes is required. This overview can serve as a starting point for evaluations of interventions to address obesity. More generally, a rapid and systematic approach of this type is transferable to other types of service activity in health and social care, and may be a tool to inform public health planning.