Cultural adaptation of a children’s weight management programme:  Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study

Miranda Pallan; Tania Griffin; Kiya Hurley; Emma Lancashire; Jacqueline Blissett; Emma Frew; Paramjit Gill; Laura B Griffith; Kate Jolly; Eleanor McGee; Jayne Parry; Janice L Thompson; Peymane Adab

doi:10.1186/s12889-019-7159-5

Cultural adaptation of a children’s weight management programme: Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study

Miranda Pallan, Tania Griffin, Kiya Hurley, Emma Lancashire, Jacqueline Blissett, Emma Frew, Paramjit Gill, Laura B Griffith, Kate Jolly, Eleanor McGee, Jayne Parry, Janice L Thompson, Peymane Adab

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Childhood obesity prevalence continues to be at high levels in the United Kingdom (UK). South Asian
children (mainly Pakistani and Bangladeshi origin) with excess adiposity are at particular risk from the cardiovascular
consequences of obesity. Many community-based children’s weight management programmes have been
delivered in the UK, but none have been adapted for diverse cultural communities. The aim of the Child weigHt
mANaGement for Ethnically diverse communities (CHANGE) study, was to culturally adapt an existing children’s
weight management programme for children aged 4–11 years so that the programme was more able to meet the
needs of families from South Asian communities.
Methods: The adaptation process was applied to First Steps, an evidence informed programme being delivered in
Birmingham (a large, ethnically diverse city). A qualitative study was undertaken to obtain the views of South Asian
parents of children with excess weight, who had fully or partially attended, or who had initially agreed but then
declined to attend the First Steps programme. The resulting data were integrated with current research evidence and
local programme information as part of a cultural adaptation process that was guided by two theoretical frameworks.
Results: Interviews or focus groups with 31 parents in their preferred languages were undertaken. Themes arising from
the data included the need for convenient timing of a programme in a close familiar location, support for those who
do not speak English, the need to focus on health rather than weight, nutritional content that focuses on traditional
and Western diets, more physical activity content, and support with parenting skills. The data were mapped to the
Behaviour Change Wheel framework and Typology of Cultural Adaptation to develop an intervention programme
outline. The research evidence and local programme information was then used in the detailed planning of the
programme sessions.
Conclusions: The process of cultural adaptation of an existing children’s weight management programme resulted in
a theoretically underpinned programme that is culturally adapted at both the surface and deep structural levels.
Trial registration: ISRCTN81798055, registered: 13/05/2014.

Original language	English
Article number	848
Journal	BMC Public Health
Volume	19
Issue number	1
DOIs	https://doi.org/10.1186/s12889-019-7159-5
Publication status	Published - 28 Jun 2019

Bibliographical note

© The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Keywords

Childhood
Ethnicity
Obesity
Overweight
UK
Weight management

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Cite this

Pallan, M., Griffin, T., Hurley, K., Lancashire, E., Blissett, J., Frew, E., Gill, P., Griffith, L. B., Jolly, K., McGee, E., Parry, J., Thompson, J. L., & Adab, P. (2019). Cultural adaptation of a children’s weight management programme: Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study. BMC Public Health, 19(1), Article 848. https://doi.org/10.1186/s12889-019-7159-5

@article{3571956a8bb44fed95c3df014b8afe79,

title = "Cultural adaptation of a children{\textquoteright}s weight management programme: Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study",

abstract = "Background: Childhood obesity prevalence continues to be at high levels in the United Kingdom (UK). South Asianchildren (mainly Pakistani and Bangladeshi origin) with excess adiposity are at particular risk from the cardiovascularconsequences of obesity. Many community-based children{\textquoteright}s weight management programmes have beendelivered in the UK, but none have been adapted for diverse cultural communities. The aim of the Child weigHtmANaGement for Ethnically diverse communities (CHANGE) study, was to culturally adapt an existing children{\textquoteright}sweight management programme for children aged 4–11 years so that the programme was more able to meet theneeds of families from South Asian communities.Methods: The adaptation process was applied to First Steps, an evidence informed programme being delivered inBirmingham (a large, ethnically diverse city). A qualitative study was undertaken to obtain the views of South Asianparents of children with excess weight, who had fully or partially attended, or who had initially agreed but thendeclined to attend the First Steps programme. The resulting data were integrated with current research evidence andlocal programme information as part of a cultural adaptation process that was guided by two theoretical frameworks.Results: Interviews or focus groups with 31 parents in their preferred languages were undertaken. Themes arising fromthe data included the need for convenient timing of a programme in a close familiar location, support for those whodo not speak English, the need to focus on health rather than weight, nutritional content that focuses on traditionaland Western diets, more physical activity content, and support with parenting skills. The data were mapped to theBehaviour Change Wheel framework and Typology of Cultural Adaptation to develop an intervention programmeoutline. The research evidence and local programme information was then used in the detailed planning of theprogramme sessions.Conclusions: The process of cultural adaptation of an existing children{\textquoteright}s weight management programme resulted ina theoretically underpinned programme that is culturally adapted at both the surface and deep structural levels.Trial registration: ISRCTN81798055, registered: 13/05/2014.",

keywords = "Childhood, Ethnicity, Obesity, Overweight, UK, Weight management",

author = "Miranda Pallan and Tania Griffin and Kiya Hurley and Emma Lancashire and Jacqueline Blissett and Emma Frew and Paramjit Gill and Griffith, {Laura B} and Kate Jolly and Eleanor McGee and Jayne Parry and Thompson, {Janice L} and Peymane Adab",

note = "{\textcopyright} The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.",

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doi = "10.1186/s12889-019-7159-5",

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Pallan, M, Griffin, T, Hurley, K, Lancashire, E, Blissett, J, Frew, E, Gill, P, Griffith, LB, Jolly, K, McGee, E, Parry, J, Thompson, JL & Adab, P 2019, 'Cultural adaptation of a children’s weight management programme: Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study', BMC Public Health, vol. 19, no. 1, 848. https://doi.org/10.1186/s12889-019-7159-5

TY - JOUR

T1 - Cultural adaptation of a children’s weight management programme

T2 - Child weigHt mANaGement for Ethnically diverse communities (CHANGE) study

AU - Pallan, Miranda

AU - Griffin, Tania

AU - Hurley, Kiya

AU - Lancashire, Emma

AU - Blissett, Jacqueline

AU - Frew, Emma

AU - Gill, Paramjit

AU - Griffith, Laura B

AU - Jolly, Kate

AU - McGee, Eleanor

AU - Parry, Jayne

AU - Thompson, Janice L

AU - Adab, Peymane

N1 - © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

PY - 2019/6/28

Y1 - 2019/6/28

N2 - Background: Childhood obesity prevalence continues to be at high levels in the United Kingdom (UK). South Asianchildren (mainly Pakistani and Bangladeshi origin) with excess adiposity are at particular risk from the cardiovascularconsequences of obesity. Many community-based children’s weight management programmes have beendelivered in the UK, but none have been adapted for diverse cultural communities. The aim of the Child weigHtmANaGement for Ethnically diverse communities (CHANGE) study, was to culturally adapt an existing children’sweight management programme for children aged 4–11 years so that the programme was more able to meet theneeds of families from South Asian communities.Methods: The adaptation process was applied to First Steps, an evidence informed programme being delivered inBirmingham (a large, ethnically diverse city). A qualitative study was undertaken to obtain the views of South Asianparents of children with excess weight, who had fully or partially attended, or who had initially agreed but thendeclined to attend the First Steps programme. The resulting data were integrated with current research evidence andlocal programme information as part of a cultural adaptation process that was guided by two theoretical frameworks.Results: Interviews or focus groups with 31 parents in their preferred languages were undertaken. Themes arising fromthe data included the need for convenient timing of a programme in a close familiar location, support for those whodo not speak English, the need to focus on health rather than weight, nutritional content that focuses on traditionaland Western diets, more physical activity content, and support with parenting skills. The data were mapped to theBehaviour Change Wheel framework and Typology of Cultural Adaptation to develop an intervention programmeoutline. The research evidence and local programme information was then used in the detailed planning of theprogramme sessions.Conclusions: The process of cultural adaptation of an existing children’s weight management programme resulted ina theoretically underpinned programme that is culturally adapted at both the surface and deep structural levels.Trial registration: ISRCTN81798055, registered: 13/05/2014.

AB - Background: Childhood obesity prevalence continues to be at high levels in the United Kingdom (UK). South Asianchildren (mainly Pakistani and Bangladeshi origin) with excess adiposity are at particular risk from the cardiovascularconsequences of obesity. Many community-based children’s weight management programmes have beendelivered in the UK, but none have been adapted for diverse cultural communities. The aim of the Child weigHtmANaGement for Ethnically diverse communities (CHANGE) study, was to culturally adapt an existing children’sweight management programme for children aged 4–11 years so that the programme was more able to meet theneeds of families from South Asian communities.Methods: The adaptation process was applied to First Steps, an evidence informed programme being delivered inBirmingham (a large, ethnically diverse city). A qualitative study was undertaken to obtain the views of South Asianparents of children with excess weight, who had fully or partially attended, or who had initially agreed but thendeclined to attend the First Steps programme. The resulting data were integrated with current research evidence andlocal programme information as part of a cultural adaptation process that was guided by two theoretical frameworks.Results: Interviews or focus groups with 31 parents in their preferred languages were undertaken. Themes arising fromthe data included the need for convenient timing of a programme in a close familiar location, support for those whodo not speak English, the need to focus on health rather than weight, nutritional content that focuses on traditionaland Western diets, more physical activity content, and support with parenting skills. The data were mapped to theBehaviour Change Wheel framework and Typology of Cultural Adaptation to develop an intervention programmeoutline. The research evidence and local programme information was then used in the detailed planning of theprogramme sessions.Conclusions: The process of cultural adaptation of an existing children’s weight management programme resulted ina theoretically underpinned programme that is culturally adapted at both the surface and deep structural levels.Trial registration: ISRCTN81798055, registered: 13/05/2014.

KW - Childhood

KW - Ethnicity

KW - Obesity

KW - Overweight

KW - UK

KW - Weight management

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