The effect of a behaviour change intervention on the diets and physical activity levels of women attending Sure Start Children's Centres: results from a complex public health intervention

Janis Baird; Megan Jarman; Wendy Lawrence; Christina Black; Jenny Davies; Tannaze Tinati; Rufia Begum; Andrew Mortimore; Sian Robinson; Barrie Margetts; Cyrus Cooper; Mary Barker; Hazel Inskip

doi:10.1136/bmjopen-2014-005290

The effect of a behaviour change intervention on the diets and physical activity levels of women attending Sure Start Children's Centres: results from a complex public health intervention

Janis Baird
, Megan Jarman
, Wendy Lawrence
, Christina Black
, Jenny Davies
, Tannaze Tinati
, Rufia Begum
, Andrew Mortimore
, Sian Robinson
, Barrie Margetts
, Cyrus Cooper
, Mary Barker
, Hazel Inskip

College of Health and Life Sciences

MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton General Hospital
MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK; NIHR Nutrition Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Public Health Team, NHS Southampton City, Civic Centre, Southampton, UK.
Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.

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

45 Citations (SciVal)

56 Downloads (Pure)

Abstract

OBJECTIVES: The UK government's response to the obesity epidemic calls for action in communities to improve people's health behaviour. This study evaluated the effects of a community intervention on dietary quality and levels of physical activity of women from disadvantaged backgrounds.

DESIGN: Non-randomised controlled evaluation of a complex public health intervention.

PARTICIPANTS: 527 women attending Sure Start Children's Centres (SSCC) in Southampton (intervention) and 495 women attending SSCCs in Gosport and Havant (control).

INTERVENTION: Training SSCC staff in behaviour change skills that would empower women to change their health behaviours.

OUTCOMES: Main outcomes dietary quality and physical activity. Intermediate outcomes self-efficacy and sense of control.

RESULTS: 1-year post-training, intervention staff used skills to support behaviour change significantly more than control staff. There were statistically significant reductions of 0.1 SD in the dietary quality of all women between baseline and follow-up and reductions in self-efficacy and sense of control. The decline in self-efficacy and control was significantly smaller in women in the intervention group than in women in the control group (adjusted differences in self-efficacy and control, respectively, 0.26 (95% CI 0.001 to 0.50) and 0.35 (0.05 to 0.65)). A lower decline in control was associated with higher levels of exposure in women in the intervention group. There was a statistically significant improvement in physical activity in the intervention group, with 22.9% of women reporting the highest level of physical activity compared with 12.4% at baseline, and a smaller improvement in the control group. The difference in change in physical activity level between the groups was not statistically significant (adjusted difference 1.02 (0.74 to 1.41)).

CONCLUSIONS: While the intervention did not improve women's diets and physical activity levels, it had a protective effect on intermediate factors-control and self-efficacy-suggesting that a more prolonged exposure to the intervention might improve health behaviour. Further evaluation in a more controlled setting is justified.

Original language	English
Article number	e005290
Journal	BMJ Open
Volume	4
Issue number	7
DOIs	https://doi.org/10.1136/bmjopen-2014-005290
Publication status	Published - 15 Jul 2014

Bibliographical note

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Adult
Controlled Before-After Studies
Diet
Female
Health Behavior
Health Promotion
Humans
Motor Activity
Public Health
Self Efficacy
Self-Control

Access to Document

10.1136/bmjopen-2014-005290Licence: CC BY 3.0

The effect of a behaviour change intervention on the diets and physical activity levels
Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
Final published version, 939 KBLicence: CC BY 3.0

Cite this

Baird, J., Jarman, M., Lawrence, W., Black, C., Davies, J., Tinati, T., Begum, R., Mortimore, A., Robinson, S., Margetts, B., Cooper, C., Barker, M., & Inskip, H. (2014). The effect of a behaviour change intervention on the diets and physical activity levels of women attending Sure Start Children's Centres: results from a complex public health intervention. BMJ Open, 4(7), Article e005290. https://doi.org/10.1136/bmjopen-2014-005290

@article{5b81b5b3f7914684a57f4c333406a3eb,

title = "The effect of a behaviour change intervention on the diets and physical activity levels of women attending Sure Start Children's Centres: results from a complex public health intervention",

abstract = "OBJECTIVES: The UK government's response to the obesity epidemic calls for action in communities to improve people's health behaviour. This study evaluated the effects of a community intervention on dietary quality and levels of physical activity of women from disadvantaged backgrounds.DESIGN: Non-randomised controlled evaluation of a complex public health intervention.PARTICIPANTS: 527 women attending Sure Start Children's Centres (SSCC) in Southampton (intervention) and 495 women attending SSCCs in Gosport and Havant (control).INTERVENTION: Training SSCC staff in behaviour change skills that would empower women to change their health behaviours.OUTCOMES: Main outcomes dietary quality and physical activity. Intermediate outcomes self-efficacy and sense of control.RESULTS: 1-year post-training, intervention staff used skills to support behaviour change significantly more than control staff. There were statistically significant reductions of 0.1 SD in the dietary quality of all women between baseline and follow-up and reductions in self-efficacy and sense of control. The decline in self-efficacy and control was significantly smaller in women in the intervention group than in women in the control group (adjusted differences in self-efficacy and control, respectively, 0.26 (95\% CI 0.001 to 0.50) and 0.35 (0.05 to 0.65)). A lower decline in control was associated with higher levels of exposure in women in the intervention group. There was a statistically significant improvement in physical activity in the intervention group, with 22.9\% of women reporting the highest level of physical activity compared with 12.4\% at baseline, and a smaller improvement in the control group. The difference in change in physical activity level between the groups was not statistically significant (adjusted difference 1.02 (0.74 to 1.41)).CONCLUSIONS: While the intervention did not improve women's diets and physical activity levels, it had a protective effect on intermediate factors-control and self-efficacy-suggesting that a more prolonged exposure to the intervention might improve health behaviour. Further evaluation in a more controlled setting is justified.",

keywords = "Adult, Controlled Before-After Studies, Diet, Female, Health Behavior, Health Promotion, Humans, Motor Activity, Public Health, Self Efficacy, Self-Control",

author = "Janis Baird and Megan Jarman and Wendy Lawrence and Christina Black and Jenny Davies and Tannaze Tinati and Rufia Begum and Andrew Mortimore and Sian Robinson and Barrie Margetts and Cyrus Cooper and Mary Barker and Hazel Inskip",

note = "Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.",

year = "2014",

month = jul,

day = "15",

doi = "10.1136/bmjopen-2014-005290",

language = "English",

volume = "4",

journal = "BMJ Open",

issn = "2044-6055",

publisher = "BMJ Publishing Group",

number = "7",

}

Baird, J, Jarman, M, Lawrence, W, Black, C, Davies, J, Tinati, T, Begum, R, Mortimore, A, Robinson, S, Margetts, B, Cooper, C, Barker, M & Inskip, H 2014, 'The effect of a behaviour change intervention on the diets and physical activity levels of women attending Sure Start Children's Centres: results from a complex public health intervention', BMJ Open, vol. 4, no. 7, e005290. https://doi.org/10.1136/bmjopen-2014-005290

TY - JOUR

T1 - The effect of a behaviour change intervention on the diets and physical activity levels of women attending Sure Start Children's Centres

T2 - results from a complex public health intervention

AU - Baird, Janis

AU - Jarman, Megan

AU - Lawrence, Wendy

AU - Black, Christina

AU - Davies, Jenny

AU - Tinati, Tannaze

AU - Begum, Rufia

AU - Mortimore, Andrew

AU - Robinson, Sian

AU - Margetts, Barrie

AU - Cooper, Cyrus

AU - Barker, Mary

AU - Inskip, Hazel

N1 - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

PY - 2014/7/15

Y1 - 2014/7/15

N2 - OBJECTIVES: The UK government's response to the obesity epidemic calls for action in communities to improve people's health behaviour. This study evaluated the effects of a community intervention on dietary quality and levels of physical activity of women from disadvantaged backgrounds.DESIGN: Non-randomised controlled evaluation of a complex public health intervention.PARTICIPANTS: 527 women attending Sure Start Children's Centres (SSCC) in Southampton (intervention) and 495 women attending SSCCs in Gosport and Havant (control).INTERVENTION: Training SSCC staff in behaviour change skills that would empower women to change their health behaviours.OUTCOMES: Main outcomes dietary quality and physical activity. Intermediate outcomes self-efficacy and sense of control.RESULTS: 1-year post-training, intervention staff used skills to support behaviour change significantly more than control staff. There were statistically significant reductions of 0.1 SD in the dietary quality of all women between baseline and follow-up and reductions in self-efficacy and sense of control. The decline in self-efficacy and control was significantly smaller in women in the intervention group than in women in the control group (adjusted differences in self-efficacy and control, respectively, 0.26 (95% CI 0.001 to 0.50) and 0.35 (0.05 to 0.65)). A lower decline in control was associated with higher levels of exposure in women in the intervention group. There was a statistically significant improvement in physical activity in the intervention group, with 22.9% of women reporting the highest level of physical activity compared with 12.4% at baseline, and a smaller improvement in the control group. The difference in change in physical activity level between the groups was not statistically significant (adjusted difference 1.02 (0.74 to 1.41)).CONCLUSIONS: While the intervention did not improve women's diets and physical activity levels, it had a protective effect on intermediate factors-control and self-efficacy-suggesting that a more prolonged exposure to the intervention might improve health behaviour. Further evaluation in a more controlled setting is justified.

AB - OBJECTIVES: The UK government's response to the obesity epidemic calls for action in communities to improve people's health behaviour. This study evaluated the effects of a community intervention on dietary quality and levels of physical activity of women from disadvantaged backgrounds.DESIGN: Non-randomised controlled evaluation of a complex public health intervention.PARTICIPANTS: 527 women attending Sure Start Children's Centres (SSCC) in Southampton (intervention) and 495 women attending SSCCs in Gosport and Havant (control).INTERVENTION: Training SSCC staff in behaviour change skills that would empower women to change their health behaviours.OUTCOMES: Main outcomes dietary quality and physical activity. Intermediate outcomes self-efficacy and sense of control.RESULTS: 1-year post-training, intervention staff used skills to support behaviour change significantly more than control staff. There were statistically significant reductions of 0.1 SD in the dietary quality of all women between baseline and follow-up and reductions in self-efficacy and sense of control. The decline in self-efficacy and control was significantly smaller in women in the intervention group than in women in the control group (adjusted differences in self-efficacy and control, respectively, 0.26 (95% CI 0.001 to 0.50) and 0.35 (0.05 to 0.65)). A lower decline in control was associated with higher levels of exposure in women in the intervention group. There was a statistically significant improvement in physical activity in the intervention group, with 22.9% of women reporting the highest level of physical activity compared with 12.4% at baseline, and a smaller improvement in the control group. The difference in change in physical activity level between the groups was not statistically significant (adjusted difference 1.02 (0.74 to 1.41)).CONCLUSIONS: While the intervention did not improve women's diets and physical activity levels, it had a protective effect on intermediate factors-control and self-efficacy-suggesting that a more prolonged exposure to the intervention might improve health behaviour. Further evaluation in a more controlled setting is justified.

KW - Adult

KW - Controlled Before-After Studies

KW - Diet

KW - Female

KW - Health Behavior

KW - Health Promotion

KW - Humans

KW - Motor Activity

KW - Public Health

KW - Self Efficacy

KW - Self-Control

UR - https://bmjopen.bmj.com/content/4/7/e005290

U2 - 10.1136/bmjopen-2014-005290

DO - 10.1136/bmjopen-2014-005290

M3 - Article

C2 - 25031194

SN - 2044-6055

VL - 4

JO - BMJ Open

JF - BMJ Open

IS - 7

M1 - e005290

ER -

The effect of a behaviour change intervention on the diets and physical activity levels of women attending Sure Start Children's Centres: results from a complex public health intervention

Abstract

Bibliographical note

UN SDGs

Keywords

Access to Document

Other files and links

Fingerprint

Cite this