Development and implementation of a culturally adapted children's weight management programme in Birmingham
PHE ePoster Library. Hurley K. Sep 13, 2016; 138137; 114
Mrs. Kiya Hurley
Mrs. Kiya Hurley
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Abstract
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Abstract Introduction: First Steps is a 7-week children's weight management programme in Birmingham aiming to change behaviour of families with overweight primary school-aged children. The programme has lower than average completion rates amongst Bangladeshi and Pakistani (BP) families, yet the prevalence of overweight and obesity is higher amongst South Asian children compared to white children (23% vs. 18% in 10-11 year olds). South Asians are also more vulnerable to the cardiometabolic consequences of obesity. The aim of the CHANGE study (Child weigHt mANaGement for Ethnically diverse communities) is to culturally adapt the First Steps programme to make it more suitable for BP families and thus increase completion rates in these families. Methods: A multifaceted approach was used to adapt the intervention programme: (i) interviews and focus groups with BP families who had experience of the programme (ii) current literature, and (iii) theoretical frameworks to guide the intervention adaptation for BP families. Results: The developed intervention focuses on encouraging peer and social support within the groups, emphasising sustainable lifestyle changes, and tailoring of messages to allow for different cultural interpretation. Parents and children attend the programme together and the weekly sessions incorporate physical activity and other interactive activities. Preliminary results suggest more families (68%) are completing the adapted programme, compared with the original (57%). Conclusion: The adapted children's weight management programme, underpinned by theoretical models and evidence from BP communities, appears to be more engaging for families from these communities than the original programme. External funding details Funder: NIHR Health Technology Assessment Programme (12/137/05).
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