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Published in: BMC Public Health 1/2019

Open Access 01-12-2019 | Obesity | Research article

An early implementation assessment of Ontario’s Healthy Kids Community Challenge: results from a survey of key stakeholders

Authors: Michelle M. Vine, Jocelyn W. Jarvis, Eunice Chong, Rachel E. Laxer, Adam Ladak, Heather Manson

Published in: BMC Public Health | Issue 1/2019

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Abstract

Background

In Ontario Canada, the Healthy Kids Community Challenge (HKCC) is a program intended to reduce the prevalence and prevent childhood overweight and obesity through community-based initiatives to improve health behaviours. Guided by the RE-AIM framework and Durlak and DuPre’s Ecological Framework for Understanding Effective Implementation, the evaluation focused on two objectives: 1) to describe the organization of the program at the community level; and, 2) to identify opportunities for improvement through an early assessment of factors contributing to implementation.

Methods

Participants (n = 320) – members of the HKCC local steering committee, including the local project manager – completed a cross-sectional survey using SurveyMonkey and descriptive statistics were calculated. A sample (20%) of qualitative open-ended responses was thematically analyzed.

Results

Results indicated strong respondent agreement that the HKCC enhanced individual knowledge of access to health-promoting programs (88.3%) and messaging regarding healthy behaviours for healthy kids, with less for its effectiveness in reducing weight (53.1%). There was a high-level of adherence to HKCC social marketing messages and overall program structure, with few Local Project Manager reports of adaptations to theme one (9.2%) and theme two messages (15.4%). Fewer Local Project Managers (50%) reported the existence of private partnerships. While most respondents agreed they had the appropriate information to complete mandatory reporting, the usefulness of the HKCC online networking platform was in question (only 47% of Local Project Managers agreed that it was useful). Results reveal sufficient funding from the province to support program implementation, with a moderate level of local political commitment (63% of respondents).

Conclusions

Results indicate that the HKCC was considered beneficial for enhancing access to health promoting programs, could be feasibly implemented with adherence to centrally-developed social marketing messages, and was amendable to local adaptation. Despite this, few private partnerships were reported. Going forward, there is opportunity to further evaluate factors contributing to HKCC program implementation, particularly as it relates to buy-in from intervention providers, and strategies for forming private sector partnerships to support long-term program sustainability.
Appendix
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Footnotes
1
“A municipality is defined in section 1 of the Municipal Act, 2011 as a “geographic area whose inhabitants are incorporated.” Section 2 of the act provides that “municipalities are created by the Province of Ontario to be responsible and accountable governments with respect to matters within their jurisdiction, and each municipality is given powers and duties under the act and many other acts for the purpose of providing good government with respect to those matters”” (Ontario Ministry of Municipal Affairs, Ministry of Housing, 2011, Section 2: An Overview of Local Government. Available at: http://​www.​mah.​gov.​on.​ca/​Page8391.​aspx).
 
2
Community champion is defined as: “a leader who will support and promote the initiatives and activities developed and implemented. The Champion’s role could take a variety of forms but include activities that promote community partner engagements and raising awareness of the initiatives in the communities” ([17], p.10).
 
Literature
1.
2.
3.
Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity among adults and youth: United States, 2015-2016. NCHS Data Brief. 2017;288:1-8.
4.
Hardy LL, Mihrshahi S, Gale J, Drayton BA, Bauman A, Mitchell J. 30-year trends in overweight, obesity and waist-to-hip ratio by socioeconomic status in Australian children, 1985-2015. Int J Obes. 2017;41:76–82.CrossRef
5.
6.
Singh A, Uijtdewilligen L, Twisk JWR, van Mechelen W, Chinapaw MJ. Physical activity and performance at school: a systematic review of the literature including a methodological quality assessment. Arch Pediatr Adolesc Med. 2012;166(1):49–55.PubMedCrossRef
7.
8.
9.
Van Koperen TM, Jebb SA, Summerbell CD, Visscher TLS, Romon M, Borys JM, et al. Characterizing the EPODE logic model: unravelling the past and informing the future. Obes Rev. 2013;14(2):162–70.PubMedCrossRef
10.
11.
Borys JM, Le Bodo Y, Jebb SA, Seidell JC, Summerbell C, Richard D, et al. EPODE approach for childhood obesity prevention: methods, progress and international development. Obes Rev. 2012;13(4):299–315.PubMedPubMedCentralCrossRef
12.
van de Gaar VM, Jansen W, van Grieken A, Borsboom GJ, Kremers S, Raat H. Effects of an intervention aimed at reducing the intake of sugar-sweetened beverages in primary school children: a controlled trial. Int J Behav Nutr Phys Act. 2014;11(1):98.PubMedPubMedCentralCrossRef
13.
Daniels MC, Popkin BM. The impact of water intake on energy intake and weight status: a systematic review. Nutr Rev. 2010;68(9):505–21.PubMedCrossRef
14.
de Ruyter JC, Olthof MR, Seidell JC, Katan MB. A trial of sugar-free or sugar-sweetened beverages and body weight in children. N Engl J Med. 2012;367:1397–406.PubMedCrossRef
15.
Romon M, Lommez A, Tafflet M, Basdevant A, Oppert JM, Bresson JL, et al. Downward trends in the prevalence of childhood overweight in the setting of 12-year school-and community-based programmes. Public Health Nutr. 2009;12(10):1735–42.PubMedCrossRef
16.
Ontario Ministry of Health and Long-Term Care [MOHLTC]. Healthy kids community challenge project manager guidance document. Toronto: MOHLTC; 2014.
17.
18.
Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. Int J Nurs Stud. 2013;50(5):587–92.PubMedCrossRef
19.
Devaney B, Rossi P. Thinking through evaluation design options. Child Youth Serv Rev. 1997;19(7):587–606.CrossRef
20.
Glasgow RE, Linnan LA. Evaluation of theory-based interventions. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: theory, research, and practice. 4th ed. Hoboken: Jossey-Bass; 2008. p. 487–508.
21.
Durlak JA, DuPre EP. Implementation matters: a review of research on the influence of implementation on program outcomes and the factors affecting implementation. Am J Community Psychol. 2008;41(3–4):327–50.PubMedCrossRef
22.
Patton MQ. Qualitative research & evaluation methods. 4th ed. Washington, DC: Sage Publication; 2015.
23.
Barbour RS. Checklists for improving the rigour in qualitative research: a case of the tail wagging the dog? Br Med J. 2001;322:1115–7.CrossRef
24.
Miles MB, Huberman AM. Qualitative data analysis: an expanded sourcebook. 2nd ed. Thousand Oaks: Sage Publications; 1994.
25.
O’Cathain A, Thomas KJ. “Any other comments?” open questions on questionnaires – a bane or a bonus to research? BMC Med Res Methodol. 2004;4(25):1–7.
26.
Chaudoir SR, Dugan AG, Barr CH. Measuring factors affecting implementation of health innovations: a systematic review of structural, organizational, provider, patient, and innovation level measures. Implement Sci. 2013;8(22):1–20.
27.
Fixsen DL, Naoom SF, Blasé KA, Friedman RM, Wallace F. Implementation research: a synthesis of the literature. Tampa: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231); 2005.
28.
Durlak JA. The importance of doing well in whatever you do: a commentary on the special section, “Implementation research in early childhood education.”. Early Child Res. 2010;25(3):348–57.CrossRef
29.
Fagan AA, Hanson K, Hawkins JD, Arthur MW. Bridging science to practice: achieving prevention program implementation fidelity in the community youth development study. Am J Community Psychol. 2008;41(3–4):235–49.PubMedCrossRef
30.
Huhman M, Potter LD, Wong FL, Banspach SW, Duke JC, Heitzler CD. Effects of a mass media campaign to increase physical activity among children: Year-1 results of the VERB campaign. Pediatrics. 2005;116(2):e277–84.PubMedCrossRef
31.
Israel BA, Shultz AJ, Parker EA, Becker AB. Review of community-based research : assessing partnership approaches to improve public health. Annu Rev Public Health. 1998;19:173–202.PubMedCrossRef
32.
Wallerstein N, Duran B. Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity. Am J Public Health. 2010;100(S1):S40–6.PubMedPubMedCentralCrossRef
33.
Johnston LM, Finegood DT. Cross-sector partnerships and public health: challenges and opportunities for addressing obesity and noncommunicable through engagement with the private sector. Annu Rev Public Health. 2015;36:255–71.PubMedCrossRef
34.
Gortmaker SL, Swinburn BA, Levy D, Carter R, Mabry PL, Finegood DT, et al. Changing the future of obesity: science, policy and action. Lancet. 2011;378(9793):838–47.PubMedPubMedCentralCrossRef
35.
Huang TT, Drewnosksi A, Kumanyika SK, Glass TA. A systems-oriented multilevel framework for addressing obesity in the 21st century. Prev Chronic Dis. 2009;6(3):A82.PubMedPubMedCentral
36.
Brownson RC. Practice-research partnerships and mentoring to foster evidence-based decision making. Prev Chronic Dis. 2015;11:E92.
37.
Colquhoun H, Leeman J, Michie S, Lokker C, Bragge P, Hempel S, et al. Towards a common terminology: a simplified framework of interventions to promote and integrate evidence into health practices, systems, and policies. Implement Sci. 2014;9(781):1–6.
38.
Pettigrew S, Borys JM, du Plessis HR, Walter L, Huang TT, Levi J, et al. Process evaluation outcomes from a global child obesity prevention intervention. BMC Public Health. 2014;14(757):1–10.
39.
40.
Moore GF, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, et al. Process evaluation of complex interventions: Medical Research Council guidance. Br Med J. 2015;350(h1258):1–7.
41.
42.
Pawson R, Tilley N. Realistic evaluation. Thousand Oaks: Sage Publications; 1997.
43.
44.
Moullin JC, Sabater-Hernández D, Fernandez-Llimos F, Benrimoj SI. A systematic review of implementation frameworks of innovations in healthcare and resulting generic implementation framework. Health Res Policy Syst. 2015;13(1):16.PubMedPubMedCentralCrossRef
45.
Nilsen P. Making sense of implementation theories, models and frameworks. Implement Sci. 2015;10(53):1–13.
Metadata
Title
An early implementation assessment of Ontario’s Healthy Kids Community Challenge: results from a survey of key stakeholders
Authors
Michelle M. Vine
Jocelyn W. Jarvis
Eunice Chong
Rachel E. Laxer
Adam Ladak
Heather Manson
Publication date
01-12-2019
Publisher
BioMed Central
Keywords
Obesity
Obesity
Published in
BMC Public Health / Issue 1/2019
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-019-7704-2

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