How community-based approaches can promote healthy weight development in children: a realist review

Short Oral

Abstract Overview

Background: Community-based approaches (CBAs) to promote healthy weight development in children are proliferating in practice. Literature suggests that CBAs have the potential to initiate system-changing actions to ensure a healthier everyday life for children and adolescents and their long term weight development. However, little is known about how CBAs work for whom and under which circumstances.

Purpose: To present and discuss the preliminary program theory based upon a systematic literature search and a realist methodology.

Methods: First, an initial program theory (IPT) and middle-range theories to support them was developed based on meta-studies. These theories and the review questions, secondly guided systematic literature search. The search had +13.000 hits. After double screening of title and abstract approximately 500 text are ready for data extraction.

Results: The data extraction will focus at context-mechanism-outcome configurations (CMOCs) to construct a full program theory for CBA to prevention of overweight in children and adolescents. We are in the process of screening full texts and expect that approximately 100 studies will be included in the realist review. We will present central CMOCs as a part of our preliminary program theory. The overall goal is to generate a common foundation of knowledge to inform the development of CBAs in the future.

Funding: Novo Nordisk Foundation

Additional Authors

Name: Heidi Klakk
Affiliation: The Intersectoral Prevention Laboratory, Frederiksberg Hospital, Copenhagen, Denmark
Presenting Author: no
Name: Anne Timm
Affiliation: Steno Diabetes Center Copenhagen, Denmark
Presenting Author: no
Name: Mette Fogh
Affiliation: Steno Diabetes Centre Aarhus, Denmark & 4Department of Clinical Medicine, Aarhus University, Denmark
Presenting Author: no
Name: Nina Kampstrup-Larsen
Affiliation: The Intersectoral Prevention Laboratory, Frederiksberg Hospital, Copenhagen, Denmark
Presenting Author: no
Name: Anders Blædel Hansen
Affiliation: The Intersectoral Prevention Laboratory, Frederiksberg Hospital, Copenhagen, Denmark
Presenting Author: no
Name: Jane Nautrup Østergaard
Affiliation: Steno Diabetes Center Aarhus, Denmark
Presenting Author: no

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Information

Study Type: Intervention
Subtheme: Systems / cross-sector partnerships
Population Group: Children, Adolescents
Setting: School, Community, Sport, Family, Whole System

Submitting Author

Else Ladekjær
Researcher
Steno Diabetes Center Aarhus, Aarhus University Hospital
Denmark

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