Behavioural components and delivery features of early childhood obesity prevention interventions: intervention coding of studies in the TOPCHILD Collaboration systematic review
Abstract Background Early childhood obesity prevention interventions that aim to change parent/caregiver practices related to infant (milk) feeding, food provision and parent feeding, movement (including activity, sedentary behaviour) and/or sleep health (i.e. target parental behaviour domains) are...
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2025-02-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
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| Online Access: | https://doi.org/10.1186/s12966-025-01708-9 |
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| author | Brittany J. Johnson Paul M. Chadwick Samantha Pryde Anna Lene Seidler Kylie E. Hunter Mason Aberoumand Jonathan G. Williams Hei In Lau Sol Libesman Jannik Aagerup Angie Barba Louise A. Baur Samantha Morgillo Lee Sanders Sarah Taki Kylie D. Hesketh Karen Campbell Alexandra Manson Alison Hayes Angela Webster Charles Wood Denise A. O’Connor Karen Matvienko-Sikar Kristy Robledo Lisa Askie Luke Wolfenden Rachael Taylor H. Shonna Yin Vicki Brown Alexander Fiks Alison Ventura Ata Ghaderi Barry J. Taylor Cathleen Stough Christine Helle Cristina Palacios Eliana M. Perrin Elizabeth Reifsnider Finn Rasmussen Ian M. Paul Jennifer S. Savage Jessica Thomson Jinan Banna Junilla Larsen Kaumudi Joshipura Ken K. Ong Levie Karssen Li Ming Wen Márcia Vitolo Margrethe Røed Maria Bryant Maribel Campos Rivera Mary Jo Messito Natalia Golova Nina Cecilie Øverby Rachel Gross Rajalakshmi Lakshman Rebecca Byrne Russell L. Rothman Sharleen O’Reilly Stephanie Anzman-Frasca Vera Verbestel Claudio Maffeis Kayla de la Haye Sarah-Jeanne Salvy Seema Mihrshahi Janani Ramachandran Paola Seffrin Baratto Rebecca K. Golley on behalf of the TOPCHILD Collaboration |
| author_facet | Brittany J. Johnson Paul M. Chadwick Samantha Pryde Anna Lene Seidler Kylie E. Hunter Mason Aberoumand Jonathan G. Williams Hei In Lau Sol Libesman Jannik Aagerup Angie Barba Louise A. Baur Samantha Morgillo Lee Sanders Sarah Taki Kylie D. Hesketh Karen Campbell Alexandra Manson Alison Hayes Angela Webster Charles Wood Denise A. O’Connor Karen Matvienko-Sikar Kristy Robledo Lisa Askie Luke Wolfenden Rachael Taylor H. Shonna Yin Vicki Brown Alexander Fiks Alison Ventura Ata Ghaderi Barry J. Taylor Cathleen Stough Christine Helle Cristina Palacios Eliana M. Perrin Elizabeth Reifsnider Finn Rasmussen Ian M. Paul Jennifer S. Savage Jessica Thomson Jinan Banna Junilla Larsen Kaumudi Joshipura Ken K. Ong Levie Karssen Li Ming Wen Márcia Vitolo Margrethe Røed Maria Bryant Maribel Campos Rivera Mary Jo Messito Natalia Golova Nina Cecilie Øverby Rachel Gross Rajalakshmi Lakshman Rebecca Byrne Russell L. Rothman Sharleen O’Reilly Stephanie Anzman-Frasca Vera Verbestel Claudio Maffeis Kayla de la Haye Sarah-Jeanne Salvy Seema Mihrshahi Janani Ramachandran Paola Seffrin Baratto Rebecca K. Golley on behalf of the TOPCHILD Collaboration |
| author_sort | Brittany J. Johnson |
| collection | DOAJ |
| description | Abstract Background Early childhood obesity prevention interventions that aim to change parent/caregiver practices related to infant (milk) feeding, food provision and parent feeding, movement (including activity, sedentary behaviour) and/or sleep health (i.e. target parental behaviour domains) are diverse and heterogeneously reported. We aimed to 1) systematically characterise the target behaviours, delivery features, and Behaviour Change Techniques (BCTs) used in interventions in the international Transforming Obesity Prevention for CHILDren (TOPCHILD) Collaboration, and 2) explore similarities and differences in BCTs used in interventions by target behaviour domains. Methods Annual systematic searches were performed in MEDLINE, Embase, Cochrane (CENTRAL), CINAHL, PsycINFO, and two clinical trial registries, from inception to February 2023. Trialists from eligible randomised controlled trials of parent-focused, behavioural early obesity prevention interventions shared unpublished intervention materials. Standardised approaches were used to code target behaviours, delivery features and BCTs in both published and unpublished intervention materials. Validation meetings confirmed coding with trialists. Narrative syntheses were performed. Results Thirty-two trials reporting 37 active intervention arms were included. Interventions targeted a range of behaviours. The most frequent combination was targeting all parental behaviour domains (infant [milk] feeding, food provision and parent feeding, movement, sleep health; n[intervention arms] = 15/37). Delivery features varied considerably. Most interventions were delivered by a health professional (n = 26/36), included facilitator training (n = 31/36), and were interactive (n = 28/36). Overall, 49 of 93 unique BCTs were coded to at least one target behaviour domain. The most frequently coded BCTs were: Instruction on how to perform a behaviour (n[intervention arms, separated by domain] = 102), Behavioural practice and rehearsal (n = 85), Information about health consequences (n = 85), Social support (unspecified) (n = 84), and Credible source (n = 77). Similar BCTs were often used for each target behaviour domain. Conclusions Our study provides the most comprehensive description of the behaviour change content of complex interventions targeting early childhood obesity prevention available to date. Our analysis revealed that interventions targeted multiple behaviour domains, with significant variation in delivery features. Despite the diverse range of BCTs coded, five BCTs were consistently identified across domains, though certain BCTs were more prevalent in specific domains. These findings can be used to examine effectiveness of components and inform intervention development and evaluation in future trials. Trial registration PROSPERO registration no. CRD42020177408. |
| format | Article |
| id | doaj-art-83939172ec454f6f98fab893710f04fb |
| institution | Kabale University |
| issn | 1479-5868 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj-art-83939172ec454f6f98fab893710f04fb2025-02-09T12:54:43ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682025-02-0122112110.1186/s12966-025-01708-9Behavioural components and delivery features of early childhood obesity prevention interventions: intervention coding of studies in the TOPCHILD Collaboration systematic reviewBrittany J. Johnson0Paul M. Chadwick1Samantha Pryde2Anna Lene Seidler3Kylie E. Hunter4Mason Aberoumand5Jonathan G. Williams6Hei In Lau7Sol Libesman8Jannik Aagerup9Angie Barba10Louise A. Baur11Samantha Morgillo12Lee Sanders13Sarah Taki14Kylie D. Hesketh15Karen Campbell16Alexandra Manson17Alison Hayes18Angela Webster19Charles Wood20Denise A. O’Connor21Karen Matvienko-Sikar22Kristy Robledo23Lisa Askie24Luke Wolfenden25Rachael Taylor26H. Shonna Yin27Vicki Brown28Alexander Fiks29Alison Ventura30Ata Ghaderi31Barry J. Taylor32Cathleen Stough33Christine Helle34Cristina Palacios35Eliana M. Perrin36Elizabeth Reifsnider37Finn Rasmussen38Ian M. Paul39Jennifer S. Savage40Jessica Thomson41Jinan Banna42Junilla Larsen43Kaumudi Joshipura44Ken K. Ong45Levie Karssen46Li Ming Wen47Márcia Vitolo48Margrethe Røed49Maria Bryant50Maribel Campos Rivera51Mary Jo Messito52Natalia Golova53Nina Cecilie Øverby54Rachel Gross55Rajalakshmi Lakshman56Rebecca Byrne57Russell L. Rothman58Sharleen O’Reilly59Stephanie Anzman-Frasca60Vera Verbestel61Claudio Maffeis62Kayla de la Haye63Sarah-Jeanne Salvy64Seema Mihrshahi65Janani Ramachandran66Paola Seffrin Baratto67Rebecca K. Golley68on behalf of the TOPCHILD CollaborationCollege of Nursing and Health Sciences, Flinders University, Caring Futures InstituteCentre for Behaviour Change, University College LondonCollege of Nursing and Health Sciences, Flinders University, Caring Futures InstituteNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of SydneyNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of SydneyNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of SydneyNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of SydneyCollege of Nursing and Health Sciences, Flinders University, Caring Futures InstituteNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of SydneyNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of SydneyNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of SydneySydney Medical School, The University of SydneyCollege of Nursing and Health Sciences, Flinders University, Caring Futures InstitutePediatrics and Health Policy, Stanford UniversityPopulation Health Research and Evaluation Hub, Sydney Local Health DistrictInstitute for Physical Activity and Nutrition, Deakin UniversityInstitute for Physical Activity and Nutrition, Deakin UniversityCollege of Nursing and Health Sciences, Flinders University, Caring Futures InstituteSchool of Public Health, Faculty of Medicine and Health, The University of SydneyNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of SydneyDepartment of Pediatrics, Duke University School of MedicineSchool of Public Health and Preventive Medicine, Monash UniversitySchool of Public Health, University College CorkNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of SydneyNational Health and Medical Research Council (NHMRC) Clinical Trials Centre, University of SydneySchool of Medicine and Public Health, The University of NewcastleUniversity of OtagoDepartments of Pediatrics and Population Health, NYU Grossman School of MedicineDeakin Health Economics, Institute for Health Transformation, Deakin UniversityClinical Futures and Department of Pediatrics, Children’s Hospital of Philadelphia and Perelman School of Medicine at the University of PennsylvaniaDepartment of Kinesiology and Public Health, Bailey College of Science and Math, California Polytechnic State UniversityDepartment of Clinical Neuroscience, Division of Psychology, Karolinska InstitutetUniversity of OtagoDepartment of Psychology, University of CincinnatiDepartment of Nutrition and Public Health, University of AgderDepartment of Dietetics and Nutrition, Florida International UniversityDepartment of Pediatrics, School of Medicine and School of Nursing, Johns Hopkins UniversityArizona State UniversityDepartment of Global Public Health, Karolinska InstitutetPenn State College of MedicineThe Center for Childhood Obesity Research, Department of Nutritional Sciences at The Pennsylvania State UniversityUS Department of Agriculture, Agricultural Research ServiceUniversity of HawaiiBehavioural Science Institute, Radboud UniversityHarvard Chan School of Public Health, Ahmedabad University School of Public HealthMedical Research Centre Epidemiology Unit, Institute of Metabolic Science, University of CambridgeBehavioural Science Institute, Radboud UniversityPopulation Health Research and Evaluation Hub, Sydney Local Health DistrictMedical Sciences Campus, University of Puetro RicoDepartment of Nutrition and Public Health, University of AgderUniversity of YorkCOHeAL University of Puerto Rico Medical Sciences CampusNew York University Grossman School of MedicineHasbro Children’s Hospital, Warren Alpert School of Medicine of Brown UniversityDepartment of Nutrition and Public Health, University of AgderDepartment of Pediatrics, Department of Population Health, NYU Grossman School of MedicineMedical Research Centre Epidemiology Unit, Institute of Metabolic Science, University of CambridgeSchool of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of TechnologyInstitute for Medicine and Public Health, Vanderbilt University Medical CenterSchool of Agriculture and Food Science, College of Health and Agricultural Sciences, University College DublinJacobs School of Medicine and Biomedical Sciences, University at BuffaloFaculty of Health, Medicine and Life Sciences, Department of Health Promotion, Research Institute of Nutrition and Translational Research in Metabolism (NUTRIM) and Care and Public Health Research Institute (CAPHRI), Maastricht UniversityDepartment of Surgery, Dentistry, Pediatrics, and Gynecology, University of VeronaDepartment of Preventive Medicine, University of Southern CaliforniaCedars-Sinai Medical CenterDepartment of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie UniversityChildren’s Hospital of PhiladelphiaGraduate Program in Pediatrics, Child and Adolescent Health, Federal University of Health Sciences of Porto AlegreCollege of Nursing and Health Sciences, Flinders University, Caring Futures InstituteAbstract Background Early childhood obesity prevention interventions that aim to change parent/caregiver practices related to infant (milk) feeding, food provision and parent feeding, movement (including activity, sedentary behaviour) and/or sleep health (i.e. target parental behaviour domains) are diverse and heterogeneously reported. We aimed to 1) systematically characterise the target behaviours, delivery features, and Behaviour Change Techniques (BCTs) used in interventions in the international Transforming Obesity Prevention for CHILDren (TOPCHILD) Collaboration, and 2) explore similarities and differences in BCTs used in interventions by target behaviour domains. Methods Annual systematic searches were performed in MEDLINE, Embase, Cochrane (CENTRAL), CINAHL, PsycINFO, and two clinical trial registries, from inception to February 2023. Trialists from eligible randomised controlled trials of parent-focused, behavioural early obesity prevention interventions shared unpublished intervention materials. Standardised approaches were used to code target behaviours, delivery features and BCTs in both published and unpublished intervention materials. Validation meetings confirmed coding with trialists. Narrative syntheses were performed. Results Thirty-two trials reporting 37 active intervention arms were included. Interventions targeted a range of behaviours. The most frequent combination was targeting all parental behaviour domains (infant [milk] feeding, food provision and parent feeding, movement, sleep health; n[intervention arms] = 15/37). Delivery features varied considerably. Most interventions were delivered by a health professional (n = 26/36), included facilitator training (n = 31/36), and were interactive (n = 28/36). Overall, 49 of 93 unique BCTs were coded to at least one target behaviour domain. The most frequently coded BCTs were: Instruction on how to perform a behaviour (n[intervention arms, separated by domain] = 102), Behavioural practice and rehearsal (n = 85), Information about health consequences (n = 85), Social support (unspecified) (n = 84), and Credible source (n = 77). Similar BCTs were often used for each target behaviour domain. Conclusions Our study provides the most comprehensive description of the behaviour change content of complex interventions targeting early childhood obesity prevention available to date. Our analysis revealed that interventions targeted multiple behaviour domains, with significant variation in delivery features. Despite the diverse range of BCTs coded, five BCTs were consistently identified across domains, though certain BCTs were more prevalent in specific domains. These findings can be used to examine effectiveness of components and inform intervention development and evaluation in future trials. Trial registration PROSPERO registration no. CRD42020177408.https://doi.org/10.1186/s12966-025-01708-9Infant feedingDietMovementSleepBehaviour change techniquesIntervention components |
| spellingShingle | Brittany J. Johnson Paul M. Chadwick Samantha Pryde Anna Lene Seidler Kylie E. Hunter Mason Aberoumand Jonathan G. Williams Hei In Lau Sol Libesman Jannik Aagerup Angie Barba Louise A. Baur Samantha Morgillo Lee Sanders Sarah Taki Kylie D. Hesketh Karen Campbell Alexandra Manson Alison Hayes Angela Webster Charles Wood Denise A. O’Connor Karen Matvienko-Sikar Kristy Robledo Lisa Askie Luke Wolfenden Rachael Taylor H. Shonna Yin Vicki Brown Alexander Fiks Alison Ventura Ata Ghaderi Barry J. Taylor Cathleen Stough Christine Helle Cristina Palacios Eliana M. Perrin Elizabeth Reifsnider Finn Rasmussen Ian M. Paul Jennifer S. Savage Jessica Thomson Jinan Banna Junilla Larsen Kaumudi Joshipura Ken K. Ong Levie Karssen Li Ming Wen Márcia Vitolo Margrethe Røed Maria Bryant Maribel Campos Rivera Mary Jo Messito Natalia Golova Nina Cecilie Øverby Rachel Gross Rajalakshmi Lakshman Rebecca Byrne Russell L. Rothman Sharleen O’Reilly Stephanie Anzman-Frasca Vera Verbestel Claudio Maffeis Kayla de la Haye Sarah-Jeanne Salvy Seema Mihrshahi Janani Ramachandran Paola Seffrin Baratto Rebecca K. Golley on behalf of the TOPCHILD Collaboration Behavioural components and delivery features of early childhood obesity prevention interventions: intervention coding of studies in the TOPCHILD Collaboration systematic review International Journal of Behavioral Nutrition and Physical Activity Infant feeding Diet Movement Sleep Behaviour change techniques Intervention components |
| title | Behavioural components and delivery features of early childhood obesity prevention interventions: intervention coding of studies in the TOPCHILD Collaboration systematic review |
| title_full | Behavioural components and delivery features of early childhood obesity prevention interventions: intervention coding of studies in the TOPCHILD Collaboration systematic review |
| title_fullStr | Behavioural components and delivery features of early childhood obesity prevention interventions: intervention coding of studies in the TOPCHILD Collaboration systematic review |
| title_full_unstemmed | Behavioural components and delivery features of early childhood obesity prevention interventions: intervention coding of studies in the TOPCHILD Collaboration systematic review |
| title_short | Behavioural components and delivery features of early childhood obesity prevention interventions: intervention coding of studies in the TOPCHILD Collaboration systematic review |
| title_sort | behavioural components and delivery features of early childhood obesity prevention interventions intervention coding of studies in the topchild collaboration systematic review |
| topic | Infant feeding Diet Movement Sleep Behaviour change techniques Intervention components |
| url | https://doi.org/10.1186/s12966-025-01708-9 |
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