Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial
Introduction. We describe our experience of using the Medical Research Council framework on complex interventions to guide the development and evaluation of an intervention to prevent obesity by modifying infant feeding behaviours. Methods. We reviewed the epidemiological evidence on early life risk...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2014/646504 |
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| _version_ | 1832568408072257536 |
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| author | Rajalakshmi Lakshman Simon Griffin Wendy Hardeman Annie Schiff Ann Louise Kinmonth Ken K. Ong |
| author_facet | Rajalakshmi Lakshman Simon Griffin Wendy Hardeman Annie Schiff Ann Louise Kinmonth Ken K. Ong |
| author_sort | Rajalakshmi Lakshman |
| collection | DOAJ |
| description | Introduction. We describe our experience of using the Medical Research Council framework on complex interventions to guide the development and evaluation of an intervention to prevent obesity by modifying infant feeding behaviours. Methods. We reviewed the epidemiological evidence on early life risk factors for obesity and interventions to prevent obesity in this age group. The review suggested prevention of excess weight gain in bottle-fed babies and appropriate weaning as intervention targets; hence we undertook systematic reviews to further our understanding of these behaviours. We chose theory and behaviour change techniques that demonstrated evidence of effectiveness in altering dietary behaviours. We subsequently developed intervention materials and evaluation tools and conducted qualitative studies with mothers (intervention recipients) and healthcare professionals (intervention deliverers) to refine them. We developed a questionnaire to assess maternal attitudes and feeding practices to understand the mechanism of any intervention effects. Conclusions. In addition to informing development of our specific intervention and evaluation materials, use of the Medical Research Council framework has helped to build a generalisable evidence base for early life nutritional interventions. However, the process is resource intensive and prolonged, and this should be taken into account by public health research funders. This trial is registered with ISRTCN: 20814693 Baby Milk Trial. |
| format | Article |
| id | doaj-art-0fdd2cd2d3704fc2931b342f999e288f |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-0fdd2cd2d3704fc2931b342f999e288f2025-02-03T00:59:09ZengWileyJournal of Obesity2090-07082090-07162014-01-01201410.1155/2014/646504646504Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and TrialRajalakshmi Lakshman0Simon Griffin1Wendy Hardeman2Annie Schiff3Ann Louise Kinmonth4Ken K. Ong5MRC Epidemiology Unit, University of Cambridge, Addenbrooke’s Hospital, P.O. Box 285, Cambridge CB2 0QQ, UKMRC Epidemiology Unit, University of Cambridge, Addenbrooke’s Hospital, P.O. Box 285, Cambridge CB2 0QQ, UKThe Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge CB2 0SR, UKUKCRC Centre for Diet and Activity Research, University of Cambridge, Cambridge CB2 0QQ, UKThe Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge CB2 0SR, UKMRC Epidemiology Unit, University of Cambridge, Addenbrooke’s Hospital, P.O. Box 285, Cambridge CB2 0QQ, UKIntroduction. We describe our experience of using the Medical Research Council framework on complex interventions to guide the development and evaluation of an intervention to prevent obesity by modifying infant feeding behaviours. Methods. We reviewed the epidemiological evidence on early life risk factors for obesity and interventions to prevent obesity in this age group. The review suggested prevention of excess weight gain in bottle-fed babies and appropriate weaning as intervention targets; hence we undertook systematic reviews to further our understanding of these behaviours. We chose theory and behaviour change techniques that demonstrated evidence of effectiveness in altering dietary behaviours. We subsequently developed intervention materials and evaluation tools and conducted qualitative studies with mothers (intervention recipients) and healthcare professionals (intervention deliverers) to refine them. We developed a questionnaire to assess maternal attitudes and feeding practices to understand the mechanism of any intervention effects. Conclusions. In addition to informing development of our specific intervention and evaluation materials, use of the Medical Research Council framework has helped to build a generalisable evidence base for early life nutritional interventions. However, the process is resource intensive and prolonged, and this should be taken into account by public health research funders. This trial is registered with ISRTCN: 20814693 Baby Milk Trial.http://dx.doi.org/10.1155/2014/646504 |
| spellingShingle | Rajalakshmi Lakshman Simon Griffin Wendy Hardeman Annie Schiff Ann Louise Kinmonth Ken K. Ong Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial Journal of Obesity |
| title | Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial |
| title_full | Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial |
| title_fullStr | Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial |
| title_full_unstemmed | Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial |
| title_short | Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial |
| title_sort | using the medical research council framework for the development and evaluation of complex interventions in a theory based infant feeding intervention to prevent childhood obesity the baby milk intervention and trial |
| url | http://dx.doi.org/10.1155/2014/646504 |
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