Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/118820
Citations
Scopus Web of Science® Altmetric
?
?
Type: Journal article
Title: Effectiveness and implementation of an obesity prevention intervention: the HeLP-her Rural cluster randomised controlled trial
Author: Lombard, C.
Harrison, C.
Kozica, S.
Zoungas, S.
Keating, C.
Teede, H.
Citation: BMC Public Health, 2014; 14(1):608-1-608-8
Publisher: BioMed Central
Issue Date: 2014
ISSN: 1471-2458
1471-2458
Statement of
Responsibility: 
Catherine B Lombard, Cheryce L Harrison, Samantha L Kozica, Sophia Zoungas, Catherine Keating and Helena J Teede
Abstract: BACKGROUND: To impact on the obesity epidemic, interventions that prevent weight gain across populations are urgently needed. However, even the most efficacious interventions will have little impact on obesity prevention unless they are successfully implemented in diverse populations and settings. Implementation research takes isolated efficacy studies into practice and policy and is particularly important in obesity prevention where there is an urgent need to accelerate the evidence to practice cycle. Despite the recognised need, few obesity prevention interventions have been implemented in real life settings and to our knowledge rarely target rural communities. METHODS: Here we describe the rationale, design and implementation of a Healthy Lifestyle Program for women living in small rural communities (HeLP-her Rural). The primary goal of HeLP-her Rural is to prevent weight gain using a low intensity, self-management intervention. Six hundred women from 42 small rural communities in Australia will be randomised as clusters (n-21 control towns and n = 21 intervention towns). A pragmatic randomised controlled trial methodology will test efficacy and a comprehensive mixed methods community evaluation and cost analysis will inform effectiveness and implementation of this novel prevention program. DISCUSSION: Implementing population interventions to prevent obesity is complex, costly and challenging. To address these barriers, evidence based interventions need to move beyond isolated efficacy trials and report outcomes related to effectiveness and implementation. Large pragmatic trials provide an opportunity to inform both effectiveness and implementation leading to potential for greater impact at the population level. Pragmatic trials should incorporate both effectiveness and implementation outcomes and a multidimensional methodology to inform scale-up to population level. The learnings from this trial will impact on the design and implementation of population obesity prevention strategies nationally and internationally. TRIAL REGISTRATION: ANZ clinical trial registry ACTRN12612000115831. Date of registration 24/01/2012.
Keywords: Obesity; prevention; lifestyle; women; rural; implementation; translation; population; RE-AIM
Rights: © Lombard et al.; licensee BioMed Central Ltd. 2014. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
DOI: 10.1186/1471-2458-14-608
Appears in Collections:Aurora harvest 8
Public Health publications

Files in This Item:
File Description SizeFormat 
hdl_118820.pdfPublished version651.29 kBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.