The training and support needs of 22 programme directors of community-based childhood obesity interventions based on the EPODE approach: an online survey across programmes in 18 countries

Jorien J Slot-Heijs,Jan Vinck,Dorine C M Collard,Dennis Edell,Tommy L S Visscher,Armando Barriguete,Simone Pettigrew

doi:10.1186/s12913-020-05709-1

Abstract

BackgroundTackling childhood obesity is complex and requires a community-based approach implemented in multiple environments. It is known from literature that knowledgeable and skilled professionals are essential to implement such an approach successfully. The aim of the present study was to assess the need for training and support among a global network of programme directors implementing a Community-Based Childhood Obesity Intervention (CBCOI) based on the EPODE approach, in order to assist them in optimising the implementation process.MethodsAn online survey was sent to 40 programme directors representing programmes implementing a CBCOI based on the EPODE approach. The survey consisted of statements on a 5-point Likert scale and multiple-choice questions about attitude towards and usefulness of training and support, and preferences for some predefined training types and training topics. In total, 22 programme directors responded to the survey (55% response rate). Data were analysed using descriptive statistics to describe the need for support in order to improve successful implementation.ResultsRespondents strongly agreed that continually updating skills and learning how to make their programmes more effective and sustainable at the start and during the implementation was important. On-site training was preferred most at the commencement of a programme, while a 2-day training course was most valued during implementation. Monitoring, measuring and programme evaluation was identified as the most valuable training topic.ConclusionsThe results indicate a continuing and significant need for support and training among programme directors implementing a CBCOI. The findings give directions regarding topics and types of training and support in order to improve the implementation process.

Highlights

Tackling childhood obesity is complex and requires a community-based approach implemented in multiple environments
As empowering professionals is an essential element of Community-Based Childhood Obesity Intervention (CBCOI)’s, the aim of the present study is to evaluate the need for training and support among programme directors implementing a CBCOI within the EPODE International Network (EIN)
European countries are strongly represented in the EIN (71%), programmes from European countries were somewhat overrepresented in the sample size

Summary

Introduction

Tackling childhood obesity is complex and requires a community-based approach implemented in multiple environments. Children with obesity are at increased risk of impaired health during childhood, including higher risk of cardiovascular diseases, type 2 diabetes and negative psychosocial effects, such as poor self-esteem and depression [4]. They are more likely to experience life-long obesity, which brings with it serious consequences for the individual, the healthcare system, and the economy [5,6,7]. Community-based interventions that target multiple environments, such as the home, the neighbourhood and the school, show promise in reducing childhood obesity [9]. More intense community-based interventions are related to lower childhood body mass index, in which intense interventions: (1) modified polices and systems (e.g. competitive pricing for food choices or establishing a walking path), (2) were continuous programmes rather than infrequent or a one-time event (duration) and (3) reached a greater proportion of the community population [10]

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