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Improving community readiness among Iranian local communities to prevent childhood obesity
BACKGROUND: Community Readiness Intervention for Tackling Childhood Obesity (CRITCO) is a theory-based intervention being developed to improve the readiness of an Iranian urban population to engage in childhood obesity prevention programs. This study aimed to explore changes in readiness of interven...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931445/ https://www.ncbi.nlm.nih.gov/pubmed/36793004 http://dx.doi.org/10.1186/s12889-023-15163-3 |
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author | Niknam, Mahdieh Omidvar, Nasrin Eini-Zinab, Hassan Kalantari, Naser Olazadeh, Keyvan Amiri, Parisa |
author_facet | Niknam, Mahdieh Omidvar, Nasrin Eini-Zinab, Hassan Kalantari, Naser Olazadeh, Keyvan Amiri, Parisa |
author_sort | Niknam, Mahdieh |
collection | PubMed |
description | BACKGROUND: Community Readiness Intervention for Tackling Childhood Obesity (CRITCO) is a theory-based intervention being developed to improve the readiness of an Iranian urban population to engage in childhood obesity prevention programs. This study aimed to explore changes in readiness of intervention and control local communities from diverse socio-economic areas of Tehran. METHODS: This study was a seven-month quasi-experimental intervention implemented in four intervention communities and compared with four controls. Aligned strategies and action plans were developed around the six dimensions of community readiness. The Food and Nutrition Committee was established in each intervention community to make collaborative efforts among different sectors and assess the fidelity of the intervention. The pre-and post- readiness change was explored through interviews with 46 community key informants. RESULTS: The total readiness of intervention sites increased by 0.48 units (p < 0.001) and shifted to the next higher level, from preplanning to the preparation stage. At the same time, the readiness of control communities decreased by 0.39 units (p < 0.001), although their readiness stage remained unchanged, reflecting the fourth stage. Also, a sex-dependent CR change was observed, such that the girls’ schools showed a more remarkable improvement in interventions and less decline in controls. The readiness stages of interventions significantly improved for four dimensions related to community efforts, knowledge of the efforts, knowledge of childhood obesity issue, and leadership. Furthermore, the readiness of control communities significantly decreased on three of six dimensions related to community effort, knowledge of efforts, and resources. CONCLUSIONS: The CRITCO successfully improved the readiness of intervention sites for addressing childhood obesity. It is hoped that the present study can be a spark for developing readiness-based childhood obesity prevention programs in Middle Eastern and other developing countries. TRIAL REGISTRATION: The CRITCO intervention was registered at Iran Registry for Clinical Trials (http://irct.ir; IRCT20191006044997N1) on 11/11/2019. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-15163-3. |
format | Online Article Text |
id | pubmed-9931445 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-99314452023-02-16 Improving community readiness among Iranian local communities to prevent childhood obesity Niknam, Mahdieh Omidvar, Nasrin Eini-Zinab, Hassan Kalantari, Naser Olazadeh, Keyvan Amiri, Parisa BMC Public Health Research BACKGROUND: Community Readiness Intervention for Tackling Childhood Obesity (CRITCO) is a theory-based intervention being developed to improve the readiness of an Iranian urban population to engage in childhood obesity prevention programs. This study aimed to explore changes in readiness of intervention and control local communities from diverse socio-economic areas of Tehran. METHODS: This study was a seven-month quasi-experimental intervention implemented in four intervention communities and compared with four controls. Aligned strategies and action plans were developed around the six dimensions of community readiness. The Food and Nutrition Committee was established in each intervention community to make collaborative efforts among different sectors and assess the fidelity of the intervention. The pre-and post- readiness change was explored through interviews with 46 community key informants. RESULTS: The total readiness of intervention sites increased by 0.48 units (p < 0.001) and shifted to the next higher level, from preplanning to the preparation stage. At the same time, the readiness of control communities decreased by 0.39 units (p < 0.001), although their readiness stage remained unchanged, reflecting the fourth stage. Also, a sex-dependent CR change was observed, such that the girls’ schools showed a more remarkable improvement in interventions and less decline in controls. The readiness stages of interventions significantly improved for four dimensions related to community efforts, knowledge of the efforts, knowledge of childhood obesity issue, and leadership. Furthermore, the readiness of control communities significantly decreased on three of six dimensions related to community effort, knowledge of efforts, and resources. CONCLUSIONS: The CRITCO successfully improved the readiness of intervention sites for addressing childhood obesity. It is hoped that the present study can be a spark for developing readiness-based childhood obesity prevention programs in Middle Eastern and other developing countries. TRIAL REGISTRATION: The CRITCO intervention was registered at Iran Registry for Clinical Trials (http://irct.ir; IRCT20191006044997N1) on 11/11/2019. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-15163-3. BioMed Central 2023-02-15 /pmc/articles/PMC9931445/ /pubmed/36793004 http://dx.doi.org/10.1186/s12889-023-15163-3 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Niknam, Mahdieh Omidvar, Nasrin Eini-Zinab, Hassan Kalantari, Naser Olazadeh, Keyvan Amiri, Parisa Improving community readiness among Iranian local communities to prevent childhood obesity |
title | Improving community readiness among Iranian local communities to prevent childhood obesity |
title_full | Improving community readiness among Iranian local communities to prevent childhood obesity |
title_fullStr | Improving community readiness among Iranian local communities to prevent childhood obesity |
title_full_unstemmed | Improving community readiness among Iranian local communities to prevent childhood obesity |
title_short | Improving community readiness among Iranian local communities to prevent childhood obesity |
title_sort | improving community readiness among iranian local communities to prevent childhood obesity |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9931445/ https://www.ncbi.nlm.nih.gov/pubmed/36793004 http://dx.doi.org/10.1186/s12889-023-15163-3 |
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