title: Service evaluation of the GOALS family-based childhood obesity treatment intervention during the first 3 years of implementation.
abstract: OBJECTIVE
  To evaluate the impact of the GOALS (Getting Our Active Lifestyles Started) family-based childhood obesity treatment intervention during the first 3 years of implementation.
  
  
  METHODS
  Single-group repeated measures with qualitative questionnaires.
  
  
  METHODS
  Community venues in a socioeconomically deprived, urban location in the North-West of England.
  
  
  METHODS
  70 overweight or obese children (mean age 10.5 years, 46% boys) and their parents/carers who completed GOALS between September 2006 and March 2009.
  
  
  METHODS
  GOALS was a childhood obesity treatment intervention that drew on social cognitive theory to promote whole family lifestyle change. Sessions covered physical activity (PA), diet and behaviour change over 18 2 h weekly group sessions (lasting approximately 6 months). A Template for Intervention Description and Replication (TIDieR) checklist of intervention components is provided.
  
  
  METHODS
  The primary outcome measure was child body mass index (BMI) z-score, collected at baseline, post-intervention and 12 months. Secondary outcome measures were child self-perceptions, parent/carer BMI and qualitative changes in family diet and PA (parent/carer questionnaire).
  
  
  RESULTS
  Child BMI z-score reduced by 0.07 from baseline to post-intervention (p<0.001) and was maintained at 12 months (p<0.05). There was no change in parent/carer BMI or child self-perceptions, other than an increase in perceived social acceptance from baseline to post-intervention (p<0.05). Parents/carers reported positive changes to family PA and dietary behaviours after completing GOALS.
  
  
  CONCLUSIONS
  GOALS completion was associated with small improvements in child BMI z-score and improved family PA and dietary behaviours. Several intervention modifications were necessary during the implementation period and it is suggested childhood obesity treatment interventions need time to embed before a definitive evaluation is conducted. Researchers are urged to use the TIDieR checklist to ensure transparent reporting of interventions and facilitate the translation of evidence to practice.
authors: Physical Activity Exchange, Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.
authors: Paula M
authors: PM
authors: Watson
authors: School of Health Sciences, University of Salford, Salford, UK.
authors: Lindsey
authors: L
authors: Dugdill
authors: Carnegie Faculty, Fairfax Hall, Leeds Beckett University, Leeds, UK.
authors: Katie
authors: K
authors: Pickering
authors: Betsi Cadwaladr University Health Board, Wrexham, UK.
authors: Stephanie
authors: S
authors: Owen
authors: Carnegie Faculty, Fairfax Hall, Leeds Beckett University, Leeds, UK.
authors: Jackie
authors: J
authors: Hargreaves
authors: Carnegie Faculty, Fairfax Hall, Leeds Beckett University, Leeds, UK.
authors: Leanne J
authors: LJ
authors: Staniford
authors: Physical Activity Exchange, Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.
authors: Rebecca C
authors: RC
authors: Murphy
authors: Physical Activity Exchange, Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK.
authors: Zoe
authors: Z
authors: Knowles
authors: Physical Activity Exchange, Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK Aspire Academy, Qatar.
authors: N Timothy
authors: NT
authors: Cable
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D004032:Diet; D004739:England; D015444:Exercise; D005247:Feeding Behavior; D005260:Female; D006040:Goals; D015438:Health Behavior; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008297:Male; D016487:Parenting; D010290:Parents; D063766:Pediatric Obesity / Q000628:therapy*; D012649:Self Concept
keywords: behaviour change; childhood obesity; diet; evaluation; family; physical activity
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