title: Descriptive study of carers' support, encouragement and modelling of healthy lifestyle behaviours in residential out-of-home care.
abstract: OBJECTIVE
  Given the high prevalence of overweight/obesity among young people in residential out-of-home care (OOHC), and as their carers are in loco parentis, this research aimed: 1) to examine the healthy lifestyle cognitions and behaviours of residential carers; and 2) to describe resources needed to improve diet and/or physical activity outcomes for residents.
  
  
  METHODS
  Cross-sectional data were collected from 243 residential carers. Measures included: demographics; knowledge of dietary/physical activity recommendations; self-reported encouragement/importance of health behaviours; physical activity/screen time (at work); unit 'healthiness'; and necessary resources for creating a healthy environment.
  
  
  RESULTS
  Staff placed importance on the residents eating well and being physically active. However, examination of carer knowledge found significant gaps in staff education. Three key priority areas were identified to help build a healthy food and activity environment in residential OOHC: funding, professional development and policy.
  
  
  CONCLUSIONS
  Carer knowledge of healthy lifestyles can be improved and they need to be well resourced to ensure children in public care settings live in a healthy environment.
  
  
  CONCLUSIONS
  These findings may inform the development of ongoing professional development to improve carers' health literacy, as well as policy to support dietary/activity guidelines for the OOHC sector.
authors.affiliation: School of Psychology, Faculty of Health, Deakin University, Victoria.
authors.forename: Rachael
authors.initials: R
authors.lastname: Cox
authors.affiliation: School of Psychology, Faculty of Health, Deakin University, Victoria.
authors.forename: Helen
authors.initials: H
authors.lastname: Skouteris
authors.affiliation: School of Psychology, Faculty of Health, Deakin University, Victoria.
authors.forename: Matthew
authors.initials: M
authors.lastname: Fuller-Tyszkiewicz
authors.affiliation: Berry Street, Victoria.
authors.forename: Amanda D
authors.initials: AD
authors.lastname: Jones
authors.affiliation: Wesley Mission Victoria.
authors.forename: David
authors.initials: D
authors.lastname: Gallant
authors.affiliation: The Salvation Army Westcare, Victoria.
authors.forename: Stella
authors.initials: S
authors.lastname: Omerogullari
authors.affiliation: Department of Human Services, Victoria.
authors.forename: Robyn
authors.initials: R
authors.lastname: Miller
authors.affiliation: Prevention Research Collaboration, School of Public Health, University of Sydney, New South Wales.
authors.forename: Louise L
authors.initials: LL
authors.lastname: Hardy
mesh_terms: D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D004032:Diet; D005247:Feeding Behavior; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D020380:Needs Assessment; D009765:Obesity / Q000517:prevention & control; D012112:Residential Facilities
keywords: obesity; out-of-home care; young people