13 research outputs found

    Process and impact evaluation of the Romp and Chomp obesity prevention intervention in early childhood settings: lessons learned from implementation in preschools and long day care settings.

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    BACKGROUND: The Romp and Chomp controlled trial, which aimed to prevent obesity in preschool Australian children, was recently found to reduce the prevalence of childhood overweight and obesity and improve children's dietary patterns. The intervention focused on capacity building and policy implementation within various early childhood settings. This paper reports on the process and impact evaluation of this trial and the lessons learned from this complex community intervention. METHODS: Process data was collected throughout and audits capturing nutrition and physical activity-related environments and practices were completed postintervention by directors of Long Day Care (LDC) centers (n = 10) and preschools (n = 41) in intervention and comparison (n = 161 LDC and n = 347 preschool) groups. RESULTS: The environmental audits demonstrated positive impacts in both settings on policy, nutrition, physical activity opportunities, and staff capacity and practices, although results varied across settings and were more substantial in the preschool settings. Important lessons were learned in relation to implementation of such community-based interventions, including the significant barriers to implementing health-promotion interventions in early childhood settings, lack of engagement of for-profit LDC centers in the evaluation, and an inability to attribute direct intervention impacts when the intervention components were delivered as part of a health-promotion package integrated with other programs. CONCLUSIONS: These results provide confidence that obesity prevention interventions in children's settings can be effective; however, significant efforts must be directed toward developing context-specific strategies that invest in policies, capacity building, staff support, and parent engagement. Recognition by funders and reviewers of the difficulties involved in implementing and evaluating such complex interventions is also critical to strengthening the evidence base on the effectiveness of such public health approaches to obesity prevention

    Facilitating Team Learning in Organisations

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    Teams in organizations are increasingly seen as an important level and leverage for innovation and change, because they can help to let individual ideas develop into new institutional practices and support the cascading of new developments into the organization. This, in turn, can lead to the necessary innovation and change. However, why do some teams perform really well and others not? A trustworthy predicting variable of team performance is team learning. A vast amount of research has been done on this topic. However, as researcher being involved in team learning research differences between results found in quantitative and qualitative research were noticed. Main aims of this chapter was on the one hand to make an inventory of antecedents influencing team learning and on the other hand to see whether there are differences between results found in quantitative and qualitative studies. Results show that many antecedents could be identified, based on both quantitative and qualitative research. And as expected there are significant differences between both strands of research. Whereas quantitative research mainly focusses on testing hypotheses of antecedents influencing team learning, qualitative research tries to unravel mechanisms on how these antecedents work and how team learning processes are influenced. Majority of the research belongs to the quantitative strand, whereas there are major questions open that only can be answered by means of qualitative research

    Comparative spring distribution of zooplankton in three macrotidal European estuaries

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    The zooplankton of three european estuaries (Ems, Gironde and Westerschelde) was investigated during spring 1992 by means of samples taken along the salinity gradient. The three estuaries are comparable in terms of total area, flushing time and salinity gradient but differ by their level of eutrophication (highest in the Westerschelde), suspended matter concentration (highest in the Gironde) and potential phytoplankton production (highest in the Ems). Copepods and meroplankton dominated the zooplankton in the three estuaries. The dominant copepod species were Eurytemora affinis and Acartia bifilosa. The distribution of E. affinis along the salinity gradient differed between the estuaries. Peaks of abundance were observed at 0 PSU in the Gironde, 6 PSU in the Ems and 9 PSU in the Westerschelde. The downstream shift of the population in the Westerschelde was likely due to anoxic conditions occurring in the oligohaline zone. In the Gironde the downstream distribution of E. affinis was limited by the very high suspended matter concentration found in the maximum turbidity zone. Whatever the estuary, the parameters of the population of E. affinis and maximum abundance values were similar. However, the influence of the better quality of the available food was suggested in the Ems where individual dry weights and egg production were higher than in the two other estuaries. The influence of a good quality of food in the Ems was confirmed by the development of a large population of Acartia bifilosa (as abundant as E. affinis) and highest values of adult individual weights.The meroplankton (essentially Polychaete and cirripede larvae) was much more developed in the Ems than in the Westerschelde and Gironde. This was likely due to the large extent of mudflats and hard substrates in the Ems favouring adult settlement and hence the number of larvae locally produced

    Syphilis

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