A youth-led social marketing intervention to encourage healthy lifestyles, the EYTO (European Youth Tackling Obesity) project : a cluster randomised controlled0 trial in Catalonia, Spain

Acknowledgements This research project has been funded by European Direction General HEALTH-2012 12 19. This funder did not play a role in the Spanish study design, data collection, study management, data analysis, interpretation of data, writing of the report, or the decision to submit the report for publication. This research project has been developed as an EYTO component, and the National Children’s Bureau of the United Kingdom is responsible for the general data analysis of the four EYTO project participating countries; however, the Spanish data will be analysed by our research team. We appreciate the enthusiastic support of our European partners: Komunikujeme (Czech Republic), Companhia de Ideias (Portugal) and the National Children’s Bureau (United Kingdom). The Spanish research project has been supported by Central Market of Reus, Spain (Mercat Central de Reus), which provides fresh food for the intervention, and the Municipality of Reus, Spain [Ajuntament de Reus, Spain]. We thank the professors, parents and young people of the high-schools of Reus for their enthusiastic participation in this study.Peer reviewedPublisher PD

“Som la Pera,” a School-Based, Peer-Led Social Marketing Intervention to Engage Spanish Adolescents in a Healthy Lifestyle : A Parallel-Cluster Randomized Controlled Study

Acknowledgments This project benefited from valuable collaborations with the National Children's Bureau (the United Kingdom), Companhia de Ideias (Portugal), and Komunikujeme (Czech Republic). The Spanish research project was supported by the Central Market of Reus, Spain (Mercat Central de Reus), which provided fresh food for the intervention, and the Municipality of Reus, Spain [Ajuntament de Reus, Spain]. We thank the teachers, parents, and students of the Reus high schools for their enthusiastic participation in this study. Funding Information This research project was funded by the European Commission (European Directorate General HEALTH-2012 12 19). This funder did not play a role in the Spanish study design, data collection, study management, data analysis, data interpretation, article writing, or decision to submit the report for publication.Peer reviewedPublisher PD

Delivering in‐school interventions to improve dietary behaviours amongst 11‐ to 16‐year‐olds: A systematic review

Childhood obesity is a global health concern, which has both short‐and long‐term health consequences for the individual, and is a potential burden on health care services and the wider economy. The school environment is a setting where changes can be applied to dietary behaviours, as schools have direct and intensive contact with children. This systematic review evaluated school‐based interventions designed to improve dietary behaviours among adolescents (11‐to 16‐year‐olds). The aims were to review types of interventions delivered, dietary behaviours targeted, and interventions' effectiveness in improving dietary behaviour and associated intervention components. Twenty‐nine school‐based interventional studies with this population were identified for review. The data were synthesized by identifying and comparing individual studies' results, intervention components, and characteristics.Interventions appeared more effective when they involved peers, used educational media to deliver health messages, increased availability of healthy foods in school,and incorporated computer‐based individualized feedback with normative information on eating behaviours. A limitation of the review was the lack of description in cer-tain reviewed studies and the nonfeasibility of conducting a meta‐analysis owing to study heterogeneity. Future interventions with this population could consider including the aforementioned components, gender‐specific feedback, and both short‐and long‐term follow‐ups as change may not be apparent immediately and to determine if changes are sustained

Acceptability and feasibility of weight management programmes for adults with severe obesity: A qualitative systematic review

OBJECTIVES:To improve our understanding of the acceptability of behavioural weight management programmes (WMPs) for adults with severe obesity. DESIGN:A systematic review of qualitative evidence. DATA SOURCES:Medline, Embase, PsycINFO, CINAHL, SCI, SSCI and CAB abstracts were searched from 1964 to May 2017. ELIGIBILITY CRITERIA:Papers that contained qualitative data from adults with body mass index (BMI) ≥35 kg/m2 (and/or the views of providers involved in their care) and considered issues about weight management. DATA EXTRACTION AND SYNTHESIS:Two reviewers read and systematically extracted data from the included papers which were compared, and contrasted according to emerging issues and themes. Papers were appraised for methodological rigour and theoretical relevance using Toye's proposed criteria for quality in relation to meta-ethnography. RESULTS:33 papers met our inclusion criteria from seven countries published 2007-2017. Findings were presented from a total of 644 participants and 153 programme providers. Participants described being attracted to programmes that were perceived to be novel or exciting, as well as being endorsed by their healthcare provider. The sense of belonging to a group who shared similar issues, and who had similar physiques and personalities, was particularly important and seemed to foster a strong group identity and related accountability. Group-based activities were enjoyed by many and participants preferred WMPs with more intensive support. However, some described struggling with physical activities (due to a range of physical comorbidities) and not everyone enjoyed group interaction with others (sometimes due to various mental health comorbidities). Although the mean BMI reported across the papers ranged from 36.8 to 44.7 kg/m2, no quotes from participants in any of the included papers were linked to specific detail regarding BMI status. CONCLUSIONS:Although group-based interventions were favoured, people with severe obesity might be especially vulnerable to physical and mental comorbidities which could inhibit engagement with certain intervention components

The acceptability and feasibility of weight management programmes for adults with severe obesity : A qualitative systematic review

Funding The project was funded by the NIHR Health Technology Assessment Programme (Project number: 15/09/04). See the HTA Programme website for further project information.Peer reviewedPublisher PD