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Professor Fergus Lowe The Behaviour Change Approach to Changing Children’s Eating Habits and Physical Activity
| Date post: | 06-Dec-2014 |
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Health & Medicine |
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Professor Fergus Lowe
The Behaviour Change Approach to Changing Children’s Eating Habits and Physical Activity
How do we prevent child obesity?
Change children’s eating habits and physical activity
Scientific Requirements for Interventions
• Should make contact with children’s psychology
• Should be evidence based/evaluated
• Should actually change behaviour
- Consume more F&V and less junk food
Meet the Food Dudes
The Food Dudes 3Rs
• Role Modelling
• Rewards
• Repeated tasting
Whole School ProgrammeFor Children 4 to 11 years old
Overview
Year 1Full Force (16 Days)
Rest of the Year
DVD Episodes
Fruit & Veg Rewards
Home Chart
Fruit & Veg Snack
Containers Wallchart Rewards reduced
Parental Involvement
Year 2 onwardsFood Dudes Forever
Series10%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
4%
48%
Series1
11%
43%
Series1
2%5%
Series1
7% 7%
NB. Average daily portion weight presented = 83g of fruit or 60g of vegetables
% c
onsu
med
Control SchoolFood Dudes School
Before After 4 Months
London Schools Poorest Eaters
Horne et al. (2004) Increasing children's fruit and vegetable consumption: a peer-modelling and rewards-based intervention.
Eur. J. Clin. Nutr. 58, p1649-1660.
Before After 4 Months
Before After 4 Months
Before After 4 Months
FRUIT
VEG
Walsall Lunchtime Results
Series10%
5%
10%
15%
20%
25%
30%
35%
40%
45%
20%
40%
Series1
13%
38%
Series1
29%
% o
f chi
ldre
n co
nsum
ing
frui
t, ve
g an
d sn
acks
Before After 3months
FRUIT
VEG
SNACKS
45%
Before After 3months
Before After 3months
49
34
6863
131
63
0
20
40
60
80
100
120
140
Food DudesSchool
ControlSchool
Gra
mm
es p
rovi
ded
93
42
0
10
20
30
40
50
60
70
80
90
100
Food DudesSchool
ControlSchool
Gra
mm
es c
onsu
med
Fruit and Vegetable CONSUMPTION(from packed lunches)
Fruit and Vegetable PROVISION(in packed lunches)
Before
After 12 months
Horne et al. (2009) Increasing parental provision and children's consumption of lunchbox fruit and vegetables in Ireland: the Food Dudes intervention. Eur. J. Clin. Nutr. 63, p613-618.
Ireland Experimental Evaluation
Early Years Programme
0.0
0.5
1.0
1.5
2.0
MEA
N P
IEC
ES C
ON
SU
MED
(PER
CH
ILD
)
Food Dudes Intervention Nurseries
Control Nurseries
Before After 32 Days After 3 Months
0.7 0.7
1.4
1.6
0.70.8
**
* p<.001
Results: Vegetables
0.0
0.5
1.0
1.5
2.0
MEA
N P
IEC
ES C
ON
SU
MED
(PER
CH
ILD
)
Food Dudes Intervention Nurseries
Control Nurseries
1.01.1
1.6
1.7
1.3 1.3
**
Results: Fruit
Before After 32 Days After 3 Months
* p<.001
Take up
600,000Number of schoolchildren
participating in the Programme
• Wolverhampton• Coventry• Walsall• Dudley• Solihull
• Bedfordshire
• Hounslow
Scotland • Grampian
Wales• Denbighshire
Ireland• All primary schools
US Projects• Utah• California
Italy Projects• Milan• Sicily
England Other countriesRest of UK
Summary Outcomes
• Large and long lasting changes in diet
• Biggest effects with poorest eaters
• Effects generalise from school to home
• Displacement of energy-dense nutrient-poor foods
• Works on large scale and internationally
World Heath OrganizationBest Practice Award for Counteracting Obesity
Public Health Excellence Awards, West MidlandsPartnerships
Society for the Advancement of Behaviour AnalysisScientific Translation Award
Awards
Chief Medical Officer’s Gold Medal AwardCombating Obesity
Local Authorities Research + Intelligence AssociationBest Use of Health Research
Food Dudes:Full Force, and Forever
Choice Architectureof School Catering
Curriculum
Whole Environment Sustainable Behaviour Change
Home Based Family Programme
Retail Outlets
Restaurants/Fast Food Outlets
Food Dudes Physical Activity Programme
Oral CareCooking Skills
Gardening Skills
