Design of the Dutch Obesity Intervention in Teenagers (NRG-DOiT): systematic development, implementation and evaluation of a school-based intervention aimed at the prevention of excessive weight gain in adolescents

Singh, Amika S., Chin A Paw, Marijke J. M., Kremers, Stef P. J., Visscher, Tommy L. S., Brug, Johannes and van Mechelen, Willem (2006) Design of the Dutch Obesity Intervention in Teenagers (NRG-DOiT): systematic development, implementation and evaluation of a school-based intervention aimed at the prevention of excessive weight gain in adolescents. BMC Public Health, 6 Article No 304: 1-15. doi:10.1186/1471-2458-6-304


Author Singh, Amika S.
Chin A Paw, Marijke J. M.
Kremers, Stef P. J.
Visscher, Tommy L. S.
Brug, Johannes
van Mechelen, Willem
Title Design of the Dutch Obesity Intervention in Teenagers (NRG-DOiT): systematic development, implementation and evaluation of a school-based intervention aimed at the prevention of excessive weight gain in adolescents
Journal name BMC Public Health   Check publisher's open access policy
ISSN 1471-2458
Publication date 2006-12-16
Sub-type Article (original research)
DOI 10.1186/1471-2458-6-304
Open Access Status DOI
Volume 6
Issue Article No 304
Start page 1
End page 15
Total pages 15
Place of publication London, England
Publisher Bio Med Central
Language eng
Subject 1117 Public Health and Health Services
Formatted abstract
Background:
Only limited data are available on the development, implementation, and evaluation processes of weight gain prevention programs in adolescents. To be able to learn from successes and failures of such interventions, integral written and published reports are needed.

Methods:

Applying the Intervention Mapping (IM) protocol, this paper describes the development, implementation, and evaluation of the Dutch Obesity Intervention in Teenagers (DOiT), a school-based intervention program aimed at the prevention of excessive weight gain.
The intervention focussed on the following health behaviours: (1) reduction of the consumption of sugar-sweetened beverages, (2) reduction of energy intake derived from snacks, (3) decrease of levels of sedentary behaviour, and (4) increase of levels of physical activity (i.e. active transport behaviour and sports participation).
The intervention program consisted of an individual classroom-based component (i.e. an educational program, covering 11 lessons of both biology and physical education classes), and an environmental component (i.e. encouraging and supporting changes at the school canteens, as well as offering additional physical education classes).
We evaluated the effectiveness of the intervention program using a randomised controlled trial design. We assessed the effects of the intervention on body composition (primary outcome measure), as well as on behaviour, behavioural determinants, and aerobic fitness (secondary outcome measures). Furthermore, we conducted a process evaluation.

Discussion:
The development of the DOiT-intervention resulted in a comprehensive school-based weight gain prevention program, tailored to the needs of Dutch adolescents from low socio-economic background.
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 65 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 69 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Mon, 06 Apr 2009, 19:59:44 EST by Ms Julie Schofield on behalf of Library Corporate Services