Assessing the acceptability of an adapted preschool obesity prevention programme : ToyBox-Scotland

Journal article

Malden, Stephen, Reilly, John J., Hughes, Adrienne, Bardid, Farid, Summerbell, Carolyn, De Craemer, Marieke, Cardon, Greet, Androutsos, Odysseas, Manios, Yannis and Gibson, Ann-Marie. (2020). Assessing the acceptability of an adapted preschool obesity prevention programme : ToyBox-Scotland. Child: Care, Health and Development. 46(2), pp. 213-222. https://doi.org/10.1111/cch.12736
AuthorsMalden, Stephen, Reilly, John J., Hughes, Adrienne, Bardid, Farid, Summerbell, Carolyn, De Craemer, Marieke, Cardon, Greet, Androutsos, Odysseas, Manios, Yannis and Gibson, Ann-Marie
Abstract

Background
Childhood obesity is a global public health issue. Interventions to prevent the onset of obesity in the early years are often implemented in preschool settings. The ToyBox intervention was delivered across Europe and targeted energy balance-related behaviours in preschools and children's homes through teacher-led activities and parental education materials and was adapted for use in Scotland. This study assessed the acceptability of the 18-week adapted intervention to both parents and teachers.

Methods
Mixed methods were employed to collect both qualitative and quantitative data. Preschool staff and children's parents/caregivers completed post-intervention feedback surveys, from which acceptability scores were calculated and presented as proportions. Focus groups were conducted with preschool staff, whereas parents/caregivers participated in semi-structured interviews. A thematic analysis was applied to qualitative data following the development of a coding framework. Quantitative and qualitative data were analysed using SPSS and NVivo 10, respectively.

Results
Preschool staff rated the intervention as highly acceptable based on post-intervention feedback surveys (80%; mean score 8.8/11). Lower acceptability scores were observed for parents/caregivers (49%; 3.9/8). Nine preschool practitioners participated in focus groups (n = 3). User-friendliness of the intervention materials, integration of the intervention with the curriculum, and flexibility of the intervention were identified as facilitators to delivery. Barriers to delivery were time, insufficient space, and conflicting policies within preschools with regard to changing classroom layouts. Parental interviews (n = 4) revealed a lack of time to be a major barrier, which prevented parents from participating in home-based activities. Parents perceived the materials to be simple to understand and visually appealing.

Conclusions
This study identified a number of barriers and facilitators to the delivery and evaluation of the ToyBox Scotland preschool obesity prevention programme, which should be considered before any further scale-up of the intervention.

Keywordschildhood obesity; intervention acceptability; mixed methods; physical activity; sedentary behaviour
Year2020
JournalChild: Care, Health and Development
Journal citation46 (2), pp. 213-222
PublisherJohn Wiley & Sons Ltd
ISSN0305-1862
Digital Object Identifier (DOI)https://doi.org/10.1111/cch.12736
Scopus EID2-s2.0-85078013958
Open accessPublished as green open access
Research or scholarlyResearch
Page range213-222
Author's accepted manuscript
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Open
Publisher's version
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Controlled
Output statusPublished
Publication dates
Online15 Jan 2020
Publication process dates
Accepted19 Dec 2019
Deposited25 Aug 2022
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