A5014641693- Obesity, Physical Activity, Diet
- Obesity and Health Practices
- Health Policy Implementation Science
- COVID-19 and Mental Health
- Eating Disorders and Behaviors
- Behavioral Health and Interventions
- Diabetes Management and Education
- Child Nutrition and Feeding Issues
- Health and Lifestyle Studies
- Vaccine Coverage and Hesitancy
- Community Health and Development
- Geriatric Care and Nursing Homes
- Children's Physical and Motor Development
- Diabetes Management and Research
- Mental Health and Patient Involvement
- Frailty in Older Adults
- Mobile Health and mHealth Applications
- Health Systems, Economic Evaluations, Quality of Life
- Medical Malpractice and Liability Issues
- Misinformation and Its Impacts
- Infant Development and Preterm Care
- Commonwealth, Australian Politics and Federalism
- Healthcare Quality and Management
- Health, psychology, and well-being
- Environmental Education and Sustainability
University College London
2013-2025
Newcastle University
2023-2024
The Behaviouralist (United Kingdom)
2024
Welsh Government
2022
Public Health England
2020-2021
University College Lahore
2021
University of Sussex
2020
Royal Free London NHS Foundation Trust
2013-2018
University of East London
2015
Cancer Research UK
2008-2013
The aim of this study was to evaluate the effectiveness Mind, Exercise, Nutrition, Do it (MEND) Program, a multicomponent community-based childhood obesity intervention (www.mendcentral.org). One hundred and sixteen obese children (BMI >or= 98 th percentile, UK 1990 reference data) were randomly assigned or waiting list control (6-month delayed intervention). Parents attended eighteen 2-h group educational physical activity sessions held twice weekly in sports centers schools, followed by...
Sustained engagement in type 1 diabetes self-management behaviours is a critical element achieving improvements glycated haemoglobin (HbA1c) and minimising risk of complications. Evaluations programmes, such as Dose Adjustment for Normal Eating (DAFNE), typically find that initial are rarely sustained beyond 12 months. This study identified involved self-management, their influences relationships to each other.A mixed-methods was conducted following the first two steps Behaviour Change Wheel...
We compared intention to receive the seasonal influenza vaccine with a prospective coronavirus (COVID-19) among undecided or COVID-19 hesitant individuals better understand underlying differences and similarities in factors associated intention. delivered cross-sectional online survey October–November 2020. included psychological constructs sociodemographic variables informed by theory. conducted pairwise comparisons multiple linear regression models explore associations between constructs....
COVID-19 continues to pose a threat public health. Booster vaccine programmes are critical maintain population-level immunity. Stage theory models of health behaviour can help our understanding decision-making in the context perceived threats COVID-19.
Objectives To explore barriers and facilitators to behaviour change in older people with mild frailty. Design Qualitative study. Setting Community-dwelling living Participants 64 frailty, workers delivering the service stakeholders. Methods Semistructured interviews were conducted between July 2022 May 2023 participants a randomised controlled trial (‘HomeHealth’) of 6-month, home-based, personalised goal setting intervention, based around Capability-Opportunity-Motivation-Behaviour model....
Abstract Background and aims An uncontrolled, pilot study to evaluate feasibility acceptability of a new community based childhood obesity treatment programme. Methods The mind, exercise, nutrition diet (MEND) programme was held at sports centre, twice‐weekly, for 3 months. consists behaviour modification, physical activity education. primary outcome measure waist circumference. Secondary outcomes were body mass index (BMI), cardiovascular fitness (heart rate, blood pressure number steps in...
<h3>Objective:</h3> To investigate associations between weight status and body size perception in children the UK. <h3>Design:</h3> Cross-sectional survey. <h3>Setting:</h3> School-based sample <h3>Participants:</h3> 399 (205 boys, 194 girls) aged 7–9 years. <h3>Main outcome measures:</h3> Perceived was assessed using a visual method (Children9s Body Image Scale, matching to images representing mass indexes (BMI) from 3rd 97th percentiles) verbal descriptors "too thin" fat". BMI (converted...
Background: BMI is often used to evaluate the effectiveness of childhood obesity interventions, but such interventions may have additional benefits independent effects on adiposity. We investigated whether health outcomes following Mind, Exercise, Nutrition…Do It! (MEND) intervention were or associated with changes in zBMI. Methods: A total 79 obese children measured at baseline; 71 and 42 participants followed-up 6 12 months respectively, split into four groups depending magnitude change...
To assess how outcomes associated with participation in a family-based weight management intervention (MEND 7-13, Mind, Exercise, Nutrition..Do it!) for childhood overweight or obesity implemented at scale the community vary by child, family, neighbourhood and MEND programme characteristics.Intervention evaluation using prospective service level data. Families (N=21,132) children are referred, self-refer, to MEND. (participating child one parent/carer) attend two sessions/week 10 weeks...
Background: In the current study, we report outcomes 2.4 years from baseline in a random subsample of overweight and obese children who attended MEND 7–13 programs delivered UK community settings under service level conditions. Methods: The study employed an uncontrolled pre-follow-up design. A total 165 were measured. Outcomes included anthropometry, parental perception emotional distress, body esteem, self-esteem. Results: Overall, there significant improvements all apart BMI z-score....
Self-management programmes for type 1 diabetes, such as the UK's Dose Adjustment Normal Eating (DAFNE), improve short-term clinical outcomes but difficulties maintaining behavioural changes attenuate long-term impact. This study used Behaviour Change Wheel (BCW) framework to revise DAFNE intervention support sustained behaviour change.A four-step method was based on BCW development approach: (1) Identifying self-management behaviours and barriers/enablers maintain them via stakeholder...
Background Frailty is common in later life and can lead to adverse health outcomes. Services aimed at preventing decline early stages of frailty may support older people remain independent for longer. We developed tested a new service, HomeHealth, randomised controlled trial. HomeHealth was multidomain behaviour change service based the voluntary sector England targeting mobility, socialising, nutrition psychological well-being. Objective To describe population reach, fidelity,...
Summary When it comes to changing human dietary behaviour, is increasingly recognised that knowledge not enough. Nevertheless, the majority of nutritional interventions designed improve quality are educational in nature and predicated on assumption eating behaviour primarily product a conscious rational decision‐making processes. The study food choice challenges adequacy this questions sufficiency knowledge‐based interventions. determinants complex shaped by biological, developmental,...
Objective. The objectives of the present pilot study were to: (1) examine prevalence body image distress in overweight and obese women with polycystic ovary syndrome (PCOS); (2) assess effects a low-cost intervention form self-directed brisk walking program on distress; (3) level participation, feasibility larger sample size required.Methods. This was an observational whereby volunteers acted as their own control. Thirty-five PCOS (mean age 29.26 ± 7.57 years) mass index (BMI) > 25 kg/m2...
Abstract Aims To explore key influences of decisions in participants from a socioeconomically deprived area to attend the Healthier You: NHS Diabetes Prevention Programme (NHSDPP). The NHSDPP is lifestyle behaviour change programme for adults with prediabetes living England. Methods Semi‐structured interviews were conducted 35 who had attended initial assessment, but not yet started NHSDPP; 23 classified as “attenders,” 12 “non‐attenders” after they interviewed based on whether first session...