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    Acceptability, feasibility, and program outcomes of an equity-focused, adapted community-based healthy lifestyle program for children, young people, and their families in Perth, Western Australia: an implementation hybrid research protocol

    Access Status
    In process
    Authors
    Smith, Stephanie
    Paull, Stephen
    Iwanowski, Katie M
    Harris, Tania
    Moullin, Joanna
    Jane, Monica
    Bill, Jordan
    Kerr, Deborah
    Pollard, Christina
    Pearson, Glenn
    Robinson, Melanie
    Furzer, Bonnie
    Bear, Natasha
    Jackson, Ben
    Mildon, Robyn
    Sevdalis, Nick
    Norman, Richard
    Curran, Jacqueline
    Grant, Cameron
    Armstrong, Sarah
    Anderson, Yvonne
    Date
    2025
    Type
    Journal Article
    
    Metadata
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    Citation
    Smith, S. and Paull, S. and Iwanowski, K.M. and Harris, T. and Moullin, J. and Jane, M. and Bill, J. et al. 2025. Acceptability, feasibility, and program outcomes of an equity-focused, adapted community-based healthy lifestyle program for children, young people, and their families in Perth, Western Australia: an implementation hybrid research protocol. Frontiers in Health Services. 5: pp. 01-18.
    Source Title
    Frontiers in Health Services
    DOI
    10.3389/frhs.2025.1604809
    Additional URLs
    https://www.frontiersin.org/journals/health-services/articles/10.3389/frhs.2025.1604809/full
    ISSN
    2813-0146
    Faculty
    Faculty of Health Sciences
    School
    Curtin Medical School
    URI
    http://hdl.handle.net/20.500.11937/98184
    Collection
    • Curtin Research Publications
    Abstract

    Background: International guidelines recommend multidisciplinary intervention programs for addressing childhood obesity. In Western Australia, community-based healthy lifestyle programs for children and young people are insufficient for demand, especially for those over-represented in obesity statistics relating to prevalence. This protocol outlines the implementation and evaluation of an adapted, evidenced, community-based program in Perth, Western Australia.

    Methods: This study follows a multiple-methods hybrid type II design, testing acceptability and feasibility of program scale-out and program participant outcomes. Study (1) Develop the adapted healthy lifestyle program with key partners and Aboriginal and Torres Strait Islander advisors for scale-out. Apply implementation strategies for program realisation. Identify critical elements and outcomes to demonstrate program success with key partners (∼30 workshop participants and ∼80 qualitative proforma respondents). Identify cultural and place-based considerations for program acceptability with Aboriginal and Torres Strait Islander Elders/advisors (∼30 workshop participants). Study (2) Assess acceptability, appropriateness, feasibility, and local clinical outcomes of adapted healthy lifestyle program pilot. Evaluate the program with children and young people aged 4–16 years with obesity or overweight and weight-related comorbidities, seeking healthy lifestyle change. The program will include weight-related assessments at baseline, 6, and 12 months with weekly sessions for 6 months (estimated n = 245 over 22 months, accounting for 30% drop-out). Explore program experience via focus groups with children, young people, and caregivers: ∼8–12 weeks post commencement (∼50 program participants and caregivers), ∼6 months post commencement (∼50 program completers and caregivers), and evaluation survey (e.g., declined/dropped out/completed). Engage with key partners to determine program feasibility for scale-up (∼30 workshop participants and ∼80 qualitative proforma respondents). Mixed model regression will be used to assess within-subject change in outcomes over time. Child health utility instruments will be used for cost-utility analysis. Study (3) Assess program scalability post-pilot. If determined feasible and acceptable, the program will be packaged to assist practitioners and policymakers with scale-up via exploration of currently available packages and key staff interviews. The overarching Replicating Effective Programs framework outlines the implementation stages, and the tools and strategies being applied are presented. Qualitative data will be analysed using Framework Analysis, incorporating the Consolidated Framework for Implementation Research and the Expert Recommendations for Implementing Change.

    Discussion: Implementation outcomes will be determined by evaluating acceptability, appropriateness, and feasibility of scale for this healthy lifestyle program. Utilising implementation science, partnership-building, and place-based and cultural considerations, this research will inform potential scale-up of equity-focused healthy lifestyle programs.

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