The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

Engaging adolescents in changing behaviour (EACH-B): a study protocol for a cluster randomised controlled trial to improve dietary quality and physical activity.

Engaging adolescents in changing behaviour (EACH-B): a study protocol for a cluster randomised controlled trial to improve dietary quality and physical activity.
Engaging adolescents in changing behaviour (EACH-B): a study protocol for a cluster randomised controlled trial to improve dietary quality and physical activity.
Background
Poor diet and lack of physical activity are strongly linked to non-communicable disease risk, but modifying them is challenging. There is increasing recognition that adolescence is an important time to intervene; habits formed during this period tend to last, and physical and psychological changes during adolescence make it an important time to help individuals form healthier habits. Improving adolescents’ health behaviours is important not only for their own health now and in adulthood, but also for the health of any future children. Building on LifeLab - an existing, purpose-built educational facility at the University of Southampton - we have developed a multi-component intervention for secondary school students called Engaging Adolescents in Changing Behaviour (EACH-B) that aims to motivate and support adolescents to eat better and be more physically active.

Methods
A cluster randomised controlled trial is being conducted to evaluate the effectiveness of the EACH-B intervention. The primary outcomes of the intervention are self-reported dietary quality and objectively measured physical activity (PA) levels, both assessed at baseline and at 12-month follow-up. The EACH-B intervention consists of three linked elements: professional development for teachers including training in communication skills to support health behaviour change; the LifeLab educational module comprising in-school teaching of nine science lessons linked to the English National Curriculum and a practical day visit to the LifeLab facility; and a personalised digital intervention that involves social support and game features that promote eating better and being more active.

Both the taught module and the LifeLab day are designed with a focus on the science behind the messages about positive health behaviours, such as diet and PA, for the adolescents now, in adulthood and their future offspring, with the aim of promoting personal plans for change. The EACH-B research trial aims to recruit approximately 2,300 secondary school students aged 12-13 years from 50 schools (the clusters) from Hampshire and neighbouring counties. Participating schools will be randomised to either the control or intervention arm. The intervention will be run during two academic years, with continual recruitment of schools throughout the school year until the sample size is reached. The schools allocated to the control arm will receive normal schooling but will be offered the intervention after data collection for the trial is complete. An economic model will be developed to assess the cost-effectiveness of the EACH-B intervention compared with usual schooling.

Discussion
Adolescents’ health needs are often ignored and they can be difficult to engage in behaviour change. Building a cheap, sustainable way of engaging them in making healthier choices will benefit their long-term health and that of their future children.

Trial registration
EACH-B is a cluster randomised controlled trial (ISRCTN 74109264, registered 30th August 2019), funded by the National Institute for Health Research (RP-PG-0216-20004). http://www.isrctn.com/ISRCTN74109264
1745-6215
Strommer, Sofia
a025047e-effa-4481-9bf4-48da1668649e
Barrett, Camilla
aa089b2d-e57c-4d7a-b047-f95b53a4cb72
Woods-Townsend, Kathryn
af927fa3-30b6-47d9-8b4d-4d254b3a7aab
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824
Farrell, David
d5f8167f-b474-4db8-942f-ca9166aefcf1
Lord, Joanne
fd3b2bf0-9403-466a-8184-9303bdc80a9a
Morrison, Leanne
920a4eda-0f9d-4bd9-842d-6873b1afafef
Shaw, Sarah
9629b12a-8ee2-4483-a9ca-6efb4eef74c8
Vogel, Christina
768f1dcd-2697-4aae-95cc-ee2f6d63dff5
Lawrence, Wendy
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Lovelock, Donna
551633e7-c101-4fe2-beac-5e8c36f09521
Bagust, Lisa
dcbb3d71-4848-4df3-8d0f-a0eae3999cca
Varkonyi-Sepp, Judit
888b912b-b35a-4775-827f-bcc618122f7c
Coakley, Patsy J.
5905df6f-31c3-4671-b7b5-adcf9ff5fe28
Campbell, Lyall
199b46b4-78d0-40e2-96d5-40670c4d99a7
Anderson, Ross
c129625a-16a4-4195-b7a3-652d2adaae4b
Horsfall, Mary
8d4833e9-151a-45d9-b2cf-e1991edef02f
Kalita, Neelam
da42f168-a3cc-44c9-bafb-2801ff57914b
Onyimadu, Oluchukwu
ff168bd7-1c4f-4756-a34a-7e6b930ae29b
Clarke, John
bb9c19d6-a7fb-45ef-841c-6cf2bf74b278
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Chase, Debbie
d4f47e11-d0cd-4de7-afeb-9ebae1222fc9
Lambrick, Danielle
1deafa4b-acf3-4eff-83c9-f8274e47e993
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Inskip, Hazel
5fb4470a-9379-49b2-a533-9da8e61058b7
Barker, Mary
374310ad-d308-44af-b6da-515bf5d2d6d2
Strommer, Sofia
a025047e-effa-4481-9bf4-48da1668649e
Barrett, Camilla
aa089b2d-e57c-4d7a-b047-f95b53a4cb72
Woods-Townsend, Kathryn
af927fa3-30b6-47d9-8b4d-4d254b3a7aab
Baird, Janis
f4bf2039-6118-436f-ab69-df8b4d17f824
Farrell, David
d5f8167f-b474-4db8-942f-ca9166aefcf1
Lord, Joanne
fd3b2bf0-9403-466a-8184-9303bdc80a9a
Morrison, Leanne
920a4eda-0f9d-4bd9-842d-6873b1afafef
Shaw, Sarah
9629b12a-8ee2-4483-a9ca-6efb4eef74c8
Vogel, Christina
768f1dcd-2697-4aae-95cc-ee2f6d63dff5
Lawrence, Wendy
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Lovelock, Donna
551633e7-c101-4fe2-beac-5e8c36f09521
Bagust, Lisa
dcbb3d71-4848-4df3-8d0f-a0eae3999cca
Varkonyi-Sepp, Judit
888b912b-b35a-4775-827f-bcc618122f7c
Coakley, Patsy J.
5905df6f-31c3-4671-b7b5-adcf9ff5fe28
Campbell, Lyall
199b46b4-78d0-40e2-96d5-40670c4d99a7
Anderson, Ross
c129625a-16a4-4195-b7a3-652d2adaae4b
Horsfall, Mary
8d4833e9-151a-45d9-b2cf-e1991edef02f
Kalita, Neelam
da42f168-a3cc-44c9-bafb-2801ff57914b
Onyimadu, Oluchukwu
ff168bd7-1c4f-4756-a34a-7e6b930ae29b
Clarke, John
bb9c19d6-a7fb-45ef-841c-6cf2bf74b278
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Chase, Debbie
d4f47e11-d0cd-4de7-afeb-9ebae1222fc9
Lambrick, Danielle
1deafa4b-acf3-4eff-83c9-f8274e47e993
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Hanson, Mark
1952fad1-abc7-4284-a0bc-a7eb31f70a3f
Godfrey, Keith
0931701e-fe2c-44b5-8f0d-ec5c7477a6fd
Inskip, Hazel
5fb4470a-9379-49b2-a533-9da8e61058b7
Barker, Mary
374310ad-d308-44af-b6da-515bf5d2d6d2

Strommer, Sofia, Barrett, Camilla, Woods-Townsend, Kathryn, Baird, Janis, Farrell, David, Lord, Joanne, Morrison, Leanne, Shaw, Sarah, Vogel, Christina, Lawrence, Wendy, Lovelock, Donna, Bagust, Lisa, Varkonyi-Sepp, Judit, Coakley, Patsy J., Campbell, Lyall, Anderson, Ross, Horsfall, Mary, Kalita, Neelam, Onyimadu, Oluchukwu, Clarke, John, Cooper, Cyrus, Chase, Debbie, Lambrick, Danielle, Little, Paul, Hanson, Mark, Godfrey, Keith, Inskip, Hazel and Barker, Mary (2020) Engaging adolescents in changing behaviour (EACH-B): a study protocol for a cluster randomised controlled trial to improve dietary quality and physical activity. Trials. (In Press)

Record type: Article

Abstract

Background
Poor diet and lack of physical activity are strongly linked to non-communicable disease risk, but modifying them is challenging. There is increasing recognition that adolescence is an important time to intervene; habits formed during this period tend to last, and physical and psychological changes during adolescence make it an important time to help individuals form healthier habits. Improving adolescents’ health behaviours is important not only for their own health now and in adulthood, but also for the health of any future children. Building on LifeLab - an existing, purpose-built educational facility at the University of Southampton - we have developed a multi-component intervention for secondary school students called Engaging Adolescents in Changing Behaviour (EACH-B) that aims to motivate and support adolescents to eat better and be more physically active.

Methods
A cluster randomised controlled trial is being conducted to evaluate the effectiveness of the EACH-B intervention. The primary outcomes of the intervention are self-reported dietary quality and objectively measured physical activity (PA) levels, both assessed at baseline and at 12-month follow-up. The EACH-B intervention consists of three linked elements: professional development for teachers including training in communication skills to support health behaviour change; the LifeLab educational module comprising in-school teaching of nine science lessons linked to the English National Curriculum and a practical day visit to the LifeLab facility; and a personalised digital intervention that involves social support and game features that promote eating better and being more active.

Both the taught module and the LifeLab day are designed with a focus on the science behind the messages about positive health behaviours, such as diet and PA, for the adolescents now, in adulthood and their future offspring, with the aim of promoting personal plans for change. The EACH-B research trial aims to recruit approximately 2,300 secondary school students aged 12-13 years from 50 schools (the clusters) from Hampshire and neighbouring counties. Participating schools will be randomised to either the control or intervention arm. The intervention will be run during two academic years, with continual recruitment of schools throughout the school year until the sample size is reached. The schools allocated to the control arm will receive normal schooling but will be offered the intervention after data collection for the trial is complete. An economic model will be developed to assess the cost-effectiveness of the EACH-B intervention compared with usual schooling.

Discussion
Adolescents’ health needs are often ignored and they can be difficult to engage in behaviour change. Building a cheap, sustainable way of engaging them in making healthier choices will benefit their long-term health and that of their future children.

Trial registration
EACH-B is a cluster randomised controlled trial (ISRCTN 74109264, registered 30th August 2019), funded by the National Institute for Health Research (RP-PG-0216-20004). http://www.isrctn.com/ISRCTN74109264

Text
EACH-B Protocol Paper FINAL TEXT ONLY VERSION 170920 - Accepted Manuscript
Available under License Creative Commons Attribution.
Download (72kB)

More information

Accepted/In Press date: 22 September 2020

Identifiers

Local EPrints ID: 444084
URI: http://eprints.soton.ac.uk/id/eprint/444084
ISSN: 1745-6215
PURE UUID: 0551ba08-0618-4381-ae65-637ff59f5a93
ORCID for Kathryn Woods-Townsend: ORCID iD orcid.org/0000-0003-3376-6988
ORCID for Janis Baird: ORCID iD orcid.org/0000-0002-4039-4361
ORCID for Joanne Lord: ORCID iD orcid.org/0000-0003-1086-1624
ORCID for Leanne Morrison: ORCID iD orcid.org/0000-0002-9961-551X
ORCID for Sarah Shaw: ORCID iD orcid.org/0000-0002-2206-6858
ORCID for Christina Vogel: ORCID iD orcid.org/0000-0002-3897-3786
ORCID for Wendy Lawrence: ORCID iD orcid.org/0000-0003-1264-0438
ORCID for Neelam Kalita: ORCID iD orcid.org/0000-0002-0973-0160
ORCID for Oluchukwu Onyimadu: ORCID iD orcid.org/0000-0002-1724-3485
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Danielle Lambrick: ORCID iD orcid.org/0000-0002-0325-6015
ORCID for Mark Hanson: ORCID iD orcid.org/0000-0002-6907-613X
ORCID for Keith Godfrey: ORCID iD orcid.org/0000-0002-4643-0618
ORCID for Hazel Inskip: ORCID iD orcid.org/0000-0001-8897-1749
ORCID for Mary Barker: ORCID iD orcid.org/0000-0003-2976-0217

Catalogue record

Date deposited: 24 Sep 2020 16:43
Last modified: 18 Feb 2021 17:31

Export record

Contributors

Author: Sofia Strommer
Author: Camilla Barrett
Author: Janis Baird ORCID iD
Author: David Farrell
Author: Joanne Lord ORCID iD
Author: Leanne Morrison ORCID iD
Author: Sarah Shaw ORCID iD
Author: Christina Vogel ORCID iD
Author: Wendy Lawrence ORCID iD
Author: Donna Lovelock
Author: Lisa Bagust
Author: Judit Varkonyi-Sepp
Author: Patsy J. Coakley
Author: Lyall Campbell
Author: Ross Anderson
Author: Mary Horsfall
Author: Neelam Kalita ORCID iD
Author: John Clarke
Author: Cyrus Cooper ORCID iD
Author: Debbie Chase
Author: Paul Little
Author: Mark Hanson ORCID iD
Author: Keith Godfrey ORCID iD
Author: Hazel Inskip ORCID iD
Author: Mary Barker ORCID iD

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×