Exploring how lifestyle weight management programmes for children are commissioned and evaluated in England: a mixed methodology study
Open Access
- 16 December 2019
- Vol. 9 (12), e025423
- https://doi.org/10.1136/bmjopen-2018-025423
Abstract
Objective To assess how lifestyle weight management programmes for children aged 4–16 years in England are commissioned and evaluated at the local level. Design This was a mixed-methods study comprising an online survey and semistructured telephone interviews. Setting An online survey was sent to all local authorities (LAs) in England regarding lifestyle weight management services commissioned for children aged 4–16 years. Online survey data were collected between February and May 2016 and based on services commissioned between April 2014 and March 2015. Semistructured telephone interviews with LA staff across England were conducted between April and June 2016. Participants Commissioners or service providers working within the public health department of LAs. Main outcome measures The online survey collected information on the evidence base, costs, reach, service usage and evaluation of child lifestyle weight management services. The telephone interviews explored the nature of child weight management contracts commissioned by LAs, the type of outcome data collected and whether these data were shared with other LAs or organisations, the challenges faced by these services, and the perceived ‘markers of success’ for a programme. Results The online survey showed that none of the participating LAs was aware of any peer-reviewed evidence supporting the effectiveness of their specific commissioned service. Despite this, the telephone interviews revealed that there was no national formal sharing of data to enable oversight of the effectiveness of commissioned services across LAs in England to help inform future commissioning decisions. Challenges with long-term data collection, service engagement, funding and the pressure to reduce the prevalence of obesity were frequently mentioned. Conclusions Robust, independent, cost-effectiveness analyses of obesity strategies are needed to determine the appropriate allocation of funding to lifestyle weight management treatment services, population-level preventative approaches or development of whole system approaches by an LA.This publication has 21 references indexed in Scilit:
- Which Amount of BMI-SDS Reduction Is Necessary to Improve Cardiovascular Risk Factors in Overweight Children?Journal of Clinical Endocrinology & Metabolism, 2016
- Beverage purchases from stores in Mexico under the excise tax on sugar sweetened beverages: observational studyBMJ, 2016
- A Community Based Systems Diagram of Obesity CausesPLOS ONE, 2015
- A Review of Primary Care-Based Childhood Obesity Prevention and Treatment InterventionsCurrent Obesity Reports, 2015
- “Data Were Saturated . . . ”Qualitative Health Research, 2015
- Treatment of overweight and obesity in children and youth: a systematic review and meta-analysisCMAJ Open, 2015
- Lifetime Direct Medical Costs of Childhood ObesityPEDIATRICS, 2014
- What reduction in BMI SDS is required in obese adolescents to improve body composition and cardiometabolic health?Archives of Disease in Childhood, 2009
- Tracking of childhood overweight into adulthood: a systematic review of the literatureObesity Reviews, 2008
- A new approach to assessing the health benefit from obesity interventions in children and adolescents: the assessing cost-effectiveness in obesity projectInternational Journal of Obesity, 2006