DOI QR코드

DOI QR Code

Adapting the Community Readiness Model and Validating a Community Readiness Tool for Childhood Obesity Prevention Programs in Iran

  • Mahdieh Niknam (Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences) ;
  • Nasrin Omidvar (Department of Community Nutrition, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences) ;
  • Parisa Amiri (Research Center for Social Determinants of Health, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences) ;
  • Hassan Eini-Zinab (Department of Community Nutrition, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences) ;
  • Naser Kalantari (Department of Community Nutrition, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences)
  • 투고 : 2022.09.14
  • 심사 : 2022.12.23
  • 발행 : 2023.01.31

초록

Objectives: It is critical to assess community readiness (CR) when implementing childhood obesity prevention programs to ensure their eventual success and sustainability. Multiple tools have been developed based on various conceptions of readiness. One of the most widely used and flexible tools is based on the community readiness model (CRM). This study aimed to adapt the CRM and assess the validity of a community readiness tool (CRT) for childhood obesity prevention programs in Iran. Methods: A Delphi study that included 26 individuals with expertise in 8 different subject areas was conducted to adapt the CRM into a theoretical framework for developing a CRT. After linguistic validation was conducted for a 35-question CR interview guide, the modified interview guide was evaluated for its content and face validity. The quantitative and qualitative analyses were performed using Stata version 13 and MAXQDA 2010, respectively. Results: The Delphi panelists confirmed the necessity/appropriateness and adequacy of all 6 CRM dimensions. The Persian version of the interview guide was then modified based on the qualitative results of the Delphi study, and 2 more questions were added to the community climate dimension of the original CRT. All questions in the modified version had acceptable content and face validity. The final CR interview guide included 37 questions across 6 CRM dimensions. Conclusions: By adapting the CRM and confirming linguistic, content, and face validity, the present study devised a CRT for childhood obesity prevention programs that can be used in relevant studies in Iran.

키워드

과제정보

The authors express their gratitude to the Shahid Beheshti University of Medical Sciences, National Nutrition and Food Technology Research Institute (NNFTRI), and all specialists and coordinators who participated in the current study.

참고문헌

  1. Smith JD, Fu E, Kobayashi MA. Prevention and management of childhood obesity and its psychological and health comorbidities. Annu Rev Clin Psychol 2020;16:351-378. https://doi.org/10.1146/annurev-clinpsy-100219-060201
  2. Bahreynian M, Kelishadi R, Qorbani M, Motlagh ME, Kasaeian A, Ardalan G, et al. Weight disorders and anthropometric indices according to socioeconomic status of living place in Iranian children and adolescents: the CASPIAN-IV study. J Res Med Sci 2015;20(5):440-453. https://doi.org/10.4103/1735-1995.163960
  3. Gonzalez-Alvarez MA, Lazaro-Alquezar A, Simon-Fernandez MB. Global trends in child obesity: are figures converging? Int J Environ Res Public Health 2020;17(24):9252.
  4. Bleich SN, Segal J, Wu Y, Wilson R, Wang Y. Systematic review of community-based childhood obesity prevention studies. Pediatrics 2013;132(1):e201-e210. https://doi.org/10.1542/peds.2013-0886
  5. Edwards RW, Jumper-Thurman P, Plested BA, Oetting ER, Swanson L. Community readiness: research to practice. J Community Psychol 2000;28(3):291-307. https://doi.org/10.1002/(SICI)1520-6629(200005)28:3<291::AID-JCOP5>3.0.CO;2-9
  6. Donnermeyer JF, Plested BA, Edwards RW, Oetting G, Littlethunder L. Community readiness and prevention programs. J Community Dev Soc 1997;28(1):65-83. https://doi.org/10.1080/15575339709489795
  7. Thurman PJ, Plested BA, Edwards RW, Foley R, Burnside M. Community readiness: the journey to community healing. J Psychoactive Drugs 2003;35(1):27-31. https://doi.org/10.1080/02791072.2003.10399990
  8. Plested BA, Edwards RW, Jumper-Thurman P. Community readiness: a handbook for successful change; 2006 [cited 2022 Aug 1]. Available from: https://paninbc.ca/wp-content/uploads/ 2013/06/Community-Readiness-Handbook-DS.pdf.
  9. Plested BA, Jumper-Thurman P, Edwards RW, Oetting ER. Community readiness: a tool for effective community-based prevention. Prev Res 1998;5(2):5-7.
  10. Niknam M, Omidvar N, Amiri P, Eini-Zinab H, Kalantari N. The action plan and strategy development for the Community Readiness Improvement for Tackling Childhood Obesity (CRITCO) study. Int J Endocrinol Metab 2021;20(1):e111371.
  11. Chilenski SM, Greenberg MT, Feinberg ME. Community readiness as a multidimensional construct. J Community Psychol 2007;35(3):347-365. https://doi.org/10.1002/jcop.20152
  12. Armenakis AA, Harris SG, Mossholder KW. Creating readiness for organizational change. Hum Relat 1993;46(6):681-703. https://doi.org/10.1177/001872679304600601
  13. Minnesota Institute of Public Health. Community Readiness Survey results report; 2012 [cited 2015 Mar 18]. Available from: http://fcuc.org/wp-content/uploads/2013/07/Franklin-County-OHIO-FINAL.pdf.
  14. Goodman RM, Wandersman A, Chinman M, Imm P, Morrissey E. An ecological assessment of community-based interventions for prevention and health promotion: approaches to measuring community coalitions. Am J Community Psychol 1996;24(1): 33-61. https://doi.org/10.1007/BF02511882
  15. Millar L, Robertson N, Allender S, Nichols M, Bennett C, Swinburn B. Increasing community capacity and decreasing prevalence of overweight and obesity in a community based intervention among Australian adolescents. Prev Med 2013;56(6): 379-384. https://doi.org/10.1016/j.ypmed.2013.02.020
  16. Kesten JM, Cameron N, Griffiths PL. Assessing community readiness for overweight and obesity prevention in pre-adolescent girls: a case study. BMC Public Health 2013;13:1205.
  17. Islam S, Small N, Bryant M, Yang T, de Chavez AC, Saville F, et al. Addressing obesity in Roma communities: a community readiness approach. Int J Hum Rights Healthc 2019;12(2):79-90. https://doi.org/10.1108/IJHRH-06-2018-0038
  18. Sheldon E, Lyn R, Bracci L, Ann Phillips M. Community readiness for childhood obesity prevention: findings from a statewide assessment in Georgia. Environ Behav 2016;48(1):78-88. https://doi.org/10.1177/0013916515610614
  19. Cyril S, Polonsky M, Green J, Agho K, Renzaho A. Readiness of communities to engage with childhood obesity prevention initiatives in disadvantaged areas of Victoria, Australia. Aust Health Rev 2017;41(3):297-307. https://doi.org/10.1071/AH16069
  20. Sliwa S, Goldberg JP, Clark V, Collins J, Edwards R, Hyatt RR, et al. Using the community readiness model to select communities for a community-wide obesity prevention intervention. Prev Chronic Dis 2011;8(6):A150.
  21. Findholt N. Application of the community readiness model for childhood obesity prevention. Public Health Nurs 2007; 24(6):565-570. https://doi.org/10.1111/j.1525-1446.2007.00669.x
  22. Gupta N, Goel K, Shah P, Misra A. Childhood obesity in developing countries: epidemiology, determinants, and prevention. Endocr Rev 2012;33(1):48-70. https://doi.org/10.1210/er.2010-0028
  23. Mohammadpour-Ahranjani B, Pallan MJ, Rashidi A, Adab P. Contributors to childhood obesity in Iran: the views of parents and school staff. Public Health 2014;128(1):83-90. https://doi.org/10.1016/j.puhe.2013.10.005
  24. Castaneda SF, Holscher J, Mumman MK, Salgado H, Keir KB, Foster-Fishman PG, et al. Dimensions of community and organizational readiness for change. Prog Community Health Partnersh 2012;6(2):219-226. https://doi.org/10.1353/cpr.2012.0016
  25. Kostadinov I, Daniel M, Stanley L, Gancia A, Cargo M. A systematic review of community readiness tool applications: implications for reporting. Int J Environ Res Public Health 2015;12(4): 3453-3468. https://doi.org/10.3390/ijerph120403453
  26. Hsu CC, Sandford BA. The Delphi technique: making sense of consensus. Pract Assess Res Eval 2007;12(1):10.
  27. Vakili MM, Jahangiri N. Content validity and reliability of the measurement tools in educational, behavioral, and health sciences research. J Med Educ Dev 2018;10(28):106-118 (Persian). https://doi.org/10.29252/edcj.10.28.106
  28. Kim J, Lee YS, Suen H, Lee GS. A Delphi study of young children's readiness in Korea: challenges and implications for early childhood schooling. Educ Res Eval 2010;9(4):345-355. https://doi.org/10.1076/edre.9.4.345.17811
  29. Domlyn AM, Wandersman A. Community coalition readiness for implementing something new: using a Delphi methodology. J Community Psychol 2019;47(4):882-897. https://doi.org/10.1002/jcop.22161
  30. Hicks D. Development of a quantitative measure of community readiness for change; 2019 [cited 2022 Aug 1]. Available from: https://openprairie.sdstate.edu/hns_plan-b/3.
  31. Sayyari AA, Abdollahi Z, Ziaodini H, Olang B, Fallah H, Salehi F, et al. Methodology of the comprehensive program on prevention and control of overweight and obesity in Iranian children and adolescents: the IRAN-Ending Childhood Obesity (IRANECHO) Program. Int J Prev Med 2017;8:107.
  32. Karimy M, Armoon B, Fayazi N, Koohestani HR. A study on the knowledge, attitude, and practices of Iranian mothers towards childhood obesity. Obes Facts 2019;12(6):669-677. https://doi.org/10.1159/000492795
  33. Bakhshi E, Koohpayehzadeh J, Seifi B, Rafei A, Biglarian A, Asgari F, et al. Obesity and related factors in Iran: the STEPS Survey, 2011. Iran Red Crescent Med J 2015;17(6):e22479.
  34. Rahmani A, Sayehmiri K, Asadollahi K, Sarokhani D, Islami F, Sarokhani M. Investigation of the prevalence of obesity in Iran: a systematic review and meta-analysis study. Acta Med Iran 2015;53(10):596-607.
  35. Caprio S, Daniels SR, Drewnowski A, Kaufman FR, Palinkas LA, Rosenbloom AL, et al. Influence of race, ethnicity, and culture on childhood obesity: implications for prevention and treatment: a consensus statement of Shaping America's Health and the Obesity Society. Diabetes Care 2008;31(11):2211-2221. https://doi.org/10.2337/dc08-9024
  36. Jalali-Farahani S, Shojaei FA, Parvin P, Amiri P. Comparison of health-related quality of life (HRQoL) among healthy, obese and chronically ill Iranian children. BMC Public Health 2018; 18(1):1337.
  37. Dillip A, Alba S, Mshana C, Hetzel MW, Lengeler C, Mayumana I, et al. Acceptability--a neglected dimension of access to health care: findings from a study on childhood convulsions in rural Tanzania. BMC Health Serv Res 2012;12:113.
  38. Sekhon M, Cartwright M, Francis JJ. Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework. BMC Health Serv Res 2017;17(1):88.
  39. Niknam M, Omidvar N, Amiri P. Community readiness as a prerequisite for childhood obesity prevention programs: a scoping review. Iran J Endocrinol Metab 2022;23(6):397-408 (Persian).
  40. Whelan J, Love P, Millar L, Allender S, Morley C, Bell C. A rural community moves closer to sustainable obesity prevention - an exploration of community readiness pre and post a community-based participatory intervention. BMC Public Health 2019;19(1):1420.