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LifeLab Southampton: a programme to engage adolescents with DOHaD concepts as a tool for increasing health literacy in teenagers –a pilot cluster-randomized control trial

  • K. Woods-Townsend (a1) (a2), H. Leat (a3), J. Bay (a4), L. Bagust (a1), H. Davey (a1), D. Lovelock (a1), A. Christodoulou (a1), J. Griffiths (a1) (a5), M. Grace (a1), K. Godfrey (a2) (a6) (a7), M. Hanson (a2) (a7) and H. Inskip (a2) (a6)...
Abstract

Adolescence is a critical time point in the lifecourse. LifeLab is an educational intervention engaging adolescents in understanding Developmental Origins of Health and Disease (DOHaD) concepts and the impact of the early life environment on future health, benefitting both their long-term health and that of the next generation. We aimed to assess whether engaging adolescents with DOHaD concepts improves scientific literacy and whether engagement alone improves health behaviours.

Six schools were randomized, three to intervention and three to control. Outcome measures were changed in knowledge, and intended and actual behaviour in relation to diet and lifestyle. A total of 333 students completed baseline and follow-up questionnaires. At 12 months, intervention students showed greater understanding of DOHaD concepts. No sustained changes in behaviours were identified.

Adolescents’ engagement with DOHaD concepts can be improved and maintained over 12 months. Such engagement does not itself translate into behaviour change. The intervention has consequently been revised to include additional components beyond engagement alone.

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Corresponding author
*Address for correspondence: K. Woods-Townsend, LifeLab, Mailpoint 847, Room LD150, South Lab and Path Block, University Hospital Southampton, SO16 6YD, Southampton, UK. E-mail: k.woods-townsend@soton.ac.uk
References
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1. GBD 2015 Mortality and Causes of Death Collaborators. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016; 388, 14591544.
2. Scarborough, P, Bhatnagar, P, Wickramasinghe, KK, et al. The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006-07 NHS costs. J Public Health (Oxf). 2011; 33, 527535.
3. Murray, CJ, Lopez, AD. Measuring the global burden of disease. N Engl J Med. 2013; 369, 448457.
4. Barker, DJP. Mothers, Babies and Health in Later Life. 1998. Churchill Livingstone: Edinburgh.
5. Eriksson, JG, Forsen, T, Tuomilehto, J, et al. Early growth and coronary heart disease in later life: longitudinal study. BMJ. 2001; 322, 949953.
6. Godfrey, KM, Gluckman, PD, Hanson, MA. Developmental origins of metabolic disease: life course and intergenerational perspectives. Trends Endocrinol Metab. 2010; 21, 199205.
7. Gluckman, PD, Hanson, MA, Bateson, P, et al. Towards a new developmental synthesis: adaptive developmental plasticity and human disease. Lancet. 2009; 373, 16541657.
8. Barker, M, Lawrence, WT, Skinner, TC, et al. Constraints on food choices of women in the UK with lower educational attainment. Public Health Nutr. 2008; 11, 12291237.
9. Schagdarsurengin, U, Steger, K. Epigenetics in male reproduction: effect of paternal diet on sperm quality and offspring health. Nat Rev Urol. 2016; 13, 584595.
10. Sawyer, SM, Afifi, RA, Bearinger, LH, et al. Adolescence: a foundation for future health. Lancet. 2012; 379, 16301640.
11. Baird, J, Cooper, C, Margetts, BM, et al. Changing health behaviour of young women from disadvantaged backgrounds: evidence from systematic reviews. Proc Nutr Soc. 2009; 68, 195204.
12. Borzekowski, DL. Considering children and health literacy: a theoretical approach. Pediatrics. 2009; 124( Suppl. 3), S282S288.
13. Nutbeam, D. Getting evidence into policy and practice to address health inequalities. Health Promot Int. 2004; 19, 137140.
14. Tang, KC, Nutbeam, D, Aldinger, C, et al. Schools for health, education and development: a call for action. Health Promot Int. 2009; 24, 6877.
15. Bay, JL, Mora, HA, Sloboda, DM, et al. Adolescent understanding of DOHaD concepts: a school-based intervention to support knowledge translation and behaviour change. J Dev Orig Health Dis. 2012; 3, 469482.
16. Bennett, J, Lubben, F, Hogarth, S. Bringing science to life: a synthesis of the research evidence on the effects of context-based and STS approaches to science teaching. Sci Educ. 2007; 91, 347370.
17. Grace, M, Woods-Townsend, K, Griffiths, J, et al. A science-based approach to developing teenagers’ views on their health and the health of their future children. Health Educ. 2012; 112, 543559.
18. Barros, AJ, Hirakata, VN. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol. 2003; 3, 21.
19. Department for Communities and Local Government (DfCLG). English indices of deprivation 2015. Retrieved from https://www.gov.uk/government/statistics/english-indices-of-deprivation-2015.
20. Crozier, SR, Inskip, HM, Barker, ME, et al. Development of a 20-item food frequency questionnaire to assess a ‘prudent’ dietary pattern among young women in Southampton. Eur J Clin Nutr. 2010; 64, 99104.
21. Lawrence, W, Black, C, Tinati, T, et al. ‘Making every contact count’: evaluation of the impact of an intervention to train health and social care practitioners in skills to support health behaviour change. J Health Psychol. 2016; 21, 138151.
22. Woods-Townsend, K, Bagust, L, Barker, M, et al. Engaging teenagers in improving their health behaviours and increasing their interest in science (Evaluation of LifeLab Southampton): study protocol for a cluster randomized controlled trial. Trials. 2015; 16, 372.
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Journal of Developmental Origins of Health and Disease
  • ISSN: 2040-1744
  • EISSN: 2040-1752
  • URL: /core/journals/journal-of-developmental-origins-of-health-and-disease
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