Applying the Behavior Change Technique Taxonomy to Four Multicomponent Childhood Obesity Interventions

Meghan M JaKa¹, Caroline Wood², Sara Veblen-Mortenson³, Shirley M Moore⁴, Donna Matheson⁵, June Stevens⁶, Lou Atkins⁷, Susan Michie⁷, Clara Adegbite-Adeniyi⁴, Oluwatomisin Olayinka⁸, Eli K Po'e⁹, Alethea M Kelly⁹, Holly Nicastro¹⁰, Shrikant I Bangdiwala¹¹, Shari L Barkin⁹, Charlotte Pratt¹², Thomas N Robinson¹³, Nancy E Sherwood¹⁴

Affiliations

¹ Center for Evaluation and Survey Research, HealthPartners Institute, Minneapolis, MN, USA.
² Centre for Digital Public Health in Emergencies, University College London, London, UK.
³ School of Public Health, University of Minnesota, Minneapolis, MN, USA.
⁴ Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
⁵ Department of General Pediatrics, Stanford Medical School, Stanford University, Stanford, CA, USA.
⁶ Departments of Nutrition and Epidemiology, University of North Carolina, Chapel Hill, NC, USA.
⁷ Centre for Behaviour Change, University College London, London, UK.
⁸ MGH Institute of Health Professions School of Nursing, Boston, MA, USA.
⁹ Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
¹⁰ National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, USA.
¹¹ Department of Health Research Methods, Evidence and Impact, Population Health Research Institute, McMaster University, Hamilton, ON, Canada.
¹² National Heart, Lung, and Blood Institutes, National Institutes of Health, Bethesda, MD, USA.
¹³ Stanford Solutions Science Lab, Center for Healthy Weight, Departments of Pediatrics and Medicine, Stanford University and Lucile Packard Children's Hospital Stanford, Stanford, CA, USA.
¹⁴ Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.

PMID: 32909523
PMCID: PMC9361405
DOI: 10.1177/0193945920954782

Applying the Behavior Change Technique Taxonomy to Four Multicomponent Childhood Obesity Interventions

Meghan M JaKa et al. West J Nurs Res. 2021 May.

. 2021 May;43(5):468-477.

doi: 10.1177/0193945920954782. Epub 2020 Sep 10.

Authors

Affiliations

¹ Center for Evaluation and Survey Research, HealthPartners Institute, Minneapolis, MN, USA.
² Centre for Digital Public Health in Emergencies, University College London, London, UK.
³ School of Public Health, University of Minnesota, Minneapolis, MN, USA.
⁴ Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
⁵ Department of General Pediatrics, Stanford Medical School, Stanford University, Stanford, CA, USA.
⁶ Departments of Nutrition and Epidemiology, University of North Carolina, Chapel Hill, NC, USA.
⁷ Centre for Behaviour Change, University College London, London, UK.
⁸ MGH Institute of Health Professions School of Nursing, Boston, MA, USA.
⁹ Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
¹⁰ National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD, USA.
¹¹ Department of Health Research Methods, Evidence and Impact, Population Health Research Institute, McMaster University, Hamilton, ON, Canada.
¹² National Heart, Lung, and Blood Institutes, National Institutes of Health, Bethesda, MD, USA.
¹³ Stanford Solutions Science Lab, Center for Healthy Weight, Departments of Pediatrics and Medicine, Stanford University and Lucile Packard Children's Hospital Stanford, Stanford, CA, USA.
¹⁴ Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.

PMID: 32909523
PMCID: PMC9361405
DOI: 10.1177/0193945920954782

Abstract

Applying the Behavior Change Technique Taxonomy has the potential to facilitate identification of effective childhood obesity intervention components. This article evaluates the feasibility of coding Childhood Obesity Prevention and Treatment Consortium interventions and compares reliability between external taxonomy-familiar coders and internal intervention-familiar coders. After training, coder pairs independently coded prespecified portions of intervention materials. An adjudication process was used to explore coding discrepancies. Reliability between internal and external coders was moderate (prevalence and bias-adjusted kappa .38 to .55). Reliability for specific target behaviors varied with substantial agreement for physical activity (.63 to .76) and moderate for dietary intake (.44 to .63). Applying the taxonomy to these interventions was feasible, but agreement was modest. Coding discrepancies highlight the importance of refining coding to capture the complexities of childhood obesity interventions, which often engage multiple recipients (e.g., parents and/or children) and address multiple behaviors (e.g., diet, physical activity, screen time).

Trial registration: ClinicalTrials.gov NCT01606891 NCT01514279 NCT01316653 NCT01642836.

Keywords: behavior change interventions; childhood obesity; fidelity; intervention design; intervention measurement.

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Figures

**Figure 1. Number of Techniques Identified by Coding Pairs Across Sites**
*Note:* Bar graphs A-D depict the patterns of agreement between coders.

See this image and copyright information in PMC

References

1. Abraham C, Wood CE, Johnston M, Francis J, Hardeman W, Richardson M, & Michie S (2015). Reliability of identification of behavior change techniques in intervention descriptions. Annals of Behavioral Medicine, 49(6), 885–900. 10.1007/s12160-015-9727-y - DOI - PubMed
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1. Bangdiwala SI, Bhargava A, O'Connor DP, Robinson TN, Michie S, Murray DM, Stevens J, Belle SH, Templin TN, & Pratt CA (2016). Statistical methodologies to pool across multiple intervention studies. Translational Behavioral Medicine, 6(2), 228–235. 10.1007/s13142-016-0386-8 - DOI - PMC - PubMed
1. Barkin SL, Heerman WJ, Sommer EC, Martin NC, Buchowski MS, Schlundt D, Po’e EK, Burgess LE, Escarfuller J, & Pratt C (2018). Effect of a behavioral intervention for underserved preschool-age children on change in body mass index: A randomized clinical trial. JAMA, 320(5), 450–460. 10.1001/jama.2018.9128 - DOI - PMC - PubMed

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Applying the Behavior Change Technique Taxonomy to Four Multicomponent Childhood Obesity Interventions

Affiliations

Applying the Behavior Change Technique Taxonomy to Four Multicomponent Childhood Obesity Interventions

Authors

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Abstract

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References

Publication types

MeSH terms

Associated data

Grants and funding

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Full Text Sources

Medical