collaboration included pharmacies, is needed to Secondary outcomes: uncertainty enable universal yearly Receipt of at least one vaccine regarding the delivery vaccination to be achieved. within different age groups (6 of vaccine supplies, months to 5 years, 6–12 years, concerns about using and 13–18 years): largest up all purchased increases seen among vaccine by practices, and adolescent children. and Differences for 6-month-old to concerns about 5-year-old children did not documentation of reach significance. vaccination if collaboration occurred. Comparison of missed opportunities (yes/no) for each eligible child during the second intervention year between intervention and control practices: 51.3% (n= 5490) of children in the control practices missed an opportunity for influenza vaccines, compared to 40.8% in intervention group (n= 7078) (p b .0001). Kokkvoll et al. (2013). 1. NR. 4. Children aged 6-12 years 8. BMI increased by 0.37units in 10. NR. 13. The modest difference (n=97). the MUFI compared to between the two treatment Norway. 2. Family based 0.77units in the SIFI (P=0.18). 11. NR. groups after 2 years raises intervention. 5. Cut off point was BMI SDS decreased by 0.16 the question whether the RCT children with a BMI of units in the MUFI group 12. NR. cost of the MUFI approach 3. Multiple family ≥27.5. compared to 0.07 units in the can be justified. To compare a new intervention (MUFI) SIFI group (P=0.07). comprehensive lifestyle compromised of a 3 day 6. Community Health. 14. Obesity interventions in programme performed in inpatient programme at the 9. Interim analysis after 12 children and adolescents groups of families with hospital with other family 7. Pediatric Nurse. months showed no between should examine health and overweight (included and interdisciplinary team. group difference in terms of evaluate mental health and obese) children with a Single family intervention BMI or BMI SDS. The MUFI wellbeing in addition to more conventional single (SIFI) comprised of group had a significant other health outcomes. family programme. individual counselling by decrease in waist circumference pediatric nurse consultant compared to the SIFI group. and nutritionist at the
Secondary outcomes: Receipt of at least one vaccine within different age groups (6 months to 5 years, 6–12 years, and 13–18 years): largest increases seen among and adolescent children. Differences for 6-month-old to 5-year-old children did not reach significance. Comparison of missed opportunities (yes/no) for each eligible child during the second intervention year between intervention and control practices: 51.3% (n= 5490) of children in the control practices missed an opportunity for influenza vaccines, compared to 40.8% in intervention group (n= 7078) (p b .0001). collaboration included uncertainty regarding the delivery of vaccine supplies, concerns about using up all purchased vaccine by practices, and concerns about documentation of vaccination if collaboration occurred. pharmacies, is needed to enable universal yearly vaccination to be achieved. Kokkvoll et al. (2013). Norway. RCT To compare a new comprehensive lifestyle programme performed in groups of families with overweight (included obese) children with a more conventional single family programme. 1. NR. 2. Family based intervention. 3. Multiple family intervention (MUFI) compromised of a 3 day inpatient programme at the hospital with other family and interdisciplinary team. Single family intervention (SIFI) comprised of individual counselling by pediatric nurse consultant and nutritionist at the 4. Children aged 6-12 years (n=97). 5. Cut off point was children with a BMI of ≥27.5. 6. Community Health. 7. Pediatric Nurse. 8. BMI increased by 0.37units in the MUFI compared to 0.77units in the SIFI (P=0.18). BMI SDS decreased by 0.16 units in the MUFI group compared to 0.07 units in the SIFI group (P=0.07). 9. Interim analysis after 12 months showed no between group difference in terms of BMI or BMI SDS. The MUFI group had a significant decrease in waist circumference compared to the SIFI group. 10. NR. 11. NR. 12. NR. 13. The modest difference between the two treatment groups after 2 years raises the question whether the cost of the MUFI approach can be justified. 14. Obesity interventions in children and adolescents should examine health and evaluate mental health and wellbeing in addition to other health outcomes.
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