Evidence map›Paper›PMID 22989477›Full record

ArticlePublic health nutrition2014

Healthy conversation skills: increasing competence and confidence in front-line staff.

Christina Black, Wendy Lawrence, Sue Cradock, Georgia Ntani, Tannaze Tinati, Megan Jarman, Rufia Begum, Hazel Inskip, Cyrus Cooper, Mary Barker and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
1.7field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 75 citations in OpenAlex.

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  11. Evaluation of Co-Developed Strategies to Support Staff of a Mental Health Community Managed Organisation Implement Preventive Care: A Pilot Controlled Trial.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Christina Black1Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Wendy Lawrence1Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Sue Cradock2 NIHR Biomedical Research Unit in Nutrition, Diet and Lifestyle, Southampton University NHS Hospitals Trust, Southampton, UK.
Georgia Ntani1Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Tannaze Tinati1Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Megan Jarman1Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Rufia Begum1Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Hazel Inskip1Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Cyrus Cooper1Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Mary Barker1Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Janis Baird1Medical Research Council Lifecourse Epidemiology Unit (University of Southampton), Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
Southampton General Hospital · GBMedical Research Council · GBUniversity of Southampton · GB

Funding

Department of Health DRF-2011-04-015Medical Research Council MC_U147585819Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/1Medical Research Council MC_UU_12011/4
6 · The paper itself

Abstract

objective(i) To assess change in confidence in having conversations that support parents with healthy eating and physical activity post-training. (ii) To assess change in staff competence in using 'open discovery' questions (those generally beginning with 'how' and 'what' that help individuals reflect and identify barriers and solutions) post-training. (iii) To examine the relationship between confidence and competence post-training.

designA pre-post evaluation of 'Healthy Conversation Skills', a staff training intervention.

settingSure Start Children's Centres in Southampton, England. SUBJECTS: A total of 145 staff working in Sure Start Children's Centres completed the training, including play workers (43%) and community development or family support workers (35%).

resultsWe observed an increase in median confidence rating for having conversations about healthy eating and physical activity (both P < 0·001), and in using 'open discovery' questions (P < 0·001), after staff attended the 'Healthy Conversation Skills' training. We also found a positive relationship between the use of 'open discovery' questions and confidence in having conversations about healthy eating post-training (r = 0·21, P = 0·01), but a non-significant trend was observed for having conversations about physical activity (r = 0·15, P = 0·06).

conclusionsThe 'Healthy Conversation Skills' training proved effective at increasing the confidence of staff working at Sure Start Children's Centres to have more productive conversations with parents about healthy eating. Wider implementation of these skills may be a useful public health nutrition capacity building strategy to help community workers support families with young children to eat more healthy foods.

Indexed as

Clinical CompetenceCommunicationEducational MeasurementAdministrative PersonnelEnglandFemaleHealth BehaviorHealth PromotionHumansLife StyleMaleModels, OrganizationalNutritional SciencesProfessional-Family RelationsProfessional RoleSelf Concept

Identifiers

PMID22989477
PMCPMC3776723
OpenAlexW2136710707

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.