ArticleBMJ open2022
Unpacking the behavioural components and delivery features of early childhood obesity prevention interventions in the TOPCHILD Collaboration: a systematic review and intervention coding protocol.
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In one paragraph
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.
0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
4.2field-weighted citation impact, top 6% of its field
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.
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.
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Who cites it
20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Identifying effective behavior change techniques in interventions for enhancing the implementation of school-based policies and/or practices to prevent chronic disease in students: a secondary analysis of a systematic review.Translational behavioral medicine · 2026Pooled it
- Parent-focused behavioural interventions for the prevention of early childhood obesity (TOPCHILD): a systematic review and individual participant data meta-analysis.Lancet (London, England) · 2025Pooled it
- Identifying behaviour change techniques in school-based childhood obesity prevention interventions: a secondary analysis of a systematic review.BMC public health · 2025Pooled it
- Behavioural components and delivery features of early childhood obesity prevention interventions: intervention coding of studies in the TOPCHILD Collaboration systematic review.The international journal of behavioral nutrition and physical activity · 2025Pooled it
- Examining the sustainability of effects of early childhood obesity prevention interventions: Follow-up of the EPOCH individual participant data prospective meta-analysis.Pediatric obesity · 2022Pooled it
- Baby-Feed Pilot Trial for Improving Diet and Weight Gain in Infants and Toddlers.Maternal and child health journal · 2026Trial
- Mapping intervention components from a randomized controlled trial to scale-up of an early life nutrition and movement intervention: The INFANT program.Frontiers in public health · 2022Trial
- Supporting Decision Making in Early Years Initiatives: Co-Designing a Child Health Evidence Dashboard.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026Article
- Unpacking weight management interventions measuring eating disorder risk in adults: coding of components of interventions in a systematic review.Journal of eating disorders · 2026Review
- Article
- Maternal stress and early childhood BMI among US children from the Environmental influences on Child Health Outcomes (ECHO) program.Pediatric research · 2023Article
- Article
- Identifying Factors Which Influence Eating Disorder Risk during Behavioral Weight Management: A Consensus Study.Nutrients · 2023Article
- Editorial: Behavior change approaches to improve children and families' dietary intake and 24h movement behaviors.Frontiers in public health · 2023Article
- Article
- Experiences of nurses and coordinators in a childhood obesity prevention trial based on motivational interviewing within Swedish child health services.International journal of qualitative studies on health and well-being · 2022Article
- Parental Feeding Practices in Families Experiencing Food Insecurity: A Scoping Review.International journal of environmental research and public health · 2022Article
- Article
- The Complex Quest of Preventing Obesity in Early Childhood: Describing Challenges and Solutions Through Collaboration and Innovation.Frontiers in endocrinology · 2021Article
- Preventing Childhood Malnutrition: The Collaborative Impact of Parental Practices and Community Nursing.SAGE open nursingReview
Corrections and comments
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Authors and funding
60 authors at 20 institutions in 11 countries.
Brittany J JohnsonCaring Fututures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia brittany.johnson@flinders.edu.au.ORCID 0000-0001-5492-9219
Kylie E HunterNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-2796-9220
Rebecca K GolleyCaring Fututures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Paul ChadwickCentre for Behaviour Change, University College London, London, UK.
Angie BarbaNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.
Mason AberoumandNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.
Sol LibesmanNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.
Lisa AskieNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.
Rachael W TaylorDepartment of Medicine, University of Otago, Dunedin, New Zealand.
Kristy P RobledoNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.
Seema MihrshahiDepartment of Health Systems and Populations, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Denise A O'ConnorDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-6836-122X
Alison J HayesSchool of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Luke WolfendenSchool of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia.
Charles T WoodSchool of Medicine, Duke University, Durham, North Carolina, USA.
Louise A BaurThe Children's Hospital at Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia.
Chris RisselSchool of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Lukas P StaubNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.
Sarah TakiSchool of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Wendy SmithCanterbury Community Health Centre, Campsie, New South Wales, Australia.
Michelle Sue-SeeConsumer Representative, Sydney, New South Wales, Australia.
Ian C MarschnerNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.
David EspinozaNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.
Jessica L ThomsonAgricultural Research Service, USDA, Stoneville, Mississippi, USA.
Junilla K LarsenBehavioural Science Institute, Radboud Universiteit, Nijmegen, Gelderland, The Netherlands.
Vera VerbestelDepartment of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
Cathleen Odar StoughDepartment of Psychology, University of Cincinnati Medical Center, Cincinnati, Ohio, USA.
Sarah-Jeanne SalvyResearch Center for Health Equity, Cedars-Sinai Medical Center, West Hollywood, California, USA.
Sharleen L O'ReillySchool of Agriculture and Food Science, University College Dublin, Dublin, Ireland.
Levie T KarssenBehavioural Science Institute, Radboud Universiteit, Nijmegen, Gelderland, The Netherlands.
Finn E RasmussenDepartment of Global Public Health, Karolinska Institute, Stockholm, Sweden.
Mary Jo MessitoGrossman School of Medicine, New York University, New York, New York, USA.
Rachel S GrossGrossman School of Medicine, New York University, New York, New York, USA.
Maria BryantDepartment of Health Sciences and the Hull York Medical School, University of York, Heslington, UK.
Ian M PaulCollege of Medicine, Penn State, Hershey, Pennsylvania, USA.
Li Ming WenSchool of Public Health, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Kylie D HeskethInstitute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0002-2702-7110
Carolina González AceroOffice of Strategic Planning and Development Effectiveness, Inter- American Development Bank, Santo Domingo, Dominican Republic.
Karen CampbellInstitute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia.
Nina Cecilie ØverbyFaculty of Health and Sport Sciences, Department of Nutrition and Public Health, University of Agder, Kristiansand, Norway.ORCID 0000-0002-1871-041X
Ana M LinaresCollege of Nursing, University of Kentucky, Lexington, Kentucky, USA.
Heather M WasserDepartment of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Kaumudi J JoshipuraCenter for Clinical Research and Health Promotion, University of Puerto Rico School of Medicine, San Juan, Puerto Rico.ORCID 0000-0003-1964-7579
Cristina PalaciosDepartment of Dietetics and Nutrition, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA.
Claudio MaffeisPediatric Diabetes and Metabolic Disorders Unit, Universita degli Studi di Verona, Verona, Italy.
Amanda L ThompsonDepartment of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, UK.
Ata GhaderiDepartment of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Rajalakshmi LakshmanMedical Research Council Epidemiology Unit, University of Cambridge, Cambridge, UK.
Jinan C BannaHuman Nutrition, Food and Animal Sciences, University of Hawaii System, Honolulu, Hawaii, USA.
Emily OkenDivision of Chronic Disease Research Across the Lifecourse, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA.
Maribel Campos RiveraMedical Sciences Campus, University of Puetro Rico, San Juan, Puerto Rico.
Ana B Pérez-ExpósitoOffice of Strategic Planning and Development Effectiveness, Inter- American Development Bank, Washington DC, District of Columbia, USA.
Barry J TaylorBetter Start National Science Challenge, University of Otago, Dunedin, New Zealand.
Jennifer S SavageDepartment of Nutritional Sciences and Center for Childhood Obesity Research, Pennsylvania State University, University Park, Pennsylvania, USA.
Margrethe RøedFaculty of Health and Sport Sciences, Department of Nutrition and Public Health, University of Agder, Kristiansand, Norway.
Michael GoranDepartment of Preventive Medicine, University of Southern California, Los Angeles, California, USA.
Kayla de la HayeDepartment of Preventive Medicine, University of Southern California, Los Angeles, California, USA.
Stephanie Anzman-FrascaDepartment of Pediatrics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.
Anna Lene SeidlerNational Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-0027-1623
Transforming Obesity Prevention for CHILDren (TOPCHILD) Collaboration
The University of Sydney · AUDeakin University · AUFlinders University · AUHarvard University · USInter-American Development Bank · USKarolinska Institutet · SENew York University · USRadboud University Nijmegen · NLUniversity of Agder · NOUniversity of North Carolina at Chapel Hill · USUniversity of Otago · NZUniversity of Southern California · USAgricultural Research Service · USCabrini Hospital · AUCedars-Sinai Medical Center · USDuke University · USFlorida International University · USGhent University Hospital · BEMacquarie University · AUPenn State Milton S. Hershey Medical Center · US
Funding
Upstream Regulation and Downstream effectors of c-MYC in Ovarian CancerU54MD007600 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI Carmen M Velez Vega · 2017 to 2026
$35.8MKentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2MKentucky Center for Clinical and Translational ScienceUL1TR000117 · NCATS · UNIVERSITY OF KENTUCKY · PI KERN, PHILIP A · 2012 to 2015
$13.3MProject 2: Leveraging Ongoing Home Visitation Programs to Address Obesity Disparities among Underserved, Low-Income Mothers and ChildrenU54MD000502 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARNES, STEPHEN · 2017 to 2022
$11.8MNew York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8MPreventing Obesity through Intervention during InfancyR01DK088244 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI PAUL, IAN M, WILLIAMS, JENNIFER SAVAGE · 2011 to 2022
$7.0MBreastfeeding RCT: Adolescent Neurocognitive and Respiratory FunctionR01HD050758 · NICHD · HARVARD PILGRIM HEALTH CARE, INC. · PI MARTIN, RICHARD MICHAEL, OKEN, EMILY · 2007 to 2014
$3.0MMothers and Others: Family-based Obesity Prevention for Infants and ToddlersR01HD073237 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BENTLEY, MARGARET E · 2012 to 2016
$2.9MIn-home obesity prevention to reach low-income infants through maternal and social transmissionR01HD092483 · NICHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI DE LA HAYE, KAYLA, SALVY, SARAH-JEANNE · 2017 to 2021
$2.7MAddressing Poverty-Related Barriers to Prevent Obesity Beginning in InfancyK23HD081077 · NICHD · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI GROSS, RACHEL SHARON · 2014 to 2018
$653kCIHR MOP-53155Medical Research Council MC_UU_00006/2NCATS NIH HHS UL1 TR000117NCATS NIH HHS UL1 TR001998NICHD NIH HHS K23 HD081077NICHD NIH HHS R01 HD050758NICHD NIH HHS R01 HD073237NICHD NIH HHS R01 HD092483NIDDK NIH HHS P30 DK111022NIDDK NIH HHS R01 DK088244NIMHD NIH HHS U54 MD000502NIMHD NIH HHS U54 MD007600
Abstract
introductionLittle is known about how early (eg, commencing antenatally or in the first 12 months after birth) obesity prevention interventions seek to change behaviour and which components are or are not effective. This study aims to (1) characterise early obesity prevention interventions in terms of target behaviours, delivery features and behaviour change techniques (BCTs), (2) explore similarities and differences in BCTs used to target behaviours and (3) explore effectiveness of intervention components in preventing childhood obesity. METHODS AND ANALYSIS: Annual comprehensive systematic searches will be performed in Epub Ahead of Print/MEDLINE, Embase, Cochrane (CENTRAL), CINAHL, PsycINFO, as well as clinical trial registries. Eligible randomised controlled trials of behavioural interventions to prevent childhood obesity commencing antenatally or in the first year after birth will be invited to join the Transforming Obesity in CHILDren Collaboration. Standard ontologies will be used to code target behaviours, delivery features and BCTs in both published and unpublished intervention materials provided by trialists. Narrative syntheses will be performed to summarise intervention components and compare applied BCTs by types of target behaviours. Exploratory analyses will be undertaken to assess effectiveness of intervention components. ETHICS AND DISSEMINATION: The study has been approved by The University of Sydney Human Research Ethics Committee (project no. 2020/273) and Flinders University Social and Behavioural Research Ethics Committee (project no. HREC CIA2133-1). The study's findings will be disseminated through peer-reviewed publications, conference presentations and targeted communication with key stakeholders. PROSPERO REGISTRATION NUMBER: CRD42020177408.
Indexed as
Pediatric ObesityBehavior TherapyChildChild, PreschoolHumansSystematic Reviews as Topiccommunity child healthpaediatricspreventive medicinepublic health
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