Carolyn Summerbell
Datos Biográficos
| ID | 804981 |
|---|---|
| NOMBRE | Carolyn Summerbell |
| NOMBRES | Carolyn |
| APELLIDO | Summerbell |
| FIRMA | SUMMERBELL C |
| AFILIACIONES | Durham University |
| ORCID | 0000-0003-1910-9383 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 45 |
| TOTAL DE CITAS | 37 |
| TOTAL COMO AUTOR | 45 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2001 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 4 |
Challenges and opportunities for inclusive, equitable and accessible school holiday clubs for children with special educational needs and disabilities (Send)
Our findings highlight issues in access and experience of holiday clubs for children with SEND and provide potential avenues for promoting inclusivity, including how adaptations to the Toolkit could specifically improve HAF. There are considerable challenges to achieving inclusive holiday clubs (financial or otherwise) but if we are to reduce inequities, addressing these should be a public health priority
Reflections of a Research Team on Using Creative Facilitation for the First Time
Understanding the lived experience of communities of people who are most affected by health inequalities has become a key focus of public health research. In this context, researchers are increasingly using creative (or arts-based) methods, but there is limited understanding about how best to facilitate these methods to qualitative inquiry that illuminate lived experience and the values that underpin this approach. This paper reports the reflecti…
Young people’s views and experience of diet-related inequalities in England (UK)
Inequalities in diets contribute to overall inequalities in health. Economic inequality and inequalities in access to healthy food are key drivers of poor diet and ill health among young people (YP). Despite mounting evidence of structural barriers to healthy eating, less is known about how YP view and experience these inequalities where they live, and how to address them. To explore YP’s perspectives on the drivers of diet-related health inequal…
‘It depends on where you were born…here in the North East, there’s not really many job opportunities compared to in the South’
Our study affords important insights into young people's perceptions of how wider determinants can help explain the North-South health divide in England. It demonstrates young people's contextualised understandings of the interplay between spatial, social and health inequalities. Our findings support calls for pro-equity policies to address the structural causes of regional divides in health. Further research, engaging young people in deliberativ…
Young people's experiences of physical activity insecurity
The overarching concept of 'physical activity insecurity' emerged as a significant concern for the young people in this study. We posit that PA insecurity in this context can be described as a limited or restricted ability to be active, reinforced by worries and lived experiences of feeling uncomfortable, insecure, or unsafe
Typology of how ‘harmful commodity industries’ interact with local governments in England
INTRODUCTION: Industries that produce and market potentially harmful commodities or services (eg, tobacco, alcohol, gambling, less healthy foods and beverages) are a major influence on the drivers of behavioural risk factors for non-communicable diseases. The nature and impact of interactions between public bodies and 'harmful commodity industries' (HCIs) has been widely recognised and discussed at national and international levels, but to date l…
‘Bigotry is all around us, and we have to deal with that’
Lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual/agender+ (LGBTQ + hereafter) people report poorer health and worse experiences of healthcare than the general population, compounded by growing inequalities in health seen across the UK. Correspondingly, LGBTQ + youth have higher rates of several negative health outcomes, particularly depression, anxiety, and suicide ideation. This paper explores the views and experiences o…
Measurement Instruments for Integration within Children and Young People Healthcare Systems and Networks
Introduction: Robust measures of integration are essential for assessment of the development, design and implementation of integration within healthcare systems. This review aimed to identify measurement instruments for integration within children and young people’s (CYP) healthcare systems (PROSPERO registration number CRD42021235383). Methods: We searched electronic databases (PubMED and Ovid Embase) using three main concepts: ‘(integrated care…
From ToyBox Study to eToyBox
Prevention and treatment of childhood obesity is a global concern, and in Malaysia, it is considered a national public health priority. Determinants of childhood obesity are multifactorial and include factors that directly and indirectly influence energy balance-related behaviours, including energy intake and energy expenditure. Interventions to address childhood obesity that have multiple components at different levels have been shown to be the …
Process evaluation of a kindergarten-based intervention for obesity prevention in early childhood
The Toybox program was deemed acceptable and feasible to implement by the parents and teachers. However, several factors need to be improved before it can be expanded and embedded as a routine practice across Malaysia
A qualitative exploration of food portion size practices and awareness of food portion size guidance in first-time parents of one- to two-year-olds living in the UK
Existing food portion size guidance resources for parents of young children in the UK are ineffective as they have poor reach and impact. We suggest parents should be involved in developing novel strategies to promote age-appropriate consumption and healthy weight gain in young children
Children's experiences of care on walking and cycling journeys between home and school in Healthy New Towns
The Healthy New Town programme in England set out to 'put health into place' by supporting the design and construction of healthy places to live, including by creating safe environments for active travel. To explore the impact of this approach, this study examined how children and their families experienced school journeys in two contrasting Healthy New Towns in England, one an affluent new town in the early stages of construction and the other m…
It All Kind of Links Really’
Meaningful inclusion of young people's perceptions and experiences of inequalities is argued to be critical in the development of pro-equity policies. Our study explored young people's perceptions of what influences their opportunities to be healthy within their local area and their understandings of health inequalities. Three interlinked qualitative focus group discussions, each lasting 90 to 100 min, with the same six groups of young people ( n…
Where and when are portion sizes larger in young children? An analysis of eating occasion size among 1·5–5-year-olds in the UK National Diet and Nutrition Survey (2008–2017)
Objective: To identify eating occasion-level and individual-level factors associated with the consumption of larger portions in young children and estimate their relative importance. Design: Cross-sectional. Setting: Data from parent-reported 4-d food diaries in the UK National Diet and Nutrition Survey (2008–2017) were analysed. Multilevel models explored variation in eating occasion size (kJ) within ( n 48 419 occasions) and between children ( …
Children's experiences of the journey between home and school
This paper uses meta-ethnography to synthesise qualitative and ethnographic studies of children's (aged 5-13) experiences of socio-material environments on their school journey. Most of the 21 papers (18 studies) identified from the systematic search were from high-income countries and used self-report qualitative methods. Our synthesis shows children can feel vulnerable, but also negotiate journeys and manage risks, enjoy shared and solitary mob…
Reduced overweight and obesity in young children with a multi-component kindergarten-based behavioural intervention
Where and when are portion sizes larger in preschool children? A multilevel model analysis of eating occasion size among 1-5-year-olds
A critique of the English national policy from a social determinants of health perspective using a realist and problem representation approach
We propose an alternative conceptualisation of the policy 'problem', that obesity rates are illustrative of inequality, arguing there needs to be policy focus on the structural and factors that maintain health inequalities, including poverty and food insecurity. We hope that our findings can be used to challenge and strengthen future policy development, leading to more effective action against health inequalities and intervention-generated inequa…
Exploring the local policy context for reducing health inequalities in children and young people
Despite increased calls for a 'whole systems' approach to reducing inequalities in health, significant barriers to implementation remain. National governments need to work towards more joined up policy making, which takes into consideration regional disparities, allows for flexibility in interpretation and addresses the different and interrelated social determinants of health. Our findings have particular significance in light of Covid-19 and ind…
Correlates of meal size in children aged 1-5 years
Impact of cuts to local government spending on Sure Start children’s centres on childhood obesity in England
BACKGROUND: Childhood obesity is rising in disadvantaged areas in England. Sure Start children's centres provide community-based services for children <5 years and their parents, including many services that can support healthy weight, directly or indirectly. Since 2010, austerity-driven cuts to local authority (LA) budgets have led to substantially reduced public expenditure on Sure Start services. We assessed whether childhood obesity prevalenc…
Planning and Public Health professionals’ experiences of using the planning system to regulate hot food takeaway outlets in England
Takeaway food outlets offer limited seating and sell hot food to be consumed away from their premises. They typically serve energy-dense, nutrient-poor food. National planning guidelines in England offer the potential for local planning policies to promote healthier food environments through regulation of takeaway food outlets. Around half of English local government areas use this approach, but little is known about the process of adoption. We a…
Validity and Reliability of a Food Frequency Questionnaire (FFQ) to Assess Dietary Intake of Preschool Children
As there are few food frequency questionnaires (FFQ) to assess the dietary intake of preschool children, this study examined the validity and reliability of an FFQ for this purpose. A total of 210 preschoolers aged 4 to 6 years participated in the validation study, while a subsample of 66 participants joined the reliability study. The FFQ is modified from the ToyBox-study and South East Asian Nutrition Surveys (SEANUTS), and comprised 108 food it…
Feasibility and acceptability of a Takeaway Masterclass aimed at encouraging healthier cooking practices and menu options in takeaway food outlets
Objective: To evaluate the feasibility and acceptability of the Takeaway Masterclass, a three-hour training session delivered to staff of independent takeaway food outlets that promoted healthy cooking practices and menu options. Design: A mixed-methods study design. All participating food outlets provided progress feedback at 6 weeks post-intervention. Baseline and 6-week post-intervention observational and self-reported data were collected in h…
How does local government use the planning system to regulate hot food takeaway outlets? A census of current practice in England using document review
Takeaway food outlets typically sell hot food, ordered and paid for at the till, for consumption off the premises due to limited seating provision. Growing numbers of these outlets has raised concerns about their impact on diet and weight gain. This has led to proposals to regulate their proliferation through urban planning. We conducted a census of local government areas in England with planning power (n = 325) to identify planning policies spec…
Television Food Advertising to Children
Objectives. We compared television food advertising to children in several countries. Methods. We undertook a collaboration among 13 research groups in Australia, Asia, Western Europe, and North and South America. Each group recorded programming for 2 weekdays and 2 weekend days between 6:00 and 22:00, for the 3 channels most watched by children, between October 2007 and March 2008. We classified food advertisements as core (nutrient dense, low i…
Impact of cuts to local government spending on Sure Start children’s centres on childhood obesity in England
BACKGROUND: Childhood obesity is rising in disadvantaged areas in England. Sure Start children's centres provide community-based services for children <5 years and their parents, including many services that can support healthy weight, directly or indirectly. Since 2010, austerity-driven cuts to local authority (LA) budgets have led to substantially reduced public expenditure on Sure Start services. We assessed whether childhood obesity prevalenc…
Planning and Public Health professionals’ experiences of using the planning system to regulate hot food takeaway outlets in England
Takeaway food outlets offer limited seating and sell hot food to be consumed away from their premises. They typically serve energy-dense, nutrient-poor food. National planning guidelines in England offer the potential for local planning policies to promote healthier food environments through regulation of takeaway food outlets. Around half of English local government areas use this approach, but little is known about the process of adoption. We a…
How does local government use the planning system to regulate hot food takeaway outlets? A census of current practice in England using document review
Takeaway food outlets typically sell hot food, ordered and paid for at the till, for consumption off the premises due to limited seating provision. Growing numbers of these outlets has raised concerns about their impact on diet and weight gain. This has led to proposals to regulate their proliferation through urban planning. We conducted a census of local government areas in England with planning power (n = 325) to identify planning policies spec…
Reflections of a Research Team on Using Creative Facilitation for the First Time
Understanding the lived experience of communities of people who are most affected by health inequalities has become a key focus of public health research. In this context, researchers are increasingly using creative (or arts-based) methods, but there is limited understanding about how best to facilitate these methods to qualitative inquiry that illuminate lived experience and the values that underpin this approach. This paper reports the reflecti…
Children's experiences of care on walking and cycling journeys between home and school in Healthy New Towns
The Healthy New Town programme in England set out to 'put health into place' by supporting the design and construction of healthy places to live, including by creating safe environments for active travel. To explore the impact of this approach, this study examined how children and their families experienced school journeys in two contrasting Healthy New Towns in England, one an affluent new town in the early stages of construction and the other m…
Making Public Health Nutrition relevant to evidence-based action
Public health nutrition enjoyed many breakthroughs in the 20th century – from the discovery of vitamins and the metabolic roles of some 60 macro- and micronutrients, to the effects of maternal and childhood diet on health over the life course. Moreover, the food shortages in the UK that were experienced during World War II gave the first opportunity to show that nutritional science could make a valuable contribution to public policy. However, pub…
Trends in maternal obesity and health inequalities in a nationally representative sample of 619 323 births in England, UK, 1989–2007
preterm. Number of grandchildren increased with increasing number of children in both sexes, providing no evidence for a trade-off between quantity of offspring and their subsequent reproductive ''quality''. Conclusions: Early life characteristics can affect reproductive success even in post-demographic transition populations. These effects operate via multiple pathways and include ''biological'' characteristics such as birthweight having an effe…
Television Food Advertising to Children
Objectives. We compared television food advertising to children in several countries. Methods. We undertook a collaboration among 13 research groups in Australia, Asia, Western Europe, and North and South America. Each group recorded programming for 2 weekdays and 2 weekend days between 6:00 and 22:00, for the 3 channels most watched by children, between October 2007 and March 2008. We classified food advertisements as core (nutrient dense, low i…
Interventions for preventing obesity in children
BACKGROUND: Prevention of childhood obesity is an international public health priority given the significant impact of obesity on acute and chronic diseases, general health, development and well-being. The international evidence base for strategies that governments, communities and families can implement to prevent obesity, and promote health, has been accumulating but remains unclear. OBJECTIVES: This review primarily aims to update the previous…
Evidence that the prevalence of childhood overweight is plateauing
Until quite recently, there has been a widespread belief in the popular media and scientific literature that the prevalence of childhood obesity is rapidly increasing. However, high quality evidence has emerged from several countries suggesting that the rise in the prevalence has slowed appreciably, or even plateaued. This review brings together such data from nine countries (Australia, China, England, France, Netherlands, New Zealand, Sweden, Sw…
A community-based health promotion intervention using brief negotiation techniques and a pledge on dietary intake, physical activity levels and weight outcomes
Objective To assess the effectiveness of a brief face-to-face health promotion intervention which included a ‘pledge’ using brief negotiation techniques, compared with standard advice-giving techniques, delivered in a community setting. Design A parallel group pre–post design using randomised matched groups. Lifestyle helpers delivered the intervention (one consultation per participant). Diet, physical activity and anthropometric measurements wer…
Could Parental Rules Play a Role in the Association Between Short Sleep and Obesity in Young Children?
Short sleep duration is associated with obesity in young children. This study develops the hypothesis that parental rules play a role in this association. Participants were 3-year-old children and their parents, recruited at nursery schools in socioeconomically deprived and non-deprived areas of a North-East England town. Parents were interviewed to assess their use of sleep, television-viewing and dietary rules, and given diaries to document the…
Consequences and determinants of poor nutrition in children aged 0-3 years, and public health interventions that may improve dietary intake
Purpose – The purpose of this paper is to review the evidence base for effective public health interventions which aim to improve the diet of children aged zero to three years. Design/methodology/approach – General review. Findings – Key approaches and components of effective interventions include: repeated tasting, parental modelling, use of rewards, moderate restriction of “unhealthy” foods alongside an increase in portion sizes of fruits and v…
Promoting healthy eating and physical activity among school children
Health-E-PALS" intervention is a promising innovative, theory-based, culturally sensitive intervention to promote healthy eating habits and physical activity in Lebanese school children with a potential to be scaled up, replicated and sustained
Women's perspectives are required to inform the development of maternal obesity services
BACKGROUND: Increasing maternal obesity trends and accompanying risks have led to the development of guidelines internationally. However, the evidence-base is poor for effective intervention, and there is a lack of representation from the perspective of obese pregnant women in guidelines. Women's engagement with weight management support services is low. OBJECTIVE: To explore obese pregnant women's experiences to better understand factors which n…
Diet, physical activity and socio-economic disparities of obesity in Lebanese adults
Lifestyle and socioeconomic determinants of obesity are identified in this Lebanese population. Policy makers and service providers need to tailor public health strategies to tackle obesity accordingly
A systematic review of diet and physical activity interventions to prevent or treat obesity in South Asian populations
The effectiveness of behavioural weight management programmes for adults assessed by trials conducted in everyday contexts. Systematic review
Is a community pharmacy led weight management service effective? A mixed methods service evaluation
Exploring service providers' and commissioners' views on a community pharmacy led weight management service. A qualitative study
Searching and synthesising ‘grey literature’ and ‘grey information’ in public health
BACKGROUND: Grey literature includes a range of documents not controlled by commercial publishing organisations. This means that grey literature can be difficult to search and retrieve for evidence synthesis. Much knowledge and evidence in public health, and other fields, accumulates from innovation in practice. This knowledge may not even be of sufficient formality to meet the definition of grey literature. We term this knowledge 'grey informati…
Perceptions of nursery staff and parent views of healthy eating promotion in preschool settings
There is a need to further explore nursery staff members' personal perceptions of health and how food policies which promote healthier food in preschool settings can be embedded and implemented. Family friendly healthy eating strategies and activities which utilise nudge theory should be developed and delivered in a manner that is sensitive to parents' concerns. Preschool settings may offer an opportunity for delivery of such activities
Parental response to a letter reporting child overweight measured as part of a routine national programme in England
Whilst overweight and obesity is often portrayed as a medical condition, parents/guardians see it as deeply rooted in their social lives and not in health terms. Parents believe that the causes of overeating and lack of exercise relate closely to the obesogenic environment, particularly the complex social and cultural milieu and time pressures within which this sample of people live. Associating this problem in feedback letters with dangerous dis…
Designing equitable workplace dietary interventions
Intervention deliverers perceived that workplace dietary interventions should be equally and easily accessible (in terms of cost and timing of sessions) for all staff, regardless of their job role. Additional effort should be taken to ensure those staff working outside normal working hours, and those working off-site, can easily engage with any intervention, to avoid the risk of intervention-generated inequalities (IGIs)
The challenges of interventions to promote healthier food in independent takeaways in England
Participants emphasised independent takeaways as particularly challenging, but worthwhile intervention targets. Participants perceived that interventions need to take account of the potentially challenging operating environment, particularly the primacy of the profit motive. Upstream interventions, engaging suppliers, as well as those that drive consumer demand, may be worth exploring. Rigorous, evidence-informed development and evaluation of suc…
Validity and Reliability of a Food Frequency Questionnaire (FFQ) to Assess Dietary Intake of Preschool Children
As there are few food frequency questionnaires (FFQ) to assess the dietary intake of preschool children, this study examined the validity and reliability of an FFQ for this purpose. A total of 210 preschoolers aged 4 to 6 years participated in the validation study, while a subsample of 66 participants joined the reliability study. The FFQ is modified from the ToyBox-study and South East Asian Nutrition Surveys (SEANUTS), and comprised 108 food it…
Feasibility and acceptability of a Takeaway Masterclass aimed at encouraging healthier cooking practices and menu options in takeaway food outlets
Objective: To evaluate the feasibility and acceptability of the Takeaway Masterclass, a three-hour training session delivered to staff of independent takeaway food outlets that promoted healthy cooking practices and menu options. Design: A mixed-methods study design. All participating food outlets provided progress feedback at 6 weeks post-intervention. Baseline and 6-week post-intervention observational and self-reported data were collected in h…
How does local government use the planning system to regulate hot food takeaway outlets? A census of current practice in England using document review
Takeaway food outlets typically sell hot food, ordered and paid for at the till, for consumption off the premises due to limited seating provision. Growing numbers of these outlets has raised concerns about their impact on diet and weight gain. This has led to proposals to regulate their proliferation through urban planning. We conducted a census of local government areas in England with planning power (n = 325) to identify planning policies spec…
Planning and Public Health professionals’ experiences of using the planning system to regulate hot food takeaway outlets in England
Takeaway food outlets offer limited seating and sell hot food to be consumed away from their premises. They typically serve energy-dense, nutrient-poor food. National planning guidelines in England offer the potential for local planning policies to promote healthier food environments through regulation of takeaway food outlets. Around half of English local government areas use this approach, but little is known about the process of adoption. We a…
A critique of the English national policy from a social determinants of health perspective using a realist and problem representation approach
We propose an alternative conceptualisation of the policy 'problem', that obesity rates are illustrative of inequality, arguing there needs to be policy focus on the structural and factors that maintain health inequalities, including poverty and food insecurity. We hope that our findings can be used to challenge and strengthen future policy development, leading to more effective action against health inequalities and intervention-generated inequa…
Medicine (39 obras) · Obesity, Physical Activity, Diet (27 obras) · Public health (25 obras) · Nursing (24 obras) · Psychology (19 obras) · Environmental health (18 obras) · Obesity (17 obras) · Sociology (17 obras) · Obesity and Health Practices (16 obras) · Qualitative research (13 obras)