Open AccessApplying the Behavior Change Technique Taxonomy to Four Multicomponent Childhood Obesity Interventions
Author(s) -
Meghan M. JaKa,
Caroline Wood,
Sara Veblen-Mortenson,
Shirley M. Moore,
Donna Matheson,
June Stevens,
Lou Atkins,
Susan Michie,
Clara Adegbite-Adeniyi,
Oluwatomisin Olayinka,
Eli K. Po’e,
Alethea M Kelly,
Holly L. Nicastro,
Shrikant I. Bangdiwala,
Shari L. Barkin,
Charlotte Pratt,
Thomas N. Robinson,
Nancy E. Sherwood
Publication year - 2020
Publication title -
western journal of nursing research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.552
H-Index - 62
eISSN - 1552-8456
pISSN - 0193-9459
DOI - 10.1177/0193945920954782
Subject(s) - psychological intervention , childhood obesity , coding (social sciences) , obesity , medicine , psychology , overweight , mathematics , statistics , pathology , nursing
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).