{"id":{"repo_id":"auckland-ms","oai_identifier":"oai:researchspace.auckland.ac.nz:2292/37413"},"canonical_url":"https://search.dev.ndltd.org/etd/auckland-ms/oai:researchspace.auckland.ac.nz:2292/37413","repository":{"repo_id":"auckland-ms","name":"University of Auckland","base_url":"https://researchspace.auckland.ac.nz/server/oai/request"},"display":{"title":"Whānau Pakari: a multi-disciplinary intervention for children and adolescents with weight issues","abstract":"Aim: Multi-disciplinary interventions remain the recommended management for children with obesity. The purpose of this research was to create and assess a multi-disciplinary intervention programme for children and adolescents with obesity in Taranaki, Aotearoa/New Zealand, using a mixed methods approach, incorporating a randomised clinical trial. Whānau Pakari means “healthy, self-assured families that are fully active”. The programme specifically targeted those over-represented in obesity statistics, namely Māori and those from most deprived households in the region, thereby addressing identified health inequities. Methods: Background audits informed the creation of Whānau Pakari. A randomised controlled clinical trial was embedded within the new service, offering home-based weight-related 6-monthly assessments and advice (control), or assessments and weekly group sessions for 12 months. Multi-source evaluation was undertaken to determine satisfaction, and an economic evaluation was performed, comparing Whānau Pakari with the previous conventional (hospital-based) model. Results: High rates of weight-related comorbidities, suboptimal eating behaviour, low physical activity, high screen time, and low health-related quality of life were found at baseline. Engagement with Whānau Pakari was associated with a significant decrease in body mass index standard deviation score in the low intensity control and high intensity intervention 12 months from baseline. Attendance ≥70% in the high intensity intervention doubled the effect. Improvements occurred in quality of life and cardiovascular fitness in both groups. Multi-source programme evaluation found high stakeholder, referrer and participant satisfaction. Economic evaluation demonstrated Whānau Pakari was cheaper and more effective compared with the previous conventional model of care. Conclusions: Whānau Pakari is an acceptable, appropriate intervention for children and adolescents with obesity. It is a mainstream service that achieved high levels of initial recruitment and engagement from at-risk groups, therefore improving health outcomes. Scalability and transferability appear possible. Whānau Pakari challenges the notion that a multi-disciplinary intervention programme only includes a group-based intervention with weekly sessions. Instead, it is a model where multi-disciplinary support from a team provides comprehensive assessment that identifies and manages weight-related comorbidities, which can assist in planning individualised interventions. This assessment and intervention model of service provision could be considered for New Zealand children and adolescents with obesity.","abstract_html":"Aim: Multi-disciplinary interventions remain the recommended management for children with obesity. The purpose of this research was to create and assess a multi-disciplinary intervention programme for children and adolescents with obesity in Taranaki, Aotearoa/New Zealand, using a mixed methods approach, incorporating a randomised clinical trial. Whānau Pakari means “healthy, self-assured families that are fully active”. The programme specifically targeted those over-represented in obesity statistics, namely Māori and those from most deprived households in the region, thereby addressing identified health inequities. Methods: Background audits informed the creation of Whānau Pakari. A randomised controlled clinical trial was embedded within the new service, offering home-based weight-related 6-monthly assessments and advice (control), or assessments and weekly group sessions for 12 months. Multi-source evaluation was undertaken to determine satisfaction, and an economic evaluation was performed, comparing Whānau Pakari with the previous conventional (hospital-based) model. Results: High rates of weight-related comorbidities, suboptimal eating behaviour, low physical activity, high screen time, and low health-related quality of life were found at baseline. Engagement with Whānau Pakari was associated with a significant decrease in body mass index standard deviation score in the low intensity control and high intensity intervention 12 months from baseline. Attendance ≥70% in the high intensity intervention doubled the effect. Improvements occurred in quality of life and cardiovascular fitness in both groups. Multi-source programme evaluation found high stakeholder, referrer and participant satisfaction. Economic evaluation demonstrated Whānau Pakari was cheaper and more effective compared with the previous conventional model of care. Conclusions: Whānau Pakari is an acceptable, appropriate intervention for children and adolescents with obesity. It is a mainstream service that achieved high levels of initial recruitment and engagement from at-risk groups, therefore improving health outcomes. Scalability and transferability appear possible. Whānau Pakari challenges the notion that a multi-disciplinary intervention programme only includes a group-based intervention with weekly sessions. Instead, it is a model where multi-disciplinary support from a team provides comprehensive assessment that identifies and manages weight-related comorbidities, which can assist in planning individualised interventions. This assessment and intervention model of service provision could be considered for New Zealand children and adolescents with obesity.","abstract_has_math":false,"creators":["Anderson, Yvonne"],"institution":"ResearchSpace@Auckland","degree_name":"PhD","degree_level":"Doctoral","degree_discipline":"Paediatric Endocrinology","degree_department":null,"school":null,"contributors":[],"advisors":["Hofman, P","Grant, C","Cutfield, W","Derraik, J"],"committee_chairs":[],"committee_members":[],"year":2018,"date_issued":"2018","date_published":"2018","updated_at":"2026-07-24T01:04:15Z","subjects":[],"languages":[],"rights":["Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher."],"rights_urls":["https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm"],"identifier_entries":[]},"links":{"outbound_url":"https://hdl.handle.net/2292/37413","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["Hofman, P","Grant, C","Cutfield, W","Derraik, J"]},{"key":"dc:creator","label":"Author","values":["Anderson, Yvonne"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2018-07-10T02:17:23Z"]},{"key":"dc:date.issued","label":"Date","values":["2018"]},{"key":"dc:publisher","label":"Institution","values":["ResearchSpace@Auckland"]},{"key":"dc:relation.isreferencedby","label":"Dc Relation Isreferencedby","values":["UoA99265067212602091"]},{"key":"dc:type","label":"Dc Type","values":["Thesis"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Paediatric Endocrinology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Doctoral"]},{"key":"thesis:degree_name","label":"Degree Name","values":["PhD"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["The University of Auckland"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:rights","label":"Dc Rights","values":["Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher."]},{"key":"dc:rights.uri","label":"Rights URI","values":["https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["https://hdl.handle.net/2292/37413"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Aim: Multi-disciplinary interventions remain the recommended management for children with obesity. The purpose of this research was to create and assess a multi-disciplinary intervention programme for children and adolescents with obesity in Taranaki, Aotearoa/New Zealand, using a mixed methods approach, incorporating a randomised clinical trial. Whānau Pakari means “healthy, self-assured families that are fully active”. The programme specifically targeted those over-represented in obesity statistics, namely Māori and those from most deprived households in the region, thereby addressing identified health inequities. Methods: Background audits informed the creation of Whānau Pakari. A randomised controlled clinical trial was embedded within the new service, offering home-based weight-related 6-monthly assessments and advice (control), or assessments and weekly group sessions for 12 months. Multi-source evaluation was undertaken to determine satisfaction, and an economic evaluation was performed, comparing Whānau Pakari with the previous conventional (hospital-based) model. Results: High rates of weight-related comorbidities, suboptimal eating behaviour, low physical activity, high screen time, and low health-related quality of life were found at baseline. Engagement with Whānau Pakari was associated with a significant decrease in body mass index standard deviation score in the low intensity control and high intensity intervention 12 months from baseline. Attendance ≥70% in the high intensity intervention doubled the effect. Improvements occurred in quality of life and cardiovascular fitness in both groups. Multi-source programme evaluation found high stakeholder, referrer and participant satisfaction. Economic evaluation demonstrated Whānau Pakari was cheaper and more effective compared with the previous conventional model of care. Conclusions: Whānau Pakari is an acceptable, appropriate intervention for children and adolescents with obesity. It is a mainstream service that achieved high levels of initial recruitment and engagement from at-risk groups, therefore improving health outcomes. Scalability and transferability appear possible. Whānau Pakari challenges the notion that a multi-disciplinary intervention programme only includes a group-based intervention with weekly sessions. Instead, it is a model where multi-disciplinary support from a team provides comprehensive assessment that identifies and manages weight-related comorbidities, which can assist in planning individualised interventions. This assessment and intervention model of service provision could be considered for New Zealand children and adolescents with obesity."]},{"key":"dc:title","label":"Title","values":["Whānau Pakari: a multi-disciplinary intervention for children and adolescents with weight issues"]}]}],"canonical_facts":{"dc:contributor.advisor":["Hofman, P","Grant, C","Cutfield, W","Derraik, J"],"dc:creator":["Anderson, Yvonne"],"dc:date.accessioned":["2018-07-10T02:17:23Z"],"dc:date.issued":["2018"],"dc:description.abstract":["Aim: Multi-disciplinary interventions remain the recommended management for children with obesity. The purpose of this research was to create and assess a multi-disciplinary intervention programme for children and adolescents with obesity in Taranaki, Aotearoa/New Zealand, using a mixed methods approach, incorporating a randomised clinical trial. Whānau Pakari means “healthy, self-assured families that are fully active”. The programme specifically targeted those over-represented in obesity statistics, namely Māori and those from most deprived households in the region, thereby addressing identified health inequities. Methods: Background audits informed the creation of Whānau Pakari. A randomised controlled clinical trial was embedded within the new service, offering home-based weight-related 6-monthly assessments and advice (control), or assessments and weekly group sessions for 12 months. Multi-source evaluation was undertaken to determine satisfaction, and an economic evaluation was performed, comparing Whānau Pakari with the previous conventional (hospital-based) model. Results: High rates of weight-related comorbidities, suboptimal eating behaviour, low physical activity, high screen time, and low health-related quality of life were found at baseline. Engagement with Whānau Pakari was associated with a significant decrease in body mass index standard deviation score in the low intensity control and high intensity intervention 12 months from baseline. Attendance ≥70% in the high intensity intervention doubled the effect. Improvements occurred in quality of life and cardiovascular fitness in both groups. Multi-source programme evaluation found high stakeholder, referrer and participant satisfaction. Economic evaluation demonstrated Whānau Pakari was cheaper and more effective compared with the previous conventional model of care. Conclusions: Whānau Pakari is an acceptable, appropriate intervention for children and adolescents with obesity. It is a mainstream service that achieved high levels of initial recruitment and engagement from at-risk groups, therefore improving health outcomes. Scalability and transferability appear possible. Whānau Pakari challenges the notion that a multi-disciplinary intervention programme only includes a group-based intervention with weekly sessions. Instead, it is a model where multi-disciplinary support from a team provides comprehensive assessment that identifies and manages weight-related comorbidities, which can assist in planning individualised interventions. This assessment and intervention model of service provision could be considered for New Zealand children and adolescents with obesity."],"dc:identifier.uri":["https://hdl.handle.net/2292/37413"],"dc:publisher":["ResearchSpace@Auckland"],"dc:relation.isreferencedby":["UoA99265067212602091"],"dc:rights":["Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher."],"dc:rights.uri":["https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm"],"dc:title":["Whānau Pakari: a multi-disciplinary intervention for children and adolescents with weight issues"],"dc:type":["Thesis"],"thesis:degree_discipline":["Paediatric Endocrinology"],"thesis:degree_level":["Doctoral"],"thesis:degree_name":["PhD"],"thesis:institution_name":["The University of Auckland"]},"updated_at":"2026-07-24T01:04:15Z"}