A collaborative approach to adopting/adapting guidelines - the Australian 24-hour Movement Guidelines for the early years (birth to 5 years): an integration of physical activity, sedentary behavior, and sleep

Okely, Anthony D, Ghersi, Davina, Hesketh, Kylie D, Santos, Rute, Loughran, Sarah P, Cliff, Dylan P, Shilton, Trevor, Grant, David, Jones, Rachel A, Stanley, Rebecca M, Sherring, Julie, Hinkley, Trina, Trost, Stewart G, McHugh, Clare, Eckermann, Simon, Thorpe, Karen, Waters, Karen, Olds, Timothy S, Mackey, Tracy, Livingstone, Rhonda, Christian, Hayley, Carr, Harriette, Verrender, Adam, Pereira, João R, Zhang, Zhiguang, Downing, Katherine L and Tremblay, Mark S 2017, A collaborative approach to adopting/adapting guidelines - the Australian 24-hour Movement Guidelines for the early years (birth to 5 years): an integration of physical activity, sedentary behavior, and sleep, BMC public health, vol. 17, no. Suppl 5, pp. 1-24, doi: 10.1186/s12889-017-4867-6.

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Title A collaborative approach to adopting/adapting guidelines - the Australian 24-hour Movement Guidelines for the early years (birth to 5 years): an integration of physical activity, sedentary behavior, and sleep
Author(s) Okely, Anthony D
Ghersi, Davina
Hesketh, Kylie DORCID iD for Hesketh, Kylie D orcid.org/0000-0002-2702-7110
Santos, Rute
Loughran, Sarah P
Cliff, Dylan P
Shilton, Trevor
Grant, David
Jones, Rachel A
Stanley, Rebecca M
Sherring, Julie
Hinkley, TrinaORCID iD for Hinkley, Trina orcid.org/0000-0003-2742-8579
Trost, Stewart G
McHugh, Clare
Eckermann, Simon
Thorpe, Karen
Waters, Karen
Olds, Timothy S
Mackey, Tracy
Livingstone, Rhonda
Christian, Hayley
Carr, Harriette
Verrender, Adam
Pereira, João R
Zhang, Zhiguang
Downing, Katherine LORCID iD for Downing, Katherine L orcid.org/0000-0002-6552-8506
Tremblay, Mark S
Journal name BMC public health
Volume number 17
Issue number Suppl 5
Article ID 869
Start page 1
End page 24
Total pages 24
Publisher BioMed Central
Place of publication London, Eng.
Publication date 2017-11-20
ISSN 1471-2458
public health recommendations
child, preschool
cooperative behavior
guideline adherence
guidelines as topic
human body
infant, newborn
sedentary lifestyle
science & technology
life sciences & biomedicine
public, environmental & occupational health
Summary BACKGROUND: In 2017, the Australian Government funded the update of the National Physical Activity Recommendations for Children 0-5 years, with the intention that they be an integration of movement behaviours across the 24-h period. The benefit for Australia was that it could leverage research in Canada in the development of their 24-h guidelines for the early years. Concurrently, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group published a model to produce guidelines based on adoption, adaption and/or de novo development using the GRADE evidence-to-decision framework. Referred to as the GRADE-ADOLOPMENT approach, it allows guideline developers to follow a structured and transparent process in a more efficient manner, potentially avoiding the need to unnecessarily repeat costly tasks such as conducting systematic reviews. The purpose of this paper is to outline the process and outcomes for adapting the Canadian 24-Hour Movement Guidelines for the Early Years to develop the Australian 24-Hour Movement Guidelines for the Early Years guided by the GRADE-ADOLOPMENT framework. METHODS: The development process was guided by the GRADE-ADOLOPMENT approach. A Leadership Group and Consensus Panel were formed and existing credible guidelines identified. The draft Canadian 24-h integrated movement guidelines for the early years best met the criteria established by the Panel. These were evaluated based on the evidence in the GRADE tables, summaries of findings tables and draft recommendations from the Canadian Draft Guidelines. Updates to each of the Canadian systematic reviews were conducted and the Consensus Panel reviewed the evidence for each behaviour separately and made a decision to adopt or adapt the Canadian recommendations for each behaviour or create de novo recommendations. An online survey was then conducted (n = 302) along with five focus groups (n = 30) and five key informant interviews (n = 5) to obtain feedback from stakeholders on the draft guidelines. RESULTS: Based on the evidence from the Canadian systematic reviews and the updated systematic reviews in Australia, the Consensus Panel agreed to adopt the Canadian recommendations and, apart from some minor changes to the wording of good practice statements, keep the wording of the guidelines, preamble and title of the Canadian Guidelines. The Australian Guidelines provide evidence-informed recommendations for a healthy day (24-h), integrating physical activity, sedentary behaviour (including limits to screen time), and sleep for infants (<1 year), toddlers (1-2 years) and preschoolers (3-5 years). CONCLUSIONS: To our knowledge, this is only the second time the GRADE-ADOLOPMENT approach has been used. Following this approach, the judgments of the Australian Consensus Panel did not differ sufficiently to change the directions and strength of the recommendations and as such, the Canadian recommendations were adopted with very minor alterations. This allowed the Guidelines to be developed much faster and at lower cost. As such, we would recommend the GRADE-ADOLOPMENT approach, especially if a credible set of guidelines, with all supporting materials and developed using a transparent process, is available. Other countries may consider using this approach when developing and/or revising national movement guidelines.
Language eng
DOI 10.1186/s12889-017-4867-6
Field of Research 1117 Public Health And Health Services
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Persistent URL http://hdl.handle.net/10536/DRO/DU:30109231

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