- Scarborough P, Bhatnagar P, Wickramasinghe KK, Allender S, Foster C, Rayner M. The economic burden of ill health due to diet, physical inactivity, smoking, alcohol and obesity in the UK: an update to 2006–07 NHS costs. J Public Health 2011;33:527–35. 10.1093/pubmed/fdr033
- Bates B, Lennox A, Prentice A, Bates C, Page P, Nicholson S, et al. National Diet and Nutrition Survey: Results from Years 1–4 (Combined) of the Rolling Programme (2008/2009–2011/12) Executive Summary. Public Health England; 2014. URL: https://www.gov.uk/government/statistics/national-diet-and-nutrition-survey-results-from-years-1-to-4-combined-of-the-rolling-programme-for-2008-and-2009-to-2011-and-2012 (accessed 14 October 2025).
- Townsend N, Wickramasinghe K, Williams J, Bhatnagar P, Rayner M. Physical Activity Statistics 2015. URL: https://research-information.bris.ac.uk/en/publications/physical-activity-statistics-2015/ (accessed 14 October 2025).
- Kelder SH, Perry CL, Klepp KI, Lytle LL. Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health 1994;84:1121–6. URL: https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.84.7.1121 (accessed 14 October 2025).8017536
- Craigie AM, Lake AA, Kelly SA, Adamson AJ, Mathers JC. Tracking of obesity-related behaviours from childhood to adulthood: a systematic review. Maturitas 2011;70:266–84. 10.1016/j.maturitas.2011.08.00521920682
- Hanson MA, Bardsley A, De-Regil LM, Moore SE, Oken E, Poston L, et al. The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent, preconception, and maternal nutrition: ‘think nutrition first’. Int J Gynaecol Obstet 2015;131:S213–53. 10.1016/S0020-7292(15)30034-526433230
- Davies S. Annual Report of the Chief Medical Officer, 2014, The Health of the 51%: Women. 2015. URL: https://assets.publishing.service.gov.uk/media/5a80cc0ae5274a2e8ab52380/CMO_annual_report_2014.pdf (accessed 14 October 2025).
- Kapur A. Links between maternal health and NCDs. Best Pract Res Clin Obstet Gynaecol 2015;29:32–42. 10.1016/j.bpobgyn.2014.04.01625199858
- Hanson M, Barker M, Dodd JM, Kumanyika S, Norris S, Steegers E, et al. Interventions to prevent maternal obesity before conception, during pregnancy, and post partum. Lancet Diabetes Endocrinol 2017;5:65–76. 10.1016/S2213-8587(16)30108-527743974
- Davies SC. Annual Report of the Chief Medical Officer, 2014, The Health of the 51%: Women. 2015. URL: https://assets.publishing.service.gov.uk/media/5a80cc0ae5274a2e8ab52380/CMO_annual_report_2014.pdf (accessed 14 October 2025).
- Viner RM, Ross D, Hardy R, Kuh D, Power C, Johnson A, et al. Life course epidemiology: recognising the importance of adolescence. J Epidemiol Community Health 2015;69:719–20. 10.1136/jech-2014-20530025646208
- Patton GC, Sawyer SM, Santelli JS, Ross DA, Afifi R, Allen NB, et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet 2016;387:2423–78. 10.1016/S0140-6736(16)00579-127174304
- Pearson N, Braithwaite R, Biddle SJ. The effectiveness of interventions to increase physical activity among adolescent girls: a meta-analysis. Acad Pediatr 2015;15:9–18. 10.1016/j.acap.2014.08.00925441655
- Kelishadi R, Azizi-Soleiman F. Controlling childhood obesity: a systematic review on strategies and challenges. J Res Med Sci 2014;19:993–1008. URL: https://pmc.ncbi.nlm.nih.gov/articles/PMC4274579/pdf/JRMS-19-993.pdf (accessed 14 October 2025).25538786
- Hale DR, Fitzgerald-Yau N, Viner RM. A systematic review of effective interventions for reducing multiple health risk behaviors in adolescence. Am J Public Health 2014;104:e19–41. URL: https://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2014.301874 (accessed 14 October 2025).
- Chen JL, Weiss S, Heyman MB, Cooper B, Lustig RH. The efficacy of the web-based childhood obesity prevention program in Chinese American adolescents (Web ABC study). J Adolesc Health 2011;49:148–54. 10.1016/j.jadohealth.2010.11.24321783046
- Neumark-Sztainer DR, Friend SE, Flattum CF, Hannan PJ, Story MT, Bauer KW, et al. New moves: preventing weight-related problems in adolescent girls: a group-randomized study. Am J Prev Med 2010;39:421–32. 10.1016/j.amepre.2010.07.01720965379
- Campbell R, Starkey F, Holliday J, Audrey S, Bloor M, Parry-Langdon N, et al. An informal school-based peer-led intervention for smoking prevention in adolescence (ASSIST): a cluster randomised trial. Lancet 2008;371:1595–602. 10.1016/S0140-6736(08)60692-318468543
- Statista. Children Owning Mobile Phones in the UK 2024, by Age. 2024. URL: www.statista.com/statistics/1326211/children-owning-mobile-phone-by-age-uk/ (accessed 14 October 2025).
- Chen JL, Wilkosz ME. Efficacy of technology-based interventions for obesity prevention in adolescents: a systematic review. Adolesc Health Med Ther 2014;5:159–70. URL: www.tandfonline.com/action/showCitFormats?doi=10.2147/AHMT.S39969 (accessed 14 October 2025).25177158
- Morrison LG. Theory-based strategies for enhancing the impact and usage of digital health behaviour change interventions: a review. Digit Health 2015;1:595335. 10.1177/2055207615595335
- Rose T, Barker M, Jacob CM, Morrison L, Lawrence W, Strömmer S, et al. A systematic review of digital interventions for improving the diet and physical activity behaviors of adolescents. J Adolesc Health 2017;61:669–77. 10.1016/j.jadohealth.2017.05.02428822682
- Wouters P, Van Nimwegen C, Van Oostendorp H, Van Der Spek ED. A meta-analysis of the cognitive and motivational effects of serious games. J Educ Psychol 2013;105:249–65. 10.1037/a0031311
- Hinsliff G. Why Pokémon go really is a National Health Service. The Guardian, 22 July 2016. URL: www.theguardian.com/commentisfree/2016/jul/22/pokemon-go-health-service-silly-mobile-phone-game-parenting-holy-grail (accessed 14 October 2025).
- DeSmet A, Van Ryckeghem D, Compernolle S, Baranowski T, Thompson D, Crombez G, et al. A meta-analysis of serious digital games for healthy lifestyle promotion. Prev Med 2014;69:95–107. 10.1016/j.ypmed.2014.08.02625172024
- Grace M, Bay J. Developing a pedagogy to support science for health literacy. Asia-Pacific Forum Sci Learn Teach 2011;12:1–13. URL: www.eduhk.hk/apfslt/download/v12_issue2_files/foreword.pdf (accessed 14 October 2025).
- Grace M, Woods‐Townsend K, Griffiths J, Godfrey K, Hanson M, Galloway I, et al. Developing teenagers’ views on their health and the health of their future children. Health Educ 2012;112:543–59. 10.1108/09654281211275890
- Lawrence W, Black C, Tinati T, Cradock S, Begum R, Jarman M, et al. Making every contact count: longitudinal evaluation of the impact of training in behaviour change on the work of health and social care practitioners. J Health Psychol 2016;21:138–51. 10.1177/135910531452330424713156
- Black C, Lawrence W, Cradock S, Ntani G, Tinati T, Jarman M, et al. Healthy conversation skills: increasing competence and confidence in front-line staff. Public Health Nutr 2014;17:700–7. 10.1017/S136898001200408922989477
- Little P, Stuart B, Hobbs R, Kelly J, Smith ER, Bradbury KJ, et al. An internet-based intervention with brief nurse support to manage obesity in primary care (POWeR+): a pragmatic, parallel-group, randomised controlled trial. Lancet Diabetes Endocrinol 2016;4:821–8. 10.1016/S2213-8587(16)30099-727474214
- Little P, Stuart B, Francis N, Douglas E, Tonkin-Crine S, Anthierens S, et al.; GRACE Consortium. Effects of internet-based training on antibiotic prescribing rates for acute respiratory-tract infections: a multinational, cluster, randomised, factorial, controlled trial. Lancet 2013;382:1175–82. 10.1016/S0140-6736(13)60994-023915885
- Little P, Stuart B, Hobbs FR, Moore M, Barnett J, Popoola D, et al. An internet-delivered handwashing intervention to modify influenza-like illness and respiratory infection transmission (PRIMIT): a primary care randomised trial. Lancet 2015;386:1631–9. 10.1016/S0140-6736(15)60127-126256072
- Strömmer S, Barrett M, Woods-Townsend K, Baird J, Farrell D, Lord J, et al. Engaging adolescents in changing behaviour (EACH-B): a study protocol for a cluster randomised controlled trial to improve dietary quality and physical activity. Trials 2020;21:1–13. 10.1186/s13063-020-04761-w31898511
- Jacob CM, Hardy-Johnson PL, Inskip HM, Morris T, Parsons CM, Barrett M, et al. A systematic review and meta-analysis of school-based interventions with health education to reduce body mass index in adolescents aged 10 to 19 years. Int J Behav Nutr Phys Act 2021;18:1. 10.1186/s12966-020-01065-933397403
- Shaw S, Barrett M, Shand C, Cooper C, Crozier S, Smith D, et al. Influences of the community and consumer nutrition environment on the food purchases and dietary behaviors of adolescents: a systematic review. Obes Rev 2023;24:e13569. 10.1111/obr.1356937081719
- Kalita N, Cooper K, Baird J, Woods-Townsend K, Godfrey K, Cooper C, et al. Cost-effectiveness of a dietary and physical activity intervention in adolescents: a prototype modelling study based on the Engaging Adolescents in Changing Behaviour (EACH-B) programme. BMJ Open 2022;12:e052611. 10.1136/bmjopen-2021-052611
- Yardley L, Morrison L, Bradbury K, Muller I. The person-based approach to intervention development. J Med Internet Res 2015;17:e30. 10.2196/jmir.405525639757
- Yardley L, Ainsworth B, Arden-Close E, Muller I. The person-based approach to enhancing the acceptability and feasibility of interventions. Pilot Feasibility Stud 2015;1:37. 10.1186/s40814-015-0033-z27965815
- Little P, Stuart B, Hobbs FD, Moore M, Barnett J, Popoola D, et al. An internet-delivered handwashing intervention to modify influenza-like illness and respiratory infection transmission (PRIMIT): a primary care randomised trial. Lancet 2015;386:1631–9. 10.1016/s0140-6736(15)60127-126256072
- DeSmet A, Thompson D, Baranowski T, Palmeira A, Verloigne M, De Bourdeaudhuij I. Is participatory design associated with the effectiveness of serious digital games for healthy lifestyle promotion? A meta-analysis. J Med Internet Res 2016;18:e94. 10.2196/jmir.444427129447
- Strömmer S, Shaw S, Jenner S, Vogel C, Lawrence W, Woods-Townsend K, et al. How do we harness adolescent values in designing health behaviour change interventions? A qualitative study. Br J Health Psychol 2021;26:1176–93. 10.1111/bjhp.1252633945194
- Shaw S, Simao SC, Jenner S, Lawrence WT, Woods-Townsend K, Vogel CA, et al. Parental perspectives on negotiations over diet and physical activity: how do we involve parents in adolescent health interventions? Public Health Nutr 2021;24:2727–36. 10.1017/S136898002100045833622445
- Strömmer S, Lawrence W, Shaw S, Correia Simao S, Jenner S, Barrett M, et al. Behaviour change interventions: getting in touch with individual differences, values and emotions. J Dev Orig Health Dis 2020;11:589–98. 10.1017/S204017442000060432718366
- Vogel C, Shaw S, Strömmer S, Crozier S, Jenner S, Cooper C, et al. Inequalities in energy drink consumption among UK adolescents: a mixed-methods study. Public Health Nutr 2023;26:575–85. 10.1017/S136898002200259236472075
- Shaw S, Muir S, Strömmer S, Crozier S, Cooper C, Smith D, et al. The interplay between social and food environments on UK adolescents’ food choices: implications for policy. Health Promot Int 2023;38:daad097. 10.1093/heapro/daad09737647523
- Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, et al. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med 2013;46:81–95. 10.1007/s12160-013-9486-623512568
- Michie S, Abraham C, Whittington C, McAteer J, Gupta S. Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol 2009;28:690–701. 10.1037/a001613619916637
- Gardner B, Lally P, Wardle J. Making health habitual: the psychology of ‘habit-formation’ and general practice. Br J Gen Pract 2012;62:664–6. 10.3399/bjgp12X65946623211256
- Bauldry S, Shanahan MJ, Macmillan R, Miech RA, Boardman JD, O Dean D, Cole V. Parental and adolescent health behaviors and pathways to adulthood. Soc Sci Res 2016;58:227–42. 10.1016/j.ssresearch.2016.02.00627194662
- Blum RW, Lai J, Martinez M, Jessee C. Adolescent connectedness: cornerstone for health and wellbeing. BMJ 2022;379:e069213. 10.1136/bmj-2021-06921336302526
- Shaw S, Crozier S, Strömmer S, Inskip H, Barker M, Vogel C; EACH-B Study Team. Development of a short food frequency questionnaire to assess diet quality in UK adolescents using the National Diet and Nutrition Survey. Nutr J 2021;20:1–11. 10.1186/s12937-020-00658-133388067
- Crozier SR, Inskip HM, Barker ME, Lawrence WT, Cooper C, Robinson SM; SWS Study Group. Development of a 20-item food frequency questionnaire to assess a ‘prudent’ dietary pattern among young women in Southampton. Eur J Clin Nutr 2010;64:99–104. 10.1038/ejcn.2009.11419756032
- McCrorie PRW, Perez A, Ellaway A. The validity of the Youth Physical Activity Questionnaire in 12–13-year-old Scottish adolescents. BMJ Open Sport Exerc Med 2017;2:e000163. 10.1136/bmjsem-2016-000163
- The University of Sheffield. The Development of a Paediatric Health Related Quality of Life Measure for Use in Economic Evaluation: The Child Health Utility 9D (CHU 9D). 2020. URL: www.sheffield.ac.uk/scharr/sections/heds/mvh/paediatric (accessed 14 September 2020).
- Levin KA, Currie C. Reliability and validity of an adapted version of the Cantril Ladder for use with adolescent samples. Soc Indic Res 2014;119:1047–63. 10.1007/s11205-013-0507-4
- Markland D, Tobin V. A modification to the behavioural regulation in exercise questionnaire to include an assessment of a motivation. J Sport Exerc Psychol 2004;26:191–6. 10.1123/jsep.26.2.191
- Steele MM, Burns LG, Whitaker BN. Reliability and validity of the SE-HEPA: examining physical activity–and healthy eating–specific self-efficacy among a sample of preadolescents. Health Educ Behav 2013;40:355–61. 10.1177/109019811245919023041703
- Williams GC, Minicucci DS, Kouides RW, Levesque CS, Chirkov VI, Ryan RM, Deci EL. Self-determination, smoking, diet and health. Health Educ Res 2002;17:512–21. 10.1093/her/17.5.51212408196
- Mirwald RL, Baxter-Jones AD, Bailey DA, Beunen GP. An assessment of maturity from anthropometric measurements. Med Sci Sport Exerc 2002;34:689–94. 10.1097/00005768-200204000-00020
- Van Sluijs EM, McMinn AM, Griffin SJ. Effectiveness of interventions to promote physical activity in children and adolescents: systematic review of controlled trials. BMJ 2007;335:703. 10.1136/bmj.39320.843947.BE17884863
- Busch V, de Leeuw JRJ, de Harder A, Schrijvers AJP. Changing multiple adolescent health behaviors through school‐based interventions: a review of the literature. J Sch Health 2013;83:514–23. 10.1111/josh.1206023782095
Engaging adolescents in changing behaviour to improve diet and physical activity levels in teenagers: the EACH-B research programme · References
References
Attribution. Mary Barker; Sarah Jenner; Kath Woods-Townsend; Judit Varkonyi-Sepp; Millie Barrett; Lisa Bagust et al. (2026). Engaging adolescents in changing behaviour to improve diet and physical activity levels in teenagers: the EACH-B research programme. National Institute for Health and Care Research. Copyright © 2026 Barker et al. Licensed under CC BY 4.0. NCBI Bookshelf NBK623961. CC BY 4.0. Original source ↗. Text reproduced from the Bookshelf XML without changing wording; figures, images and supplements are not reproduced.