- Title
- A collaborative approach to adopting/adapting guidelines. The Australian 24-hour movement guidelines for children (5-12 years) and young people (13-17 years): An integration of physical activity, sedentary behaviour, and sleep
- Creator
- Okely, Anthony D.; Ghersi, Davina; Olds, Timothy S.; Zhang, Zhiguang; Parrish, Anne‑Maree; Kervin, Lisa; Downie, Sandra; Salmon, Jo; Bannerman, Clair; Needham, Tamie; Marshall, Elaine; Kaufman, Jordy; Loughran, Sarah P.; Brown, Layne; Wille, Janecke; Wood, Greg; Lubans, David R.; Biddle, Stuart J. H.; Pill, Shane; Hargreaves, Anthea; Jonas, Natalie; Schranz, Natasha; Campbell, Perry; Cliff, Dylan P.; Ingram, Karen; Dean, Hayley; Verrender, Adam; Ellis, Yvonne; Chong, Kar Hau; Dumuid, Dorothea; Katzmarzyk, Peter T.; Draper, Catherine E.; Lewthwaite, Hayley; Tremblay, Mark S.; Shilton, Trevor; Jones, Rachel A.; Stanley, Rebecca M.; Sherring, Julie; Toms, Natalie; Eckermann, Simon
- Relation
- The International Journal of Behavioral Nutrition and Physical Activity Vol. 19, Issue 1
- Publisher Link
- http://dx.doi.org/10.1186/s12966-021-01236-2
- Publisher
- BioMed Central
- Resource Type
- journal article
- Date
- 2022
- Description
- BACKGROUND: In 2018, the Australian Government updated the Australian Physical Activity and Sedentary Behaviour Guidelines for Children and Young People. A requirement of this update was the incorporation of a 24-hour approach to movement, recognising the importance of adequate sleep. The purpose of this paper was to describe how the updated Australian 24-Hour Movement Guidelines for Children and Young People (5 to 17 years): an integration of physical activity, sedentary behaviour and sleep were developed and the outcomes from this process. METHODS: The GRADE-ADOLOPMENT approach was used to develop the guidelines. A Leadership Group was formed, who identified existing credible guidelines. The Canadian 24-Hour Movement Guidelines for Children and Youth best met the criteria established by the Leadership Group. These guidelines were evaluated based on the evidence in the GRADE tables, summaries of findings tables and recommendations from the Canadian Guidelines. We conducted updates to each of the Canadian systematic reviews. A Guideline Development Group reviewed, separately and in combination, the evidence for each behaviour. A choice was then made to adopt or adapt the Canadian recommendations for each behaviour or create de novo recommendations. We then conducted an online survey (n=237) along with three focus groups (n=11 in total) and 13 key informant interviews. Stakeholders used these to provide feedback on the draft guidelines. RESULTS: Based on the evidence from the Canadian systematic reviews and the updated systematic reviews in Australia, the Guideline Development Group agreed to adopt the Canadian recommendations and, apart from some minor changes to the wording of good practice statements, maintain the wording of the guidelines, preamble, and title of the Canadian Guidelines. The Australian Guidelines provide evidence-informed recommendations for a healthy day (24-hours), integrating physical activity, sedentary behaviour (including limits to screen time), and sleep for children (5-12 years) and young people (13-17 years). CONCLUSIONS: To our knowledge, this is only the second time the GRADE-ADOLOPMENT approach has been used to develop movement behaviour guidelines. The judgments of the Australian Guideline Development Group did not differ sufficiently to change the directions and strength of the recommendations and as such, the Canadian Guidelines were adopted with only very minor alterations. This allowed the Australian Guidelines to be developed in a shorter time frame and at a lower cost. We recommend the GRADE-ADOLOPMENT approach, especially if a credible set of guidelines that was developed using the GRADE approach is available with all supporting materials. Other countries may consider this approach when developing and/or revising national movement guidelines.
- Subject
- methodology; GRADE-ADOLOPMENT; public health recommendations; guideline development
- Identifier
- http://hdl.handle.net/1959.13/1460850
- Identifier
- uon:46055
- Identifier
- ISSN:1479-5868
- Rights
- © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
- Language
- eng
- Full Text
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