Browsing by Author "Alessandra Prioreschi"
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Item A qualitative study reporting maternal perceptions of the importance of play for healthy growth and development in the first two years of lifeAlessandra Prioreschi; Stephanie Wrottesley; Wiedaad Slemming; Emmanuel Cohen; Shane NorrisItem Building knowledge, optimising physical and mental health and setting up healthier life trajectories in South African women (Bukhali): a preconception randomised control trial part of the Healthy Life Trajectories Initiative (HeLTI)(2022-03-25) Shane A Norris; Catherine E Draper; Alessandra Prioreschi; CM Smuts; Lisa Jayne Ware; CindyLee Dennis; Philip Awadalla; D Bassani; Zulfiqar Bhutta; Laurent Briollais; D William Cameron; Tobias Chirwa; B Fallon; CM Gray; Jill Hamilton; J Jamison; Heather Jaspan; Jennifer Jenkins; Kathleen Kahn; AP Kengne; Estelle V Lambert; Naomi Levitt; Marie-Claude Martin; Michele Ramsay; Daniel Roth; Stephen Scherer; Daniel Sellen; Wiedaad Slemming; Deborah Sloboda; M Szyf; Stephen Tollman; Mark Tomlinson; Suzanne Tough; Stephen G Matthews; Linda Richter; Stephen Lyeis challenging due to a persistent infectious disease, burgeoning obesity, most notably among women and rising rates of non-communicable diseases (NCDs). With two thirds of women presenting at their first antenatal visit either overweight or obese in urban South Africa (SA), the preconception period is an opportunity to optimise health and offset transgenerational risk of both obesity and NCDs. Methods and analysis Bukhali is the first individual randomised controlled trial in Africa to test the efficacy of a complex continuum of care intervention and forms part of the Healthy Life Trajectories Initiative (HeLTI) consortium implementing harmonised trials in Canada, China, India and SA. Starting preconception and continuing through pregnancy, infancy and childhood, the intervention is designed to improve nutrition, physical and mental health and health behaviours of South African women to offset obesity-risk (adiposity) in their offspring. Women aged 18–28 years (n=6800) will be recruited from Soweto, an urban-poor area of Johannesburg. The primary outcome is dual-energy X-ray absorptiometry derived fat mass index (fat mass divided by height2 ) in the offspring at age 5 years. Community health workers will deliver the intervention randomly to half the cohort by providing health literacy material, dispensing a multimicronutrient supplement, providing health services and feedback, and facilitating behaviour change support sessions to optimise: (1) nutrition, (2) physical and mental health and (3) lay the foundations for healthier pregnancies and early child development. Ethics and dissemination Ethical approval has been obtained from the Human Ethics Research Committee University of the Witwatersrand, Johannesburg, South Africa (M1811111), the University of Toronto, Canada (19-0066-E) and the WHO Ethics Committee (ERC.0003328). Data and biological sample sharing policies are consistent with the governance policy of the HeLTI Consortium (https://helti.org) and South African government legislation (POPIA). The recruitment and research team will obtain informed consent.Item The Canadian Healthy Life Trajectories Initiative HeLTI Trial a study protocol for monitoring fidelity of a preconceptionlifestyle behaviour interventionC Dennis; F Marini; Alessandra Prioreschi; J Dol; C Birken; R BellItem Contextualising individual household and community level factors associated with sugarsweetened beverage intake and screen time in Soweto South AfricaAlessandra Prioreschi; Lisa Ware; Catherine Draper; S Lye; Shane NorrisItem Crosssectional associations between mental health indicators and social vulnerability with physical activity sedentary behaviour and sleep in urban African young womenCatherine Draper; Caylee Cook; Stephanie Redinger; Tamsen Rochat; Alessandra Prioreschi; Dale E. Rae; Lisa Ware; Stephen J. Lye; Shane NorrisItem Determining the perceived acceptability of an intervention designed to improve health literacy around developmentally appropriate play during infancy with a community advisory group of mothers in Soweto South AfricaFiona Bennin; Helene Theunissen; Shane Norris; Alessandra PrioreschiItem Maternal perceptions of infants body weight and childhood obesity in South Africa A qualitative study in SowetoEmmanuel Cohen; Wiedaad Slemming; Stephanie Wrottesley; Alessandra Prioreschi; Shane Norris