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Dr Mai Chin A Paw

Dept of Public and Occupational Health
EMGO Institute, VU University Medical Center
Amsterdam, The Netherlands

http://www.emgo.nl/

Project title

Determinants of effective interventions: mediators and moderators of school-based interventions aimed at energy balance behaviour (2008/65)

Scientific abstract

Obesity is an established risk factor for many cancers. Particularly alarming are the increasing rates of obesity among children, portending continuing increases in the rates of obesity and obesity-related cancers for many years to come. Obesity is the long-term consequence of a sustained positive energy balance, in which energy intake exceeds energy expenditure. To improve the effectiveness of interventions aimed at improving energy balance behaviours (EBB), there is the need to identify how (analysis of mediators), for whom, and under what circumstances (analysis of moderators) these interventions can lead to improvement of EBB. Few projects have used their data for analysis of mediators of intervention effects (or lack thereof). In addition, few studies have analysed if these effects were more prominent among or restricted to certain subgroups (analysis of moderators). The present study is unique in that it combines data of relevant state-of-the art intervention studies from different countries to address this gap in knowledge.

The study aims to conduct secondary analyses to identify mediators and moderators of school-based EBB interventions. The current study will inform future interventions and guide further research on the mechanisms through which EBB interventions exert their effects. Only by understanding the causes of intervention successes and failures can we systematically improve interventions and thus improve public health.

Project plain language abstract

Obesity is an established risk factor for many cancers. Particularly alarming are the increasing rates of obesity among children, portending continuing increases in the rates of obesity and obesity-related cancers for many years to come. Obesity is the long-term consequence of a sustained positive energy balance, in which energy intake exceeds energy expenditure. To improve the effectiveness of interventions aimed at improving energy balance behaviours (EBB), there is the need to identify how (analysis of mediators), for whom, and under what circumstances (analysis of moderators) these interventions can lead to improvement of EBB. Few projects have used their data for analysis of mediators of intervention effects (or lack thereof). In addition, few studies have analysed if these effects were more prominent among or restricted to certain subgroups (analysis of moderators). The present proposal is unique in that it combines data of relevant state-of-the art intervention studies from different countries to address this gap in knowledge. The proposal aims to conduct secondary analyses to identify mediators and moderators of school-based EBB interventions. The current proposal will inform future interventions and guide further research on the mechanisms through which EBB interventions exert their effects. Only by understanding the causes of intervention successes and failures can we systematically improve interventions and thus improve public health.

Qualifications
Institution and location Degree Year Scientific Field
Groningen University, The Netherlands MSc   1986-1992 Human Movement Science
VU University Medical Center, The Netherlands MSc 1993-1994 Epidemiology
Wageningen University, The Netherlands PhD 1995-1999 Human nutrition and physical activity epidemiology

Previous employment
1999–Present

Senior-researcher/associate professor at the EMGO Institute and Department of Public and Occupational Health, VU University Medical Center, Amsterdam, The Netherlands.

1995–1999 PhD fellow at the department of Human Nutrition and Epidemiology, Wageningen University, The Netherlands.
1993–1995

Research associate, Utrecht University, The Netherlands.


Research interests

Physical activity epidemiology; physical activity interventions; overweight and obesity; nutritional epidemiology.

Dr Mai Chin Paw