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7070601 
Journal Article 
Protocol for Healthy Habits Happy Homes (4H) Scotland: feasibility of a participatory approach to adaptation and implementation of a study aimed at early prevention of obesity 
Chter, RB; Betsch, C; Ehrlich, M; Fechtelpeter, D; Grouven, U; Keller, S; Meuer, R; Rossmann, C; Waltering, A; ,; Gillespie, J; Hughes, A; Gibson, AM; Haines, J; Taveras, E; Reilly, JJ; , 
2019 
BMJ Open
EISSN: 2044-6055 
BMJ PUBLISHING GROUP 
LONDON 
English 
Prevention of childhood obesity is an important public health objective. Promoting healthful energy balance related behaviours (EBRBs) in the early years should be a key focus. In Scotland, one in five children are overweight or obese by age 5 years, with levels highest in deprived areas. This study protocol outlines the stages of a feasibility study to translate the highly promising North American Healthy Habits, Happy Homes (4H) a home based, preschool childhood obesity prevention intervention to Scotland (4H Scotland). First, elements of participatory and co-production approaches utilised to: (a) engage key stakeholders, (b) enable inclusive recruitment of participants and (c) adapt original study materials. Second, 4H Scotland intervention will be tested within a community experiencing health/social inequalities and high levels of deprivation in Dundee, Scotland.