Caroline Heary

Caroline Heary
University of Galway | NUI Galway · School of Psychology

About

121
Publications
41,643
Reads
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1,676
Citations
Citations since 2017
81 Research Items
1141 Citations
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2017201820192020202120222023050100150200250
2017201820192020202120222023050100150200250
2017201820192020202120222023050100150200250
Additional affiliations
November 2003 - present
University of Galway
Position
  • Lecturer; Co-Director of the MSc in Health Psychology; Co-Director of the PhD in Child & Youth Research

Publications

Publications (121)
Chapter
Full-text available
Policy makers developing obesity policies should assess and reflect on their own attitudes and beliefs related to obesity 1. • Public health policy makers should avoid using stigmatising language and images. It is well established that shaming does not change behaviours. In fact, shaming can increase the likelihood of individuals pursuing unhealthy...
Article
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Background: This Clinical Practice Guideline (CPG) for the management of obesity in adults in Ireland, adapted from the Canadian CPG, defines obesity as a complex chronic disease characterised by excess or dysfunctional adiposity that impairs health. The guideline reflects substantial advances in the understanding of the determinants, pathophysiol...
Article
Full-text available
Background: Weight stigma is enacted by healthcare providers across healthcare settings where it has been consistently shown to contribute to poor physical health outcomes and the maintenance of obesity via physiological, cognitive, emotional and behavioural pathways. Despite key stakeholders identifying obesity as a disease, people with obesity co...
Article
‘Fussy eating’ behaviours are associated with increased mealtime stress, less family meals, and are considered a barrier to improving children's diets. A better understanding of these behaviours is critical to enable families to have more nutritious and enjoyable meals. Children's perspectives have not been adequately reported due to parents being...
Article
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Purpose Parents do not always seek timely help for adolescents when the need arises. Although interventions to increase parental help-seeking have been evaluated and published, no systematic review of these interventions has been conducted. The aim of this systematic review is to collate, synthesise, and evaluate research on help-seeking interventi...
Article
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Supporting an adolescent who has an emotional or behavioural disorder is challenging for parents. This article reports the findings of a qualitative study of parents’ perceptions of stigma associated with parenting an adolescent with a diagnosis of ADHD or depression. 40 parents (28 mothers and 12 fathers) took part in semi-structured interviews. T...
Article
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Objective: Marginalised populations are less likely to take part in health research, and are sometimes considered 'easy to ignore'. We aimed to describe our approach and results of recruiting parents who experience disadvantage, for focus groups exploring infant feeding on the island of Ireland. Upon receiving ethical approval, we implemented recr...
Article
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Parents and peers play a key role in adolescents' physical activity (PA). However, limited research has explored whether the processes by which significant others impact male and female adolescents' PA differs across discrete patterns of PA participation. This study examined whether parent and peer support, pressure, acceptance and teasing were ass...
Article
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Objective: Early-life nutrition plays a key role in establishing healthy lifestyles and preventing chronic disease. This study aimed to 1) explore healthcare professionals’ (HCP) opinions on the acceptability of and factors influencing the delivery of interventions to promote healthy infant feeding behaviours within primary care, and 2) identify pr...
Article
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Background: Standardisation of outcomes measured and reported in trials of infant-feeding interventions to prevent childhood obesity is essential to evaluate and synthesise intervention effects. The aim of this study is to develop an infant-feeding core outcome set for use in randomised trials of infant-feeding interventions, with children ≤1 year...
Article
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50 free copies available: https://www.tandfonline.com/eprint/CZXM9KQVXRK6VEST6SVU/full?target=10.1080/2159676X.2020.1795706 A greater understanding of the mechanisms underpinning motivation for team sport during adolescence, a period when search for identity intensifies, is necessary to promote sport involvement amidst declining rates of participa...
Technical Report
Full-text available
Policy brief to accompany "“They Just Need to Come Down a Little Bit to Your Level”: A Qualitative Study of Parents’ Views and Experiences of Early Life Interventions to Promote Healthy Growth and Associated Behaviours"
Article
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Full access available at: https://t.co/FlISIG3wPR?amp=1 Physical activity levels decline during adolescence; however, some individuals initiate or maintain physical activity participation during this period of life. Socialisation impacts physical activity participation, yet few studies have explored the role of parental and peer processes concurre...
Article
Full-text available
The first 1000 days is a critical window of opportunity to promote healthy growth and associated behaviours. Health professionals can play an important role, in part due to the large number of routine contacts they have with parents. There is an absence of research on the views of parents towards obesity prevention and the range of associated behav...
Technical Report
Full-text available
Policy Brief to accompany the following article: Hennessy, M, Heary, C, Laws, R, Van Rhoon L, Toomey E, Wolstenholme H, Byrne B. The effectiveness of health professional‐delivered interventions during the first 1000 days to prevent overweight/obesity in children: A systematic review. Obesity Reviews. 2019; 20(12):1691-1707. https://doi.org/10.111...
Article
Aim: This study aimed to examine the factorial validity and reliability of the Peer Mental Health Stigmatization Scale (PMHSS) in adolescents and young adults. Methods: Young people (N = 963) aged 12 to 25 years (M = 16.1, SD = 3.08) were recruited across two studies. Study 1 included adolescents (n = 776) recruited from secondary schools and st...
Article
Objectives and Design: There is growing recognition of the need for effective behaviour change interventions to prevent chronic diseases that are feasible and sustainable and can be implemented within routine health care systems. Focusing on implementation from the outset of intervention development, and incorporating multiple stakeholder perspecti...
Article
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Abstract Fussy/picky eating behaviours are common across childhood. Recent reviews of the fussy eating literature focus on quantitative research and do not adequately account for families’ subjective experiences, perceptions and practices. This review aims to synthesise the increasing volume of qualitative work on fussy eating. A systematic search...
Article
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Introduction Juvenile idiopathic arthritis (JIA) negatively affects adolescents’ everyday activities. To address the need for innovative, effective, convenient, low-cost psychosocial self-management programmes, we developed an Irish version of Canadian Teens Taking Charge (TTC) and integrated it with Skype-based peer support iPeer2Peer (iP2P). Obj...
Technical Report
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This report presents a retrospective review of the first year of implementation of New Directions as the model of day service provision in Ireland. The evaluation explored the perspectives of the service users, their families and staff members, who attended three service locations; 2 city based services and one rural community based service, locate...
Article
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Background: Childhood obesity prevention interventions delivered by health professionals during the first 1,000 days of life show some evidence of effectiveness, particularly in relation to behavioural outcomes. External validity refers to how generalisable interventions are to populations or settings beyond those in the original study. The degree...
Presentation
Full-text available
Background: Childhood obesity is a global public health challenge. While early intervention is advocated, research on the views of parents, including fathers, in this area is limited. Developed with the input of a parent advisory group, this study examines parents’ views on healthy growth and associated behaviours, and specifically health professio...
Article
Childhood obesity is a global public health challenge. Early prevention, particularly during the first 1000 days, is advocated. Health professionals have a role to play in obesity prevention efforts, in part due to the multiple routine contacts they have with parents. We synthesized the evidence for the effectiveness of obesity prevention intervent...
Article
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Introduction Childhood obesity is a public health challenge. There is evidence for associations between parents’ feeding behaviours and childhood obesity risk. Primary care provides a unique opportunity for delivery of infant feeding interventions for childhood obesity prevention. Implementation strategies are needed to support infant feeding inter...
Article
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Childhood obesity is a significant public health challenge, yet research priorities for childhood obesity prevention are not established. Coproduction of priorities leads to research which may be more translatable to the domains of policy and practice. The aim of the present study was to identify knowledge gaps and research priorities in addition t...
Preprint
Full-text available
Background: Childhood obesity prevention interventions delivered by health professionals during the first 1,000 days show some evidence of effectiveness, particularly in relation to behavioural outcomes. External validity refers to how generalisable interventions are to populations or settings beyond those in the original study. The degree to which...
Conference Paper
Background: The first 1,000 days is a critical window of opportunity for promoting healthy growth and associated behaviours in young children. Health professionals have a role to play in interventions, in part due to the multiple routine contacts they have with parents. While reviews to date have synthesised the evidence for the effectiveness of ob...
Presentation
Full-text available
Childhood obesity is a global public health challenge. Early intervention, particularly during the first 1,000 days, is advocated. Health professionals have a role to play in obesity prevention efforts, in part due to the multiple routine contacts they have with parents. During her talk, Marita will provide an overview of her three PhD studies: a c...
Article
Background: Fussy eating is the unwillingness to eat both familiar and novel foods. Childhood fussy eating can be a barrier to a healthful diet and is associated with mealtime stress and conflict. Research has primarily focused on parenting practices in response to fussy eating in pre-schoolers. Less is known about parenting practices and family p...
Article
The conceptual basis of early childhood feeding interventions for obesity prevention is poorly understood. The aim of this systematic review is to characterise these interventions’ use of behaviour change techniques (BCTs) and psychological theory, focusing on interventions delivered by healthcare professionals for children ≤ 2 years. We searched s...
Presentation
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This presentation was delivered as part of NUI Galway's Threesis Competition (Heat 1): 3 slides, 3 minutes, 3 judges. It provides an overview of my PhD research.
Article
Background Modifiable parental feeding behaviours are implicated in the development of childhood obesity. A lack of outcome standardisation across trials of infant feeding interventions limits examination of intervention effects and mechanisms of change. Core outcome sets (COS) are an agreed-upon minimum set of outcomes that should be measured in t...
Article
Background Childhood obesity is an urgent global concern with a complex multifactorial aetiology. Infant feeding behaviours are a potential target for childhood obesity prevention. However, evidence for the effectiveness of interventions to improve infant feeding behaviours is inconsistent, and knowledge of how interventions have been implemented,...
Article
Introduction & Purpose: Childhood obesity is a public health challenge, yet research priorities are not established. Co-production of priorities leads to research which may be more translatable to the domains of policy and practice. The aim of this study was to co-create priorities for childhood obesity prevention research and knowledge about facil...
Article
Introduction & Purpose: In 2014, over 41 million children worldwide were overweight /obese. Several factors identifiable during the first 1,000 days are associated with the development of overweight/obesity; increasingly these are intervention targets. Parents of young children have multiple routine contacts with health professionals during this pe...
Poster
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Research snapshot of Toomey, E., Matvienko-Sikar, K., Heary, C., Delaney, L., Queally, M., C, B. H., . . . Byrne, M. (2018). Intervention Fidelity Within Trials of Infant Feeding Behavioral Interventions to Prevent Childhood Obesity: A Systematic Review. Ann Behav Med. doi:10.1093/abm/kay021
Poster
Full-text available
Background: Childhood obesity is a prominent global health issue yet research priorities are not yet established. Co-production of priorities leads to research which may be more translatable to the domains of policy and practice. The aim of this study was to co-create priorities for childhood obesity prevention research and barriers and facilitator...
Presentation
Background: We conducted a systematic review to assess the effectiveness of health professional-delivered interventions which aim to reduce the risk of overweight and obesity in children aged two years and under and to explore what behaviour change theories and techniques were associated with intervention outcomes. Methods: Systematic searches of...
Article
Synthesis of effects of infant feeding interventions to prevent childhood obesity is limited by outcome measurement and reporting heterogeneity. Core outcome sets (COS) represent standardised approaches to outcome selection and reporting. The aim of this review is to identify feeding outcomes used in infant feeding studies to inform an infant feedi...
Technical Report
Full-text available
Policy Brief to accompany the following article: Hennessy M, Byrne M, Laws R, Mc Sharry J, O’Malley G, Heary C. (2018) Childhood obesity prevention: priority areas for future research and barriers and facilitators to knowledge translation, coproduced using the nominal group technique. Translational Behavioral Medicine. Advance online publication....
Presentation
Full-text available
Presentation delivered at the INTeRACT for Health Workshop to showcase an example of a researcher working with practitioners/policymakers to maximise integrated knowledge translation for impact. The aim of the workshop was for the Health Behaviour Change Research Group at NUI Galway and Strategic Planning and Transformation in the Health Service...
Poster
Full-text available
To identify and prioritise policy-relevant knowledge gaps for childhood obesity prevention research, by leveraging the collective expertise of a range of stakeholders including national and international researchers, policymakers, and practitioners. Childhood obesity is a prominent global health issue yet research priorities are not yet established...
Article
Background Intervention fidelity refers to whether an intervention has been implemented as intended. Trials of infant feeding behavioral interventions to prevent childhood obesity show inconsistent evidence of effectiveness. However, intervention fidelity has not been previously explored within these trials, limiting interpretation of findings. Pu...
Article
Objectives: The aim of the current research was to compare the relative efficacy of interactive and passive distraction, with or without parental psychoeducation, on child pain and distress during a venepuncture. We also compared the effect of parental psychoeducation on parental distress, knowledge of distraction strategies and engagement in dist...
Presentation
Full-text available
Threesis presentation of the current status of my third PhD study 'Parents views on healthy growth in young children', delivered at the School of Psychology Research Day 2018
Article
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Interventions to prevent childhood obesity increasingly focus on infant feeding but demonstrate inconsistent effects. A comprehensive qualitative evidence synthesis is essential to better understand feeding behaviours and inform intervention development. The aim of this study is to synthesise evidence on perceptions and experiences of infant feedin...
Article
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Background: Bariatric surgery is the most effective treatment for severe obesity. However, following Roux-en-Y gastric bypass (RYGB) surgery, a small minority of patients develop new-onset alcohol use disorder (AUD), the aetiology of which is poorly understood. Aim: The aim is to construct a theory to explain the development of AUD among a sampl...
Presentation
Full-text available
The aim of this study was to co-create policy-relevant priorities for childhood obesity prevention research using nominal group technique conducted through two-day multi-stakeholder consensus-building workshop hosted during the Association for the Study of Obesity on the island of Ireland’s 2017 conference. Participants contributed, to varying degr...
Article
Background: Interventions to prevent childhood obesity increasingly focus on infant feeding, but demonstrate inconsistent effects. A comprehensive qualitative evidence synthesis is essential to better understand feeding behaviours and inform intervention development. The aim of this study is to synthesize evidence on perceptions and experiences of...
Article
Full-text available
Many children and teenagers living with mental health problems experience stigma from within their peer group, yet this remains an under-researched topic in developmental science and the broader mental health literature. This paper highlights the limitations of adopting measures, concepts and theories that have exclusively emanated from the adult m...
Presentation
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Overview of the Irish Research Council-funded project ”POCKETS - Prevention of Obesity in Childhood: Knowledge Exchange and TranSlation”. This project involved the co-creation of research priorities for childhood obesity prevention.
Article
Full-text available
Background Childhood obesity is a significant public health challenge that affects approximately one in five children worldwide. Infant feeding practices are implicated in the aetiology of childhood obesity. Infant feeding interventions for childhood obesity are increasingly popular but outcome reporting is inconsistent across trials. Lack of stand...
Poster
Full-text available
Background: This review aims to synthesise the evidence for the effectiveness of health professional-delivered interventions which aim to reduce the risk of overweight and obesity in children under the age of two. Our objectives are to: (1) conduct a systematic review to evaluate the evidence for such interventions, and (2) explore what behaviour c...
Poster
Full-text available
Developing an evidence-­based pilot infant feeding behaviours intervention for childhood obesity in primary The CHErIsH Study
Article
Purpose: There is general consensus that adults under age 65 with acquired brain injury residing in nursing homes is inappropriate, however there is a limited evidence base on the issue. Previous research has relied heavily on third-party informants and qualitative studies have been of questionable methodological quality, with no known study adopt...
Article
Full-text available
Background: Neglecting to take account of the underlying context or type of physical activity (PA) that underpins overall involvement has resulted in a limited understanding of adolescents’ PA participation. The purpose of the present research was to identify male and female adolescents’ leisure time PA patterns and examine whether psychological pr...
Article
Research indicates that adolescents who experience mental health difficulties are frequently stigmatised by their peers. Stigmatisation is associated with a host of negative social and psychological effects, which impacts a young person's well-being. As a result, the development of effective anti-stigma strategies is considered a major research pri...
Presentation
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My PhD context Research, policy and practice SPHeRE national and international placements This presentation provides an overview of: my PhD context, including research, policy and practice developments; the national and international placements I undertook over the past year; my PhD studies; reflections on the journey so far.
Presentation
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Digital poster (5-minute oral presentation) outlining the protocol for a systematic review of the effectiveness of early life behavioural interventions delivered by health professionals to prevent overweight/obesity.
Presentation
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Presentation given during international placement with Dr Rachel Laws, NHMRC Early Career Research Fellow, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Melbourne, Australia.
Poster
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Poster outlines progress to date with the systematic review ”The effectiveness of health professional-delivered interventions to reduce the risk of overweight/obesity in children under the age of two: a systematic review of randomised controlled trials”.
Presentation
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Results of a systematic review of the implementation fidelity of infant feeding interventions to prevent childhood obesity
Poster
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Update on systematic review of interventions delivered by health professionals from conception to age two to prevent childhood overweight/obesity
Presentation
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This presentation gives an overview of the background, rationale and aims of the HRB Interdisciplinary Capacity Enhancement (ICE) Childhood Obesity project that aims to target childhood obesity through the development of an infant feeding intervention