A Healthy School Start Plus for prevention of childhood overweight and obesity in disadvantaged areas through parental support in the school setting - study protocol for a parallel group cluster randomised trial

Elinder, Liselotte Schäfer; Patterson, Emma; Nyberg, Gisela; Norman, Åsa

doi:10.1186/s12889-018-5354-4

Cited by 29 publications

(76 citation statements)

References 65 publications

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“…The methods and the materials, such as encouraging low-budget family activities, were designed for the needs of low SES families. At this stage, we used knowledge from previous studies in the Nordic countries [57, 58], and we used the knowledge we had gathered through the focus groups in the autumn of 2014 [28, 29] and workshops in the autumn of 2016. We had workshops with the DAGIS steering group during 2016 and 2017, which yielded valuable knowledge about methods and materials appealing to low SES families.…”

Section: Resultsmentioning

confidence: 99%

Development of the DAGIS intervention study: a preschool-based family-involving study promoting preschoolers’ energy balance-related behaviours and self-regulation skills

et al. 2019

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BackgroundPreschoolers’ energy balance-related behaviours (EBRBs) and self-regulation skills are important for their later health. Few preschool-based interventions aiming to promote preschoolers’ EBRBs and self-regulation skills, simultaneously reducing differences in EBRBs, due to children’s socio-economic status (SES) background, have been conducted. This study will present the Increased Health and Wellbeing in Preschools (DAGIS) intervention development process applying the Intervention Mapping (IM) framework.MethodsThe development of the DAGIS intervention study, a preschool level clustered randomized controlled trial (RCT), was based on the IM framework. The protocol in IM guides the development process of an intervention through six steps: needs assessment and logic model of the problem, programme outcomes and objectives, design of the programme, production, implementation plan, and evaluation plan.ResultsThe needs assessment, part of the step 1 in IM, yielded the base for the DAGIS logic model of change. The model includes objectives related to changes in children’s EBRBs, self-regulation skills, and in psychosocial and physical environment that is determined by parents and early educators. A 22-week programme was developed, and materials for preschools and families were produced. A feasibility study of the recruitment processes, acceptability of the materials and methods, and implementation was conducted. The DAGIS intervention study was conducted September 2017–May 2018 as a clustered RCT including a comprehensive effectiveness and process evaluation. The process evaluation was run throughout the intervention targeting preschools and families.ConclusionA preschool-based family-involving programme was developed in the DAGIS intervention study by applying the IM protocol. It was a time- and resource-consuming process. However, the systematic planning, development, and running of the programme have reinforced a comprehensive evaluation, which is a strength in the intervention. The results from the evaluation will enhance the knowledge of how to promote EBRBs and self-regulation skills among preschoolers, and diminish SES differences in them.Trial registrationISRCTN57165350 (Prospectively registered January the 8th, 2015).

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Section: Resultsmentioning

confidence: 99%

Development of the DAGIS intervention study: a preschool-based family-involving study promoting preschoolers’ energy balance-related behaviours and self-regulation skills

et al. 2019

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“…Collaboration with the local school health nurses and child dentists could provide an effective structural frame to support behaviour change and anchor new initiatives. However, evidence-based prevention strategies in practice within school health services are still limited [ 54 ]. In this multi-component theory-based intervention the effectiveness of disseminating new guidelines on sugar-rich discretionary food and drinks through local school health nurses will be evaluated.…”

Section: Discussionmentioning

confidence: 99%

Reducing Young Schoolchildren’s Intake of Sugar-Rich Food and Drinks: Study Protocol and Intervention Design for “Are You Too Sweet?” A Multicomponent 3.5-Month Cluster Randomised Family-Based Intervention Study

Bestle

Christensen

Trolle

et al. 2020

IJERPH

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A high consumption of sugar-rich discretionary food and drinks has several health implications, which have been traced from childhood into adulthood. Parents act as primary mediators shaping children’s dietary habits, and interventions that engage parents have shown to result in positive outcomes. Further, collaboration with local school health nurses and dentists provides an effective structural frame to support behaviour change and anchor new initiatives. The multicomponent 3.5-month cluster randomised family-focused intervention “Are you too Sweet?” aims to evaluate the effectiveness of communicating new Danish guidelines for sugar-rich discretionary food and drinks for school starters (5–7 years). This paper describes the development, outcomes and process evaluation of the intervention that includes three main components: extended dialogue during a school health nurse consultation, a box with home-use materials, and a social media platform to facilitate interaction among participants. Children (n = 160) and their parents were scheduled for a baseline interview at six different schools. The intervention was developed to increase self-efficacy, knowledge about guidelines, observational learning and reduce impediments for behavioural change. The desired primary outcome was a reduction in intake of sugar-rich food measured through a 7-day dietary record. The results contribute to the evidence on effective health promotion strategies.

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“…In Hybrid I designs quantitative methods are typically used to evaluate intervention or program effectiveness, while mixed methods are used to identify potential implementation barriers and facilitators (37) or to evaluate implementation outcomes such as fidelity, feasibility, and acceptability (29), or reach, adoption, implementation and sustainability (79). For instance, Broder-Fingert and colleagues (7) plan to simultaneously evaluate effectiveness and collect data on implementation of a patient navigation intervention to improve access to services for children with autism spectrum disorders in a two-arm randomized comparative effectiveness trial.…”

Section: Illustrations Of Mixed Methods Designs In Evaluation Researchmentioning

confidence: 99%

Innovations in Mixed Methods Evaluations

Palinkas

Mendon

Hamilton

2019

Annu. Rev. Public Health

204

128

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Mixed methods research—i.e., research that draws on both qualitative and qualitative methods in varying configurations—is well suited to address the increasing complexity of public health problems and their solutions. This review focuses specifically on innovations in mixed methods evaluations of intervention, program or policy (i.e., practice) effectiveness and implementation. The article begins with an overview of the structure, function and process of different mixed methods designs and then provides illustrations of their use in effectiveness studies, implementation studies, and combined effectiveness-implementation hybrid studies. The article then examines four specific innovations: procedures for transforming (or “quantitizing”) qualitative data, applying rapid assessment and analysis procedures in the context of mixed methods studies, development of measures to assess implementation outcomes, and strategies for conducting both random and purposive sampling particularly in implementation-focused evaluation research. The article concludes with an assessment of challenges to integrating qualitative and quantitative data in evaluation research.

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A Healthy School Start Plus for prevention of childhood overweight and obesity in disadvantaged areas through parental support in the school setting - study protocol for a parallel group cluster randomised trial

Cited by 29 publications

References 65 publications

Development of the DAGIS intervention study: a preschool-based family-involving study promoting preschoolers’ energy balance-related behaviours and self-regulation skills

Development of the DAGIS intervention study: a preschool-based family-involving study promoting preschoolers’ energy balance-related behaviours and self-regulation skills

Reducing Young Schoolchildren’s Intake of Sugar-Rich Food and Drinks: Study Protocol and Intervention Design for “Are You Too Sweet?” A Multicomponent 3.5-Month Cluster Randomised Family-Based Intervention Study

Innovations in Mixed Methods Evaluations

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