The Program SI! intervention for enhancing a healthy lifestyle in preschoolers: first results from a cluster randomized trial

BMC Public Health

Valentín Fuster³  Juliana Redondo¹  Stuart Pocock²  Gloria Santos-Beneit⁴  Mercedes Sotos-Prieto⁴  José L Peñalvo¹ 

[1] Area of Epidemiology and Populations Genetics, Centro Nacional de Investigaciones Cardiovasculares (CNIC), Calle Melchor Fdez Almagro 3, Madrid 28029, Spain;Department of Medical Statistics, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK;Department of Cardiology, Mount Sinai School of Medicine, New York, NY, USA;International SHE Foundation, Barcelona 08037, Spain

关键词: Children’s health;    Health promotion;    Health education;   

Others  :  1161416
DOI  :  10.1186/1471-2458-13-1208

 received in 2013-08-14, accepted in 2013-12-16,  发布年份 2013

【 摘 要 】

Background

Unhealthy lifestyles contribute to the development of cardiovascular risk factors, whose incidence is increasing among children and adolescents. The Program SI! is a long-term, multi-target behavioral intervention to promote healthy lifestyle habits in children through the school environment. The objective of the study is to evaluate the efficacy of this intervention in its first phase, preschoolers.

Methods

Cluster-randomized controlled trial in public schools in the city of Madrid, Spain. A total 24 schools, including 2062 children (3–5 years), 1949 families, and 125 teachers participated in the study. Schools were assigned to their usual school curriculum or to engage in an additional multi-component intervention (Program SI!). The primary outcome of this trial is 1-school year changes from baseline in scores for children’s knowledge, attitudes and habits (KAH). Secondary outcomes are 1-school year changes from baseline in scores for knowledge, attitudes, and habits among parents, teachers, and the school environment.

Results

After 1-school year, our results indicate that the Program SI! intervention increases children’s KAH scores, both overall (3.45, 95% CI, 1.84-5.05) and component-specific (Diet: 0.93, 95% CI, 0.12-1.75; Physical activity: 1.93, 95% CI, 1.17-2.69; Human body: 0.65, 95% CI, 0.07-1.24) score.

Conclusions

The Program SI! is demonstrated as an effective and feasible strategy for increasing knowledge and improving lifestyle attitudes and habits among very young children.

Trial registration

NCT01579708, Evaluation of the Program SI! for Preschool Education: A School-Based Randomized Controlled Trial (Preschool-SI!).

【 授权许可】

   
2013 Peñalvo et al.; licensee BioMed Central Ltd.

【 图 表 】

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