Obesity, Physical Activity
Conditions
Keywords
preschool, participatory intervention, cluster-randomization, children, obesity prevention
Brief summary
The aim of this study is to test whether a parent-focused participatory intervention in addition to gym lessons can enhance preschoolers physical activity compared to gym lessons alone.
Detailed description
Over the last 20 years, physical activity (PA) in children has rapidly decreased in both developed and developing nations. More effective interventions to prevent inactivity in childhood thus are urgently needed. The preschool years, including the adiposity rebound period, might represent a good window of opportunity. Study literature suggests that targeting parents is crucial for lasting changes in young childrens' behavior. However, it is not known which methods are effective for involving parents in physical activity promotion. Consistent with experience from community-based participatory research, encouraging parents to participate the intervention in terms of content and structure might lead to higher intervention effectivity and sustainability. In our study, we therefore enriched a child-centered physical activity intervention in preschools (twice weekly gym lessons over 6 months) with a parent-focused participatory community intervention component.
Interventions
BEHAVIORALparent-focused intervention
The core of the parent-focused intervention is a menu of 15 easy to realize project ideas to promote the everyday physical activity of children and families. The 15 ideas are presented to the parents and teachers via a webpage, a printed book and a film. During a face-to-face meeting, parents and teachers are guided into discussions of their own preschool environment's and community's physical activity shortcomings and encouraged to generate their own ideas of how to enhance the physical activity of their families and preschools. Over the course of three structured follow-up meetings, parents and teachers are instructed to choose maximally 3 to 4 ideas from either the menu or the network's own ideas, and then are empowered to realize and implement them together.
BEHAVIORALtwice weekly gym lessons
twice weekly one-hour gym lessons delivered by a specially trained external physical education teacher over 6 months
Sponsors
Baden-Württemberg Stiftung gGmbH
Universitätsmedizin Mannheim
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
3 Years to 6 Years
Healthy volunteers
Yes
Inclusion criteria
* age 3-6 years
Exclusion criteria
* severe atopic dermatitis, * serious acute infectious diseases, * physical malformations, and * severe physical disabilities.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Absolute change in mean accelerometry counts over 6 days | baseline, end of intervention, six months after end of intervention |
Secondary
| Measure | Time frame |
|---|---|
| Body Mass Index | baseline, end of intervention, six months after end of intervention |
Countries
Germany
Outcome results
None listed