Design, Implementation, and Study Protocol of a Kindergarten-Based Health Promotion Intervention

Inactivity and an unhealthy diet amongst others have led to an increased prevalence of overweight and obesity even in young children. Since most health behaviours develop during childhood health promotion has to start early. The setting kindergarten has been shown as ideal for such interventions. “J...

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Bibliographic Details
Published in:BioMed research international 2017-01, Vol.2017 (2017), p.1-9
Main Authors: Steinacker, Jürgen M., Hermeling, Lina, Kelso, Anne, Friedemann, Eva-Maria, Lämmle, Christine, Dreyhaupt, Jens, Wirt, Tamara, Wartha, Olivia, Kobel, Susanne, Kutzner, Claire
Format: Article
Language:English
Subjects:
Biomedical research
Care and treatment
Child
Child, Preschool
Children & youth
Diet
Exercise - physiology
Families & family life
Feeding Behavior - physiology
Female
Focus groups
Health behavior
Health care
Health Promotion
Humans
Intervention
Kindergarten
Kindergarten students
Male
Management
Nutrition
Obesity
Obesity - physiopathology
Obesity - prevention & control
Overweight - physiopathology
Overweight - prevention & control
Parents & parenting
Planning
Program Evaluation
Theory
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Summary:Inactivity and an unhealthy diet amongst others have led to an increased prevalence of overweight and obesity even in young children. Since most health behaviours develop during childhood health promotion has to start early. The setting kindergarten has been shown as ideal for such interventions. “Join the Healthy Boat” is a kindergarten-based health promotion programme with a cluster-randomised study focussing on increased physical activity, reduced screen media use, and sugar-sweetened beverages, as well as a higher fruit and vegetable intake. Intervention and materials were developed using Bartholomew’s Intervention Mapping approach considering Bandura’s social-cognitive theory and Bronfenbrenner’s ecological framework for human development. The programme is distributed using a train-the-trainer approach and currently implemented in 618 kindergartens. The effectiveness of this one-year intervention with an intervention and a control group will be examined in 62 kindergartens using standardised protocols, materials, and tools for outcome and process evaluation. A sample of 1021 children and their parents provided consent and participated in the intervention. Results of this study are awaited to give a better understanding of health behaviours in early childhood and to identify strategies for effective health promotion. The current paper describes development and design of the intervention and its implementation and planned evaluation. Trial Registration. The study is registered at the German Clinical Trials Register (DRKS), Freiburg University, Germany, ID: DRKS00010089.
ISSN:2314-6133
2314-6141
DOI:10.1155/2017/4347675