Scandinavian Journal of Public Health (Journal)

Activity: Editorial work and peer reviewPeer review of manuscriptsResearch

Description

Abstract:

Background and purpose: The lack of effective school-based interventions for

The lack of effective school-based interventions for

preventing obesity in children has caused a call for longer duration of interventions and

better reporting on design and evaluation methodology. The purpose of this paper is to

present the development of the intervention, the design of the effectiveness study and the

test-retest reliability of the main outcome measures in the HEIA-study.

Methods/design: The HEIA-intervention program was developed based on literature

The HEIA-intervention program was developed based on literature

reviews, a social ecological framework and focus groups. The intervention aimed to

increase total physical activity (PA) and consumption of fruit and vegetables, and to

decrease screen time and consumption of sugar-sweetened beverages. The intervention

program consisted of a classroom component including; dietary behaviour lessons,

computer tailoring, fruit/vegetable and PA breaks and posters, and an environmental

component of; active transport campaigns, equipment, suggestions for easy

improvements of schoolyards, inspirational courses for teachers (all with regards to PA),

and facts sheets to parents. The effect of the intervention program is evaluated in a cluster

randomized controlled trial design (intervention=12 schools, control=25 schools)

including process evaluation. Main outcomes include anthropometry, PA, screen time and

consumption of fruit, vegetables and sugar-sweetened beverages. A two week test-retest

study was conducted among 114 pupils. Determinants of the behaviours were assessed.

Similar data were collected from parents. Children's PA was measured objectively by

accelerometers.

Conclusion: The HEIA-study represents a theoretically informed randomized trial

The HEIA-study represents a theoretically informed randomized trial

comprising a comprehensive set of multilevel intervention components with a thorough

evaluation using reliable outcome measures. The study will contribute to a better

understanding of determinants of healthy weight development among young people and

how such determinants can be modified.


Emneord: intervention, obesity, child or adolescent health Titel: Scandinavian Journal of Public Health Undertitel: Scandinavian Journal of Public Health Antal sider: 26
Period1. Jan 2010
Type of journalJournal
ISSN1403-4948