Effect and process evaluation of a kindergarten-based, family-involved intervention with a randomized cluster design on sedentary behaviour in 4- to 6- year old European preschool children: The ToyBox-study
The aim of the present study evaluated the effect and process of the ToyBox-intervention on proxy-reported sedentary behaviours in 4- to 6-year-old preschoolers from six European countries. In total, 2434 preschoolers' parents/primary caregivers (mean age: 4.7±0.4 years, 52.2% boys) filled out...
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| Veröffentlicht in: | PloS one 2017-04, Vol.12 (4), p.e0172730-e0172730 |
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| creator | Latomme, Julie Cardon, Greet De Bourdeaudhuij, Ilse Iotova, Violeta Koletzko, Berthold Socha, Piotr Moreno, Luis Androutsos, Odysseas Manios, Yannis De Craemer, Marieke |
| description | The aim of the present study evaluated the effect and process of the ToyBox-intervention on proxy-reported sedentary behaviours in 4- to 6-year-old preschoolers from six European countries.
In total, 2434 preschoolers' parents/primary caregivers (mean age: 4.7±0.4 years, 52.2% boys) filled out a questionnaire, assessing preschoolers' sedentary behaviours (TV/DVD/video viewing, computer/video games use and quiet play) on weekdays and weekend days. Multilevel repeated measures analyses were conducted to measure the intervention effects. Additionally, process evaluation data were included to better understand the intervention effects.
Positive intervention effects were found for computer/video games use. In the total sample, the intervention group showed a smaller increase in computer/video games use on weekdays (ß = -3.40, p = 0.06; intervention: +5.48 min/day, control: +8.89 min/day) and on weekend days (ß = -5.97, p = 0.05; intervention: +9.46 min/day, control: +15.43 min/day) from baseline to follow-up, compared to the control group. Country-specific analyses showed similar effects in Belgium and Bulgaria, while no significant intervention effects were found in the other countries. Process evaluation data showed relatively low teachers' and low parents' process evaluation scores for the sedentary behaviour component of the intervention (mean: 15.6/24, range: 2.5-23.5 and mean: 8.7/17, range: 0-17, respectively). Higher parents' process evaluation scores were related to a larger intervention effect, but higher teachers' process evaluation scores were not.
The ToyBox-intervention had a small, positive effect on European preschoolers' computer/video games use on both weekdays and weekend days, but not on TV/DVD/video viewing or quiet play. The lack of larger effects can possibly be due to the fact that parents were only passively involved in the intervention and to the fact that the intervention was too demanding for the teachers. Future interventions targeting preschoolers' behaviours should involve parents more actively in both the development and the implementation of the intervention and, when involving schools, less demanding activities for teachers should be developed.
clinicaltrials.gov NCT02116296. |
| doi_str_mv | 10.1371/journal.pone.0172730 |
| format | Article |
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In total, 2434 preschoolers' parents/primary caregivers (mean age: 4.7±0.4 years, 52.2% boys) filled out a questionnaire, assessing preschoolers' sedentary behaviours (TV/DVD/video viewing, computer/video games use and quiet play) on weekdays and weekend days. Multilevel repeated measures analyses were conducted to measure the intervention effects. Additionally, process evaluation data were included to better understand the intervention effects.
Positive intervention effects were found for computer/video games use. In the total sample, the intervention group showed a smaller increase in computer/video games use on weekdays (ß = -3.40, p = 0.06; intervention: +5.48 min/day, control: +8.89 min/day) and on weekend days (ß = -5.97, p = 0.05; intervention: +9.46 min/day, control: +15.43 min/day) from baseline to follow-up, compared to the control group. Country-specific analyses showed similar effects in Belgium and Bulgaria, while no significant intervention effects were found in the other countries. Process evaluation data showed relatively low teachers' and low parents' process evaluation scores for the sedentary behaviour component of the intervention (mean: 15.6/24, range: 2.5-23.5 and mean: 8.7/17, range: 0-17, respectively). Higher parents' process evaluation scores were related to a larger intervention effect, but higher teachers' process evaluation scores were not.
The ToyBox-intervention had a small, positive effect on European preschoolers' computer/video games use on both weekdays and weekend days, but not on TV/DVD/video viewing or quiet play. The lack of larger effects can possibly be due to the fact that parents were only passively involved in the intervention and to the fact that the intervention was too demanding for the teachers. Future interventions targeting preschoolers' behaviours should involve parents more actively in both the development and the implementation of the intervention and, when involving schools, less demanding activities for teachers should be developed.
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In total, 2434 preschoolers' parents/primary caregivers (mean age: 4.7±0.4 years, 52.2% boys) filled out a questionnaire, assessing preschoolers' sedentary behaviours (TV/DVD/video viewing, computer/video games use and quiet play) on weekdays and weekend days. Multilevel repeated measures analyses were conducted to measure the intervention effects. Additionally, process evaluation data were included to better understand the intervention effects.
Positive intervention effects were found for computer/video games use. In the total sample, the intervention group showed a smaller increase in computer/video games use on weekdays (ß = -3.40, p = 0.06; intervention: +5.48 min/day, control: +8.89 min/day) and on weekend days (ß = -5.97, p = 0.05; intervention: +9.46 min/day, control: +15.43 min/day) from baseline to follow-up, compared to the control group. Country-specific analyses showed similar effects in Belgium and Bulgaria, while no significant intervention effects were found in the other countries. Process evaluation data showed relatively low teachers' and low parents' process evaluation scores for the sedentary behaviour component of the intervention (mean: 15.6/24, range: 2.5-23.5 and mean: 8.7/17, range: 0-17, respectively). Higher parents' process evaluation scores were related to a larger intervention effect, but higher teachers' process evaluation scores were not.
The ToyBox-intervention had a small, positive effect on European preschoolers' computer/video games use on both weekdays and weekend days, but not on TV/DVD/video viewing or quiet play. The lack of larger effects can possibly be due to the fact that parents were only passively involved in the intervention and to the fact that the intervention was too demanding for the teachers. Future interventions targeting preschoolers' behaviours should involve parents more actively in both the development and the implementation of the intervention and, when involving schools, less demanding activities for teachers should be developed.
clinicaltrials.gov NCT02116296.</description><subject>Abbreviations</subject><subject>Adolescents</subject><subject>Age</subject><subject>Alcoholic beverages</subject><subject>Antibodies</subject><subject>Arches</subject><subject>Behavior</subject><subject>Belgium</subject><subject>Biology and Life Sciences</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body weight</subject><subject>Bulgaria</subject><subject>Cadmium</subject><subject>Caregivers</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Children & youth</subject><subject>Childrens television</subject><subject>Clinical trials</subject><subject>Clusters</subject><subject>Colleges & universities</subject><subject>Computer & video games</subject><subject>Computer and Information Sciences</subject><subject>Computers</subject><subject>Consoles</subject><subject>Data acquisition</subject><subject>Data collection</subject><subject>Data processing</subject><subject>Decision analysis</subject><subject>Defensive behavior</subject><subject>Design</subject><subject>Dietetics</subject><subject>Drinking behavior</subject><subject>Education</subject><subject>Energy balance</subject><subject>Energy expenditure</subject><subject>Energy intake</subject><subject>Ethnic factors</subject><subject>European Continental Ancestry Group - statistics & numerical data</subject><subject>Evaluation</subject><subject>Exploration</subject><subject>Families & family life</subject><subject>Female</subject><subject>Health Behavior - physiology</subject><subject>Health promotion</subject><subject>Humans</subject><subject>Intervention</subject><subject>Luteinizing hormone</subject><subject>Male</subject><subject>Mental disorders</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Optical disks</subject><subject>Parents</subject><subject>Parents & parenting</subject><subject>Parents - education</subject><subject>People and Places</subject><subject>Physical activity</subject><subject>Physical Sciences</subject><subject>Physical training</subject><subject>Posture</subject><subject>Preschool children</subject><subject>Preschool education</subject><subject>Program Evaluation - statistics & numerical data</subject><subject>Psychology</subject><subject>Public health</subject><subject>Schools</subject><subject>Sedentary Behavior</subject><subject>Sexually transmitted diseases</subject><subject>Sports medicine</subject><subject>STD</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Sustainability</subject><subject>Television</subject><subject>Toothbrushing</subject><subject>Training</subject><subject>Video Games</subject><subject>Viewing</subject><subject>Water 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and process evaluation of a kindergarten-based, family-involved intervention with a randomized cluster design on sedentary behaviour in 4- to 6- year old European preschool children: The ToyBox-study</title><author>Latomme, Julie ; Cardon, Greet ; De Bourdeaudhuij, Ilse ; Iotova, Violeta ; Koletzko, Berthold ; Socha, Piotr ; Moreno, Luis ; Androutsos, Odysseas ; Manios, Yannis ; De Craemer, Marieke</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c622t-7926b8cdb535a43665b9eb57281836eef96109d56e05e87a3644823ea157e3313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abbreviations</topic><topic>Adolescents</topic><topic>Age</topic><topic>Alcoholic beverages</topic><topic>Antibodies</topic><topic>Arches</topic><topic>Behavior</topic><topic>Belgium</topic><topic>Biology and Life Sciences</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body 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Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Latomme, Julie</au><au>Cardon, Greet</au><au>De Bourdeaudhuij, Ilse</au><au>Iotova, Violeta</au><au>Koletzko, Berthold</au><au>Socha, Piotr</au><au>Moreno, Luis</au><au>Androutsos, Odysseas</au><au>Manios, Yannis</au><au>De Craemer, Marieke</au><au>Buchowski, Maciej</au><aucorp>ToyBox-study group</aucorp><aucorp>On behalf of ToyBox-study group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect and process evaluation of a kindergarten-based, family-involved intervention with a randomized cluster design on sedentary behaviour in 4- to 6- year old European preschool children: The ToyBox-study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2017-04-05</date><risdate>2017</risdate><volume>12</volume><issue>4</issue><spage>e0172730</spage><epage>e0172730</epage><pages>e0172730-e0172730</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The aim of the present study evaluated the effect and process of the ToyBox-intervention on proxy-reported sedentary behaviours in 4- to 6-year-old preschoolers from six European countries.
In total, 2434 preschoolers' parents/primary caregivers (mean age: 4.7±0.4 years, 52.2% boys) filled out a questionnaire, assessing preschoolers' sedentary behaviours (TV/DVD/video viewing, computer/video games use and quiet play) on weekdays and weekend days. Multilevel repeated measures analyses were conducted to measure the intervention effects. Additionally, process evaluation data were included to better understand the intervention effects.
Positive intervention effects were found for computer/video games use. In the total sample, the intervention group showed a smaller increase in computer/video games use on weekdays (ß = -3.40, p = 0.06; intervention: +5.48 min/day, control: +8.89 min/day) and on weekend days (ß = -5.97, p = 0.05; intervention: +9.46 min/day, control: +15.43 min/day) from baseline to follow-up, compared to the control group. Country-specific analyses showed similar effects in Belgium and Bulgaria, while no significant intervention effects were found in the other countries. Process evaluation data showed relatively low teachers' and low parents' process evaluation scores for the sedentary behaviour component of the intervention (mean: 15.6/24, range: 2.5-23.5 and mean: 8.7/17, range: 0-17, respectively). Higher parents' process evaluation scores were related to a larger intervention effect, but higher teachers' process evaluation scores were not.
The ToyBox-intervention had a small, positive effect on European preschoolers' computer/video games use on both weekdays and weekend days, but not on TV/DVD/video viewing or quiet play. The lack of larger effects can possibly be due to the fact that parents were only passively involved in the intervention and to the fact that the intervention was too demanding for the teachers. Future interventions targeting preschoolers' behaviours should involve parents more actively in both the development and the implementation of the intervention and, when involving schools, less demanding activities for teachers should be developed.
clinicaltrials.gov NCT02116296.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28380053</pmid><doi>10.1371/journal.pone.0172730</doi><tpages>e0172730</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2017-04, Vol.12 (4), p.e0172730-e0172730 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1884460692 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Abbreviations Adolescents Age Alcoholic beverages Antibodies Arches Behavior Belgium Biology and Life Sciences Body mass Body mass index Body weight Bulgaria Cadmium Caregivers Child, Preschool Children Children & youth Childrens television Clinical trials Clusters Colleges & universities Computer & video games Computer and Information Sciences Computers Consoles Data acquisition Data collection Data processing Decision analysis Defensive behavior Design Dietetics Drinking behavior Education Energy balance Energy expenditure Energy intake Ethnic factors European Continental Ancestry Group - statistics & numerical data Evaluation Exploration Families & family life Female Health Behavior - physiology Health promotion Humans Intervention Luteinizing hormone Male Mental disorders Nutrition Obesity Optical disks Parents Parents & parenting Parents - education People and Places Physical activity Physical Sciences Physical training Posture Preschool children Preschool education Program Evaluation - statistics & numerical data Psychology Public health Schools Sedentary Behavior Sexually transmitted diseases Sports medicine STD Studies Surveys and Questionnaires Sustainability Television Toothbrushing Training Video Games Viewing Water intake |
| title | Effect and process evaluation of a kindergarten-based, family-involved intervention with a randomized cluster design on sedentary behaviour in 4- to 6- year old European preschool children: The ToyBox-study |
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