Background: The aims of this systematic review were to study the effectiveness of primary school-based physical activity, sedentary behavior and nutrition interventions with direct parental involvement on children’s BMI or BMI z-score, physical activity, sedentary behavior and nutrition behavior and categorize intervention components into targeted socio-cognitive determinants and environmental types using the Environmental Research framework for weight Gain prevention. Methods: In March 2018, a systematic search was conducted in four electronic literature databases. Articles written in English about effectiveness studies on school-based interventions with direct parental involvement targeting 4–12 year olds were included. Interventions with indirect parental involvement, interventions not targeting the school environment, and pilot studies were excluded. Study and intervention characteristics were extracted. Study quality and study effectiveness were assessed and effect sizes (Cohen’s d) were calculated for the outcome measures. Types of socio-cognitive factors and environmental types targeted were distinguished. Results: In total, 25 studies were included. Most studies on BMI or BMI z-score, physical activity and sedentary behavior found favorable results: 61.1%, 81.1% and 75%, respectively. Results regarding nutrition behavior were inconclusive. Methodological study quality varied. All interventions targeted multiple environmental types in the school and family environment. Five targeted socio-cognitive determinants (knowledge, awareness, attitude, self-efficacy and intrinsic motivation) of the children were identified. No consistent pattern was found between either type of environment targeted, number of type of environment targeted, or the child’s targeted socio-cognitive determinants and intervention effectiveness. Discussion: School-based interventions with direct parental involvement have the potential to improve children’s weight status, physical activity and sedentary behavior. Based on the results, it is recommended that school-based interventions with direct parental involvement target more than one EBRB, last at least one year, and focus particularly on the physical and social environment within both the school and the family environment
Objective: This study evaluated the effect of an after-school group-based medium-intensity multicomponent behavioural intervention programme for children aged 8–12 years classified as overweight, obese or at risk for overweight on body mass index standard deviation score (BMI SDS). In accordance with standardized protocols body weight and height were measured in 195 participants (88 boys, 107 girls) at baseline and at the end of the programme. A total of 166 children derived from a school-based monitoring system served as control group. Multivariate regression analyses examined the effect of the intervention and the independent factors associated with better outcomes in the intervention group. Results: Analysis of covariance showed a significant intervention effect on BMO SDS in favour of the intervention group (b-coefficient - 0.13 ± 0.03; p < 0.01) compared with the control group. Change in BMI SDS between baseline and follow-up in the intervention group was associated with baseline age (b-coefficient 0.03 ± 0.02; p=0.04) but was independent from gender, ethnicity, baseline BMI SDS, time between baseline and follow-up, school year and attendance rate.
The Challenge Me intervention aimed to indirectly involve parents in a school-based intervention, by challenging primary school children to perform physical activity (PA) and nutrition-related activities with their parents. The aim of this study is to gain insight in whether this was a feasible strategy to engage children and parents, especially those of vulnerable populations. An exploratory cross-sectional study design was applied. Four primary schools implemented the intervention. Data consisted of challenges completed (intervention posters) and child and family characteristics (questionnaires and anthropometric measurements). Associations between challenges performed and child and family characteristics were assessed using linear regression analysis. Of the 226 study participants, 100% performed at least one challenge, and 93% performed at least one challenge involving parents. Children who performed more PA challenges were often younger, a sports club member, lived in higher socioeconomic status neighbourhoods, of Western ethnicity and from larger families. Regarding nutrition challenges involving parents, younger children performed more challenges. There was no difference in intervention engagement regarding gender, weight status, PA preference, healthy nutrition preference, or the Family PA and Family Nutrition Climate. Challenge Me has potential in involving parents in a school-based intervention. However, certain characteristics were associated with higher involvement
Depressieklachten bij adolescente meisjes vormen een belangrijk probleem voor de volksgezondheid. Depressiepreventie staat bijgevolg hoog op de agenda van de Rijksoverheid alsook bij Rotterdamse middelbare scholen. Co-ruminatie, d.w.z. het excessief bespreken van problemen en negatieve gevoelens in hechte vriendschappen, is bij meisjes een kernfactor in het ontstaan, continueren en escaleren van depressieklachten. Rotterdamse middelbare scholen krijgen moeilijk in beeld welke vriendinnen (leerlingen) gevaarlijk co-ruminatiegedrag laten zien en ervaren dientengevolge ernstige handelingsverlegenheid in het effectief beïnvloeden van dit co-ruminatiegedrag en de daarmee samenhangende depressieklachten. Het is belangrijk dat scholen de beschikking krijgen over een effectief depressiepreventieprogramma, met de dyadische relatie tussen co-ruminerende meisjes als focus van interveniëren. Een dergelijk programma bestaat echter nog niet. Met voorliggende projectaanvraag beoogt ons multidisciplinaire Happy Friends, Positive Minds-consortium (HFPM) een eerste impuls te geven aan de ontwikkeling van een stepped-care, school-based depressiepreventieprogramma voor meisjes. Onderdeel van dit stepped-care programma is de interactieve App je Happy-app met dashboardfunctie, waarmee schoolprofessionals de ontwikkeling van meisjes kunnen monitoren en kunnen ondersteunen. We vragen financiering aan voor de eerste fase van de ontwikkeling van de App je Happy-app, een applicatie die vriendinnen gaat ondersteunen hun co-ruminatiegedrag te doorbreken en om te buigen naar gezamenlijke, uitdagende, en ontspannende fysieke activiteiten en positieve communicatie en sociale interacties in hun dagelijkse leven. Hierdoor zal het risico op chronische, klinische depressie verminderen. Concreet beogen we met voorliggend projectvoorstel middels conceptuele sprints en co-creatie tijdens een driedaagse Hackaton en daaropvolgende doelgroepen-tests de innovatievraag te beantwoorden hoe we de werkzame mechanismen van de App je Happy-app moeten vormgeven zodat de app effectieve impact kan sorteren op het terugdringen van co-ruminatiepatronen en daarmee samenhangende depressieklachten bij adolescente meisjes.
