The Program Sl! intervention for enhancing a healthy lifestyle in preschoolers: first results from a cluster randomized trial

Jose L. Penalvo, Mercedes Sotos-Prieto, Gloria Santos-Beneit, Stuart Pocock, Juliana Redondo, Valentin Fuster

Research output: Contribution to journalArticle

Abstract

Background: Unhealthy lifestyles contribute to the development of cardiovascular risk factors, whose incidence is increasing among children and adolescents. The Program SI! is a long-term, multi-target behavioral intervention to promote healthy lifestyle habits in children through the school environment. The objective of the study is to evaluate the efficacy of this intervention in its first phase, preschoolers.

Methods: Cluster-randomized controlled trial in public schools in the city of Madrid, Spain. A total 24 schools, including 2062 children (3-5 years), 1949 families, and 125 teachers participated in the study. Schools were assigned to their usual school curriculum or to engage in an additional multi-component intervention (Program Sl!). The primary outcome of this trial is 1-school year changes from baseline in scores for children's knowledge, attitudes and habits (KAH). Secondary outcomes are 1-school year changes from baseline in scores for knowledge, attitudes, and habits among parents, teachers, and the school environment.

Results: After 1-school year, our results indicate that the Program SI! intervention increases children's KAH scores, both overall (3.45, 95% Cl, 1.84-5.05) and component-specific (Diet: 0.93, 95% Cl, 0.12-1.75; Physical activity: 1.93, 95% Cl, 1.17-2.69; Human body: 0.65, 95% Cl, 0.07-1.24) score.

Conclusions: The Program Sl! is demonstrated as an effective and feasible strategy for increasing knowledge and improving lifestyle attitudes and habits among very young children.

Original languageEnglish
Article number1208
JournalBMC Public Health
Volume13
Number of pages9
ISSN1471-2458
DOIs
Publication statusPublished - 2013

Keywords

  • Health education
  • Health promotion
  • Children's health
  • PHYSICAL-ACTIVITY
  • CARDIOVASCULAR HEALTH
  • NUTRITION KNOWLEDGE
  • OBESITY PREVENTION
  • CHILDREN
  • DESIGN
  • PROMOTION
  • PROJECT
  • WEIGHT
  • SCHOOLCHILDREN

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