Designing and implementing a kindergarten-based, family-involved intervention to prevent obesity in early childhood: the ToyBox-study
Designing and implementing a kindergarten-based, family-involved intervention to prevent obesity in early childhood: the ToyBox-study
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DOI：
10.1111/obr.12175
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发表时间：
2014-08-01
期刊：
影响因子：
8.9
通讯作者：
De Bourdeaudhuij, I.
中科院分区：
文献类型：
--
作者：
Manios, Y.;Androutsos, O.;De Bourdeaudhuij, I.
玩具盒干预措施的开发基于玩具盒研究初步阶段的结果，旨在确定幼儿的关键行为及其与早期儿童肥胖相关的决定因素。玩具盒干预是一项多组成部分、以幼儿园为基础、家庭参与的干预措施，采用整群随机设计，重点是促进学龄前儿童及其家庭的饮水量、健康零食、体育活动以及减少/打破久坐时间。该干预措施于 2012-2013 学年在六个欧洲国家实施：比利时、保加利亚、德国、希腊、波兰和西班牙。所有国家都使用标准化方案、方法、工具和材料来实施干预措施，以及过程、影响、结果评价和成本效益评估。总共 7,056 名学龄前儿童及其父母/照顾者样本按社会经济水平分层，在基线测量期间提供数据并参与干预。玩具盒研究的结果预计将有助于更好地了解与早期儿童肥胖相关的行为及其决定因素，并确定有效的预防策略。本文的目的是描述玩具盒干预的设计，并呈现在实施干预之前在基线评估的研究样本的特征。
The development of the ToyBox-intervention was based on the outcomes of the preliminary phase of the ToyBox-study, aiming to identify young children's key behaviours and their determinants related to early childhood obesity. The ToyBox-intervention is a multicomponent, kindergarten-based, family-involved intervention with a cluster-randomized design, focusing on the promotion of water consumption, healthy snacking, physical activity and the reduction/breaking up of sedentary time in preschool children and their families. The intervention was implemented during the academic year 2012-2013 in six European countries: Belgium, Bulgaria, Germany, Greece, Poland and Spain. Standardized protocols, methods, tools and material were used in all countries for the implementation of the intervention, as well as for the process, impact, outcome evaluation and the assessment of its cost-effectiveness. A total sample of 7,056 preschool children and their parents/caregivers, stratified by socioeconomic level, provided data during baseline measurements and participated in the intervention. The results of the ToyBox-study are expected to provide a better insight on behaviours associated with early childhood obesity and their determinants and identify effective strategies for its prevention. The aim of the current paper is to describe the design of the ToyBox-intervention and present the characteristics of the study sample as assessed at baseline, prior to the implementation of the intervention.