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Evaluation of a health promotion program in children: Study protocol and design of the cluster-randomized Baden-Württemberg primary school study [DRKS-ID: DRKS00000494].
BMC Public Health. 2012 Mar 06; 12:157.BP

Abstract

BACKGROUND

Increasing prevalences of overweight and obesity in children are known problems in industrialized countries. Early prevention is important as overweight and obesity persist over time and are related with health problems later in adulthood. "Komm mit in das gesunde Boot - Grundschule" is a school-based program to promote a healthier lifestyle. Main goals of the intervention are to increase physical activity, decrease the consumption of sugar-sweetened beverages, and to decrease time spent sedentary by promoting active choices for healthy lifestyle. The program to date is distributed by 34 project delivery consultants in the state of Baden-Württemberg and is currently implemented in 427 primary schools. The efficacy of this large scale intervention is examined via the Baden-Württemberg Study.

METHODS/DESIGN

The Baden-Württemberg Study is a prospective, stratified, cluster-randomized, and longitudinal study with two groups (intervention group and control group). Measurements were taken at the beginning of the academic years 2010/2011 and 2011/2012. Efficacy of the intervention is being assessed using three main outcomes: changes in waist circumference, skinfold thickness and 6 minutes run. Stratified cluster-randomization (according to class grade level) was performed for primary schools; pupils, teachers/principals, and parents were investigated. An approximately balanced number of classes in intervention group and control group could be reached by stratified randomization and was maintained at follow-up.

DISCUSSION

At present, "Komm mit in das Gesunde Boot - Grundschule" is the largest school-based health promotion program in Germany. Comparative objective main outcomes are used for the evaluation of efficacy. Simulations showed sufficient power with the existing sample size. Therefore, the results will show whether the promotion of a healthier lifestyle in primary school children is possible using a relatively low effort within a school-based program involving children, teachers and parents. The research team anticipates that not only efficacy will be proven in this study but also expects many other positive effects of the program.

TRIAL REGISTRATION

German Clinical Trials Register (DRKS), DRKS-ID: DRKS00000494.

Authors+Show Affiliations

Institute of Epidemiology and Medical Biometry, Ulm University, Schwabstr, 13, D-89075 Ulm, Germany. jens.dreyhaupt@uni-ulm.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22394693

Citation

Dreyhaupt, Jens, et al. "Evaluation of a Health Promotion Program in Children: Study Protocol and Design of the Cluster-randomized Baden-Württemberg Primary School Study [DRKS-ID: DRKS00000494]." BMC Public Health, vol. 12, 2012, p. 157.
Dreyhaupt J, Koch B, Wirt T, et al. Evaluation of a health promotion program in children: Study protocol and design of the cluster-randomized Baden-Württemberg primary school study [DRKS-ID: DRKS00000494]. BMC Public Health. 2012;12:157.
Dreyhaupt, J., Koch, B., Wirt, T., Schreiber, A., Brandstetter, S., Kesztyüs, D., Wartha, O., Kobel, S., Kettner, S., Prokopchuk, D., Hundsdörfer, V., Klepsch, M., Wiedom, M., Sufeida, S., Fischbach, N., Muche, R., Seufert, T., & Steinacker, J. M. (2012). Evaluation of a health promotion program in children: Study protocol and design of the cluster-randomized Baden-Württemberg primary school study [DRKS-ID: DRKS00000494]. BMC Public Health, 12, 157. https://doi.org/10.1186/1471-2458-12-157
Dreyhaupt J, et al. Evaluation of a Health Promotion Program in Children: Study Protocol and Design of the Cluster-randomized Baden-Württemberg Primary School Study [DRKS-ID: DRKS00000494]. BMC Public Health. 2012 Mar 6;12:157. PubMed PMID: 22394693.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of a health promotion program in children: Study protocol and design of the cluster-randomized Baden-Württemberg primary school study [DRKS-ID: DRKS00000494]. AU - Dreyhaupt,Jens, AU - Koch,Benjamin, AU - Wirt,Tamara, AU - Schreiber,Anja, AU - Brandstetter,Susanne, AU - Kesztyüs,Dorothea, AU - Wartha,Olivia, AU - Kobel,Susanne, AU - Kettner,Sarah, AU - Prokopchuk,Dmytro, AU - Hundsdörfer,Verena, AU - Klepsch,Melina, AU - Wiedom,Martina, AU - Sufeida,Sabrina, AU - Fischbach,Nanette, AU - Muche,Rainer, AU - Seufert,Tina, AU - Steinacker,Jürgen Michael, Y1 - 2012/03/06/ PY - 2012/01/20/received PY - 2012/03/06/accepted PY - 2012/3/8/entrez PY - 2012/3/8/pubmed PY - 2012/7/14/medline SP - 157 EP - 157 JF - BMC public health JO - BMC Public Health VL - 12 N2 - BACKGROUND: Increasing prevalences of overweight and obesity in children are known problems in industrialized countries. Early prevention is important as overweight and obesity persist over time and are related with health problems later in adulthood. "Komm mit in das gesunde Boot - Grundschule" is a school-based program to promote a healthier lifestyle. Main goals of the intervention are to increase physical activity, decrease the consumption of sugar-sweetened beverages, and to decrease time spent sedentary by promoting active choices for healthy lifestyle. The program to date is distributed by 34 project delivery consultants in the state of Baden-Württemberg and is currently implemented in 427 primary schools. The efficacy of this large scale intervention is examined via the Baden-Württemberg Study. METHODS/DESIGN: The Baden-Württemberg Study is a prospective, stratified, cluster-randomized, and longitudinal study with two groups (intervention group and control group). Measurements were taken at the beginning of the academic years 2010/2011 and 2011/2012. Efficacy of the intervention is being assessed using three main outcomes: changes in waist circumference, skinfold thickness and 6 minutes run. Stratified cluster-randomization (according to class grade level) was performed for primary schools; pupils, teachers/principals, and parents were investigated. An approximately balanced number of classes in intervention group and control group could be reached by stratified randomization and was maintained at follow-up. DISCUSSION: At present, "Komm mit in das Gesunde Boot - Grundschule" is the largest school-based health promotion program in Germany. Comparative objective main outcomes are used for the evaluation of efficacy. Simulations showed sufficient power with the existing sample size. Therefore, the results will show whether the promotion of a healthier lifestyle in primary school children is possible using a relatively low effort within a school-based program involving children, teachers and parents. The research team anticipates that not only efficacy will be proven in this study but also expects many other positive effects of the program. TRIAL REGISTRATION: German Clinical Trials Register (DRKS), DRKS-ID: DRKS00000494. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/22394693/Evaluation_of_a_health_promotion_program_in_children:_Study_protocol_and_design_of_the_cluster_randomized_Baden_Württemberg_primary_school_study_[DRKS_ID:_DRKS00000494]_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-157 DB - PRIME DP - Unbound Medicine ER -