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MINISTOP 2.0: a smartphone app integrated in primary child health care to promote healthy diet and physical activity behaviours and prevent obesity in preschool-aged children: protocol for a hybrid design effectiveness-implementation study.
BMC Public Health. 2020 Nov 23; 20(1):1756.BP

Abstract

BACKGROUND

Childhood obesity is still a major health problem in many countries, including Sweden. Childhood obesity and obesity-related behaviours in childhood, such as low physical activity and unhealthy eating habits, tend to track into adulthood, which highlights the need for early prevention. Our aims are to evaluate whether a parent-oriented mobile health app (the MINISTOP 2.0 app) integrated into primary child health care can improve diet and physical activity behaviours and reduce the prevalence of overweight and obesity in preschool-aged children as well as to evaluate the implementation among child health care nurses and parents.

METHODS

This trial uses a hybrid type 1 effectiveness-implementation design. Families (n = 500) who attend a routine visit to one of 15-20 primary child health care centres throughout Sweden, when their child is 2.5 years, are offered participation in a randomised controlled trial (effectiveness evaluation). After acceptance, families will be randomised (1:1) to control or intervention groups. The intervention group receives a 6-month parent-oriented smartphone intervention aimed at improving the dietary and activity behaviours of their child (the MINISTOP 2.0 app) and the control group receives routine child health care. Dietary habits, physical activity and screen time (primary outcomes), body weight and height in children, and parental self-efficacy (secondary outcomes) are measured at baseline and at 6 months post randomisation. Implementation outcomes (i.e. perceived acceptability, appropriateness, and feasibility) of the intervention will be assessed among primary child health care nurses and parents in the trial through questionnaires and qualitative interviews.

DISCUSSION

This trial will evaluate whether the MINISTOP 2.0 app can be used in primary child health care to improve diet and physical activity behaviours, and prevent overweight and obesity, in preschool-aged children. If effectiveness is proven, and the MINISTOP 2.0 app is considered acceptable, appropriate and feasible, it can be implemented nationally as part of the preventive strategies to combat childhood obesity provided by routine child health care.

TRIAL REGISTRATION

The trial was registered at the Clinicaltrials.gov register platform (ID NCT04147039) on 31 October 2019.

Authors+Show Affiliations

Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden. hanna.henriksson@liu.se.Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden. Department of Biosciences and Nutrition, Karolinska Institutet, 141 83 Huddinge, Stockholm, Sweden.Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden.Department of Biosciences and Nutrition, Karolinska Institutet, 141 83 Huddinge, Stockholm, Sweden.Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden.Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden.Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden.Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden.Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden. Department of Biosciences and Nutrition, Karolinska Institutet, 141 83 Huddinge, Stockholm, Sweden.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

33228572

Citation

Henriksson, Hanna, et al. "MINISTOP 2.0: a Smartphone App Integrated in Primary Child Health Care to Promote Healthy Diet and Physical Activity Behaviours and Prevent Obesity in Preschool-aged Children: Protocol for a Hybrid Design Effectiveness-implementation Study." BMC Public Health, vol. 20, no. 1, 2020, p. 1756.
Henriksson H, Alexandrou C, Henriksson P, et al. MINISTOP 2.0: a smartphone app integrated in primary child health care to promote healthy diet and physical activity behaviours and prevent obesity in preschool-aged children: protocol for a hybrid design effectiveness-implementation study. BMC Public Health. 2020;20(1):1756.
Henriksson, H., Alexandrou, C., Henriksson, P., Henström, M., Bendtsen, M., Thomas, K., Müssener, U., Nilsen, P., & Löf, M. (2020). MINISTOP 2.0: a smartphone app integrated in primary child health care to promote healthy diet and physical activity behaviours and prevent obesity in preschool-aged children: protocol for a hybrid design effectiveness-implementation study. BMC Public Health, 20(1), 1756. https://doi.org/10.1186/s12889-020-09808-w
Henriksson H, et al. MINISTOP 2.0: a Smartphone App Integrated in Primary Child Health Care to Promote Healthy Diet and Physical Activity Behaviours and Prevent Obesity in Preschool-aged Children: Protocol for a Hybrid Design Effectiveness-implementation Study. BMC Public Health. 2020 Nov 23;20(1):1756. PubMed PMID: 33228572.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - MINISTOP 2.0: a smartphone app integrated in primary child health care to promote healthy diet and physical activity behaviours and prevent obesity in preschool-aged children: protocol for a hybrid design effectiveness-implementation study. AU - Henriksson,Hanna, AU - Alexandrou,Christina, AU - Henriksson,Pontus, AU - Henström,Maria, AU - Bendtsen,Marcus, AU - Thomas,Kristin, AU - Müssener,Ulrika, AU - Nilsen,Per, AU - Löf,Marie, Y1 - 2020/11/23/ PY - 2020/09/28/received PY - 2020/10/30/accepted PY - 2020/11/24/entrez PY - 2020/11/25/pubmed PY - 2021/3/24/medline KW - Childhood obesity KW - Diet KW - Physical activity KW - Preschool KW - Primary child health care KW - Randomised controlled trial KW - mHealth SP - 1756 EP - 1756 JF - BMC public health JO - BMC Public Health VL - 20 IS - 1 N2 - BACKGROUND: Childhood obesity is still a major health problem in many countries, including Sweden. Childhood obesity and obesity-related behaviours in childhood, such as low physical activity and unhealthy eating habits, tend to track into adulthood, which highlights the need for early prevention. Our aims are to evaluate whether a parent-oriented mobile health app (the MINISTOP 2.0 app) integrated into primary child health care can improve diet and physical activity behaviours and reduce the prevalence of overweight and obesity in preschool-aged children as well as to evaluate the implementation among child health care nurses and parents. METHODS: This trial uses a hybrid type 1 effectiveness-implementation design. Families (n = 500) who attend a routine visit to one of 15-20 primary child health care centres throughout Sweden, when their child is 2.5 years, are offered participation in a randomised controlled trial (effectiveness evaluation). After acceptance, families will be randomised (1:1) to control or intervention groups. The intervention group receives a 6-month parent-oriented smartphone intervention aimed at improving the dietary and activity behaviours of their child (the MINISTOP 2.0 app) and the control group receives routine child health care. Dietary habits, physical activity and screen time (primary outcomes), body weight and height in children, and parental self-efficacy (secondary outcomes) are measured at baseline and at 6 months post randomisation. Implementation outcomes (i.e. perceived acceptability, appropriateness, and feasibility) of the intervention will be assessed among primary child health care nurses and parents in the trial through questionnaires and qualitative interviews. DISCUSSION: This trial will evaluate whether the MINISTOP 2.0 app can be used in primary child health care to improve diet and physical activity behaviours, and prevent overweight and obesity, in preschool-aged children. If effectiveness is proven, and the MINISTOP 2.0 app is considered acceptable, appropriate and feasible, it can be implemented nationally as part of the preventive strategies to combat childhood obesity provided by routine child health care. TRIAL REGISTRATION: The trial was registered at the Clinicaltrials.gov register platform (ID NCT04147039) on 31 October 2019. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/33228572/MINISTOP_2_0:_a_smartphone_app_integrated_in_primary_child_health_care_to_promote_healthy_diet_and_physical_activity_behaviours_and_prevent_obesity_in_preschool_aged_children:_protocol_for_a_hybrid_design_effectiveness_implementation_study_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-020-09808-w DB - PRIME DP - Unbound Medicine ER -