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Increased health and well-being in preschools (DAGIS): rationale and design for a randomized controlled trial
BACKGROUND: Effective interventions that target socioeconomic status (SES) differences to avoid the potential widening of inequalities in health are needed. Children at preschool age is a valuable intervention target since sedentary behaviors, physical activity (PA), dietary behaviors, and sleep hab...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4419478/ https://www.ncbi.nlm.nih.gov/pubmed/25927298 http://dx.doi.org/10.1186/s12889-015-1744-z |
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author | Määttä, Suvi Lehto, Reetta Nislin, Mari Ray, Carola Erkkola, Maijaliisa Sajaniemi, Nina Roos, Eva |
author_facet | Määttä, Suvi Lehto, Reetta Nislin, Mari Ray, Carola Erkkola, Maijaliisa Sajaniemi, Nina Roos, Eva |
author_sort | Määttä, Suvi |
collection | PubMed |
description | BACKGROUND: Effective interventions that target socioeconomic status (SES) differences to avoid the potential widening of inequalities in health are needed. Children at preschool age is a valuable intervention target since sedentary behaviors, physical activity (PA), dietary behaviors, and sleep habits, jointly called the energy balance-related behaviors (EBRBs), are established in early childhood and tend to persist later in life. The interventions are most effective, when they focus on evidence-based factors. One potential factor associated with EBRBs and SES is children’s stress regulation, which receives special attention in this study. Based on the socioecological approach, the combinations of multiple levels (e.g. individual, environmental, societal) of analysis and diverse methodologies (e.g. surveys, observations, biological measurements) are used to assess the healthfulness of environments (e.g. social, physical, learning, policy) in preschool and family settings. The intervention aimed to diminish SES differences in EBRBs is then conducted in the preschool setting. METHODS/DESIGN: The DAGIS study is divided into two phases. The first phase comprises focus group interviews and a cross-sectional survey. Parents and preschool personnel in low SES neighborhoods participated in interviews about children’s sedentary behaviors, dietary behaviors, and PA in 2014. In the cross-sectional survey beginning in autumn 2015, preschools will be recruited from a random sample of preschools in 3–5 municipalities in Southern Finland. A total of 800 children will wear an accelerometer for seven days. Children’s hair and saliva samples will be taken. Parents and preschool personnel will complete questionnaires on EBRBs, social and physical environments and SES factors. The quality of preschool environment is also observed. In the second phase, an intervention targeting to narrowing SES differences in EBRBs is conducted. The effects of the intervention will be evaluated in randomised controlled trial. The implementation of the intervention will also be evaluated. CONCLUSION: If effective, this unique preschool-based study will be able to narrow the SES differences in preschool children’s EBRBs. This study is anticipated to identify the most important modifiable factors in preschool and family environmental settings associated with children’s EBRBs, especially in children from low SES backgrounds. TRIAL REGISTRATION: ISRCTN57165350 (January, 8th, 2015). |
format | Online Article Text |
id | pubmed-4419478 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-44194782015-05-06 Increased health and well-being in preschools (DAGIS): rationale and design for a randomized controlled trial Määttä, Suvi Lehto, Reetta Nislin, Mari Ray, Carola Erkkola, Maijaliisa Sajaniemi, Nina Roos, Eva BMC Public Health Study Protocol BACKGROUND: Effective interventions that target socioeconomic status (SES) differences to avoid the potential widening of inequalities in health are needed. Children at preschool age is a valuable intervention target since sedentary behaviors, physical activity (PA), dietary behaviors, and sleep habits, jointly called the energy balance-related behaviors (EBRBs), are established in early childhood and tend to persist later in life. The interventions are most effective, when they focus on evidence-based factors. One potential factor associated with EBRBs and SES is children’s stress regulation, which receives special attention in this study. Based on the socioecological approach, the combinations of multiple levels (e.g. individual, environmental, societal) of analysis and diverse methodologies (e.g. surveys, observations, biological measurements) are used to assess the healthfulness of environments (e.g. social, physical, learning, policy) in preschool and family settings. The intervention aimed to diminish SES differences in EBRBs is then conducted in the preschool setting. METHODS/DESIGN: The DAGIS study is divided into two phases. The first phase comprises focus group interviews and a cross-sectional survey. Parents and preschool personnel in low SES neighborhoods participated in interviews about children’s sedentary behaviors, dietary behaviors, and PA in 2014. In the cross-sectional survey beginning in autumn 2015, preschools will be recruited from a random sample of preschools in 3–5 municipalities in Southern Finland. A total of 800 children will wear an accelerometer for seven days. Children’s hair and saliva samples will be taken. Parents and preschool personnel will complete questionnaires on EBRBs, social and physical environments and SES factors. The quality of preschool environment is also observed. In the second phase, an intervention targeting to narrowing SES differences in EBRBs is conducted. The effects of the intervention will be evaluated in randomised controlled trial. The implementation of the intervention will also be evaluated. CONCLUSION: If effective, this unique preschool-based study will be able to narrow the SES differences in preschool children’s EBRBs. This study is anticipated to identify the most important modifiable factors in preschool and family environmental settings associated with children’s EBRBs, especially in children from low SES backgrounds. TRIAL REGISTRATION: ISRCTN57165350 (January, 8th, 2015). BioMed Central 2015-04-18 /pmc/articles/PMC4419478/ /pubmed/25927298 http://dx.doi.org/10.1186/s12889-015-1744-z Text en © Määttä et al.; licensee BioMed Central. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Study Protocol Määttä, Suvi Lehto, Reetta Nislin, Mari Ray, Carola Erkkola, Maijaliisa Sajaniemi, Nina Roos, Eva Increased health and well-being in preschools (DAGIS): rationale and design for a randomized controlled trial |
title | Increased health and well-being in preschools (DAGIS): rationale and design for a randomized controlled trial |
title_full | Increased health and well-being in preschools (DAGIS): rationale and design for a randomized controlled trial |
title_fullStr | Increased health and well-being in preschools (DAGIS): rationale and design for a randomized controlled trial |
title_full_unstemmed | Increased health and well-being in preschools (DAGIS): rationale and design for a randomized controlled trial |
title_short | Increased health and well-being in preschools (DAGIS): rationale and design for a randomized controlled trial |
title_sort | increased health and well-being in preschools (dagis): rationale and design for a randomized controlled trial |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4419478/ https://www.ncbi.nlm.nih.gov/pubmed/25927298 http://dx.doi.org/10.1186/s12889-015-1744-z |
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