A participatory physical activity intervention in preschools: a cluster randomized controlled trial

Detalhes bibliográficos
Autor(a) principal: Bock, Freia De
Data de Publicação: 2013
Outros Autores: Genser, Bernd, Raat, Hein, Fischer, Joachim E., Renz Polster, Herbert
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/15029
Resumo: Texto completo: acesso restrito. p. 64–74
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spelling Bock, Freia DeGenser, BerndRaat, HeinFischer, Joachim E.Renz Polster, HerbertBock, Freia DeGenser, BerndRaat, HeinFischer, Joachim E.Renz Polster, Herbert2014-05-29T13:23:42Z20130749-3797http://repositorio.ufba.br/ri/handle/ri/15029v. 45, n. 1Texto completo: acesso restrito. p. 64–74Background: Previous studies on physical activity interventions in preschools have reported limited effectiveness. Participatory community-based approaches hold promise for increasing intervention effectiveness and involving parents as key stakeholders in a sustainable way. Purpose: To assess whether a participatory parent-focused approach using parents as agents of behavioral change enhances the efficacy of a preschool physical activity (PA) intervention. Design: Two-armed, cluster-RCT with preschool as unit of randomization and children as unit of analysis. Setting/participants: 39 South German preschools applying for an existing state-sponsored PA program with 826 children (52% boys, aged 5.0±0.2 years), with 441 allocated to the intervention arm. Intervention: Control preschools received a state-sponsored program consisting of twice-weekly gym classes over 6 months. In intervention preschools, this program was augmented by motivating parents to develop and implement their own project ideas for promoting children’s PA. Main outcome measures: Primary outcomes included mean accelerometry counts and time spent in moderate- to vigorous-intensity PA or sedentary behavior. Secondary outcomes were BMI, percentage body fat, quality of life, sleep quality, and general health. Outcomes were measured at baseline and at 6 and 12 months in both study arms (time period: 2008–2010). Using an intention-to-treat-analysis, linear multilevel regression models assessed change over time and across study arms, adjusted for age, gender, season, and preschool location. Analysis was conducted in 2011. Results: In 15 intervention preschools, parents implemented 25 PA projects. Compared with controls, intervention arm children were 11 minutes less sedentary per day (95% CI=5.39, 17.01, p=0.014); had significantly more mean accelerometry counts (1.4 counts/15 seconds [95% CI=0.22, 2.54], p=0.019); and showed benefits in perceived general health and quality of life. All other outcomes showed no difference between study arms. Conclusions: A participatory preschool intervention focusing on parents as agents of behavioral change may be able to promote PA and reduce sedentary behavior in preschoolers. These benefits may go beyond the effects of existing nonparticipatory interventions.Submitted by Suelen Reis (suziy.ellen@gmail.com) on 2014-05-29T13:23:42Z No. of bitstreams: 1 1-s2.0-S0749379713001803-main.pdf: 504609 bytes, checksum: 0178ab6241f87c99768b7d0298d4c42a (MD5)Made available in DSpace on 2014-05-29T13:23:42Z (GMT). No. of bitstreams: 1 1-s2.0-S0749379713001803-main.pdf: 504609 bytes, checksum: 0178ab6241f87c99768b7d0298d4c42a (MD5) Previous issue date: 2013http://dx.doi.org/10.1016/j.amepre.2013.01.032reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAA participatory physical activity intervention in preschools: a cluster randomized controlled trialAmerican Journal of Preventive Medicineinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengORIGINAL1-s2.0-S0749379713001803-main.pdf1-s2.0-S0749379713001803-main.pdfapplication/pdf504609https://repositorio.ufba.br/bitstream/ri/15029/1/1-s2.0-S0749379713001803-main.pdf0178ab6241f87c99768b7d0298d4c42aMD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/15029/2/license.txt0d4b811ef71182510d2015daa7c8a900MD52TEXT1-s2.0-S0749379713001803-main.pdf.txt1-s2.0-S0749379713001803-main.pdf.txtExtracted texttext/plain52369https://repositorio.ufba.br/bitstream/ri/15029/3/1-s2.0-S0749379713001803-main.pdf.txtfaed7e7268d5d154b7e92a45f4e1b2cbMD53ri/150292022-07-05 14:03:30.966oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:30Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv A participatory physical activity intervention in preschools: a cluster randomized controlled trial
dc.title.alternative.pt_BR.fl_str_mv American Journal of Preventive Medicine
title A participatory physical activity intervention in preschools: a cluster randomized controlled trial
spellingShingle A participatory physical activity intervention in preschools: a cluster randomized controlled trial
Bock, Freia De
title_short A participatory physical activity intervention in preschools: a cluster randomized controlled trial
title_full A participatory physical activity intervention in preschools: a cluster randomized controlled trial
title_fullStr A participatory physical activity intervention in preschools: a cluster randomized controlled trial
title_full_unstemmed A participatory physical activity intervention in preschools: a cluster randomized controlled trial
title_sort A participatory physical activity intervention in preschools: a cluster randomized controlled trial
author Bock, Freia De
author_facet Bock, Freia De
Genser, Bernd
Raat, Hein
Fischer, Joachim E.
Renz Polster, Herbert
author_role author
author2 Genser, Bernd
Raat, Hein
Fischer, Joachim E.
Renz Polster, Herbert
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Bock, Freia De
Genser, Bernd
Raat, Hein
Fischer, Joachim E.
Renz Polster, Herbert
Bock, Freia De
Genser, Bernd
Raat, Hein
Fischer, Joachim E.
Renz Polster, Herbert
description Texto completo: acesso restrito. p. 64–74
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2014-05-29T13:23:42Z
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufba.br/ri/handle/ri/15029
dc.identifier.issn.none.fl_str_mv 0749-3797
dc.identifier.number.pt_BR.fl_str_mv v. 45, n. 1
identifier_str_mv 0749-3797
v. 45, n. 1
url http://repositorio.ufba.br/ri/handle/ri/15029
dc.language.iso.fl_str_mv eng
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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