ArticleBMC public health2016
One size does not fit all-qualitative process evaluation of the Healthy School Start parental support programme to prevent overweight and obesity among children in disadvantaged areas in Sweden.
Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Are school-based physical activity interventions effective and equitable? A meta-analysis of cluster randomized controlled trials with accelerometer-assessed activity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2019Pooled it
- Effects of Universal School-Based Parental Support for Children's Healthy Diet and Physical Activity-the Healthy School Start Plus Cluster-Randomised Controlled Trial.Prevention science : the official journal of the Society for Prevention Research · 2024Trial
- Parents' experiences of participating in the Healthy School Start Plus programme - a qualitative study.BMC public health · 2023Trial
- Efficacy of Mobile Instant Messaging-Delivered Brief Motivational Interviewing for Parents to Promote Physical Activity in Pediatric Cancer Survivors: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Parental support in promoting children's health behaviours and preventing overweight and obesity - a long-term follow-up of the cluster-randomised healthy school start study II trial.BMC pediatrics · 2019Trial
- A Healthy School Start Plus for prevention of childhood overweight and obesity in disadvantaged areas through parental support in the school setting - study protocol for a parallel group cluster randomised trial.BMC public health · 2018Trial
- Understanding context in the implementation of school health promotion: a scoping review and conceptual framework.Systematic reviews · 2026Article
- Article
- Protocol for the process evaluation of a mobile produce market intervention to increase fruit and vegetable consumption in lower-income communities: the Veggie Van Study.Frontiers in public health · 2026Article
- Article
- The feasibility of a web-based resilience-building program to prevent stress among danish pregnant nulliparous women: A randomised controlled feasibility trial.PLOS mental health · 2025Article
- "Frontiers in reproductive health · 2025Article
- Influencing factors for the implementation of school-based interventions promoting obesity prevention behaviors in children with low socioeconomic status: a systematic review.Implementation science communications · 2024Review
- Experiences of nurses and coordinators in a childhood obesity prevention trial based on motivational interviewing within Swedish child health services.International journal of qualitative studies on health and well-being · 2022Article
- Exploring primary school years interactions around child weight: A qualitative meta-synthesis of school staff, parent, and child views and experiences.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022Review
- Parents matter: Parent acceptance of school-based executive functions interventions relates to improved child outcomes.Journal of clinical psychology · 2022Article
- Educators' experiences and perspectives of child weight discussions with parents in primary school settings.BMC public health · 2022Article
- Quantifying parent engagement in the randomized Fuel for Fun impact study identified design considerations and BMI relationships.BMC medical research methodology · 2021Article
- IMplementation and evaluation of the school-based family support PRogram a Healthy School Start to promote child health and prevent OVErweight and obesity (IMPROVE) - study protocol for a cluster-randomized trial.BMC public health · 2021Article
- Types of implementation of the dementia-specific case conference concept WELCOME-IdA in nursing homes: a qualitative process evaluation of the FallDem effectiveness trial.Implementation science communications · 2021Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundParental support interventions have shown some effectiveness in improving children's dietary and physical activity habits and preventing overweight and obesity. To date, there is limited research on barriers and facilitators of school-based parental support interventions targeting overweight and obesity. This study aimed to describe barriers and facilitators influencing implementation of the Healthy School Start (HSS) intervention in disadvantaged areas in Stockholm, Sweden, from the perspective of parents and teachers.
methodsFocus groups and individual interviews with teachers (n = 10) and focus groups with parents (n = 14) in the intervention group of the HSS were undertaken, guided by the Consolidated Framework for Implementation Research (CFIR). Transcriptions were analysed using qualitative content analysis in two steps: deductive sorting in two domains of the CFIR (intervention characteristics and process), and subsequent inductive analysis.
resultsThe overarching theme "tailoring the intervention to increase participant engagement" was found. Among teachers, barriers and facilitators were related to how the intervention was introduced, perceptions of the usefulness of the classroom material, preparation ahead of the start of the intervention, cooperation between home and school and children's and parents' active engagement in the intervention activities. For parents, barriers and facilitators were related to the perceived relevance of the intervention, usefulness of the material, experiences of the Motivational Interviewing (MI) sessions, the family member targeted by the intervention, cooperation between home and school and parents' ability to act as good role models.
conclusionIt seems important to tailor the intervention to the abilities of the target group in order to increase participant engagement. Including activities that focus on parents as role models and cooperation between parents seems important to bring about changes in the home environment. It also appears important to include activities that target cooperation between home and school.
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