ArticleThe international journal of behavioral nutrition and physical activity2016
School-based intervention to enable school children to act as change agents on weight, physical activity and diet of their mothers: a cluster randomized controlled trial.
Article in The international journal of behavioral nutrition and physical activity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 6 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
29 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Dietary outcomes of community-based CVD preventive interventions: a systematic review and meta-analysis.Public health nutrition · 2023Pooled it
- The Impact of School-Based Nutrition Interventions on Parents and Other Family Members: A Systematic Literature Review.Nutrients · 2022Pooled it
- School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18.The Cochrane database of systematic reviews · 2021Pooled it
- Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019Pooled it
- Pooled it
- Strategies for enhancing the implementation of school-based policies or practices targeting risk factors for chronic disease.The Cochrane database of systematic reviews · 2017Pooled it
- Effectiveness of an mHealth- and School-Based Health Education Program for Salt Reduction (EduSaltS) in China: Cluster Randomized Controlled Trial Within Scale-Up.Journal of medical Internet research · 2025Trial
- The effect of youths as change agents on self-rated health status and happiness among adult neighbors: a cluster randomized controlled trial in Sri Lanka.Frontiers in public health · 2025Trial
- App based education programme to reduce salt intake (AppSalt) in schoolchildren and their families in China: parallel, cluster randomised controlled trial.BMJ (Clinical research ed.) · 2022Trial
- The effect of youths as change agents on cardiovascular disease risk factors among adult neighbours: a cluster randomised controlled trial in Sri Lanka.BMC public health · 2019Trial
- The Urgent Need to Harness Public Health Interventions to Tackle the Burden of Cardiovascular Diseases in Africa: Opportunities, Challenges, and Recommendations.Health science reports · 2026Article
- A Global and Some National Perspectives on the Current Evidence of Interventions on Fruit and Vegetable Intake in Low-, Middle-, and High-Income Countries.Food and nutrition bulletin · 2025Article
- Peer Intervention in Obesity and Physical Activity: Effectiveness and Implementation.Current obesity reports · 2025Review
- Empowering communities to use healthy lifestyle centres: an implementation research from Sri Lanka.BMJ open · 2024Article
- Process evaluation of an mHealth-based school education program to reduce salt intake scaling up in China (EduSaltS): a mixed methods study using the RE-AIM framework.BMC public health · 2024Article
- Adolescents' Perspective Regarding a Community-Wide Mass Drug Administration Program for Soil-Transmitted Helminths in India.The American journal of tropical medicine and hygiene · 2024Article
- Parent-child skin carotenoid level and vegetable intake relationships in users of children's cafeterias in Japan.Frontiers in nutrition · 2024Article
- Engaging Youth and Young Adults in the COVID-19 Pandemic Response via the "It's Our Turn" Crowdsourcing Contest.International journal of environmental research and public health · 2023Article
- An mHealth-based school health education system designed to scale up salt reduction in China (EduSaltS): A development and preliminary implementation study.Frontiers in nutrition · 2023Article
- Effectiveness and acceptability of a novel school-based healthy eating program among primary school children in urban Sri Lanka.BMC public health · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSchool health promotion has been shown to improve the lifestyle of students, but it remains unclear whether school-based programs can influence family health. We developed an innovative program that enables school children to act as change agents in promoting healthy lifestyles of their mothers. The objective of this study was to examine the effect of the child-initiated intervention on weight, physical activity and dietary habit of their mothers.
methodsA 12-month cluster randomized trial was conducted, with school as a cluster. Participants were mothers with grade 8 students, aged around 13 years, of 20 schools in Homagama, Sri Lanka. Students of the intervention group were trained by facilitators to acquire the ability to assess noncommunicable disease risk factors in their homes and take action to address them, whereas those of the comparison group received no intervention. Body weight, step count and lifestyle of their mothers were assessed at baseline and post-intervention. Multi-level multivariable linear regression and logistic regression were used to assess the effects of intervention on continuous and binary outcomes, respectively.
resultsOf 308 study participants, 261 completed the final assessment at 12 month. There was a significantly greater decrease of weight and increase of physical activity in the intervention group. The mean (95% confidence interval) difference comparing the intervention group with the control group was -2.49 (-3.38 to -1.60) kg for weight and -0.99 (-1.40 to -0.58) kg/m(2) for body mass index. The intervention group had a 3.25 (95% confidence interval 1.87-5.62) times higher odds of engaging in adequate physical activity than the control group, and the former showed a greater number of steps than the latter after intervention. The intervention group showed a greater reduction of household purchase of biscuits and ice cream.
conclusionsA program to motivate students to act as change agents of family's lifestyle was effective in decreasing weight and increasing physical activity of their mothers.
trial registrationSri Lanka Clinical Trials Registry SLCTR/2013/011 .
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.