Trial reportJournal of nutrition education and behavior2016
Influence of Teachers' Personal Health Behaviors on Operationalizing Obesity Prevention Policy in Head Start Preschools: A Project of the Children's Healthy Living Program (CHL).
Trial report in Journal of nutrition education and behavior, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01881373 (Children's Healthy Living Program for Remote Underserved Minority Populations in the Pacific Region), which is not on this map. Cited by 19 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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.
Children's Healthy Living Program for Remote Underserved Minority Populations in the Pacific Region
Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Family-centred interventions for Indigenous early childhood well-being by primary healthcare services.The Cochrane database of systematic reviews · 2022Pooled it
- Systematic review of the effectiveness of health promotion interventions targeting obesity prevention in school-based staff.Health promotion international · 2022Pooled it
- Childhood Obesity Evidence Base Project: A Systematic Review and Meta-Analysis of a New Taxonomy of Intervention Components to Improve Weight Status in Children 2-5 Years of Age, 2005-2019.Childhood obesity (Print) · 2020Pooled it
- Strategies to improve the implementation of healthy eating, physical activity and obesity prevention policies, practices or programmes within childcare services.The Cochrane database of systematic reviews · 2020Pooled it
- CHAMP: A cluster randomized-control trial to prevent obesity in child care centers.Contemporary clinical trials · 2019Trial
- More PEAS Please! Implementation Methodology of a Preschool Program Promoting Healthy Eating, Science, and Language.Journal of nutrition education and behavior · 2026Article
- Relationships Between Misinformation Variables and Nutritional Health Strategies: A Scoping Review.International journal of environmental research and public health · 2025Article
- Prioritizing Early Childhood Educators Health: Insights for Worksite Health Promotion Efforts.Childhood obesity (Print) · 2025Article
- Article
- Eastern North Carolina Head Start Teachers' personal and professional experiences with healthy eating and physical activity: a qualitative exploration.Public health nutrition · 2021Article
- Food-Based Science, Technology, Engineering, Arts, and Mathematics (STEAM) Learning Activities May Reduce Decline in Preschoolers' Skin Carotenoid Status.Journal of nutrition education and behavior · 2021Article
- Lifestyle in Female Teachers: Educational Intervention Based on Self-Efficacy Theory in the South of Fars Province, Iran.BioMed research international · 2021Article
- The health status of the early care and education workforce in the USA: a scoping review of the evidence and current practice.Public health reviews · 2020Article
- A Qualitative Investigation of Factors that Influence School Employee Health Behaviors: Implications for Wellness Programming.The Journal of school health · 2019Article
- A Mixed-Methods Exploration of Barriers and Facilitators to Evidence-Based Practices for Obesity Prevention in Head Start.Journal of nutrition education and behavior · 2019Article
- Article
- An Onsite Fitness Facility and Integrative Wellness Program Positively Impacted Health-Related Outcomes Among Teachers and Staff at an Urban Elementary/Middle School.Global advances in health and medicine · 2019Article
- How Does Context Relate to Nutrition Promotion and Mealtime Practice in Early Care and Education Settings? A Qualitative Exploration.Journal of the Academy of Nutrition and Dietetics · 2018Article
- Training early childcare providers in evidence-based nutrition strategies can help improve nutrition policies and practices of early childcare centres serving racially and ethnically diverse children from low-income families.Public health nutrition · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveTo quantify the Head Start (HS) teacher mediating and moderating influence on the effect of a wellness policy intervention.
designIntervention trial within a larger randomized community trial.
settingHS preschools in Hawaii.
participantsTwenty-three HS classrooms located within 2 previously randomized communities.
interventionSeven-month multi-component intervention with policy changes to food served and service style, initiatives for employee wellness, classroom activities for preschoolers promoting physical activity (PA) and healthy eating, and training and technical assistance.
main outcome measuresThe Environment and Policy Assessment and Observation (EPAO) classroom scores and teacher questionnaires assessing on knowledge, beliefs, priorities, and misconceptions around child nutrition and changes in personal health behaviors and status were the main outcome measures. ANALYSIS: Paired t tests and linear regression analysis tested the intervention effects on the classroom and mediating and moderating effects of the teacher variables on the classroom environment.
resultsGeneral linear model test showed greater intervention effect on the EPAO score where teachers reported higher than average improvements in their own health status and behaviors (estimate [SE] = -2.47 (0.78), P < .05). CONCLUSIONS AND IMPLICATIONS: Strategies to improve teacher health status and behaviors included in a multi-component policy intervention aimed at child obesity prevention may produce a greater effect on classroom environments.
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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.