Evidence map›Paper›PMID 28882121›Full record

Trial reportBMC public health2017

Evaluation of a peer education program on student leaders' energy balance-related behaviors.

B C Foley, V A Shrewsbury, L L Hardy, V M Flood, K Byth, S Shah

Abstract readClinical Trial
In one paragraph

Trial report in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  3. A Systematic Literature Review of Peer-led Strategies for Promoting Physical Activity Levels of Adolescents.Health education & behavior : the official publication of the Society for Public Health Education · 2022
    Pooled it
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  6. How Are Adolescents Participating in the Transformation of Healthy Food Environments? A Scoping Review of Empirical Research.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Article
  7. Social Media Influences on Dietary Awareness in Children.Healthcare (Basel, Switzerland) · 2024
    Review
  8. An analysis of current obesity strategies for adolescents in NSW against best practice recommendations: Implications for researchers, policymakers and practitioners.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2023
    Article
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  12. Can Social Cognitive Theory Influence Breakfast Frequency in an Institutional Context: A Qualitative Study.International journal of environmental research and public health · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

B C FoleyWestern Sydney Local Health District, Westmead, NSW, Australia.
V A ShrewsburySydney Medical School, The University of Sydney, Sydney, NSW, Australia.
L L HardySydney Medical School, The University of Sydney, Sydney, NSW, Australia.
V M FloodWestern Sydney Local Health District, Westmead, NSW, Australia.
K BythSydney Medical School, The University of Sydney, Sydney, NSW, Australia.
S ShahWestern Sydney Local Health District, Westmead, NSW, Australia. Smita.Shah@health.nsw.gov.au.ORCID 0000-0002-7675-1834

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have reported energy balance-related behavior (EBRB) change for peer leaders delivering health promotion programs to younger students in secondary schools. Our study assessed the impact of the Students As LifeStyle Activists (SALSA) program on SALSA peer leaders' EBRBs, and their intentions regarding these behaviors.

methodsWe used a pre-post study design to assess changes in EBRBs and intentions of Year 10 secondary school students (15-16 year olds) who volunteered to be peer leaders to deliver the SALSA program to Year 8 students (13-14 year olds). This research is part of a larger study conducted during 2014 and 2015 in 23 secondary schools in Sydney, Australia. We used an online questionnaire before and after program participation to assess Year 10 peer leaders' fruit and vegetable intake, daily breakfast eating, sugar sweetened beverage (SSB) intake, moderate-to-vigorous physical activity (MVPA) participation and school-day recreational screen time behaviors and intentions regarding these EBRBs. Generalized estimating equations with a robust variance structure and exchangeable correlation structure were used to estimate the individual-level summary statistics and their 95% CIs, adjusted for clustering. We further assessed the effect of covariates on EBRB changes.

resultsThere were significant increases in the proportion of Year 10 peer leaders (n = 415) who reported eating ≥2 serves fruit/day fruit from 54 to 63% (P < 0.01); eating ≥5 serves vegetables/day from 8 to 12% (P < 0.01); and drinking <1 cup/day of SSBs from 56 to 62% (P < 0.01). Change in ≥60 min MVPA participation/day depended on gender (P < 0.01): Boys increased 14% while girls decreased -2%. Changes in eating breakfast daily also depended on gender (P < 0.004): Boys increased 13% while girls decreased -0.4%. The change in peer leaders recreational screen time differed by socio-economic status (P < 0.05): above average communities decreased by -2.9% while below average communities increased 6.0%. Significant shifts were seen in peer leaders' intentions, except MVPA which remained stable.

conclusionsThe SALSA program had a positive impact on peer leaders' EBRBs, with gender and socio-economic status moderating some outcomes.

trial registrationACTRN12617000712303 retrospectively registered.

Indexed as

Energy IntakeLeadershipPeer GroupAdolescentAustraliaDietFemaleFollow-Up StudiesHealth PromotionHumansIntentionMaleProgram EvaluationSchoolsStudentsSurveys and QuestionnairesAdolescentsEnergy balance-related behaviorInterventionPeer educationSecondary schools

Identifiers

PMID28882121
PMCPMC5590169

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.