Evidence map›Paper›PMID 30196883›Full record

ArticleJournal of nutrition education and behavior2018

Pilot-Testing an Intervention to Enhance Wellness Policy Implementation in Schools: Wellness Champions for Change.

Erin R Hager, Hee-Jung Song, Hannah G Lane, Hallene H Guo, Lea H Jaspers, Megan A Lopes

Abstract read
In one paragraph

Article in Journal of nutrition education and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Review
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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.

Erin R HagerDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, MD. Electronic address: ehager@peds.umaryland.edu.
Hee-Jung SongDepartment of Nutrition and Food Science, University of Maryland, College Park, MD.
Hannah G LaneDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, MD.
Hallene H GuoDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, MD.
Lea H JaspersMaryland State Department of Education, Baltimore, MD.
Megan A LopesMaryland State Department of Education, Baltimore, MD.

Funding

Summer Program in Obesity, Diabetes and Nutrition Training (SPORT)T35DK095737 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI STEINLE, NANETTE I · 2012 to 2021
$859k
NIDDK NIH HHS T35 DK095737OSTLTS CDC HHS B01 OT009025
6 · The paper itself

Abstract

objectiveTo develop and pilot-test Wellness Champions for Change (WCC) to enhance local wellness policy (LWP) implementation by forming wellness teams.

designRandomized, controlled school-level pilot study.

settingFive Maryland school districts.

participantsA total of 63 elementary, middle, or high schools. INTERVENTION(S): Developed from stakeholder interviews, focus groups, and existing programs. Schools were randomized within district to (1) WCC training (6-hour, single-day teacher training), (2) WCC training plus technical assistance (TA), or (3) delayed training (control). MAIN OUTCOME MEASURE(S): Online teacher/administrator survey pre-post (spring, 1 year apart) that examined the direct effect of the intervention on active wellness team formation (postintervention, 8-item sum score) and LWP implementation (29 items, not implemented to fully implemented)/indirect effect of intervention on LWP implementation via active wellness team formation. ANALYSIS: Adjusted linear or logistic regression and mediation modeling.

resultsPostintervention, WCC plus TA and WCC had more active wellness teams (vs control, β = 1.49, P = .02 and β = 1.42, P = .03, respectively). No direct effect of intervention on LWP implementation was found. Formation of active wellness teams mediated the association between both WCC plus TA and WCC and LWP implementation (WCC plus TA confidence interval [CI], 1.22-16.25; WCC CI, 10.98-15.61 [CI was significant without 0]). CONCLUSIONS AND IMPLICATIONS: The WCC intervention approaches indirectly affected LWP implementation through the formation of active wellness teams. These results support building and school-level wellness teams.

Indexed as

Health PolicySchool Health ServicesChildHealth PromotionHumansMarylandPediatric ObesityPilot ProjectsRandom AllocationSchoolsSchool TeachersSurveys and Questionnairespediatric obesitypolicyschoolwellness programs

Identifiers

PMID30196883
PMCPMC7717577

What OpenQuestion holds

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Registered trials

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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.