Evidence map›Paper›PMID 30342257›Full record

ArticleContemporary clinical trials2018

"Wellness Champions for Change," a multi-level intervention to improve school-level implementation of local wellness policies: Study protocol for a cluster randomized trial.

Hannah G Lane, Rachel Deitch, Yan Wang, Maureen M Black, Genevieve F Dunton, Linda Aldoory, Lindsey Turner, Elizabeth A Parker, Shauna C Henley, Brit Saksvig and 2 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Contemporary clinical trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Pooled it
  2. Interventions to prevent obesity in children aged 5 to 11 years old.The Cochrane database of systematic reviews · 2024
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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

12 authors.

Hannah G LaneUniversity of Maryland School of Medicine, Department of Pediatrics, Growth and Nutrition Division, 737 West Lombard Street, Baltimore, MD 21201, USA. Electronic address: hlane@som.umaryland.edu.
Rachel DeitchUniversity of Maryland School of Medicine, Department of Pediatrics, Growth and Nutrition Division, 737 West Lombard Street, Baltimore, MD 21201, USA. Electronic address: rdeitch@som.umaryland.edu.
Yan WangUniversity of Maryland School of Medicine, Department of Pediatrics, Growth and Nutrition Division, 737 West Lombard Street, Baltimore, MD 21201, USA; University of Maryland School of Medicine, Department of Epidemiology and Public Health, 737 West Lombard Street, Baltimore, MD 21201, USA. Electronic address: yan.wang@som.umaryland.edu.
Maureen M BlackUniversity of Maryland School of Medicine, Department of Pediatrics, Growth and Nutrition Division, 737 West Lombard Street, Baltimore, MD 21201, USA; University of Maryland School of Medicine, Department of Epidemiology and Public Health, 737 West Lombard Street, Baltimore, MD 21201, USA; RTI International, Research Triangle Park, NC 27709, USA. Electronic address: mblack@som.umaryland.edu.
Genevieve F DuntonUniversity of Southern California, Departments of Preventive Medicine and Psychology, 2001 N. Soto St., Los Angeles, CA 90032, USA. Electronic address: dunton@usc.edu.
Linda AldooryUniversity of Maryland College Park, Department of Communication, College of Arts and Humanities, College Park, MD 20742, USA. Electronic address: laldoory@umd.edu.
Lindsey TurnerBoise State University, College of Education, 1910 University Drive, #1740, Boise, ID 83725, USA. Electronic address: lindseyturner1@boisestate.edu.
Elizabeth A ParkerUniversity of Maryland School of Medicine, Department of Family and Community Medicine, Center for Integrative Medicine, 520 W. Lombard Street, East Hall, Baltimore, MD 21201, USA. Electronic address: Elizabeth.parker@som.umaryland.edu.
Shauna C HenleyUniversity of Maryland Extension, Department of Agriculture and Natural Resources, 1114 Shawan Road, Cockeysville, MD 21030, USA. Electronic address: shenley@umd.edu.
Brit SaksvigUniversity of Maryland College Park, Department of Epidemiology and Biostatistics, School of Public Health, College Park, MD 20742, USA. Electronic address: bsaksvig@umd.edu.
Hee-Jung SongUniversity of Maryland College Park, Department of Nutrition and Food Science, College of Agriculture and Natural Resources, College Park, MD 20742, USA. Electronic address: hjsong@umd.edu.
Erin R HagerUniversity of Maryland School of Medicine, Department of Pediatrics, Growth and Nutrition Division, 737 West Lombard Street, Baltimore, MD 21201, USA; University of Maryland School of Medicine, Department of Epidemiology and Public Health, 737 West Lombard Street, Baltimore, MD 21201, USA. Electronic address: ehager@som.umaryland.edu.

Funding

Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI RYAN, ALICE S. · 2005 to 2019
$17.3M
Student Wellness Champions for Change: engaging student leaders in enhancing wellness policy implementation through participation and advocacyF32DK115146 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI LANE, HANNAH G · 2017 to 2018
$121k
NIDDK NIH HHS F32 DK115146NIDDK NIH HHS P30 DK072488
6 · The paper itself

Abstract

Schools are a recommended place for childhood obesity prevention. Local Wellness Policies (LWPs) establish guidelines for schools to provide opportunities for students to access nutritious foods and be physically active. Little is known about the impact of LWPs, when implemented, on students' behavior and body mass index (BMI). The Wellness Champions for Change trial assesses the student-level impact of providing theory-based training and technical assistance to help schools implement LWPs. This 3-arm, cluster randomized controlled trial will take place in 30 low- or middle-income schools (15 elementary and 15 middle) in five Maryland school districts. Ten schools will receive both Wellness Champions for Change (WCC), which involves training teacher-led wellness teams, and Wellness Champions for Change-Student (WCC-S), which engages students as wellness team members. Ten schools will receive WCC only, and ten control schools will receive a delayed intervention. The RE-AIM framework will guide evaluation. Student Effectiveness measures will include BMI z-scores, self-reported diet patterns, and objectively-measured physical activity. The sample size (1080 students across 30 schools, followed for 2.5 years) will enable power (>0.8) to detect BMI z-score differences. A three-level linear mixed model that accounts for clustering will be used to assess Effectiveness. A mixed methods approach will assess school- and district-level Reach, Adoption, and Implementation. If effective, this approach will represent a sustainable, multi-level, school-based strategy to prevent childhood obesity. The evaluation framework will allow for the description of factors necessary to broadly disseminate this approach for obesity prevention on a large scale.

Indexed as

School Health ServicesStudentsChildDietExerciseHealth BehaviorHealth PolicyHealth PromotionHumansImplementation ScienceMarylandPediatric ObesityRandomized Controlled Trials as TopicTeacher TrainingChild/adolescentChildhood obesity preventionHealthy eatingLocal Wellness PoliciesPhysical activitySchool-based obesity intervention

Identifiers

PMID30342257
PMCPMC6594543

What OpenQuestion holds

Textmetadata
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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.