Evidence map›Paper›PMID 31728203›Full record

ArticlePilot and feasibility studies2019

A feasibility cluster randomised controlled trial of a preschool obesity prevention intervention: ToyBox-Scotland.

Stephen Malden, John J Reilly, Ann-Marie Gibson, Farid Bardid, Carolyn Summerbell, Marieke De Craemer, Greet Cardon, Odysseas Androutsos, Yannis Manios, Adrienne Hughes

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 6 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

14 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
    Pooled it
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  5. Measurement of screen time among young children aged 0-6 years: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
  6. Strategies to improve retention in randomised trials.The Cochrane database of systematic reviews · 2021
    Pooled it
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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

10 authors.

Stephen Malden1Physical Activity for Health Group, School of Psychological Sciences and Health, University of Strathclyde, Graham Hills Building, 40 George Street, Glasgow, G1 1XP UK.
John J Reilly1Physical Activity for Health Group, School of Psychological Sciences and Health, University of Strathclyde, Graham Hills Building, 40 George Street, Glasgow, G1 1XP UK.
Ann-Marie Gibson1Physical Activity for Health Group, School of Psychological Sciences and Health, University of Strathclyde, Graham Hills Building, 40 George Street, Glasgow, G1 1XP UK.
Farid Bardid2School of Education, University of Strathclyde, Glasgow, UK.
Carolyn Summerbell4Department of Sport and Exercise Sciences, Durham University, Durham City, UK.
Marieke De Craemer3Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium.
Greet Cardon3Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium.
Odysseas Androutsos5Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.
Yannis Manios5Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University, Athens, Greece.
Adrienne Hughes1Physical Activity for Health Group, School of Psychological Sciences and Health, University of Strathclyde, Graham Hills Building, 40 George Street, Glasgow, G1 1XP UK.

Funding

Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

backgroundHigh levels of childhood obesity have been observed globally over the last three decades. Preschools are promising settings to implement obesity prevention interventions in the early years. The aim of this study was to test the feasibility of a cluster randomised controlled trial of the ToyBox-Scotland preschool obesity prevention intervention.

methodsSix preschools in predominantly deprived areas of Glasgow, UK, were randomised to either the ToyBox intervention (

resultsThe preschool component of the intervention was implemented with high fidelity (64%), while the home component was implemented with low fidelity (41%). A cluster-level recruitment rate of 10% was achieved, and the individual-level recruitment rate was 18% (42/233 children, mean age 4.4 years; 17 girls). The attrition rate was 14%, and compliance rates varied considerably by the outcome. Compliance was highest for BMI (86%), while 19% of the sample returned valid accelerometer data for both baseline and follow-up and the parental questionnaire response rate was 23%. Both intervention and control groups showed small increases in BMI

conclusionsBefore progression to an effectiveness trial, additional procedures should be considered to improve recruitment rates, compliance with outcome measures, and implementation of the home-based component of the ToyBox-Scotland intervention.

trial registrationISRCTN12831555.

Indexed as

Childhood obesityFeasibilityPhysical activityPreventionSedentary behaviour

Identifiers

PMID31728203
PMCPMC6842492

What OpenQuestion holds

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LicenceCC BY
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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.