Evidence map›Paper›PMID 32859118›Full record

Trial reportNutrients2020

Effects of the Preschool-Based Family-Involving DAGIS Intervention Program on Children's Energy Balance-Related Behaviors and Self-Regulation Skills: A Clustered Randomized Controlled Trial.

Carola Ray, Rejane Figuereido, Henna Vepsäläinen, Reetta Lehto, Riikka Pajulahti, Essi Skaffari, Taina Sainio, Pauliina Hiltunen, Elviira Lehto, Liisa Korkalo and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 7 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

15 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Interventions to Reduce Screen Time in Preschool-Aged Children: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  12. From preschool to policy: A scoping review of recommended interventions for a systems approach to improve dietary intake in early childhood.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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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

14 authors.

Carola RayFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, Finland.ORCID 0000-0002-1443-3531
Rejane FiguereidoFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, Finland.
Henna VepsäläinenDepartment of Food and Nutrition, University of Helsinki, P.O. Box 66, FI-00014 Helsinki, Finland.ORCID 0000-0002-0177-3609
Reetta LehtoFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, Finland.ORCID 0000-0002-2289-2746
Riikka PajulahtiFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, Finland.
Essi SkaffariFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, Finland.
Taina SainioFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, Finland.
Pauliina HiltunenFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, Finland.
Elviira LehtoFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, Finland.
Liisa KorkaloDepartment of Food and Nutrition, University of Helsinki, P.O. Box 66, FI-00014 Helsinki, Finland.ORCID 0000-0002-0525-9877
Katri SääksjärviDepartment of Teacher Education, University of Helsinki, P.O. Box 9, FI-00100 Helsinki, Finland.
Nina SajaniemiDepartment of Teacher Education, University of Helsinki, P.O. Box 9, FI-00100 Helsinki, Finland.
Maijaliisa ErkkolaDepartment of Food and Nutrition, University of Helsinki, P.O. Box 66, FI-00014 Helsinki, Finland.ORCID 0000-0002-6966-1523
Eva RoosFolkhälsan Research Center, Topeliuksenkatu 20, FI-00250 Helsinki, Finland.ORCID 0000-0003-3521-6517

Funding

The Academy of Finland 285439The Academy of Finland 287288The Academy of Finland 288038The Academy of Finland 315816
6 · The paper itself

Abstract

The study examines the effects of a preschool-based family-involving multicomponent intervention on children's energy balance-related behaviors (EBRBs) such as food consumption, screen time and physical activity (PA), and self-regulation (SR) skills, and whether the intervention effects differed among children with low or high parental educational level (PEL) backgrounds. The Increased Health and Wellbeing in Preschools (DAGIS) intervention was conducted as a clustered randomized controlled trial, clustered at preschool level, over five months in 2017-2018. Altogether, 802 children aged 3-6 years in age participated. Parents reported children's consumption of sugary everyday foods and beverages, sugary treats, fruits, and vegetables by a food frequency questionnaire, and screen time by a 7-day diary. Physical activity was assessed by a hip-worn accelerometer. Cognitive and emotional SR was reported in a questionnaire by parents. General linear mixed models with and without repeated measures were used as statistical methods. At follow-up, no differences were detected in EBRBs or SR skills between the intervention and control group, nor did differences emerge in children's EBRBs between the intervention and the control groups when stratified by PEL. The improvement in cognitive SR skills among low PEL intervention children differed from low PEL control children, the significance being borderline. The DAGIS multicomponent intervention did not significantly affect children's EBRBs or SR. Further sub-analyses and a comprehensive process evaluation may shed light on the non-significant findings.

Indexed as

Screen TimeChild BehaviorChild, PreschoolCluster AnalysisEducational StatusEnergy IntakeExerciseFamilyFemaleFinlandHumansMaleParentsProgram EvaluationSelf-ControlSurveys and Questionnaireschildrenenergy balance-related behaviorsintervention effectsintervention mappingmulticomponent interventionparental educational levelpreschoolersrandomized controlled trialself-regulation skills

Identifiers

PMID32859118
PMCPMC7551940

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.