Evidence map›Paper›PMID 33975569›Full record

ArticleBMC pediatrics2021

Children's experiences of participating in a school-based health promotion parental support programme - a qualitative study.

Mahnoush Etminan Malek, Gisela Nyberg, Liselotte Schäfer Elinder, Emma Patterson, Åsa Norman

Registry-linked trialAbstract read
In one paragraph

Article in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03390725 (The Healthy School Start Plus Intervention for Prevention of Childhood Overweight and Obesity in Disadvantaged Areas Through Parental Support in the School Setting - a Parallel Group Cluster Randomised Trial), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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.

NCT03390725 nacompletednot on this map

The Healthy School Start Plus Intervention for Prevention of Childhood Overweight and Obesity in Disadvantaged Areas Through Parental Support in the School Setting - a Parallel Group Cluster Randomised Trial

TypeinterventionalSponsorKarolinska InstitutetRan2017 to 2021Enrolled350ConditionsPrevention, Overweight and Obesity, Dietary Habits, Physical ActivityArmsA Healthy School Start Plus intervention
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

5 authors.

Mahnoush Etminan MalekKarolinska Institutet, Department of Global Public Health, Tomtebodavägen 18 A, 171 77, Stockholm, Sweden. mahnoush.malek@ki.se.ORCID 0000-0002-0453-8305
Gisela NybergKarolinska Institutet, Department of Global Public Health, Tomtebodavägen 18 A, 171 77, Stockholm, Sweden.
Liselotte Schäfer ElinderKarolinska Institutet, Department of Global Public Health, Tomtebodavägen 18 A, 171 77, Stockholm, Sweden.
Emma PattersonKarolinska Institutet, Department of Global Public Health, Tomtebodavägen 18 A, 171 77, Stockholm, Sweden.
Åsa NormanKarolinska Institutet, Department of Global Public Health, Tomtebodavägen 18 A, 171 77, Stockholm, Sweden.

Funding

Familjen Kamprads Stiftelse Research and Charity No. 2170238Stiftelsen Sigurd and Elsa Goljes Minne Stiftelsen Sigurd and Elsa Goljes MinneThe Swedish Research Council Forte No. 2016-00775
6 · The paper itself

Abstract

backgroundChildren's voices are seldom heard in process evaluations concerning health promotion programmes. A Healthy School Start Plus (HSSP) is a parental support programme, conducted in Sweden, with the aim of promoting healthy diet, physical activity and preventing obesity in preschool class children. The 6-month programme includes: (1) Health information to parents; (2) Motivational Interviewing with parents by school nurses; (3) Classroom activities and home assignments for children; (4) A self-test of type-2 diabetes risk for parents. We aimed to describe children's experiences of the third component regarding barriers and facilitators of participating in and learning from the classroom activities in the HSSP.

methodsIn total 36 children from 7 schools in Sweden, mean age 6 years, participated in 7 focus group discussions. Purposeful sampling with maximum variation was used to collect the data. The focus groups were audio-recorded, transcribed and analysed using qualitative content analysis.

resultsFour categories were identified; (1) Time available to work on intervention activities; (2) Others' interest; (3) Abilities and interests in intervention activities; and (4) Practicing the concept of health.

conclusionsThe findings may improve the HSSP and other similar interventions that include classroom-based learning regarding health by highlighting the following points to consider: aiming for homework to be an integrated part of the school-setting to enhance parental involvement; using flexible material, tailored to the children's abilities and giving children adequate time to finish the intervention activities; and making teachers and parents aware of the importance of verbal and body language regarding intervention activities.

trial registrationThe Healthy School Start Plus trial was retrospectively registered in the International Standard Randomised Controlled Trial Number Registry on January 4, 2018 and available online at ClinicalTrials.gov: No. NCT03390725 .

Indexed as

Health PromotionSchool Health ServicesChildChild, PreschoolHumansParentsSchoolsSwedenDietElementary schoolParental involvementPhysical activitySocioeconomic position

Identifiers

PMID33975569
PMCPMC8111964

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.