SynthesisTranslational behavioral medicine2021
Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review.
Synthesis in Translational behavioral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 7 of them syntheses that pooled 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.
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.
Who cites it
45 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Exploring long-term follow-up of effective implementation trials in schools: a secondary review.Frontiers in public health · 2026Pooled it
- Food Service Professionals' Perspectives on the Barriers and Facilitators to the Implementation of Nutrition Standards for School Food: A Mixed-Methods Systematic Review.The Journal of school health · 2026Pooled it
- Towards a comprehensive school food environment audit tool in Canada: a systematic review of school food environment measurements and nutrition determinants.BMC public health · 2025Pooled it
- Strategies for enhancing the implementation of school-based policies or practices targeting diet, physical activity, obesity, tobacco or alcohol use.The Cochrane database of systematic reviews · 2024Pooled it
- A systematic review of experimentally tested implementation strategies across health and human service settings: evidence from 2010-2022.Implementation science : IS · 2024Pooled it
- Using ERIC to Assess Implementation Science in Drowning Prevention Interventions in High-Income Countries: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- School-Based Nutrition Programs in the Eastern Mediterranean Region: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Improving the adoption of a school-based nutrition program: findings from a collaborative network of randomised trials.Implementation science : IS · 2025Trial
- Impact and process evaluation of a primary-school Food Education and Sustainability Training (FEAST) program in 10-12-year-old children in Australia: pragmatic cluster non-randomized controlled trial.BMC public health · 2024Trial
- Not coping with stress and screen-time: mixed methods.International journal of circumpolar health · 2026Article
- Teacher-Identified Priorities and Resource Use in Government-Supported School Food and Nutrition Education in Korea.Nutrients · 2026Article
- Review
- Welcoming and caring schools: a health-promoting schools analysis from a 2-year Canadian universal school lunch pilot.Health promotion international · 2026Article
- Article
- Weight Perception and Bullying among Overweight and Obese Students (Age 6-16 Years) in Amritsar District.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026Article
- Article
- Recent trends of non-communicable diseases in Cambodia: a narrative review of challenges, risk factors, and public health strategies.Frontiers in public health · 2026Review
- Structural imbalance in youth weight management policies in China: a three-dimensional analysis of school responsibility and collaborative support.Frontiers in public health · 2026Article
- Core Elements of the Stunting Prevention Model to Improve Adolescents' Quality of Life.Journal of multidisciplinary healthcare · 2026Article
- Transforming South Africa's school nutrition programme for educational success: A review on challenges and prospects.Journal of public health research · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
Although best practice recommendations exist regarding school-based healthy eating and physical activity policies, practices, and programs, research indicates that implementation is poor. As the field of implementation science is rapidly evolving, an update of the recent review of strategies to improve the implementation of healthy eating and physical activity interventions in schools published in the Cochrane Library in 2017 was required. The primary aim of this review was to examine the effectiveness of strategies that aim to improve the implementation of school-based policies, practices, or programs to address child diet, physical activity, or obesity. A systematic review of articles published between August 31, 2016 and April 10, 2019 utilizing Cochrane methodology was conducted. In addition to the 22 studies included in the original review, eight further studies were identified as eligible. The 30 studies sought to improve the implementation of healthy eating (n = 16), physical activity (n = 11), or both healthy eating and physical activity (n = 3). The narrative synthesis indicated that effect sizes of strategies to improve implementation were highly variable across studies. For example, among 10 studies reporting the proportion of schools implementing a targeted policy, practice, or program versus a minimal or usual practice control, the median unadjusted effect size was 16.2%, ranging from -0.2% to 66.6%. Findings provide some evidence to support the effectiveness of strategies in enhancing the nutritional quality of foods served at schools, the implementation of canteen policies, and the time scheduled for physical education.
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What OpenQuestion holds
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.