Evidence map›Paper›PMID 38561742›Full record

ArticleBMC public health2024

Acceptability and perceived feasibility of the KaziKidz health promotion intervention among educators and caregivers in schools from South Africa: a qualitative descriptive study.

Patricia Arnaiz, Manfred Max Bergman, Harald Seelig, Larissa Adams, Danielle Dolley, Markus Gerber, Nandi Joubert, Siphesihle Nqweniso, Peter Steinmann, Jürg Utzinger and 4 more

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Article in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. 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

14 authors.

Patricia ArnaizDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland. patricia.arnaiz@unibas.ch.
Manfred Max BergmanDepartment of Social Sciences, University of Basel, Basel, Switzerland.
Harald SeeligDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Larissa AdamsDepartment of Human Movement Science, Nelson Mandela University, Gqeberha, South Africa.
Danielle DolleyDepartment of Human Movement Science, Nelson Mandela University, Gqeberha, South Africa.
Markus GerberDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Nandi JoubertDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Siphesihle NqwenisoDepartment of Human Movement Science, Nelson Mandela University, Gqeberha, South Africa.
Peter SteinmannSwiss Tropical and Public Health Institute, Allschwil, Switzerland.
Jürg UtzingerSwiss Tropical and Public Health Institute, Allschwil, Switzerland.
Rosa du RandtDepartment of Human Movement Science, Nelson Mandela University, Gqeberha, South Africa.
Cheryl WalterDepartment of Human Movement Science, Nelson Mandela University, Gqeberha, South Africa.
Uwe PühseDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.
Ivan MüllerDepartment of Sport, Exercise and Health, University of Basel, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the uncontested benefits of physical activity, its promotion lags behind in the public health agenda of low- and middle-income countries (LMICs). School-based interventions are promising strategies to foster health during childhood, but evidence of their effectiveness is limited and inconclusive for LMICs. Thus, further investigation is needed on contextual factors associated with intervention implementation in low-resource settings. We studied the acceptability and feasibility of the KaziKidz health promotion intervention and its implementation and make recommendations to improve future adoption and sustainability.

methodsKaziKidz was implemented in four primary schools from low-income communities in South Africa in 2019. Semi-structured interviews with four school principals, three focus group interviews with 16 educators, and another three with 16 caregivers were conducted between October and November 2021. Participants were purposively recruited. Interview transcripts were analyzed via thematic analysis using a deductive and reflexive approach.

resultsThree main themes influencing intervention implementation and adoption were identified: (1) prioritizing teachers' needs (2), integrating the program into the school structure, and (3) creating opportunities in the community. Supporting recommendations included: (theme 1) adopting intervention approaches that are inclusive of educators' health and providing them with capacity development and external support; (theme 2) fostering a feeling of ownership and belonging among school stakeholders to adapt interventions to specific resources and needs; and (theme 3) raising community awareness to encourage individuals to claim power over and actively engage with the program.

conclusionsComprehensive interventions comprising health support, adequate training, and ongoing assistance for educators combined with school-wide and community outreach actions seeking to strengthen program ownership, accountability, and engagement can enhance uptake of school-based interventions and long-term maintenance.

trial registrationISRCTN15648510, registered on 17/04/2020.

Indexed as

CaregiversHealth PromotionFeasibility StudiesHumansSchoolsSouth AfricaAcceptabilityCaregiverFeasibilityHealth promotionPhysical activitySchool-based interventionsSouth AfricaTeacher

Identifiers

PMID38561742
PMCPMC10985953

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.