ArticleFrontiers in public health2025
Child opinions related to a core outcome set for school-based healthy lifestyle behavior interventions: the COCOS study.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Evaluating School-Based Obesity Prevention Interventions in 6- to 12-Year-Old Children: A Scoping Review of All Reported Outcomes and Expert Consultation.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Article
- The OWL Screening Tool-A Protocol for Holistic Pediatric Lifestyle Assessment.Healthcare (Basel, Switzerland) · 2025Article
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11 authors.
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Abstract
Introduction: Including children's perspectives developing health programs is a priority. This study gathered children's perspectives on outcomes in a Core Outcomes Set (COS), which they believe are important to measure in school-based healthy lifestyle behavioral interventions. Methods: Children aged 8-12 years from six countries across three continents participated in standardized interactive focus groups. An animation video was used to explain all relevant concepts (e.g., "intervention", "outcomes") and showed animated children engaging in a variety of lifestyle behaviors at school. Participating children then brainstormed and proposed outcomes they consider important to measure when evaluating a school-based "healthy lifestyle programme". Next, children individually rated the importance of the outcomes using a traffic light system (red, "not important"; orange, "important"; green, "very important"). Similar outcomes (across focus groups and countries) were merged, and an overall importance rating was given to each outcome (across countries and overall). An outcome was considered important for inclusion in a COS if ≥70% of children scored the outcome as "very important" and <15% scored it as "not important". Results: Children ( Conclusion: Children reported a wide range of outcomes related to physical and mental health, as well as enjoyment and social skills, such as having fun and making friends. All outcomes reported by children in at least two countries and considered "very important" will be considered for inclusion in the consensus stage of developing a COS for school-based intervention studies aimed at childhood overweight and obesity prevention.
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