ArticleBMC public health2025
Copen-SCALE: scaling-up an effective intervention to childcare institutions in Copenhagen - a stepped wedge type II hybrid effectiveness-implementation trial. A study protocol.
Article in BMC 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.
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
2 citing papers in PubMed.
- Beyond risk reduction of work-related musculoskeletal disorders: The CoWork musculoskeletal health model.Scandinavian journal of work, environment & health · 2026Article
- Hand-in-Hand-improving occupational health and quality of care in early education and care: study protocol for a cluster-randomized controlled trial.Frontiers in public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundThis study protocol describes the evaluation of the scale-up of an effective intervention to potentially all 350 childcare institutions in Copenhagen. This project represents a unique opportunity previously unseen in occupational health and safety - namely the scale-up of an effective workplace intervention (TOY) to hundreds of workplaces. The aim of the project is to evaluate the scale-up of the TOY intervention, titled "Copen-SCALE."
methodsThe study is a 4-year type II hybrid stepped-wedge trial that will evaluate the effectiveness, cost-effectiveness, and implementation of an intervention across up to 350 childcare institutions in Copenhagen Municipality. The original TOY intervention included three participatory ergonomic workshops at childcare institutions, facilitated by external ergonomic consultants. The intervention had high feasibility and demonstrated a significant reduction in pain-related sickness absence among the childcare workers. Copen-SCALE's target population now includes childcare workers in both day nurseries (ages 0-3) and pre-schools (ages 3-6), expanding beyond the original TOY RCT trial group. Moreover, there has been further development of the intervention by including best practices and research findings to the TOY concept, leading to the development of Copen-SCALE. Copen-SCALE includes four evidence-based components: child self-reliance, ergonomics, pain management education, and health-promoting activities. Copen-SCALE aims to include up to eighty-seven childcare institutions each year from 2024 to the end of 2027. Mixed methods will be employed to investigate effectiveness, cost-effectiveness, adaptation, and implementation of Copen-SCALE. DISCUSSION: Scaling up effective interventions is crucial for achieving widespread benefits. Yet, this is underexplored in occupational health. The TOY intervention, being cost-effective and scalable, has the potential to contribute with valuable evidence, informing policies to enhance childcare workers' health, well-being, and work environment. We anticipate that the findings from this project will inform wider dissemination of the intervention to childcare workers in more municipalities in Denmark.
trial registrationThe study was prospectively registered in a clinical trial register (ISRCTN14831585). Registered 04 January 2024, ISRCTN - ISRCTN14831585.
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