Systematic review and meta-analysis of health promotion interventions for children and adolescents using an ecological framework
Open accessAbstract
OBJECTIVE: To evaluate and quantify the evidence for health promotion interventions in children and adolescents. METHOD: 96 independent samples of smoking, physical activity, and diet studies were included. Outcomes included both objective and self-reports of health behavior, as well as proxy measures such as fitness. RESULTS: The aggregated effect was significant (g = .20, 95% confidence interval [CI] = 0.08-0.32, n = 96). A significant effect of intervention was observed at approximately 1-year follow-up (g = .07, 95% CI = 0.02-0.14, n = 20). The greatest risk of bias was failure to blind outcome assessment, which occurred in 21% of studies. Most studies lacked sufficient detail to determine the quality of their randomization sequence (58%). Additional concerns about risk of bias for individual studies were minimal. Overall, the quality of this finding was moderate using the Grading of Recommendations Assessment, Development, and Evaluation criteria. CONCLUSION: Health promotion interventions are effective for modifying health behavior; however, effect sizes are small.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Health promotion interventions can be effective in terms of health.
“Overall, the reviews stated that health promotion interventions can be effective in terms of health (89), obesity prevention (92), and the reduction of socioeconomic inequalities in obesity (91).”
From How can physical activity be promoted among children and adolescents? A systematic review of reviews across settings (2019) · cites this paper as [89]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,406 · see citing works
Statistical Power Analysis for the Behavioral Sciences (2nd ed.).
Lachenbruch, P. A., & Cohen, J. (1989) · Journal of the American Statistical Association · doi:10.2307/2290095 · Cited by 37,385 · see citing works
Cochrane Handbook for Systematic Reviews of Interventions: Cochrane Book Series
(2008) · doi:10.1002/9780470712184 · Cited by 25,048 · see citing works
Dermyshi, E., Wang, Y., Yan, C., Hong, W., Qiu, G., Gong, X., & Zhang, T. (2017) · Neonatology · doi:10.1159/000454668 · Cited by 24,577 · see citing works
Michie, S., van Stralen, M. M., & West, R. (2011) · Implementation Science · doi:10.1186/1748-5908-6-42 · Cited by 13,697 · see citing works
Toward an experimental ecology of human development.
Bronfenbrenner, U. (1977) · American Psychologist · doi:10.1037/0003-066x.32.7.513 · Cited by 10,853 · see citing works
GRADE guidelines: 1. Introduction—GRADE evidence profiles and summary of findings tables
Guyatt, G., Oxman, A. D., Akl, E. A., Kunz, R., Vist, G., Brozek, J., Norris, S., Falck-Ytter, Y., Glasziou, P., & deBeer, H. (2011) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2010.04.026 · Cited by 10,681 · see citing works
(2000) · Cited by 9,198 · see citing works
Child abuse: Adolescent records vs. adult recall
Femina, D. D., Yeager, C. A., & Lewis, D. O. (1990) · Child Abuse & Neglect · doi:10.1016/0145-2134(90)90033-p · Cited by 8,820 · see citing works
Actual causes of death in the United States
McGinnis, J. M. (1993) · JAMA: The Journal of the American Medical Association · doi:10.1001/jama.1993.03510180077038 · Cited by 5,480 · see citing works
Actual Causes of Death in the United States, 2000
Mokdad, A. H. (2004) · JAMA · doi:10.1001/jama.291.10.1238 · Cited by 5,211 · see citing works
Update on Key Emerging Challenges in Cystic Fibrosis
Jennings, M. T., Riekert, K. A., & Boyle, M. (2014) · Medical Principles and Practice · doi:10.1159/000357646 · Cited by 3,667 · see citing works
The Handbook of Research Synthesis.
Howel, D., Cooper, H., & Hedges, L. V. (1995) · Biometrics · doi:10.2307/2533295 · Cited by 3,657 · see citing works
Ecological models of health behavior.
Sallis, J. F., Owen, N. G., & Fisher, E. B. (2008) · Swinburne figshare (Swinburne University of Technology) · Cited by 3,217 · see citing works
Annual Medical Spending Attributable To Obesity: Payer-And Service-Specific Estimates
Finkelstein, E. A., Trogdon, J. G., Cohen, J. W., & Dietz, W. H. (2009) · Health Affairs · doi:10.1377/hlthaff.28.5.w822 · Cited by 2,956 · see citing works
Health Consequences of Obesity in Youth: Childhood Predictors of Adult Disease
Dietz, W. H. (1998) · Pediatrics · doi:10.1542/peds.101.s2.518 · Cited by 2,700 · see citing works
Health and economic burden of the projected obesity trends in the USA and the UK
Wang, Y. C., McPherson, K., Marsh, T., Gortmaker, S. L., & Brown, M. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60814-3 · Cited by 2,694 · see citing works
A taxonomy of behavior change techniques used in interventions
Abraham, C., & Michie, S. (2008) · Health Psychology · doi:10.1037/0278-6133.27.3.379 · Cited by 2,525 · see citing works
How to select, calculate, and interpret effect sizes.
Durlak, J. (2009) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsp004 · Cited by 1,487 · see citing works
Luepker, R. V. (1996) · JAMA · doi:10.1001/jama.1996.03530340032026 · Cited by 1,023 · see citing works
Davis, C. L., Tomporowski, P. D., McDowell, J. E., Austin, B. P., Miller, P. H., Yanasak, N. E., Allison, J. D., & Naglieri, J. A. (2011) · Health Psychology · doi:10.1037/a0021766 · Cited by 911 · see citing works
Handbook of pediatric psychology
(1988) · Choice Reviews Online · doi:10.5860/choice.26-2400 · Cited by 799 · see citing works
Individual determinants of research utilization by nurses: a systematic review update
Squires, J. E., Estabrooks, C. A., Gustavsson, P., & Wallin, L. (2011) · Implementation Science · doi:10.1186/1748-5908-6-1 · Cited by 798 · see citing works
Stice, E. M., Shaw, H. E., & Marti, C. N. (2006) · Psychological Bulletin · doi:10.1037/0033-2909.132.5.667 · Cited by 691 · see citing works
Metcalf, B., Henley, W., & Wilkin, T. (2012) · BMJ · doi:10.1136/bmj.e5888 · Cited by 658 · see citing works
Stochastically dependent effect sizes.
Gleser, L. J., & Olkin, I. (1994) · Cited by 485 · see citing works
Life Skills Training: Empirical Findings and Future Directions
Botvin, G. J., & Griffin, K. W. (2004) · The Journal of Primary Prevention · doi:10.1023/b:jopp.0000042391.58573.5b · Cited by 434 · see citing works
Pontifex, M. B., Saliba, B. J., Raine, L. B., Picchietti, D. L., & Hillman, C. H. (2013) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2012.08.036 · Cited by 417 · see citing works
Kahana, S., Drotar, D., & Frazier, T. (2008) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsm128 · Cited by 334 · see citing works
A systematic review of school-based smoking prevention trials with long-term follow-up
Wiehe, S. E., Garrison, M. M., Christakis, D. A., Ebel, B. E., & Rivara, F. P. (2005) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2004.12.003 · Cited by 286 · see citing works
Where Are Youth Active? Roles of Proximity, Active Transport, and Built Environment
Grow, H. M., Saelens, B. E., Kerr, J., Durant, N. H., Norman, G. J., & Sallis, J. F. (2008) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3181817baa · Cited by 284 · see citing works
The Fun, Food, and Fitness Project (FFFP): the Baylor GEMS pilot study.
Baranowski, T., Baranowski, J. C., Cullen, K. W., Thompson, D. I., Nicklas, T. A., Zakeri, I., & Rochon, J. (2003) · PubMed · Cited by 253 · see citing works
Validation of a 3-Day Physical Activity Recall Instrument in Female Youth
Pate, R. R., Ross, R., Dowda, M. C., Trost, S. G., & Sirard, J. R. (2003) · Pediatric Exercise Science · doi:10.1123/pes.15.3.257 · Cited by 232 · see citing works
The Bangkok Charter for Health Promotion in a Globalized World
(2006) · Health Promotion International · doi:10.1093/heapro/dal046 · Cited by 227 · see citing works
A randomised controlled trial of a community intervention to prevent adolescent tobacco use
Biglan, A. (2000) · Tobacco Control · doi:10.1136/tc.9.1.24 · Cited by 213 · see citing works
Obesogenic Neighborhood Environments, Child and Parent Obesity
Saelens, B. E., Sallis, J. F., Frank, L. D., Couch, S. C., Zhou, C., Colburn, T. A., Cain, K. L., Chapman, J. E., & Glanz, K. (2012) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2012.02.008 · Cited by 204 · see citing works
A meta-systems approach to evidence-based practice for children and adolescents.
Kazak, A. E., Hoagwood, K., Weisz, J. R., Hood, K. K., Kratochwill, T. R., Vargas, A., & Banez, G. A. (2010) · American Psychologist · doi:10.1037/a0017784 · Cited by 196 · see citing works
Child- and parent-targeted interventions: the Memphis GEMS pilot study.
Beech, B. M., Klesges, R. C., Kumanyika, S., Murray, D. M., Klesges, L. M., McClanahan, B. S., SLAWSON, D. L., Nunnally, C., Rochon, J., McLain-Allen, B., et al. (2003) · PubMed · Cited by 191 · see citing works
Fisher, E. B., Fitzgibbon, M., Glasgow, R. E., Haire-Joshu, D. L., Hayman, L. L., Kaplan, R. M., Nanney, M. S., & Ockene, J. K. (2011) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2010.12.031 · Cited by 183 · see citing works
Cushing, C. C., & Steele, R. G. (2010) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsq023 · Cited by 180 · see citing works
Self-citationTrends in obesity and abdominal obesity among adults in the United States from 1999–2008
Ford, E. S., Li, C., Zhao, G., & Tsai, J. H. (2010) · International Journal of Obesity · doi:10.1038/ijo.2010.186 · Cited by 169 · see citing works
New Perspectives on Health Disparities and Obesity Interventions in Youth
Wilson, D. K. (2008) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsn137 · Cited by 136 · see citing works
Self-citationPhysical activity, quality of life, and weight status in overweight children
Shoup, J. A., Gattshall, M., Dandamudi, P., & Estabrooks, P. A. (2008) · Quality of Life Research · doi:10.1007/s11136-008-9312-y · Cited by 127 · see citing works
Effective practices for school-based tobacco use prevention
Dobbins, M., DeCorby, K., Manske, S., & Goldblatt, E. (2007) · Preventive Medicine · doi:10.1016/j.ypmed.2007.10.003 · Cited by 94 · see citing works
Household Obesity Prevention: Take Action—a Group‐Randomized Trial
French, S. A., Gerlach, A. F., Mitchell, N. R., Hannan, P. J., & Welsh, E. M. (2011) · Obesity · doi:10.1038/oby.2010.328 · Cited by 92 · see citing works
A Review of Family and Environmental Correlates of Health Behaviors in High‐Risk Youth
Lawman, H. G., & Wilson, D. K. (2012) · Obesity · doi:10.1038/oby.2011.376 · Cited by 84 · see citing works
Self-citationCost savings and cost-effectiveness of clinical preventive care.
Neumann, P. J., & Cohen, J. T. (2009) · PubMed · Cited by 58 · see citing works
Smoking-Attributable Mortality, Years of Potential Life Lost, and Productivity Losses
Adhikari, B. B., Kahende, J. W., Malarcher, A. M., Pechacek, T. F., & Tong, V. T. (2009) · Oncology Times · doi:10.1097/01.cot.0000345498.34913.fd · Cited by 48 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- Centers for Disease Control and Prevention, Office on Smoking and Health. Preventing tobacco use among youth and young adults: A report of the surgeon general. Atlanta, GA: U.S. Department of Health and Human Services; 2012. [PubMed] [Google Scholar]
- Higgins J P T, Green S, editors. Cochrane handbook for systematic reviews of interventions (Version 5.1.0) 2011. The Cochrane Collaboration. 2011. Retrieved from http://www.cochrane-handbook.org. [Google Scholar]
Cited by
Sorted by citations
Mobile Health Interventions for Improving Health Outcomes in Youth: A Meta-analysis
Fedele, D. A., Cushing, C. C., Fritz, A., Amaro, C. M., & Ortega, A. (2017) · JAMA Pediatrics · doi:10.1001/jamapediatrics.2017.0042 · Cited by 316 · see citing works
Self-citationMessing, S., Rütten, A., Abu-Omar, K., Ungerer-Röhrich, U., Goodwin, L., Burlacu, I., & Gediga, G. (2019) · Frontiers in Public Health · doi:10.3389/fpubh.2019.00055 · Cited by 259 · see citing works
- Authors
- Cushing, C. C., Brannon, E. E., Suorsa, K. I., & Wilson, D. K.
- Affiliations
- Oklahoma State University (US)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-06-16
- Volume
- 39
- Issue
- 8
- Pages
- 949-962
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC4192049
- OpenAlex
- W2159424492
- Cited by
- 110
- References
- 48
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 4 · 2023: 3 · 2022: 8 · 2021: 6 · 2020: 54 · 2019: 7 · 2018: 5 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 4
- FWCI
- 0.88
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD072153)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- health promotion interventions, children, adolescents, ecological model, smoking prevention, physical activity, diet, health behavior change, risk of bias, intervention effectiveness
- MeSH terms
- Smoking Prevention, Adolescent, Child, Diet, Health Promotion, Humans, Smoking, Health Behavior, Exercise
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
