KEIGAAF: Implementation and evaluation of a context-based physical activity and nutrition intervention in the primary school environment
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BackgroundThe aims of this systematic review were to study the effectiveness of primary schoolbased physical activity, sedentary behavior and nutrition interventions with direct parental involvement on children's BMI or BMI z-score, physical activity, sedentary behavior and nutrition behavior and categorize intervention components into targeted socio-cognitive determinants and environmental types using the Environmental Research framework for weight Gain prevention. MethodsIn March 2018, a systematic search was conducted in four electronic literature databases.Articles written in English about effectiveness studies on school-based interventions with direct parental involvement targeting 4-12 year olds were included.Interventions with indirect parental involvement, interventions not targeting the school environment, and pilot studies were excluded.Study and intervention characteristics were extracted.Study quality and study effectiveness were assessed and effect sizes (Cohen's d) were calculated for the outcome measures.Types of socio-cognitive factors and environmental types targeted were distinguished.Table 2.1.Categories and terms of the search strategy. Category 1: Intervention participantsChild(ren), preschool child(ren), minor(s), toddler(s), infant(s) Category 2: Intervention target behaviorsMotor activity, physical activity, physical activities, sedentary behavior, lifestyle, energy balance, diet(s), dietary, food, nutrition, (un)healthy food, (un)healthy eating, energy intake Category 3: School Nursery, nurseries, child day care center(s), day care(s), preschool(s), kindergarten(s), playgroup(s), school(s), primary school(s), school-based, school-centered Category 4: Family
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The study supports previous findings about the importance of appealing learning materials for program implementation.
“The study supports previous findings about the importance of appealing learning materials for program implementation [30, 32, 33]”
From Balancing Fidelity and Adaptation: Action‐Oriented Research Towards Implementing a Nutrition Education Program Among Adolescents (2025) · cites this paper as [32]
The Strengths and limitations section says challenges that did not match children’s interests were performed poorly, supporting the importance of appealing activities for participation. The Intervention development section lists posters and instruction videos, but the copy does not establish that the appeal of those learning materials mattered to program implementation specifically. (LLM, conf=0.78)
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The need for a complex systems model of evidence for public health
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Driessen‐Willems, M. D., Bartelink, N. H. M., Bessems, K. M. H. H., Kremers, S. K., & van Assema, P. (2025) · Journal of School Health · doi:10.1111/josh.70009 · Cited by 1 · see citing works
- Authors
- Sacha (Renérus Barbara), V. J.
- Affiliations
- Health promotion
- Publisher
- University of Maastricht
- Published
- 2020-01-01
- OpenAlex
- W3093938817
- Cited by
- 1
- References
- 15
- Citations by year
- 2025: 1
- Type
- dissertation
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- school-based intervention, elementary school students, parental involvement, childhood obesity, BMI z-score, physical activity, sedentary behavior, nutrition behavior, environmental determinants, weight gain prevention, family intervention
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