Sustainability of and Adherence to Preschool Health Promotion Among Children 9 to 13 Years Old
| Autor: | Isabel Carvajal, Rodrigo Fernández-Jiménez, Emilia Bagiella, Zorayda Moreno, Jennifer Guijarro, Maria Paula Céspedes, Jorge Baxter, Jaime Céspedes, Carla Rodríguez, Marilyn Hunn, Sarha Vargas, Gloria Santos-Beneit, Valentin Fuster, Germán Briceño |
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| Přispěvatelé: | Fundación Santo Domingo, American Heart Association, Instituto de Salud Carlos III, Unión Europea. Comisión Europea, Ministerio de Ciencia e Innovación (España), Fundación ProCNIC |
| Rok vydání: | 2019 |
| Předmět: |
Male
Health Knowledge Attitudes Practice Psychological intervention 030204 cardiovascular system & hematology 0302 clinical medicine Promotion (rank) 11. Sustainability Early Intervention Educational 030212 general & internal medicine Child media_common 2. Zero hunger 3. Good health Randomized controlled trial Child Preschool Female Cardiology and Cardiovascular Medicine Human Multiple stages medicine.medical_specialty Adolescent Cardiovascular health media_common.quotation_subject Healthy lifestyle Major clinical study Health Promotion Colombia Article Child health 03 medical and health sciences Intervention (counseling) Dose response medicine Humans Healthy Lifestyle Phase 2 clinical trial Preschool Cross-sectional study Lowest income group business.industry Prevention Confidence interval Outcome assessment Health promotion Cross-Sectional Studies Attitude Preschool child Physical therapy Habit business Controlled study Follow-Up Studies |
| Zdroj: | Repositorio EdocUR-U. Rosario Universidad del Rosario instacron:Universidad del Rosario Repisalud Instituto de Salud Carlos III (ISCIII) |
| ISSN: | 1558-3597 |
| Popis: | Long-term evaluations of child health promotion programs are required to assess their sustainability and the need for reintervention. This study sought to explore the long-term impact of a preschool health promotion intervention delivered in an urban low-income area of Colombia (phase 1) and to assess the effect of a new community-based intervention (phase 2). In phase 1, a cross-sectional analysis of knowledge, attitudes, and habits (KAH) toward a healthy lifestyle and ideal cardiovascular health (ICH) scores of 1,216 children 9 to 13 years old was performed. Of the total, 596 had previously received a preschool health promotion intervention at 3 to 5 years old, whereas the remaining 620 were not previously intervened (intervention-naive group). In phase 2, all children were cluster randomized 1:1 to receive either a 4-month educational intervention (the SI! Program) to instill healthy behaviors in community centers (24 clusters, 616 children) or to control (24 clusters, 600 children). Previously intervened and intervention-naive children were not mixed in the same cluster. The primary outcomes were the change from baseline in KAH and ICH scores. Intervention effects were tested for with linear mixed-effects models. In phase 1, ∼85% of children had nonideal cardiovascular health, and those who previously received a preschool intervention showed a negligible residual effect compared with intervention-naive children. In phase 2, the between-group (control vs. intervention) differences in the change of the overall KAH and ICH scores were 0.92 points (95% confidence interval [CI]: -0.28 to 2.13; p = 0.133) and -0.20 points (95% CI: -0.43 to 0.03; p = 0.089), respectively. No booster effect was detected. However, a dose-response effect was observed, with maximal benefit in children attending >75% of the scheduled intervention; the difference in the change of KAH between the high- and low-adherence groups was 3.72 points (95% CI: 1.71 to 5.73; p |
| Databáze: | OpenAIRE |
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