Robespierre Q C Ribeiro1, Luciana Alves2. 1. 1 Minas Gerais State Secretariat for Health/Non-communicable Disease, Surveillance Sector, Rua Santa Helena 75, 30.220-240 Belo Horizonte, MG, Brazil. 2. 2 Department of Pediatrics, School of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Abstract
OBJECTIVE: To assess the efficacy of two school-based programmes to promote students' willingness to engage in lifestyle changes related to eating habits and physical activity behaviours. DESIGN: Elementary school-based health promotion intervention, designed as a multicomponent experimental study, based on a behavioural epidemiological model. SETTING: Nine intervention and eight comparative public and private elementary schools. SUBJECTS: The goal was to determine the impact on the longitudinally assessed outcomes of two programmes that addressed healthy nutrition and active living in a cohort of 2038 children. The evaluations used pre-intervention and follow-up student surveys that were based on the Transtheoretical Model of the stages of behaviour change. RESULTS: In the intervention group, there were significant (P < 0·001) differences between the pre- and post-intervention times in the stages of change, with a reduction in the percentage of children at the pre-contemplation and contemplation stages and increased percentages at the preparation, action and maintenance stages, leading to healthier behaviours in fatty food consumption, fruit and vegetable consumption, physical activity and time spent in sedentary activities. The determinants of the behaviour stage were the intervention programme, the type of school and the presence of motivated teachers. The comparison group did not show significant differences between the pre- and post-intervention times for any of the stages of behaviour. CONCLUSIONS: The intervention programme encouraged the students to make healthy lifestyle choices related to eating habits and physical activity behaviours.
RCT Entities:
OBJECTIVE: To assess the efficacy of two school-based programmes to promote students' willingness to engage in lifestyle changes related to eating habits and physical activity behaviours. DESIGN: Elementary school-based health promotion intervention, designed as a multicomponent experimental study, based on a behavioural epidemiological model. SETTING: Nine intervention and eight comparative public and private elementary schools. SUBJECTS: The goal was to determine the impact on the longitudinally assessed outcomes of two programmes that addressed healthy nutrition and active living in a cohort of 2038 children. The evaluations used pre-intervention and follow-up student surveys that were based on the Transtheoretical Model of the stages of behaviour change. RESULTS: In the intervention group, there were significant (P < 0·001) differences between the pre- and post-intervention times in the stages of change, with a reduction in the percentage of children at the pre-contemplation and contemplation stages and increased percentages at the preparation, action and maintenance stages, leading to healthier behaviours in fatty food consumption, fruit and vegetable consumption, physical activity and time spent in sedentary activities. The determinants of the behaviour stage were the intervention programme, the type of school and the presence of motivated teachers. The comparison group did not show significant differences between the pre- and post-intervention times for any of the stages of behaviour. CONCLUSIONS: The intervention programme encouraged the students to make healthy lifestyle choices related to eating habits and physical activity behaviours.
Authors: Rebecca K Hodder; Kate M O'Brien; Fiona G Stacey; Flora Tzelepis; Rebecca J Wyse; Kate M Bartlem; Rachel Sutherland; Erica L James; Courtney Barnes; Luke Wolfenden Journal: Cochrane Database Syst Rev Date: 2019-11-07
Authors: Rebecca K Hodder; Fiona G Stacey; Kate M O'Brien; Rebecca J Wyse; Tara Clinton-McHarg; Flora Tzelepis; Erica L James; Kate M Bartlem; Nicole K Nathan; Rachel Sutherland; Emma Robson; Sze Lin Yoong; Luke Wolfenden Journal: Cochrane Database Syst Rev Date: 2018-01-25
Authors: Roberta R Friedrich; Lisandrea C Caetano; Mariana D Schiffner; Mário B Wagner; Ilaine Schuch Journal: BMC Public Health Date: 2015-04-11 Impact factor: 3.295
Authors: Rebecca K Hodder; Kate M O'Brien; Fiona G Stacey; Rebecca J Wyse; Tara Clinton-McHarg; Flora Tzelepis; Erica L James; Kate M Bartlem; Nicole K Nathan; Rachel Sutherland; Emma Robson; Sze Lin Yoong; Luke Wolfenden Journal: Cochrane Database Syst Rev Date: 2018-05-17
Authors: Valter Cordeiro Barbosa Filho; Alexsandra da Silva Bandeira; Giseli Minatto; Jair Gomes Linard; Jaqueline Aragoni da Silva; Rafael Martins da Costa; Sofia Wolker Manta; Soraya Anita Mendes de Sá; Thiago Sousa Matias; Kelly Samara da Silva Journal: Int J Environ Res Public Health Date: 2019-01-18 Impact factor: 3.390