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Effect and process evaluation of a kindergarten-based, family-involved intervention with a randomized cluster design on sedentary behaviour in 4- to 6- year old European preschool children: The ToyBox-study

Latomme, Julie, Cardon, Greet, De Bourdeaudhuij, Ilse, Iotova, Violeta, Koletzko, Berthold, Socha, Piotr, Moreno, Luis, Androutsos, Odysseas, Manios, Yannis, De Craemer, Marieke, ToyBox-study group and Swinburn, Boyd 2017, Effect and process evaluation of a kindergarten-based, family-involved intervention with a randomized cluster design on sedentary behaviour in 4- to 6- year old European preschool children: The ToyBox-study, PLoS one, vol. 12, no. 4, pp. 1-14, doi: 10.1371/journal.pone.0172730.

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Title Effect and process evaluation of a kindergarten-based, family-involved intervention with a randomized cluster design on sedentary behaviour in 4- to 6- year old European preschool children: The ToyBox-study
Author(s) Latomme, Julie
Cardon, Greet
De Bourdeaudhuij, Ilse
Iotova, Violeta
Koletzko, Berthold
Socha, Piotr
Moreno, Luis
Androutsos, Odysseas
Manios, Yannis
De Craemer, Marieke
ToyBox-study group
Swinburn, Boyd
Journal name PLoS one
Volume number 12
Issue number 4
Article ID e0172730
Start page 1
End page 14
Total pages 14
Publisher Public Library of Science
Place of publication San Francisco, Calif.
Publication date 2017
ISSN 1932-6203
Keyword(s) Belgium
Bulgaria
Child, Preschool
Computers
European Continental Ancestry Group
Female
Health Behavior
Humans
Male
Parents
Program Evaluation
Schools
Sedentary Lifestyle
Surveys and Questionnaires
Video Games
ToyBox-study group
Summary BACKGROUND: The aim of the present study evaluated the effect and process of the ToyBox-intervention on proxy-reported sedentary behaviours in 4- to 6-year-old preschoolers from six European countries.

METHODS: In total, 2434 preschoolers' parents/primary caregivers (mean age: 4.7±0.4 years, 52.2% boys) filled out a questionnaire, assessing preschoolers' sedentary behaviours (TV/DVD/video viewing, computer/video games use and quiet play) on weekdays and weekend days. Multilevel repeated measures analyses were conducted to measure the intervention effects. Additionally, process evaluation data were included to better understand the intervention effects.

RESULTS: Positive intervention effects were found for computer/video games use. In the total sample, the intervention group showed a smaller increase in computer/video games use on weekdays (ß = -3.40, p = 0.06; intervention: +5.48 min/day, control: +8.89 min/day) and on weekend days (ß = -5.97, p = 0.05; intervention: +9.46 min/day, control: +15.43 min/day) from baseline to follow-up, compared to the control group. Country-specific analyses showed similar effects in Belgium and Bulgaria, while no significant intervention effects were found in the other countries. Process evaluation data showed relatively low teachers' and low parents' process evaluation scores for the sedentary behaviour component of the intervention (mean: 15.6/24, range: 2.5-23.5 and mean: 8.7/17, range: 0-17, respectively). Higher parents' process evaluation scores were related to a larger intervention effect, but higher teachers' process evaluation scores were not.

CONCLUSIONS: The ToyBox-intervention had a small, positive effect on European preschoolers' computer/video games use on both weekdays and weekend days, but not on TV/DVD/video viewing or quiet play. The lack of larger effects can possibly be due to the fact that parents were only passively involved in the intervention and to the fact that the intervention was too demanding for the teachers. Future interventions targeting preschoolers' behaviours should involve parents more actively in both the development and the implementation of the intervention and, when involving schools, less demanding activities for teachers should be developed.
Language eng
DOI 10.1371/journal.pone.0172730
Field of Research 111799 Public Health and Health Services not elsewhere classified
MD Multidisciplinary
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, Latomme et al.
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30099426

Document type: Journal Article
Collections: School of Health and Social Development
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.