Ergebnisse der Prozessevaluation eines Programms zur Gesundheitsförderung von 3- bis 6-jährigen Kita-Kindern: „JolinchenKids – Fit und gesund in der Kita“

Steenbock, Berit; Zeeb, Hajo; Liedtke, Stefanie; Pischke, Claudia R.

doi:10.1007/s11553-015-0520-3

Cited by 3 publications

(2 citation statements)

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“…The health insurance that originally developed the program is, however, very interested in using the calendar developed by the research team to track and quantify implementation in the future. Another problem is that DFs often simultaneously implement other programs [48]. This was also the case during the study period (not reported here) and might have hindered a more extensive implementation of JolinchenKids – fit and healthy in daycare due to time constraints in the daily routine of intervention DFs.…”

Section: Discussionmentioning

confidence: 95%

“…Results of focus groups (not shown here) suggested that DF staff found it difficult to engage parents in the program, particularly if they were working full-time and had little time to contribute to the implementation of parent activities. In addition, in a previous study piloting the intervention, DFs implementing this module complained about a low parental engagement [48]. Wasenius and colleagues [51] analyzed the effect of the Activity Begins in Childhood (ABC)-intervention on fundamental motor skills in preschoolers and reported that their intervention was equally effective in increasing locomotor skills, with and without the addition of a parent-driven home PA component.…”

Section: Discussionmentioning

confidence: 99%

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Impact of the intervention program “JolinchenKids – fit and healthy in daycare” on energy balance related-behaviors: results of a cluster controlled trial

et al. 2019

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BackgroundThe purpose of this study was to evaluate the multi-component health promotion program, JolinchenKids – fit and healthy in daycare, designed to promote physical activity (PA), healthy eating, and mental wellbeing among 3- to 6-year-old preschoolers.MethodsFor this cluster controlled trial, 62 daycare facilities (DFs) from thirteen different federal states in Germany were recruited (31 intervention, 31 control DFs). Outcome measures were children’s habitual PA, fruits and vegetable consumption, consumption of unsweetened beverages and snacks with parents as raters. Study nurses assessed children’s body composition and motor skills. Data was collected at baseline and 12 months later. To track adherence to the implementation of intervention modules at individual DF groups, an implementation calendar was used from baseline to follow-up. Linear mixed models were used to investigate effects for survey, group and their interaction at the individual level while accounting for clustering.ResultsSamples of 831 (baseline) and 641 (follow-up) children aged 4.3 ± 0.8 and 5.2 ± 0.8 years were analysed. More than half of the intervention DFs chose the nutrition or PA module for the first year of implementation while an implementation level of > 50% was only achieved in less than a third. A significant intervention effect (survey × group interaction) was found for the standing long jump favouring children at intervention DFs (β = 3.08; 95% Confidence interval [CI]: (0.09; 6.07)). No significant intervention effects were found for time spent on PA, total screen time, dietary habits, and body composition, i.e. body-mass-index and percentage of body fat.ConclusionsParticipation in JolinchenKids – fit and healthy in daycare led to improvements in some indicators for motor skills. However, other health outcomes and behaviours were not affected by program participation over the course of 1 year.Trial registrationGerman Clinical Trials Register DRKS00011065 (Date of registration 16-09-2016).

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Impact of the intervention program “JolinchenKids – fit and healthy in daycare” on energy balance related-behaviors: results of a cluster controlled trial

et al. 2019

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Impact of “JolinchenKids—Fit and Healthy in Daycare” on Children’s Objectively Measured Physical Activity: A Cluster-Controlled Study

Brandes¹,

Buck²,

Wright³

et al. 2020

Journal of Physical Activity and Health

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Background: To evaluate a multicomponent health promotion program targeting preschoolers’ physical activity (PA). Methods: PA of children from 23 German daycare facilities (DFs; 13 intervention DFs, 10 control DFs) was measured via accelerometry at baseline and after 12 months. Children’s sedentary time, light PA, and moderate to vigorous PA were estimated. Adherence was tracked with paper-and-pencil calendars. Mixed-model regression analyses were used to assess intervention effects. Results: PA data were analyzed from 183 (4.2 [0.8] y, 48.1% boys) children. At follow-up, children in DF groups with more than 50% adherence to PA intervention components showed an increase of 9 minutes of moderate to vigorous PA per day (β = 9.28; 95% confidence interval [CI], −0.16 to 18.72) and a 19-minute decrease in sedentary time (β = −19.25; 95% CI, −43.66 to 5.16) compared with the control group, whereas children’s PA of those who were exposed to no or less than 50% adherence remained unchanged (moderate to vigorous PA: β = 0.34; 95% CI, −13.73 to 14.41; sedentary time: β = 1.78; 95% CI, −26.54 to 30.09). Notable effects were found in children with migration background. Conclusions: Only small benefits in PA outcomes were observed after 1 year. A minimum of 50% adherence to the intervention seems to be crucial for facilitating intervention effects.

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Design and methods for a cluster-controlled trial conducted at sixty-eight daycare facilities evaluating the impact of “JolinchenKids – Fit and Healthy in Daycare”, a program for health promotion in 3- to 6-year-old children

et al. 2017

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BackgroundThe prevention of overweight and obesity during infancy is a highly relevant public health topic given the significant impact of childhood obesity on acute and chronic diseases, general health, and well-being in later stages of life. Apart from the family setting, daycare facilities (DFs) represent a key setting for health promotion among children under the age of six years. “JolinchenKids – Fit and Healthy in Daycare” is a multi-component program promoting physical activity (PA), healthy eating, and mental well-being in 3- to 6-year-old preschoolers at DFs, originally designed by the German health insurance AOK. To evaluate program effectiveness, a cluster-controlled trial involving 68 DFs is currently conducted. The objective of this article is to describe the background, study design, and aims of this trial.Methods/designSixty-eight DFs across Germany will be recruited to take part in the study, half of them serving as intervention DFs and half of them as delayed intervention control DFs (which receive the program upon completion of the study). At each DF, height, weight, and body composition, as well as motor skills, will be assessed in twenty 3- to 6-year-old children. Children’s eating and PA habits, and mental well-being will be assessed via parental questionnaires. A subsample of children (i.e., at 24 DFs which are randomly selected within a geographic region) will be asked to wear accelerometers at their wrists to objectively measure PA over the course of seven days. To compare changes in body composition, motor skills, eating and PA habits, and mental well-being of children at intervention DFs with those observed among children at delayed intervention control DFs over one year, all measurements will take place at baseline and twelve months after the launch of the program at all DFs.DiscussionThis study investigates the influence of a health promotion program in the daycare setting on various outcomes, including body composition and objectively measured PA, in a nationwide sample of 3- to 6-year-old preschoolers. This study will provide evidence regarding the effectiveness of a multi-component program for health promotion in this setting and may provide insights into new strategies for preventing obesity in early life.Trial registrationGerman Clinical Trials Register DRKS00011065 (Date of registration 16–09-2016).

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Ergebnisse der Prozessevaluation eines Programms zur Gesundheitsförderung von 3- bis 6-jährigen Kita-Kindern: „JolinchenKids – Fit und gesund in der Kita“

Cited by 3 publications

References 11 publications

Impact of the intervention program “JolinchenKids – fit and healthy in daycare” on energy balance related-behaviors: results of a cluster controlled trial

Impact of the intervention program “JolinchenKids – fit and healthy in daycare” on energy balance related-behaviors: results of a cluster controlled trial

Impact of “JolinchenKids—Fit and Healthy in Daycare” on Children’s Objectively Measured Physical Activity: A Cluster-Controlled Study

Design and methods for a cluster-controlled trial conducted at sixty-eight daycare facilities evaluating the impact of “JolinchenKids – Fit and Healthy in Daycare”, a program for health promotion in 3- to 6-year-old children

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