School-based intervention to enable school children to act as change agents on weight, physical activity and diet of their mothers: a cluster randomized controlled trial

Gunawardena, Nalika; Kurotani, Kayo; Indrawansa, Susantha; Nonaka, Daisuke; Mizoue, Tetsuya; Samarasinghe, Diyanath

doi:10.1186/s12966-016-0369-7

Cited by 43 publications

(50 citation statements)

References 20 publications

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“…Under school health education programs, 'child to child' approach has been widely used for improving health outcomes among children [22,23]. In Kenya, children were educated to promote handwashing.…”

Section: Introductionmentioning

confidence: 99%

School-based interventions to promote personal and environmental hygiene practices among children in Pakistan: protocol for a mixed methods study

et al. 2020

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Background: Poor personal hygiene and inadequate sanitation practices among young children leads to communicable diseases. There remains a gap in the holistic assessment of school children's hygiene literacy, practices and effectiveness of school-based hygiene interventions in Pakistan. Therefore, a school-based intervention protocol has been designed to promote personal and environmental hygiene practices for primary school children. Towards improving children's hygiene behaviors, the study will also focus on enhancing mothers' hygiene knowledge and practices. Methods: Using quasi-experimental design with mixed methods data collection approaches, this study will be conducted in schools located in an urban squatter settlements in Pakistan. To assess primary grade children and their mothers' hygiene status, a survey will be held in the pre-intervention phase. This phase also includes qualitative exploration of key stakeholders (mothers, teachers, health & education authorities representatives') perceptions about the factors facilitating and impeding the adaption of hygiene behaviors among school children. In-depth guides and focus group discussion tools will be used for this purpose. This will be followed by multi-component intervention phase with behavior change strategies to improve children's and mothers' hygiene literacy and behaviors. The post-intervention phase will assess the intervention effectiveness in terms of enhancing hygiene knowledge and practices among school children and mothers, alongside exploration of mothers and teachers' insights into whether or not the intervention has been effective in improving hygiene practices among children. Paired t-test will be applied pre and post-intervention to measure the differences between the mothers and children's hygiene literacy and knowledge scores. Similar test will be performed to assess the differences in children's hygiene knowledge and practice scores, pre and post-intervention (< 50 = poor, 50-75 = good and > 75 = excellent). Thematic analysis will be carried out for qualitative data. Discussion: Multi-component intervention aimed at improving personal and environmental hygiene among primary school children offers an opportunity to design and test various behavioral change strategies at school and in home settings. The study findings will be significant in assessing the intervention's effectiveness in improving children's overall hygiene. Trial registration: Retrospectively registered with ClinicalTrials.gov (NCT03942523) on 5th May 2019.

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Section: Introductionmentioning

confidence: 99%

School-based interventions to promote personal and environmental hygiene practices among children in Pakistan: protocol for a mixed methods study

et al. 2020

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“…25 However, it has been reported that the "child-to-family" approach is effective in promoting healthy lifestyles of the family members. School-based randomized trials reported the effect of educational programs for students on the reduction of salt intake and blood pressure among adults of their families, 26 on the decrease in body weight of their mothers, 27 and on the improvement of Framingham cardiovascular risk of their parents. 28 Because all students whose families consented for organ donation discussed organ donation with their families, our educational program might indirectly encourage their families to consent for organ donation through family discussion.…”

Section: Discussionmentioning

confidence: 99%

Effects of structured education program on organ donor designation of nursing students and their families: A randomized controlled trial

Murakami

Fukuma

Ikezoe

et al. 2016

Clinical Transplantation

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Introduction: Little is known about the effect of education programs on changing attitudes and behaviors of participants and their families toward deceased organ donation. Methods:The subjects of this randomized trial were Japanese nursing students who were not previously designated organ donors. They were randomly assigned to either the education program or information booklet group. The program comprised a lecture followed by group discussion and information booklet. The primary outcome was self-reported organ donor designation. Outcomes were assessed by questionnaire.Results: Data of 203 (99.0%) students were analyzed. At study end, seven of 102 students (6.9%) of the program group and one of 101 students (1.0%) of the booklet group consented to donate organs (proportion ratio 6.93 [95% CI 0.87-55.32]). There were significant between-group differences in willingness to consent for donation (54.9% vs 39.6%; proportion ratio 1.39 [95% CI 1.03-1.87]), family discussion (31.4% vs 15.9%; 1.98 [1.16-3.38]), and organ donor designation of family members (11.8% vs 2. 0%; 5.94 [1.36-25.88]). No group differences were found in willingness for organ donation by students and family members. Conclusion:Although there were no significant between-group differences in organ donor designation, the program seems to indirectly promote consent to organ donation by their families. K E Y W O R D Seducation program, group discussion, organ donation, organ donor designation, transplant recipient 1

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“…In children aged 8-10 years, the elasticity and flexibility of the locomotor system is particularly expressed, while in children from 10-17 years, the strength of muscles dominates, along with the development of movements, speed and coordination. Reduced physical activity, rapid growth and poor life habits lead to the weakness of musculature of the trunk in the stage of rapid growth of children and the appearance of dysfunctional deformities of the spinal column [4,6]. The changed statics have a tendency to progress with the onset of deformities, such as kyphosis and scoliosis, which can have permanent physical, psychological and social consequences on the growth and development of children.…”

Section: Introductionmentioning

confidence: 99%

“…Physical activity is the basis for the preservation of health, it has a favorable effect on growth and it is equally important in all life cycles of the child's development. Regular physical activity, through exercises of the appropriate type, intensity and duration, is a prerequisite for preventing the development of spinal deformity in children [6]. Early detection of spinal deformities is of a great importance for the application of preventive measures to prevent the progression of deformities and possible unwanted complications [7].…”

Section: Introductionmentioning

confidence: 99%

Influence of physical activity on prevention and occurrence of spinal deformities in children during development

et al. 2021

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Introduction/Aim. The published data indicate that the appearance of spinal deformities in children is significantly influenced by physical activity. The aim of our study was to examine the influence of physical activity on prevention and occurrence of spinal deformities in children. Methods. The study was conducted as observational, clinical study in the period from 2016-2018. Participants were children with spinal deformities, which were examined, for the first time, by physiatrists and pediatric surgeons. The sample included 100 children with spinal deformities, aged 7-17 years. The control group consisted of 100 children without spinal deformity, of similar age. The study instrument was a questionnaire based on a survey filled by children or parents/legal guardians. The questions were related to different parameters of the possible significance for the existence of spinal deformity and especially to the influence of physical activity. The collected data were processed using methods of descriptive and analytical statistics. Results. Scoliosis is the most common deformity of the spinal column, represented in about 67% (p=0.0006) of children. Respondents from both groups did not differ significantly in terms of gender. Children in the group with spinal deformities were older (11.5 ± 3.1 vs 10.4 ± 3.1 years, p=0.016), with increased body weight (43.9 ± 16.0 vs.39.3 ± 16.6 kg, p=0.046) and height (151.7 ± 17.2 vs.145.8 ± 18.2 cm, p=0.019), as well as with less physical activity (81.0% vs. 92.02%, p=0.001). Over 80% of children are regularly engaged in physical activity, more often recreationally and on average 2.5-3 hours per week. Conclusion. Children in the spinal deformity group are significantly less involved in physical activity than the control group, but there is no significant difference in the frequency and duration of time spent in physical activities during the week. It is important for children to be involved in physical activities of a recreational nature, and according to our research, 3 hours during the week.

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School-based intervention to enable school children to act as change agents on weight, physical activity and diet of their mothers: a cluster randomized controlled trial

Cited by 43 publications

References 20 publications

School-based interventions to promote personal and environmental hygiene practices among children in Pakistan: protocol for a mixed methods study

School-based interventions to promote personal and environmental hygiene practices among children in Pakistan: protocol for a mixed methods study

Effects of structured education program on organ donor designation of nursing students and their families: A randomized controlled trial

Influence of physical activity on prevention and occurrence of spinal deformities in children during development

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