Objective To develop and evaluate the effectiveness of a parental support programme to promote healthy dietary physical activity habits prevent overweight obesity in Swedish children. Methods A cluster-randomised controlled trial was carried out areas with low medium socio-economic status. Participants were six-year-old children (n = 243) their parents. Fourteen pre-school classes randomly assigned intervention 7) control groups 7). The lasted for 6 months included: 1) Health information...

There is increasing evidence for the effectiveness of parental support programmes to promote healthy behaviours and prevent obesity in children, but only few studies have been conducted among groups with low socio-economic status. The aim this study was develop evaluate a programme dietary physical activity habits overweight six-year-old children disadvantaged areas. A cluster-randomised controlled trial carried out areas Stockholm. Participants were (n = 378) their parents. Thirty-one...

Childhood obesity is multi-factorial and determined to a large extent by dietary habits, physical activity sedentary behaviours. Previous research has shown that school-based programmes are effective but their effectiveness can be improved including parental component. At present, there lack of support for improvement diet prevention in children. This paper describes the rationale design programme promote healthy habits six-year-old children starting school. The study performed close...

Parental support interventions have shown some effectiveness in improving children’s dietary and physical activity habits preventing overweight obesity. To date, there is limited research on barriers facilitators of school-based parental targeting This study aimed to describe influencing implementation the Healthy School Start (HSS) intervention disadvantaged areas Stockholm, Sweden, from perspective parents teachers. Focus groups individual interviews with teachers (n = 10) focus 14) group...

Normative, reliability, and validity data are reported on the Statistics Anxiety Scale (SAS) (an adapted version of Mathematics Scale) for a sample South African students. The respondents consisted 337 third-year Psychology students engaged in statistics as part Research Methodology course at University Western Cape. internal-consistency reliability estimate obtained was 0.90, while test-retest 0.75 over 3-month interval, indicating that SAS highly reliable. Evidence scale is based results...

Systematic reviews conclude that interventions to prevent overweight and obesity in children obtain stronger effects when parents are involved. Parenting practices parent-child interactions shape children's health-related behaviours. The Healthy School Start Plus intervention aims promote healthy dietary habits physical activity through parental support disadvantaged areas with increased health needs, delivered by teachers school nurses. This protocol describes the design, outcome process...

The 'Healthy School Start' programme was developed to promote healthy dietary habits and physical activity, targeting parents of 6-year-old children in pre-school class. Knowledge barriers facilitators implementation is crucial before introducing this kind on a larger scale. aim study explore the views teachers regarding factors influencing school-based parental support activity diet. An inductive qualitative method used experiences involved programme. A group discussion held with three...

Abstract Health promotion from an early age is key to preventing unhealthy weight development in childhood, and parental involvement essential. The school-based Healthy School Start intervention aims promote healthy dietary activity habits the home environment prevent child obesity through support. This study evaluated effectiveness of third iteration programme on children’s behaviours, body composition a cluster-randomised controlled trial. trial included 17 schools (8 intervention)...

The association between weight history and glucose intolerance was examined in a cross-sectional study consisting of 3,128 Swedish men aged 35-56 years, 52 percent whom had family background diabetes mellitus. Oral tolerance testing detected 55 cases type 2 (non-insulin-dependent) 172 impaired tolerance. Among with no diabetes, the estimated odds ratios for associated short (<5 years) long (> or =10 durations obesity (body mass index (weight (kg)/height2 (m2) > =25.0) were 1.3 (95%...

Effects of obesity prevention interventions in early childhood are only meaningful if they sustained over time, but long-term follow-up studies rare. The school-based cluster-randomised Healthy School Start (HSS) trial aimed at child health promotion and through parental support was carried out 31 pre-school classes (378 families) disadvantaged areas Sweden during 2012-2013. Post-intervention results showed intervention effects on intake unhealthy foods drinks, lower BMI-sds children with...

According to social cognitive theory, self-efficacy is central behavior change. Consequently, parental (PSE) for influencing children's dietary, physical activity (PA), sedentary, and screen time behaviors important child obesity prevention. The aim of this study was evaluate the psychometric properties an instrument measure PSE regarding these in disadvantaged areas.Parents ( n = 229) whom 47% had completed secondary school or less, who participated Healthy School Start trial, responded a...

Little research has targeted multiple-level barriers and facilitators in school-based parental support programmes. This qualitative study aims to describe facilitators, at organisational personal levels, that teachers parents disadvantaged settings Sweden perceived as influencing the implementation of Healthy School Start II (HSS II) intervention.Data collection, analysis interpretation were guided by Consolidated Framework for Implementation Research (CFIR). Focus groups interviews...

Abstract Health-related behaviours in children can be influenced by parental support programmes. The aim of this study was to explore barriers and facilitators for the implementation a programme promote physical activity healthy dietary habits school context. We explored views experiences 17 coordinating nurses, non-coordinating principals. based interview guide on Consolidated Framework Implementation Research. held four focus group discussions with conducted three individual interviews...

Abstract Background The rise in overweight and obesity among children is a global problem effective prevention interventions are urgently required. Parents play an important role children’s lifestyle behaviours body weight development therefore there great need to investigate how involve parents effectively health promotion programmes. aim of the study was describe parents’ experiences barriers facilitators participating Healthy School Start Plus (HSSP) intervention study. Methods HSSP...

To evaluate the effect of a universal, school-based family support programme on body mass index (BMI) children aged 5-7 years, using pooled data from three trials.

Abstract Background This study aimed to explore predictors associated with intermediate (six months) and post-intervention (24 increases in daily steps among people prediabetes or type 2 diabetes participating a two-year pedometer intervention. Methods A secondary analysis was conducted based on data from two intervention arms of the randomised controlled trial Sophia Step Study. Daily were measured an ActiGraph GT1M accelerometer. Participants divided into groups their response...

Abstract Aim Little is known about how parental migration status may be associated with children's diets. We examined whether the intake of selected foods by six‐year‐old children differed according to their parents’ status, taking education level into account. Methods This study used pooled baseline data from two clustered randomised controlled trials A Healthy School Start, conducted in municipalities low‐to‐medium socio‐economic Stockholm County, Sweden. The healthy and unhealthy was...

Abstract Background Dietary assessment methods that are user-friendly, simple, yet valid of interest to both researchers and participants, particularly for use in disadvantaged settings, where language barriers low levels education often present. We tested if parents taking photos what children ate, using mobile phones, would be a feasible, acceptable method could still provide information with adequate relative validity. Methods used mixed-methods design, 21 5- 7-year-olds from areas...

Abstract Background IMPROVE aims to conduct a hybrid type 3 evaluation design test the effectiveness of bundled implementation strategies on intervention fidelity Healthy School Start (HSS) program, while simultaneously monitoring effects health outcomes children and parents. The HSS is 4-component family support program for starting school (5–7 years age) promoting healthy dietary habits physical activity in home environment prevent childhood obesity parents’ risk developing 2 diabetes....

The objective was to examine the associations between physical activity parenting practices (PAPP) and children's levels of moderate-to-vigorous (MVPA), time spent sedentary (SED) during non-school in weekdays weekends when style taken into account. Study participants were 88 children (mean age 6.3 (SD 0.3) years); 51.0% girls) their parents who took part A Healthy School Start Plus Sweden. independent variables included PAPPs Structure, Neglect/control, Autonomy promotion as moderator,...

Abstract Background Children of incarcerated parents run a high risk poor health and own delinquency positive parenting is vital for their healthy development. Internationally, interventions suggest impacts on child behaviour outcomes. The intervention For Our Children’s Sake (FOCS), was developed in Sweden evaluated controlled trial with parallel process evaluation during 2019–2021. This study constitutes part the aims to describe barriers facilitators implementation FOCS, how targets...

The goal of these studies was to investigate the reliability and validity virtual systematic social observation (virtual SSO) using Google Street View in a Swedish neighborhood context.This accomplished two studies. Study 1 focused on interrater construct validity, comparing ratings conducted in-person those done View, across 24 study sites within four postal code areas. 2 criterion SSO terms neighborhoods with low versus high income levels, including 133 22 areas large city. In both...

Abstract Background Brief scales to measure parental self-efficacy (PSE) in relation children’s obesogenic behaviours have not been developed and validated using more rigorous methodology such as invariance testing, limiting their generalisability sub-groups. This study aimed assess the construct validity measurement of brief PSE for intake vegetables, soft drinks, sweets, physical activity. Methods Parents ( n = 242) five-to-seven-year-old children disadvantaged culturally diverse settings...