Kobel Susanne, Wartha Olivia, Wirt Tamara, Dreyhaupt Jens, Lämmle Christine, Friedemann Eva-Maria, Kelso Anne, Kutzner Claire, Hermeling Lina, Steinacker Jürgen M
Division of Sports and Rehabilitation, Department of Internal Medicine II, Ulm University Medical Centre, Frauensteige 6, Haus 58/33, 89075 Ulm, Germany.
Biomed Res Int. 2017;2017:4347675. doi: 10.1155/2017/4347675. Epub 2017 Feb 20.
Inactivity and an unhealthy diet amongst others have led to an increased prevalence of overweight and obesity even in young children. Since most health behaviours develop during childhood health promotion has to start early. The setting kindergarten has been shown as ideal for such interventions. "Join the Healthy Boat" is a kindergarten-based health promotion programme with a cluster-randomised study focussing on increased physical activity, reduced screen media use, and sugar-sweetened beverages, as well as a higher fruit and vegetable intake. Intervention and materials were developed using Bartholomew's Intervention Mapping approach considering Bandura's social-cognitive theory and Bronfenbrenner's ecological framework for human development. The programme is distributed using a train-the-trainer approach and currently implemented in 618 kindergartens. The effectiveness of this one-year intervention with an intervention and a control group will be examined in 62 kindergartens using standardised protocols, materials, and tools for outcome and process evaluation. A sample of 1021 children and their parents provided consent and participated in the intervention. Results of this study are awaited to give a better understanding of health behaviours in early childhood and to identify strategies for effective health promotion. The current paper describes development and design of the intervention and its implementation and planned evaluation. . The study is registered at the German Clinical Trials Register (DRKS), Freiburg University, Germany, ID: DRKS00010089.
缺乏运动和不健康饮食等因素导致超重和肥胖的患病率上升，甚至在幼儿中也是如此。由于大多数健康行为在儿童时期形成，健康促进必须尽早开始。幼儿园被证明是进行此类干预的理想场所。“加入健康之舟”是一项基于幼儿园的健康促进计划，采用整群随机研究，重点是增加身体活动、减少屏幕媒体使用、减少含糖饮料摄入，以及增加水果和蔬菜摄入量。干预措施和材料的开发采用了巴塞洛缪的干预映射方法，同时考虑了班杜拉的社会认知理论和布伦芬布伦纳的人类发展生态框架。该计划采用培训培训师的方法进行推广，目前已在618所幼儿园实施。将在62所幼儿园使用标准化方案、材料以及用于结果和过程评估的工具，对这个有干预组和对照组的为期一年的干预措施的效果进行检验。1021名儿童及其家长提供了同意书并参与了干预。等待这项研究的结果以更好地了解幼儿期的健康行为，并确定有效的健康促进策略。本文描述了该干预措施的开发、设计、实施及计划中的评估。该研究已在德国临床试验注册中心（DRKS）注册，德国弗莱堡大学，编号：DRKS00010089。
