Background
Methods
Study aims
Study design
Inclusion criteria
Participants and procedures
Sample size
Assessments
Assessment method | Measure of interest | Variables | Instrument/Scale |
---|---|---|---|
PARENTAL QUESTIONNAIRE | |||
Characteristics of parents | Socio-demographic characteristics | Age, education, employment, net household income, migration background | KiGGS [34]a
|
Health | Height, weight, self-rated health status | SF-12, only one item [35] | |
Smoking | Current smoking, intention to quit | HAPA, intention [36] | |
PA | PA and sports activities during past three months, intention to engage in PA | ||
Diet | Intention to consume fruits and vegetables | HAPA, intention [36] | |
Family climate | Health behaviors performed and health information available in the family context | FHC-scale [38] | |
Characteristics of children | Socio-demographic characteristics | Age, sex | |
Health | Height, weight, days of sickness, parent-rated health status, physician-diagnosed chronic conditions, doctor’s visits | ||
Diet | Consumption of un-sweetened beverages, fruits and vegetables, milk products, snacks, number of meals per day | Self-developed quantitative FFQ | |
PA | Hours per week of moderate to intense PA and sports club membership | IDEFICS [39]c
| |
Media consumption | Time spent watching TV, video, DVD or using the computer, tablet, smartphone or game console | IDEFICS [39]c
| |
Mental well-being | Health-related quality of life, psychological attributes | ||
DF STAFF QUESTIONNAIRE | |||
Characteristics of DF staff | Socio-demographic characteristics | Age, sex, employment, migration background | DEGS [37]b
|
PA | Work activity, sports activity, leisure-time activity; intention to engage in PA | ||
Diet | Consumption of un-sweetened beverages, fruits and vegetables, milk products, snacks, number of meals per day; intention to consume fruits and vegetables | Self-developed quantitative FFQ, HAPA, intention [36] | |
Smoking | Current smoking, intention to quit | HAPA, intention [36] | |
Health | Self-rated health status, health-related quality of life, use of healthcare services, preventive health check-up program, preventive services (past 12 months) | ||
Self-efficacy | General self-efficacy | GSE [43] | |
Mental well-being | Stress | PSS4 [44] | |
Health literacy | Knowledge, motivation and competences to access, understand, appraise, and apply health information | HLS-EU-Q47 [45] |
Follow-up assessment and delayed intervention
Intervention
Module “Diet” | |
(1) DF environment | • “drinking oasis” and “colorful garden” (un-sweetened beverages throughout the day, raw foods twice per day) |
(2) Wooden train | • consisting of six wagons, each of them representing a food group; to be used by DF staff to teach children about food groups |
(3) Card box “Healthy-and-tasty-land” | • one activity/ game per week (e.g., excursion, recipe, quiz) |
(4) Healthy breakfast buffet | • once per week |
(5) Joint activities with parents | • twice per year (e.g., sugar quiz) |
(6) Newsletters | • e.g., instructions for healthy recipes distributed to parents once per year |
Module “Physical Activity” | |
(1) DF environment | • creating areas with sufficient space for active play |
(2) Card box “Get-fit-in-the-jungle” | • at least one hour per week of engagement in PA games to enhance static balance, flexibility, strength, endurance, and speed |
(3) Joint activities with parents | • twice per year (e.g., “family olympics”) |
(4) Newsletters | • e.g., general information about PA, ideas for PA games to be included in everyday family life distributed to parents once per year |
Module “Mental Well-being” | |
(1) DF environment | • creation of a space where children can take breaks |
(2) Card box “Feel-good-island” | • use of the hand puppet named “Jolinchen” |
• one hour per week (e.g., handling of conflicts, identifying and describing emotions) | |
• short timeouts when needed (e.g., employment of techniques for stress management) | |
(3) Workshop for parents entitled “How to nurture children’s wellbeing” | • once per year executed by DF staff |
(4) Joint activities with parents | • twice per year |
(5) Newsletters | • information about card box topics distributed to parents once per year (e.g., identifying and describing emotions, handling of conflicts, stress management, strengthening of self-image of children) |
Module “Parental Participation” | |
(1) “JolinchenKids” team | • establishment of a team to organize implementation (DF administrator, DF staff, parents) |
(2) Workshop “How to engage parents” for DF staff | • executed once during the 3-year implementation period by employees of the health insurance |
(3) Manual “Parents are joining” | • practical information for DF staff about how to engage parents in program activities |
(4) Card box “Joint activities with parents” | • general information about joint activities with parents |
(5) Newsletters | • module-specific information and suggestions regarding games to be integrated into day-to-day family life distributed to parents once per year per module |
(6) “Message in a bottle” | • take home instructions for PA games or recipes for healthy meals to be distributed to each child for a time period of two weeks |
Module “Health Promotion among DF staff” | |
(1) Workshop “Fit at the job” | • once in three years executed by employees of the health insurance |
(2) Manual “How to live healthier” | • information regarding health behavior change and the incorporation of health behavior in day-to-day DF activities |
(3) Further counseling and classes | • preventive healthcare services provided by the health insurance (e.g., classes in progressive muscle relaxation, pilates, nordic walking) |