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Please use this identifier to cite or link to this item: http://hdl.handle.net/1820/8444
Title: The Healthy Primary School of the Future: study protocol of a quasi-experimental study
Authors: Willeboordse, Maartje
Jansen, Maria
van den Heijkant, S.N.
Simons, Andrew
Winkens, B.
De Groot, Renate
Bartelink, Nina
Kremers, Stef
van Assema, Patricia
Savelberg, Hans
de Neubourg, E.
Borghans, Lex
Schils, T.
Coppens, K.M.
Dietvorst, R.
ten Hoopen, R.
Coomans, F.
Klosse, S.
Conjaerts, Martien
Oosterhoff, M.
Joore, Manuela
Ferreira, I.
Muris, P.
Bosma, Hans
Toppenberg, H.L.
van Schayck, Onno
Keywords: Academic Achievement
Accelerometer
Children
Primary school Intervention
Nutrition
Obesity
Physical activity
Prevention
School health
Issue Date: 2016
Publisher: BioMed Central
Citation: Willeboordse,M., Jansen, M. W., van den Heijkant, S. N., Simons, A., Winkens, B., De Groot, R. H. M., Bartelink, N., Kremers, S. P., van Assema, P., Savelberg, H. H. C. M., de Neubourg, E., Borghans, L., Schils, T., Coppens, K. M., Dietvorst, R., ten Hoopen, R., Coomans, F., Klosse, S., Conjaerts, M., Oosterhoff, M., Joore, M. A., Ferreira, I., Muris, P., Bosma, H., Toppenberg, H. L., & van Schayck, C.P. (2016). The Healthy Primary School of the Future: Study protocol of a quasi-experimental study. BMC Public Health. 16(1), 639
Abstract: Background: Unhealthy lifestyles in early childhood are a major global health challenge. These lifestyles often persist from generation to generation and contribute to a vicious cycle of health-related and social problems. This design article presents a study evaluating the effects of two novel healthy school interventions. The main outcome measure will be changes in children’s body mass index (BMI). In addition, lifestyle behaviours, academic achievement, child well-being, socio-economic differences, and societal costs will be examined. Methods: In close collaboration with various stakeholders, a quasi-experimental study was developed, for which children of four intervention schools (n = 1200) in the southern part of the Netherlands are compared with children of four control schools (n = 1200) in the same region. The interventions started in November 2015. In two of the four intervention schools, a whole-school approach named ‘The Healthy Primary School of the Future’, is implemented with the aim of improving physical activity and dietary behaviour. For this intervention, pupils are offered an extended curriculum, including a healthy lunch, more physical exercises, and social and educational activities, next to the regular school curriculum. In the two other intervention schools, a physical-activity school approach called ‘The Physical Activity School’, is implemented, which is essentially similar to the other intervention, except that no lunch is provided. The interventions proceed during a period of 4 years. Apart from the effectiveness of both interventions, the process, the cost-effectiveness, and the expected legal implications are studied. Data collection is conducted within the school system. The baseline measurements started in September 2015 and yearly follow-up measurements are taking place until 2019. Discussion: A whole-school approach is a new concept in the Netherlands. Due to its innovative, multifaceted nature and sound scientific foundation, these integrated programmes have the potential to form a template for primary schools worldwide. The effects of this approach may extend further than the outcomes associated with well-being and academic achievement, potentially impacting legal and cultural aspects in our society. Trial registration: The study protocol was registered in the database ClinicalTrials.gov on 14-06-2016 with the reference number NCT02800616.
URI: http://hdl.handle.net/1820/8444
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