Study Protocol for the Evaluation of “SuperFIT”, a Multicomponent Nutrition and Physical Activity Intervention Approach for Preschools and Families

Ilona van de Kolk, Sanne M. P. L. Gerards, Lisa S. E. Harms, Stef P. J. Kremers, Angela M. H. S. van Dinther-Erkens, Monique Snellings and Jessica S. Gubbels
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Ilona van de Kolk: Department of Health Promotion, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, 6211 MD Maastricht, The Netherlands
Sanne M. P. L. Gerards: Department of Health Promotion, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, 6211 MD Maastricht, The Netherlands
Lisa S. E. Harms: Department of Health Promotion, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, 6211 MD Maastricht, The Netherlands
Stef P. J. Kremers: Department of Health Promotion, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, 6211 MD Maastricht, The Netherlands
Angela M. H. S. van Dinther-Erkens: Ecsplore, 6160 AC Geleen, The Netherlands
Monique Snellings: Spelenderwijs, 6160 AC Geleen, The Netherlands
Jessica S. Gubbels: Department of Health Promotion, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, 6211 MD Maastricht, The Netherlands

IJERPH, 2020, vol. 17, issue 2, 1-15

Abstract: The promotion of healthy energy balance-related behaviours (EBRB) is already important for children at a young age. Different settings, for example childcare and home, play an important role in the EBRB of young children. Further, factors in different types of environment (e.g., physical, sociocultural and political) influence their behaviours. SuperFIT (Systems of Underprivileged Preschoolers in their home and preschool EnviRonment: Family Intervention Trial) is a comprehensive, integrated intervention approach for 2–4 year old children. This paper describes the development and design of the evaluation of SuperFIT. The SuperFIT intervention approach consists of preschool-based, family-based, and community-based components. Intervention activities aimed at changing the physical, sociocultural and political environments in each setting and establishing an increased alignment between the settings. A quasi-experimental design was adopted with twelve intervention and nine control preschools to evaluate effectiveness. The primary outcomes were Body Mass Index (BMI) z-scores (objectively assessed height and weight), dietary intake (24 h recall), and physical activity (accelerometer) of the children. Further, the effects on the nutrition- and physical activity-related practices of preschool teachers and parents were evaluated (questionnaires). Intervention effectiveness was evaluated using linear mixed models. Process evaluation was performed using mixed methods; both quantitative (questionnaires) and qualitative (observations and in-depth interviews) measures were used. The comprehensive, integrated approach of SuperFIT is expected to support healthy EBRB in young children.

Keywords: BMI z-score; childcare; environment; family; integrated intervention; nutrition; overweight prevention; physical activity; sedentary behaviour; toddlers (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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