The Healthy Primary School of the Future: study protocol of a quasi-experimental study

Maartje Willeboordse, Maria Jansen*, S.N. Van den Heijkant, Andrew Simons, B. Winkens, Renate De Groot, Nina Bartelink, Stef Kremers, Patricia Van Assema, Hans Savelberg, E. De Neubourg, Lex Borghans, T. Schils, K.M. Coppens, R. Dietvorst, R. Ten Hoopen, F. Coomans, S. Klosse, Martien Conjaerts, M. OosterhoffManuela Joore, I. Ferreira, P. Muris, Hans Bosma, H.L. Toppenberg, C.P. Van Schayck

*Corresponding author for this work

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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.
Original languageEnglish
Article number639
JournalBMC Public Health
Volume16
DOIs
Publication statusPublished - 26 Jul 2016

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Exercise
Life Style
Lunch
Netherlands
Non-Randomized Controlled Trials
Curriculum
Social Problems
Jurisprudence
Pupil
Child Welfare
Cost-Benefit Analysis
Body Mass Index
Economics
Outcome Assessment (Health Care)
Databases
Education
Costs and Cost Analysis
Health
Global Health

Keywords

  • Academic Achievement
  • Accelerometer
  • Children
  • Primary school Intervention
  • Nutrition
  • Obesity
  • Physical activity
  • Prevention
  • School health

Cite this

Willeboordse, M., Jansen, M., Van den Heijkant, S. N., Simons, A., Winkens, B., De Groot, R., ... Van Schayck, C. P. (2016). The Healthy Primary School of the Future: study protocol of a quasi-experimental study. BMC Public Health, 16, [639]. https://doi.org/10.1186/s12889-016-3301-9
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, C.P. / The Healthy Primary School of the Future: study protocol of a quasi-experimental study. In: BMC Public Health. 2016 ; Vol. 16.
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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.",
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author = "Maartje Willeboordse and Maria Jansen and {Van den Heijkant}, S.N. and Andrew Simons and B. Winkens and {De Groot}, Renate and Nina Bartelink and Stef Kremers and {Van Assema}, Patricia and Hans Savelberg and {De Neubourg}, E. and Lex Borghans and T. Schils and K.M. Coppens and R. Dietvorst and {Ten Hoopen}, R. and F. Coomans and S. Klosse and Martien Conjaerts and M. Oosterhoff and Manuela Joore and I. Ferreira and P. Muris and Hans Bosma and H.L. Toppenberg and {Van Schayck}, C.P.",
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Willeboordse, M, Jansen, M, Van den Heijkant, SN, Simons, A, Winkens, B, De Groot, R, Bartelink, N, Kremers, S, Van Assema, P, Savelberg, H, De Neubourg, E, Borghans, L, Schils, T, Coppens, KM, Dietvorst, R, Ten Hoopen, R, Coomans, F, Klosse, S, Conjaerts, M, Oosterhoff, M, Joore, M, Ferreira, I, Muris, P, Bosma, H, Toppenberg, HL & Van Schayck, CP 2016, 'The Healthy Primary School of the Future: study protocol of a quasi-experimental study', BMC Public Health, vol. 16, 639. https://doi.org/10.1186/s12889-016-3301-9

The Healthy Primary School of the Future: study protocol of a quasi-experimental study. / 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, C.P.

In: BMC Public Health, Vol. 16, 639, 26.07.2016.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - The Healthy Primary School of the Future: study protocol of a quasi-experimental study

AU - Willeboordse, Maartje

AU - Jansen, Maria

AU - Van den Heijkant, S.N.

AU - Simons, Andrew

AU - Winkens, B.

AU - De Groot, Renate

AU - Bartelink, Nina

AU - Kremers, Stef

AU - Van Assema, Patricia

AU - Savelberg, Hans

AU - De Neubourg, E.

AU - Borghans, Lex

AU - Schils, T.

AU - Coppens, K.M.

AU - Dietvorst, R.

AU - Ten Hoopen, R.

AU - Coomans, F.

AU - Klosse, S.

AU - Conjaerts, Martien

AU - Oosterhoff, M.

AU - Joore, Manuela

AU - Ferreira, I.

AU - Muris, P.

AU - Bosma, Hans

AU - Toppenberg, H.L.

AU - Van Schayck, C.P.

PY - 2016/7/26

Y1 - 2016/7/26

N2 - 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.

AB - 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.

KW - Academic Achievement

KW - Accelerometer

KW - Children

KW - Primary school Intervention

KW - Nutrition

KW - Obesity

KW - Physical activity

KW - Prevention

KW - School health

U2 - 10.1186/s12889-016-3301-9

DO - 10.1186/s12889-016-3301-9

M3 - Article

VL - 16

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

M1 - 639

ER -