A cluster randomized trial of a comprehensive intervention nesting family and clinic into school centered implementation to reduce myopia and obesity among children and adolescents in Beijing, China: study protocol
Abstract Background Myopia and obesity in children and adolescents have become serious public health problems that endanger public health, especially in China. Unhealthy lifestyle behaviors are environmental drivers of both myopia and obesity. This protocol describes a study to evaluate the effectiv...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-16270-x |
| _version_ | 1797769278458429440 |
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| author | Xinxin Wang Jiajia Dang Jieyu Liu Yunfei Liu Yaqi Wang Di Shi Ziyue Chen Wen Yuan Shan Cai Jie Mi Pei Xiao Li Li Yunwei Fan Aiyu Gao Haihua Chen Lili Zhuang Zhaocang Yu Jianhui Li Dongmei Yang Gang Yang Lipo Guo Yuanyuan Li Jieyun Song Jing Li Jun Ma Yanhui Dong Yi Song |
| author_facet | Xinxin Wang Jiajia Dang Jieyu Liu Yunfei Liu Yaqi Wang Di Shi Ziyue Chen Wen Yuan Shan Cai Jie Mi Pei Xiao Li Li Yunwei Fan Aiyu Gao Haihua Chen Lili Zhuang Zhaocang Yu Jianhui Li Dongmei Yang Gang Yang Lipo Guo Yuanyuan Li Jieyun Song Jing Li Jun Ma Yanhui Dong Yi Song |
| author_sort | Xinxin Wang |
| collection | DOAJ |
| description | Abstract Background Myopia and obesity in children and adolescents have become serious public health problems that endanger public health, especially in China. Unhealthy lifestyle behaviors are environmental drivers of both myopia and obesity. This protocol describes a study to evaluate the effectiveness of “22510SS”, that is 2 h of daytime outdoor activities (‘2’); Limit screen time to no more than 2 h per day (‘2’); Consume at least 5 servings of fruits and vegetables daily (‘5’); Attain 1 h of physical activity daily (‘1’); Consume 0 sugar-sweetened beverages (‘0’); Reasonable sleep duration (‘S’); Regular supervision (‘S’). A school-based, multifaceted intervention strategy for myopia and obesity prevention, and to assess and explore the implementation of “22510SS” with regards to acceptability, feasibility, adoption, usage and maintenance. Methods and analysis This study aims to develop a comprehensive intervention strategy "22510SS" based on the socio-ecological model, and A two-arm cluster randomized trial with a parallel-group of a 1:1 allocation ratio in 36 primary and secondary schools to test its evidence-based intervention programs on the effects and implementation of myopia and obesity epidemics in children and adolescents in grades 4 and 7. The primary outcomes will include differences in visual acuity, body mass index, outdoor activity indicators, screen time, fruit and vegetable intake, high-quality protein intake, sugar-sweetened beverage intake, sleep duration, and level of monitoring among children and adolescents. Secondary outcomes will assess the acceptability, feasibility, uptake, use, and maintenance of the intervention. Effects on the primary and secondary outcomes will be analyzed using linear and logistic regression analyses, as well as difference-in-difference analysis, taking into account cluster effects and possible confounding factors. Process assessments will also be conducted through quantitative and qualitative analyses, including acceptability, feasibility, gender, adoption, implementation, and sustainability. Discussion This study will evaluate the effectiveness of “22510SS” and examine its implementation in the school-based network nesting family and clinic. Following this intervention study, the integrated intervention program focused on myopia and obesity among children and adolescents have great potential to be implemented in China to promote and support healthy lifestyle behavior change and reduce the risk of myopia and obesity in children and adolescents. Trial registration NCT05275959. Registered 23 Mach 2022. |
| first_indexed | 2024-03-12T21:06:34Z |
| format | Article |
| id | doaj.art-0acf7cbfd6fa45bb85079cdec72a1279 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-12T21:06:34Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-0acf7cbfd6fa45bb85079cdec72a12792023-07-30T11:26:26ZengBMCBMC Public Health1471-24582023-07-0123112010.1186/s12889-023-16270-xA cluster randomized trial of a comprehensive intervention nesting family and clinic into school centered implementation to reduce myopia and obesity among children and adolescents in Beijing, China: study protocolXinxin Wang0Jiajia Dang1Jieyu Liu2Yunfei Liu3Yaqi Wang4Di Shi5Ziyue Chen6Wen Yuan7Shan Cai8Jie Mi9Pei Xiao10Li Li11Yunwei Fan12Aiyu Gao13Haihua Chen14Lili Zhuang15Zhaocang Yu16Jianhui Li17Dongmei Yang18Gang Yang19Lipo Guo20Yuanyuan Li21Jieyun Song22Jing Li23Jun Ma24Yanhui Dong25Yi Song26School of Public Health, Key Laboratory of Environmental Factors and Chronic Disease Control, Ningxia Medical UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversityCenter for Non-Communicable Disease Management, National Center for Children’s Health, Beijing Children’s Hospital, Capital Medical UniversityCenter for Non-Communicable Disease Management, National Center for Children’s Health, Beijing Children’s Hospital, Capital Medical UniversityDepartment of Ophthalmology, National Center for Children’s Health, Beijing Children’s Hospital, Capital Medical UniversityDepartment of Ophthalmology, National Center for Children’s Health, Beijing Children’s Hospital, Capital Medical UniversityDongcheng Primary and Secondary School Health Care CenterDongcheng Primary and Secondary School Health Care CenterDongcheng Primary and Secondary School Health Care CenterBeijing Tongzhou District Primar Yand Secondary School Health CarelnstituteBeijing Tongzhou District Primar Yand Secondary School Health CarelnstituteTongzhou District Center for Disease Control and PreventionTongzhou District Center for Disease Control and PreventionHealth Education Center forPrimary and Secondary Schools Changping BeijingHealth Education Center forPrimary and Secondary Schools Changping BeijingSchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversitySchool of Public Health, National Health Commission Key Laboratory of Reproductive Health, Institute of Child and Adolescent Health, Peking UniversityAbstract Background Myopia and obesity in children and adolescents have become serious public health problems that endanger public health, especially in China. Unhealthy lifestyle behaviors are environmental drivers of both myopia and obesity. This protocol describes a study to evaluate the effectiveness of “22510SS”, that is 2 h of daytime outdoor activities (‘2’); Limit screen time to no more than 2 h per day (‘2’); Consume at least 5 servings of fruits and vegetables daily (‘5’); Attain 1 h of physical activity daily (‘1’); Consume 0 sugar-sweetened beverages (‘0’); Reasonable sleep duration (‘S’); Regular supervision (‘S’). A school-based, multifaceted intervention strategy for myopia and obesity prevention, and to assess and explore the implementation of “22510SS” with regards to acceptability, feasibility, adoption, usage and maintenance. Methods and analysis This study aims to develop a comprehensive intervention strategy "22510SS" based on the socio-ecological model, and A two-arm cluster randomized trial with a parallel-group of a 1:1 allocation ratio in 36 primary and secondary schools to test its evidence-based intervention programs on the effects and implementation of myopia and obesity epidemics in children and adolescents in grades 4 and 7. The primary outcomes will include differences in visual acuity, body mass index, outdoor activity indicators, screen time, fruit and vegetable intake, high-quality protein intake, sugar-sweetened beverage intake, sleep duration, and level of monitoring among children and adolescents. Secondary outcomes will assess the acceptability, feasibility, uptake, use, and maintenance of the intervention. Effects on the primary and secondary outcomes will be analyzed using linear and logistic regression analyses, as well as difference-in-difference analysis, taking into account cluster effects and possible confounding factors. Process assessments will also be conducted through quantitative and qualitative analyses, including acceptability, feasibility, gender, adoption, implementation, and sustainability. Discussion This study will evaluate the effectiveness of “22510SS” and examine its implementation in the school-based network nesting family and clinic. Following this intervention study, the integrated intervention program focused on myopia and obesity among children and adolescents have great potential to be implemented in China to promote and support healthy lifestyle behavior change and reduce the risk of myopia and obesity in children and adolescents. Trial registration NCT05275959. Registered 23 Mach 2022.https://doi.org/10.1186/s12889-023-16270-xChildrenAdolescentsMyopiaObesityCuster randomized trial |
| spellingShingle | Xinxin Wang Jiajia Dang Jieyu Liu Yunfei Liu Yaqi Wang Di Shi Ziyue Chen Wen Yuan Shan Cai Jie Mi Pei Xiao Li Li Yunwei Fan Aiyu Gao Haihua Chen Lili Zhuang Zhaocang Yu Jianhui Li Dongmei Yang Gang Yang Lipo Guo Yuanyuan Li Jieyun Song Jing Li Jun Ma Yanhui Dong Yi Song A cluster randomized trial of a comprehensive intervention nesting family and clinic into school centered implementation to reduce myopia and obesity among children and adolescents in Beijing, China: study protocol BMC Public Health Children Adolescents Myopia Obesity Custer randomized trial |
| title | A cluster randomized trial of a comprehensive intervention nesting family and clinic into school centered implementation to reduce myopia and obesity among children and adolescents in Beijing, China: study protocol |
| title_full | A cluster randomized trial of a comprehensive intervention nesting family and clinic into school centered implementation to reduce myopia and obesity among children and adolescents in Beijing, China: study protocol |
| title_fullStr | A cluster randomized trial of a comprehensive intervention nesting family and clinic into school centered implementation to reduce myopia and obesity among children and adolescents in Beijing, China: study protocol |
| title_full_unstemmed | A cluster randomized trial of a comprehensive intervention nesting family and clinic into school centered implementation to reduce myopia and obesity among children and adolescents in Beijing, China: study protocol |
| title_short | A cluster randomized trial of a comprehensive intervention nesting family and clinic into school centered implementation to reduce myopia and obesity among children and adolescents in Beijing, China: study protocol |
| title_sort | cluster randomized trial of a comprehensive intervention nesting family and clinic into school centered implementation to reduce myopia and obesity among children and adolescents in beijing china study protocol |
| topic | Children Adolescents Myopia Obesity Custer randomized trial |
| url | https://doi.org/10.1186/s12889-023-16270-x |
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