Impact of a youth-led social marketing intervention run by adolescents to encourage healthy lifestyles among younger school peers (EYTO-Kids project): a parallel-cluster randomised controlled pilot study

Lucia Tarro, Elisabet Llaurado (Corresponding Author), Magaly Aceves Martins, David Morina, Ignasi Papell-Garcia , Luis Arola , Montse Giralt, Rosa Sola

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Abstract

Background Encouraging healthy lifestyles in children is a challenge. This project aimed to improve lifestyles of younger peers by engaging adolescent creators (ACs) to design and implement peer-led and social marketing (SM) health-promoting activities.

Methods A 10-month parallel-cluster randomised controlled school-based pilot study was performed in disadvantaged neighbourhoods in Reus (Spain) spanning two academic years (2015–2016/2016–2017). Eight primary schools (n=375 children) and four high schools (n=94ACs) were randomly placed in the intervention group. The 94 ACs (12–14 years) designed and implemented four SM activities for their younger peers (9–11 years). Eight primary schools (n=327 children) and three high schools (n=98 adolescents) served as the control group and received no intervention. Primary (physical activity and fruit consumption) and secondary outcomes (screen time, vegetables, soft drinks, sweets and fast food consumptions) were assessed with validated questionnaires at baseline and at the end of the study.

Results After 10 months, fruit consumption and physical activity were maintained in the children who consumed ≥1 fruit/day and spent ≥6 hours/week physical activity. However, compared with the controls, the intervention significantly increased the physical activity of girls to 15.6 min/week, whereas the percentage of girls who consumed sweets, soft drinks and fast food decreased significantly by 8.4%, 14.5% and 5.9%, respectively. Additionally, the percentage of ≥2 hour/weekday of screen time by boys decreased significantly by 8.2%.

Conclusion The European Youth Tackling Obesity-Kids, SM and peer-led intervention, effectively increased physical activity hours/week in girls, but was not effective in improving the percentage of children who consumed the recommended fruit. Moreover, the percentages of girls who consumed sweets, soft drinks and fast food and boys screen time decreased.

Trial registration number NCT02702336;
Original languageEnglish
Pages (from-to)324-333
Number of pages10
JournalJournal of Epidemiology and Community Health
Volume73
Issue number4
Early online date25 Jan 2019
DOIs
Publication statusPublished - Apr 2019

Fingerprint

Social Marketing
Fast Foods
Carbonated Beverages
Exercise
Fruit
antineoplaston A10
Vulnerable Populations
Vegetables
Spain
Life Style
Obesity
Healthy Lifestyle
Control Groups
Health

Keywords

  • health behaviour
  • health promotion
  • lifestyle
  • public health
  • OBESITY PREVENTION
  • FRUIT
  • CHILDHOOD
  • PROGRAM
  • CHILDREN
  • HABITS
  • FOOD

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Impact of a youth-led social marketing intervention run by adolescents to encourage healthy lifestyles among younger school peers (EYTO-Kids project) : a parallel-cluster randomised controlled pilot study. / Tarro, Lucia; Llaurado, Elisabet (Corresponding Author); Aceves Martins, Magaly; Morina, David; Papell-Garcia , Ignasi; Arola , Luis; Giralt, Montse ; Sola, Rosa.

In: Journal of Epidemiology and Community Health, Vol. 73, No. 4, 04.2019, p. 324-333.

Research output: Contribution to journalArticle

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title = "Impact of a youth-led social marketing intervention run by adolescents to encourage healthy lifestyles among younger school peers (EYTO-Kids project): a parallel-cluster randomised controlled pilot study",
abstract = "Background Encouraging healthy lifestyles in children is a challenge. This project aimed to improve lifestyles of younger peers by engaging adolescent creators (ACs) to design and implement peer-led and social marketing (SM) health-promoting activities.Methods A 10-month parallel-cluster randomised controlled school-based pilot study was performed in disadvantaged neighbourhoods in Reus (Spain) spanning two academic years (2015–2016/2016–2017). Eight primary schools (n=375 children) and four high schools (n=94ACs) were randomly placed in the intervention group. The 94 ACs (12–14 years) designed and implemented four SM activities for their younger peers (9–11 years). Eight primary schools (n=327 children) and three high schools (n=98 adolescents) served as the control group and received no intervention. Primary (physical activity and fruit consumption) and secondary outcomes (screen time, vegetables, soft drinks, sweets and fast food consumptions) were assessed with validated questionnaires at baseline and at the end of the study.Results After 10 months, fruit consumption and physical activity were maintained in the children who consumed ≥1 fruit/day and spent ≥6 hours/week physical activity. However, compared with the controls, the intervention significantly increased the physical activity of girls to 15.6 min/week, whereas the percentage of girls who consumed sweets, soft drinks and fast food decreased significantly by 8.4{\%}, 14.5{\%} and 5.9{\%}, respectively. Additionally, the percentage of ≥2 hour/weekday of screen time by boys decreased significantly by 8.2{\%}.Conclusion The European Youth Tackling Obesity-Kids, SM and peer-led intervention, effectively increased physical activity hours/week in girls, but was not effective in improving the percentage of children who consumed the recommended fruit. Moreover, the percentages of girls who consumed sweets, soft drinks and fast food and boys screen time decreased.Trial registration number NCT02702336;",
keywords = "health behaviour, health promotion, lifestyle, public health, OBESITY PREVENTION, FRUIT, CHILDHOOD, PROGRAM, CHILDREN, HABITS, FOOD",
author = "Lucia Tarro and Elisabet Llaurado and {Aceves Martins}, Magaly and David Morina and Ignasi Papell-Garcia and Luis Arola and Montse Giralt and Rosa Sola",
note = "Acknowledgements: This Spanish research project was supported by the Central Market of Reus, Spain (Mercat Central de Reus), which provided fresh food for the intervention. We thank the professors, parents and students of the Reus primary and high schools for their enthusiastic participation in this study. Funding: This research project was funded by Obra Social La Caixa, Convocat{\`o}ria acci{\'o} social 2015. Reference: AS15-00350//17.980 euros.",
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T1 - Impact of a youth-led social marketing intervention run by adolescents to encourage healthy lifestyles among younger school peers (EYTO-Kids project)

T2 - a parallel-cluster randomised controlled pilot study

AU - Tarro, Lucia

AU - Llaurado, Elisabet

AU - Aceves Martins, Magaly

AU - Morina, David

AU - Papell-Garcia , Ignasi

AU - Arola , Luis

AU - Giralt, Montse

AU - Sola, Rosa

N1 - Acknowledgements: This Spanish research project was supported by the Central Market of Reus, Spain (Mercat Central de Reus), which provided fresh food for the intervention. We thank the professors, parents and students of the Reus primary and high schools for their enthusiastic participation in this study. Funding: This research project was funded by Obra Social La Caixa, Convocatòria acció social 2015. Reference: AS15-00350//17.980 euros.

PY - 2019/4

Y1 - 2019/4

N2 - Background Encouraging healthy lifestyles in children is a challenge. This project aimed to improve lifestyles of younger peers by engaging adolescent creators (ACs) to design and implement peer-led and social marketing (SM) health-promoting activities.Methods A 10-month parallel-cluster randomised controlled school-based pilot study was performed in disadvantaged neighbourhoods in Reus (Spain) spanning two academic years (2015–2016/2016–2017). Eight primary schools (n=375 children) and four high schools (n=94ACs) were randomly placed in the intervention group. The 94 ACs (12–14 years) designed and implemented four SM activities for their younger peers (9–11 years). Eight primary schools (n=327 children) and three high schools (n=98 adolescents) served as the control group and received no intervention. Primary (physical activity and fruit consumption) and secondary outcomes (screen time, vegetables, soft drinks, sweets and fast food consumptions) were assessed with validated questionnaires at baseline and at the end of the study.Results After 10 months, fruit consumption and physical activity were maintained in the children who consumed ≥1 fruit/day and spent ≥6 hours/week physical activity. However, compared with the controls, the intervention significantly increased the physical activity of girls to 15.6 min/week, whereas the percentage of girls who consumed sweets, soft drinks and fast food decreased significantly by 8.4%, 14.5% and 5.9%, respectively. Additionally, the percentage of ≥2 hour/weekday of screen time by boys decreased significantly by 8.2%.Conclusion The European Youth Tackling Obesity-Kids, SM and peer-led intervention, effectively increased physical activity hours/week in girls, but was not effective in improving the percentage of children who consumed the recommended fruit. Moreover, the percentages of girls who consumed sweets, soft drinks and fast food and boys screen time decreased.Trial registration number NCT02702336;

AB - Background Encouraging healthy lifestyles in children is a challenge. This project aimed to improve lifestyles of younger peers by engaging adolescent creators (ACs) to design and implement peer-led and social marketing (SM) health-promoting activities.Methods A 10-month parallel-cluster randomised controlled school-based pilot study was performed in disadvantaged neighbourhoods in Reus (Spain) spanning two academic years (2015–2016/2016–2017). Eight primary schools (n=375 children) and four high schools (n=94ACs) were randomly placed in the intervention group. The 94 ACs (12–14 years) designed and implemented four SM activities for their younger peers (9–11 years). Eight primary schools (n=327 children) and three high schools (n=98 adolescents) served as the control group and received no intervention. Primary (physical activity and fruit consumption) and secondary outcomes (screen time, vegetables, soft drinks, sweets and fast food consumptions) were assessed with validated questionnaires at baseline and at the end of the study.Results After 10 months, fruit consumption and physical activity were maintained in the children who consumed ≥1 fruit/day and spent ≥6 hours/week physical activity. However, compared with the controls, the intervention significantly increased the physical activity of girls to 15.6 min/week, whereas the percentage of girls who consumed sweets, soft drinks and fast food decreased significantly by 8.4%, 14.5% and 5.9%, respectively. Additionally, the percentage of ≥2 hour/weekday of screen time by boys decreased significantly by 8.2%.Conclusion The European Youth Tackling Obesity-Kids, SM and peer-led intervention, effectively increased physical activity hours/week in girls, but was not effective in improving the percentage of children who consumed the recommended fruit. Moreover, the percentages of girls who consumed sweets, soft drinks and fast food and boys screen time decreased.Trial registration number NCT02702336;

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KW - health promotion

KW - lifestyle

KW - public health

KW - OBESITY PREVENTION

KW - FRUIT

KW - CHILDHOOD

KW - PROGRAM

KW - CHILDREN

KW - HABITS

KW - FOOD

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