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PRALIMAP: study protocol for a high school-based, factorial cluster randomised interventional trial of three overweight and obesity prevention strategies
- Source :
- Trials, Trials, BioMed Central, 2010, 11 (1), pp.119. 〈10.1186/1745-6215-11-119〉, Trials, BioMed Central, 2010, 11 (1), pp.119. ⟨10.1186/1745-6215-11-119⟩, Trials 1 (11), 119. (2010), Trials, Vol 11, Iss 1, p 119 (2010)
- Publication Year :
- 2010
- Publisher :
- HAL CCSD, 2010.
-
Abstract
- The PRALIMAP steering committee consists of Evelyne APTEL, Noémie ANGEL, Raphaëlle ANCELLIN, Françoise BAILLY, Lucette BARTHELEMY, Daouia BEZAZ, Serge BRIANCON, Jean-François COLLIN, Rozenn De LAVENNE, Evelyne DIETZ, Pascal ENRIETTO, Elisabeth FAVRE, Magali GENTIEU, Emmanuel GOUAULT, Michel HELFENSTEIN, Serge HERCBERG, François KURTZ, Patrick LAURE, Edith LECOMTE, Joëlle LIGHEZZOLO, Patrick MARX, Aline OSBERY, Marie-Odile PIQUEE, Pierre RENAUDIN, Gilles ROBERT, Anne SCHICHTEL, Anne VUILLEMIN, Elisabeth VILLEMIN, Mireille WUILLAUME.; International audience; BACKGROUND: Given the increase in overweight and obesity prevalence in adolescents in the last decade, effective prevention strategies for these conditions in adolescents are urgently needed. The PRALIMAP (Promotion de l'ALImentation et de l'Activité Physique) trial aims to evaluate the effectiveness for these conditions of 3 health promotion strategies--educational, screening and environmental--applied singly or in combination in high schools over a 2-year intervention period. METHODS: PRALIMAP is a stratified 2 × 2 × 2 factorial cluster randomised controlled trial including 24 state high schools in Lorraine, northeastern France, in 2 waves: 8 schools in 2006 (wave 1) and 16 in 2007 (wave 2). Students entering the selected high schools in the 4 academic years from 2006 to 2009 are eligible for data collection. Interventional strategies are organized over 2 academic years. The follow-up consists of 3 visits: at the entry of grade 10 (T0), grade 11 (T1) and grade 12 (T2). At T0, 5,458 (85.7%) adolescents participated. The educational strategy consists of nutritional lessons, working groups and a final party. The screening strategy consists in detecting overweight/obesity and eating disorders in adolescents and proposing, if necessary, an adapted care management program of 7 group educational sessions. The environmental strategy consists in improving dietary and physical activity offerings in high schools and facilities, especially catering. The main outcomes are body size evolution over time, nutritional behaviour and knowledge, health and quality of life. An evaluation process documents how each intervention strategy is implemented in the schools and estimates the dose of the intervention, allowing for a per protocol analysis after the main intention-to-treat analysis. DISCUSSION: PRALIMAP aims at improving the prevention and management of overweight and obesity in adolescents by translating current evidence into public health practice. Particular attention is paid to clustering, multiple factorials and long-term duration to address common pitfalls in health promotion trials. The results should inform how best to implement, in a school environment, effective nutrition prevention programs targeting adolescents who are at a point their lives when they develop responsibilities and empowerment for health attitude behaviours. TRIAL REGISTRATION: This trial is registered at ClinicalTrials.gov under NCT00814554.
- Subjects :
- Male
Health Knowledge, Attitudes, Practice
MESH : Health Knowledge, Attitudes, Practice
MESH: Health Knowledge, Attitudes, Practice
Medicine (miscellaneous)
MESH : School Health Services
MESH : Overweight
Overweight
law.invention
MESH: Health Education
Study Protocol
MESH: Clinical Protocols
0302 clinical medicine
Promotion (rank)
Randomized controlled trial
Clinical Protocols
law
Medicine
Cluster Analysis
MESH: Obesity
MESH: School Health Services
Pharmacology (medical)
MESH : Female
030212 general & internal medicine
Cluster randomised controlled trial
Health Education
media_common
lcsh:R5-920
Practice
4. Education
Health Knowledge
[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie
3. Good health
MESH : Sample Size
Santé publique et épidémiologie
Health education
Female
MESH : Obesity
medicine.symptom
lcsh:Medicine (General)
medicine.medical_specialty
Adolescent
media_common.quotation_subject
MESH : Male
030209 endocrinology & metabolism
03 medical and health sciences
Quality of life (healthcare)
MESH : Health Education
MESH : Adolescent
Humans
MESH : Cluster Analysis
Attitudes
Obesity
Sample Size
School Health Services
MESH : Clinical Protocols
MESH: Overweight
MESH: Sample Size
MESH: Adolescent
MESH: Humans
business.industry
Public health
MESH : Humans
MESH: Cluster Analysis
MESH: Male
Health promotion
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie
Family medicine
Physical therapy
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
business
MESH: Female
Subjects
Details
- Language :
- English
- ISSN :
- 17456215
- Database :
- OpenAIRE
- Journal :
- Trials, Trials, BioMed Central, 2010, 11 (1), pp.119. 〈10.1186/1745-6215-11-119〉, Trials, BioMed Central, 2010, 11 (1), pp.119. ⟨10.1186/1745-6215-11-119⟩, Trials 1 (11), 119. (2010), Trials, Vol 11, Iss 1, p 119 (2010)
- Accession number :
- edsair.doi.dedup.....e06dff35407e6fb2cc370b2601251505