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Published in: BMC Pediatrics 1/2014

Open Access 01-12-2014 | Study protocol

Study protocol: effects of the THAO-child health intervention program on the prevention of childhood obesity - The POIBC study

Authors: Santiago F Gomez, Rafael Casas, Vanessa Taylor Palomo, Anna Martin Pujol, Montserrat Fíto, Helmut Schröder

Published in: BMC Pediatrics | Issue 1/2014

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Abstract

Background

The speeding increase and the high prevalence of childhood obesity is a serious problem for Public Health. Community Based Interventions has been developed to combat against the childhood obesity epidemic. However little is known on the efficacy of these programs. Therefore, there is an urgent need to determine the effect of community based intervention on changes in lifestyle and surrogate measures of adiposity.

Methods/design

Parallel intervention study including two thousand 2249 children aged 8 to 10 years ( 4th and 5th grade of elementary school) from 4 Spanish towns. The THAO-Child Health Program, a community based intervention, were implemented in 2 towns. Body weight, height, and waist circumferences were measured. Children recorded their dietary intake on a computer-based 24h recall. All children also completed validated computer based questionnaires to estimate physical activity, diet quality, eating behaviors, and quality of life and sleep. Additionally, parental diet quality and physical activity were assessed by validated questionnaires.

Discussion

This study will provide insight in the efficacy of the THAO-Child Health Program to promote a healthy lifestyle. Additionally it will evaluate if lifestyle changes are accompanied by favorable weight management.

Trial registration

Trial Registration Number ISRCTN68403446
Appendix
Available only for authorised users
Literature
1.
go back to reference Olshansky SJ, Passaro DJ, Hershow RC, Layden J, Carnes BA, Brody J, Hayflick L, Butler RN, Allison DB, Ludwig DS: A potential decline in life expectancy in the United States in the 21st century. N Engl J Med. 2005, 352: 1138-1145. 10.1056/NEJMsr043743.CrossRefPubMed Olshansky SJ, Passaro DJ, Hershow RC, Layden J, Carnes BA, Brody J, Hayflick L, Butler RN, Allison DB, Ludwig DS: A potential decline in life expectancy in the United States in the 21st century. N Engl J Med. 2005, 352: 1138-1145. 10.1056/NEJMsr043743.CrossRefPubMed
2.
go back to reference Lawlor DA, Benfield L, Logue J, Tilling K, Howe LD, Fraser A, Cherry L, Watt P, Ness AR, Davey Smith G, Sattar N: Association between general and central adiposity in childhood, and change in these, with cardiovascular risk factors in adolescence: prospective cohort study. BMJ. 2010, 25: 341- Lawlor DA, Benfield L, Logue J, Tilling K, Howe LD, Fraser A, Cherry L, Watt P, Ness AR, Davey Smith G, Sattar N: Association between general and central adiposity in childhood, and change in these, with cardiovascular risk factors in adolescence: prospective cohort study. BMJ. 2010, 25: 341-
3.
go back to reference Singh AS, Mulder C, Twisk JW, van Mechelen W, Chinapaw MJ: Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008, 9: 474-488. 10.1111/j.1467-789X.2008.00475.x.CrossRefPubMed Singh AS, Mulder C, Twisk JW, van Mechelen W, Chinapaw MJ: Tracking of childhood overweight into adulthood: a systematic review of the literature. Obes Rev. 2008, 9: 474-488. 10.1111/j.1467-789X.2008.00475.x.CrossRefPubMed
4.
go back to reference Wang Y, Lobstein T: Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006, 1: 11-25. 10.1080/17477160600586747.CrossRefPubMed Wang Y, Lobstein T: Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006, 1: 11-25. 10.1080/17477160600586747.CrossRefPubMed
5.
go back to reference Caballero B: The global epidemic of obesity: an overview. Epidemiol Rev. 2007, 29: 1-5. 10.1093/epirev/mxm012.CrossRefPubMed Caballero B: The global epidemic of obesity: an overview. Epidemiol Rev. 2007, 29: 1-5. 10.1093/epirev/mxm012.CrossRefPubMed
6.
go back to reference Sánchez-Cruz JJ, Jiménez-Moleón JJ, Fernández-Quesada F, Sánchez MJ: Prevalencia de obesidad infantil y juvenil en España en 2012. Rev Esp Cardiol. 2013, 66: 371-376. 10.1016/j.recesp.2012.10.016.CrossRefPubMed Sánchez-Cruz JJ, Jiménez-Moleón JJ, Fernández-Quesada F, Sánchez MJ: Prevalencia de obesidad infantil y juvenil en España en 2012. Rev Esp Cardiol. 2013, 66: 371-376. 10.1016/j.recesp.2012.10.016.CrossRefPubMed
7.
go back to reference Anderson SE, Whitaker RC: Household routines and obesity in US preschool-aged children. Pediatrics. 2010, 125: 420-428. 10.1542/peds.2009-0417.CrossRefPubMed Anderson SE, Whitaker RC: Household routines and obesity in US preschool-aged children. Pediatrics. 2010, 125: 420-428. 10.1542/peds.2009-0417.CrossRefPubMed
8.
go back to reference Romon M, Lommez A, Tafflet M, Oppert JM, Bresson JL, Ducimetière P, Charles MA, Borys JM: Downward trends in the prevalence of childhood overweight in the setting of 12-year school- and community-based programmes. Public Health Nutr. 2009, 12: 1735-1742. 10.1017/S1368980008004278.CrossRefPubMed Romon M, Lommez A, Tafflet M, Oppert JM, Bresson JL, Ducimetière P, Charles MA, Borys JM: Downward trends in the prevalence of childhood overweight in the setting of 12-year school- and community-based programmes. Public Health Nutr. 2009, 12: 1735-1742. 10.1017/S1368980008004278.CrossRefPubMed
9.
go back to reference Serra-Majem L, Ribas L, Ngo J, Ortega RM, García A, Pérez-Rodrigo C, Aranceta J: Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr. 2004, 7: 931-935.PubMed Serra-Majem L, Ribas L, Ngo J, Ortega RM, García A, Pérez-Rodrigo C, Aranceta J: Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr. 2004, 7: 931-935.PubMed
10.
go back to reference Baños RM, Cebolla A, Etchemendy E, Felipe S, Rasal P, Botella C: Validation of the Dutch Eating Behavior Questionnaire for Children (DEBQ-C) for use with Spanish children. Nutr Hosp. 2011, 26: 890-898.PubMed Baños RM, Cebolla A, Etchemendy E, Felipe S, Rasal P, Botella C: Validation of the Dutch Eating Behavior Questionnaire for Children (DEBQ-C) for use with Spanish children. Nutr Hosp. 2011, 26: 890-898.PubMed
11.
go back to reference Moore JB, Hanes JC, Barbeau P, Gutin B, Trevino RP, Yin Z: Validation of the physical activity questionnaire for older children in children of different races. Pediatr Exerc Sci. 2007, 19: 6-19.PubMed Moore JB, Hanes JC, Barbeau P, Gutin B, Trevino RP, Yin Z: Validation of the physical activity questionnaire for older children in children of different races. Pediatr Exerc Sci. 2007, 19: 6-19.PubMed
12.
go back to reference Ravens Sieberer U, Erhart M, Rajmil L, Herdman M, Auquier P, Bruil J, Power M, Duer W, Abel T, Czemy L, Mazur J, Czimbalmos A, Tountas Y, Hagquist C, Kilroe J, European KIDSCREEN Group: Reliability, construct and criterion validity of the KIDSCREEN-10 score: a short measure for children and adolescents' well-being and health-related quality of life. Qual Life Res. 2010, 19: 1487-1500. 10.1007/s11136-010-9706-5.CrossRefPubMedPubMedCentral Ravens Sieberer U, Erhart M, Rajmil L, Herdman M, Auquier P, Bruil J, Power M, Duer W, Abel T, Czemy L, Mazur J, Czimbalmos A, Tountas Y, Hagquist C, Kilroe J, European KIDSCREEN Group: Reliability, construct and criterion validity of the KIDSCREEN-10 score: a short measure for children and adolescents' well-being and health-related quality of life. Qual Life Res. 2010, 19: 1487-1500. 10.1007/s11136-010-9706-5.CrossRefPubMedPubMedCentral
13.
go back to reference Janz KF, Lutuchy EM, Wenthe P, Levy SM: Measuring activity in children and adolescents using self-report: PAQ-C and PAQ-A. Med Sci Sports Exerc. 2008, 40: 767-772. 10.1249/MSS.0b013e3181620ed1.CrossRefPubMed Janz KF, Lutuchy EM, Wenthe P, Levy SM: Measuring activity in children and adolescents using self-report: PAQ-C and PAQ-A. Med Sci Sports Exerc. 2008, 40: 767-772. 10.1249/MSS.0b013e3181620ed1.CrossRefPubMed
14.
go back to reference Voss C, Ogunleye AA, BarbeauSandercock GR: Physical activity questionnaire for children and adolescents: english norms and cut points. Pediatr Int. 2013, 55: 498-507. 10.1111/ped.12092.CrossRefPubMed Voss C, Ogunleye AA, BarbeauSandercock GR: Physical activity questionnaire for children and adolescents: english norms and cut points. Pediatr Int. 2013, 55: 498-507. 10.1111/ped.12092.CrossRefPubMed
15.
go back to reference Biddle SJ, Gorely T, Pearson N, Bull FC: An assessment of self-reported physical activity instruments in young people for population surveillance: Project ALPHA. Int J Behav Nutr Phys Act. 2011, 8: 1-10.1186/1479-5868-8-1.CrossRefPubMedPubMedCentral Biddle SJ, Gorely T, Pearson N, Bull FC: An assessment of self-reported physical activity instruments in young people for population surveillance: Project ALPHA. Int J Behav Nutr Phys Act. 2011, 8: 1-10.1186/1479-5868-8-1.CrossRefPubMedPubMedCentral
16.
go back to reference Chinapaw MJ, Mokkink LB, van Poppel MN, van Mechelen W, Terwee CB: Physical activity questionnaires for youth: a systematic review of measurement properties. Sports Med. 2010, 40: 539-563. 10.2165/11530770-000000000-00000.CrossRefPubMed Chinapaw MJ, Mokkink LB, van Poppel MN, van Mechelen W, Terwee CB: Physical activity questionnaires for youth: a systematic review of measurement properties. Sports Med. 2010, 40: 539-563. 10.2165/11530770-000000000-00000.CrossRefPubMed
17.
go back to reference Tomás Vila M, Miralles Torres A, Beseler Soto B: Spanish version of the Pediatric Sleep Questionnaire (PSQ). A useful instrument in investigation of sleep disturbances in childhood. Reliability analysis. An Pediatr (Barc). 2007, 66: 121-128. 10.1157/13098928.CrossRef Tomás Vila M, Miralles Torres A, Beseler Soto B: Spanish version of the Pediatric Sleep Questionnaire (PSQ). A useful instrument in investigation of sleep disturbances in childhood. Reliability analysis. An Pediatr (Barc). 2007, 66: 121-128. 10.1157/13098928.CrossRef
18.
go back to reference Chervin RD, Hedger K, Dillon JE, Pituch KJ: Pediatric sleep questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Med. 2000, 1: 21-32. 10.1016/S1389-9457(99)00009-X.CrossRefPubMed Chervin RD, Hedger K, Dillon JE, Pituch KJ: Pediatric sleep questionnaire (PSQ): validity and reliability of scales for sleep-disordered breathing, snoring, sleepiness, and behavioral problems. Sleep Med. 2000, 1: 21-32. 10.1016/S1389-9457(99)00009-X.CrossRefPubMed
19.
go back to reference Schröder H, Benitez Arciniega A, Soler C, Covas MI, Baena Díez JM, Marrugat J, REGICOR and HERMES investigators: Validity of two short screeners for diet quality in time-limited settings. Public Health Nutr. 2012, 15: 618-626. 10.1017/S1368980011001923.CrossRefPubMed Schröder H, Benitez Arciniega A, Soler C, Covas MI, Baena Díez JM, Marrugat J, REGICOR and HERMES investigators: Validity of two short screeners for diet quality in time-limited settings. Public Health Nutr. 2012, 15: 618-626. 10.1017/S1368980011001923.CrossRefPubMed
20.
go back to reference Withrow D, Alter DA: The economic burden of obesity worldwide: a systematic review of the direct costs of obesity. Obes Rev. 2011, 12: 131-141. 10.1111/j.1467-789X.2009.00712.x.CrossRefPubMed Withrow D, Alter DA: The economic burden of obesity worldwide: a systematic review of the direct costs of obesity. Obes Rev. 2011, 12: 131-141. 10.1111/j.1467-789X.2009.00712.x.CrossRefPubMed
21.
go back to reference Gutierrez-Fisac JL, Guallar- Castillón P, León-Muñoz LM, Graciani A, Banegas JR, Rodriguez-Artalejo F, Rodriguez-Artalejo F: Prevalence of general and abdominal obesity in the adult population of Spain, 2008-2010: the ENRICA study. Obes Rev. 2012, 13: 388-392. 10.1111/j.1467-789X.2011.00964.x.CrossRefPubMed Gutierrez-Fisac JL, Guallar- Castillón P, León-Muñoz LM, Graciani A, Banegas JR, Rodriguez-Artalejo F, Rodriguez-Artalejo F: Prevalence of general and abdominal obesity in the adult population of Spain, 2008-2010: the ENRICA study. Obes Rev. 2012, 13: 388-392. 10.1111/j.1467-789X.2011.00964.x.CrossRefPubMed
22.
go back to reference World Health Organization: Prevalence of overweight and obesity in children and adolescents. Fact Sheets. 2009, 2: 3- World Health Organization: Prevalence of overweight and obesity in children and adolescents. Fact Sheets. 2009, 2: 3-
23.
go back to reference Bleich SN, Segal J, Wu Y: Systematic review of community-based childhood obesity prevention studies. Pediatrics. 2013, 132: 203-210. 10.1542/peds.2013-1032D.CrossRef Bleich SN, Segal J, Wu Y: Systematic review of community-based childhood obesity prevention studies. Pediatrics. 2013, 132: 203-210. 10.1542/peds.2013-1032D.CrossRef
24.
go back to reference Sallis JF, McKenzie TL, Conway TL, Elder JP, Prochaska JJ, Brown M, Zive MM, Marshall SJ, Alcaraz JE: Environmental interventions for eating and physical activity: a randomized controlled trial in middle schools. Am J Prev Med. 2003, 24: 209-217. 10.1016/S0749-3797(02)00646-3.CrossRefPubMed Sallis JF, McKenzie TL, Conway TL, Elder JP, Prochaska JJ, Brown M, Zive MM, Marshall SJ, Alcaraz JE: Environmental interventions for eating and physical activity: a randomized controlled trial in middle schools. Am J Prev Med. 2003, 24: 209-217. 10.1016/S0749-3797(02)00646-3.CrossRefPubMed
25.
go back to reference Chomitz VR, McGowan RJ, Wendel JM, Williams SA, Cabral HJ, King SE, Olcott DB, Cappello M, Breen S, Hacker KA, Williams SA, Cabral HJ, King SE, Olcott DB, Cappello M, Breen S, Hacker KA: Healthy living Cambridge kids: a community-based participatory effort to promote healthy weight and fitness. Obesity (Silver Spring). 2010, 18: S45-S53. 10.1038/oby.2009.431.CrossRef Chomitz VR, McGowan RJ, Wendel JM, Williams SA, Cabral HJ, King SE, Olcott DB, Cappello M, Breen S, Hacker KA, Williams SA, Cabral HJ, King SE, Olcott DB, Cappello M, Breen S, Hacker KA: Healthy living Cambridge kids: a community-based participatory effort to promote healthy weight and fitness. Obesity (Silver Spring). 2010, 18: S45-S53. 10.1038/oby.2009.431.CrossRef
26.
go back to reference de Silva-Sanigorski AM, Bell AC, Kremer P, Nichols M, Crellin M, Smith M, Sharp S, de Groot F, Carpenter L, Boak R, Robertson N, Swinburn BA, Nichols M, Crellin M, Smith M, Sharp S, de Groot F, Carpenter L, Boak R, Robertson N, Swinburn BA: Reducing obesity in early childhood: results from Romp&Chomp, an Australian community-wide intervention program. Am J Clin Nutr. 2010, 91: 831-840. 10.3945/ajcn.2009.28826.CrossRefPubMed de Silva-Sanigorski AM, Bell AC, Kremer P, Nichols M, Crellin M, Smith M, Sharp S, de Groot F, Carpenter L, Boak R, Robertson N, Swinburn BA, Nichols M, Crellin M, Smith M, Sharp S, de Groot F, Carpenter L, Boak R, Robertson N, Swinburn BA: Reducing obesity in early childhood: results from Romp&Chomp, an Australian community-wide intervention program. Am J Clin Nutr. 2010, 91: 831-840. 10.3945/ajcn.2009.28826.CrossRefPubMed
27.
go back to reference Economos CD, Hyatt RR, Goldberg JP, Must A, Naumova EN, Collins JJ, Nelson ME: A community intervention reduces BMI z-score in children: shape Up Somerville first years results. Obesity (Silver Spring). 2007, 15: 1325-1336. 10.1038/oby.2007.155.CrossRef Economos CD, Hyatt RR, Goldberg JP, Must A, Naumova EN, Collins JJ, Nelson ME: A community intervention reduces BMI z-score in children: shape Up Somerville first years results. Obesity (Silver Spring). 2007, 15: 1325-1336. 10.1038/oby.2007.155.CrossRef
28.
go back to reference Eiholzer U, Meinhardt U, Petrò R, Witassek F, Gutzwiller F, Gasser T: High-intensity training increases spontaneous physical activity in children: a randomized controlled study. J Pediatr. 2010, 156: 242-246. 10.1016/j.jpeds.2009.08.039.CrossRefPubMed Eiholzer U, Meinhardt U, Petrò R, Witassek F, Gutzwiller F, Gasser T: High-intensity training increases spontaneous physical activity in children: a randomized controlled study. J Pediatr. 2010, 156: 242-246. 10.1016/j.jpeds.2009.08.039.CrossRefPubMed
29.
go back to reference Singh AS, Chin A, Paw MJ, Brug J, van Mechelen W: Dutch obesity intervention in teenagers: effectiveness of school-based program n body composition and behavior. Arch Pediatr Adolesc Med. 2009, 163: 309-317. 10.1001/archpediatrics.2009.2.CrossRefPubMed Singh AS, Chin A, Paw MJ, Brug J, van Mechelen W: Dutch obesity intervention in teenagers: effectiveness of school-based program n body composition and behavior. Arch Pediatr Adolesc Med. 2009, 163: 309-317. 10.1001/archpediatrics.2009.2.CrossRefPubMed
30.
go back to reference Robinson TN, Matheson DM, Kraemer HC, Wilson DM, Obarzanek E, Thompson NS, Robinson TN, Matheson DM, Kraemer HC, Wilson DM, Obarzanek E, Thompson NS, Alhassan S, Spencer TR, Haydel KF, Fujimoto M, Varady A, Killen JD: A randomized controlled trial of culturally tailored dance and reducing screen time to prevent weight gain in low-income African American girls: Stanford GEMS. Arch Pediatr Adolesc Med. 2010, 164: 995-1004.CrossRefPubMedPubMedCentral Robinson TN, Matheson DM, Kraemer HC, Wilson DM, Obarzanek E, Thompson NS, Robinson TN, Matheson DM, Kraemer HC, Wilson DM, Obarzanek E, Thompson NS, Alhassan S, Spencer TR, Haydel KF, Fujimoto M, Varady A, Killen JD: A randomized controlled trial of culturally tailored dance and reducing screen time to prevent weight gain in low-income African American girls: Stanford GEMS. Arch Pediatr Adolesc Med. 2010, 164: 995-1004.CrossRefPubMedPubMedCentral
31.
go back to reference Klesges RC, Obarzanek E, Kumanyika S, Murray DM, Klesges LM, Relyea GE, Stockton MB, Lanctot JQ, Beech BM, McClanahan BS, Sherrill-Mittleman D, Slawson DL: The Memphis Girls’ health Enrichment Multi-site Studies (GEMS): an evaluation of the efficacy of a 2-year obesity prevention program in African American girls. Arch Pediatr Adolesc Med. 2010, 164: 1007-1014.CrossRefPubMedPubMedCentral Klesges RC, Obarzanek E, Kumanyika S, Murray DM, Klesges LM, Relyea GE, Stockton MB, Lanctot JQ, Beech BM, McClanahan BS, Sherrill-Mittleman D, Slawson DL: The Memphis Girls’ health Enrichment Multi-site Studies (GEMS): an evaluation of the efficacy of a 2-year obesity prevention program in African American girls. Arch Pediatr Adolesc Med. 2010, 164: 1007-1014.CrossRefPubMedPubMedCentral
32.
go back to reference Chang DI, Gertel-Rosenberg A, Drayton VL, Schmidt S, Angalet GB: A statewide strategy to battle child obesity in Delaware. Health Aff (Millwood). 2010, 29: 481-490. 10.1377/hlthaff.2009.0742.CrossRef Chang DI, Gertel-Rosenberg A, Drayton VL, Schmidt S, Angalet GB: A statewide strategy to battle child obesity in Delaware. Health Aff (Millwood). 2010, 29: 481-490. 10.1377/hlthaff.2009.0742.CrossRef
33.
go back to reference Borys JM, Valdeyron L, Levy E, Vinck J, Edell D, Walter L, Ruault DU, Plessis H, Harper P, Richard P, Barriguette A: EPODE – amodel for reducing the incidence of obesity and weight-related comorbidities. Eur Endocrinol. 2013, 9: 116-120.CrossRef Borys JM, Valdeyron L, Levy E, Vinck J, Edell D, Walter L, Ruault DU, Plessis H, Harper P, Richard P, Barriguette A: EPODE – amodel for reducing the incidence of obesity and weight-related comorbidities. Eur Endocrinol. 2013, 9: 116-120.CrossRef
34.
go back to reference De Vries H, Kremers S, Smeets T, Brug J, Eijmael K: The effectiveness of tailored feedback and action plans in an intervention addressing multiple health behaviors. Am J Health Promot. 2008, 22: 417-425. 10.4278/ajhp.22.6.417.CrossRefPubMed De Vries H, Kremers S, Smeets T, Brug J, Eijmael K: The effectiveness of tailored feedback and action plans in an intervention addressing multiple health behaviors. Am J Health Promot. 2008, 22: 417-425. 10.4278/ajhp.22.6.417.CrossRefPubMed
35.
go back to reference De Vries H, Dijkstra M, Kuhlman P: Self-efficacy: the third factor besides attitude and subjective norm as a predictor of behavioral intentions. Health Educ Res. 1988, 3: 273-282. 10.1093/her/3.3.273.CrossRef De Vries H, Dijkstra M, Kuhlman P: Self-efficacy: the third factor besides attitude and subjective norm as a predictor of behavioral intentions. Health Educ Res. 1988, 3: 273-282. 10.1093/her/3.3.273.CrossRef
36.
go back to reference Ajzen I: The theory of planned behavior. Organ Behav Hum Decis Process. 1991, 50: 179-211. 10.1016/0749-5978(91)90020-T.CrossRef Ajzen I: The theory of planned behavior. Organ Behav Hum Decis Process. 1991, 50: 179-211. 10.1016/0749-5978(91)90020-T.CrossRef
37.
go back to reference Bandura A: Social Foundations of Thought and Action: A Social Cognitive Theory. 1986, Prentice- Hall: Englewood Cliffs, NJ Bandura A: Social Foundations of Thought and Action: A Social Cognitive Theory. 1986, Prentice- Hall: Englewood Cliffs, NJ
38.
go back to reference Prochaska JO, Velicer WF: The transtheoretical model of health behavior change. Am J Health Promot. 1997, 12 (1): 38-48. 10.4278/0890-1171-12.1.38.CrossRefPubMed Prochaska JO, Velicer WF: The transtheoretical model of health behavior change. Am J Health Promot. 1997, 12 (1): 38-48. 10.4278/0890-1171-12.1.38.CrossRefPubMed
39.
go back to reference Janz NK, Becker MH: The health belief model: a decade later. Health Educ Q. 1984, 11: 1-47. 10.1177/109019818401100101.CrossRefPubMed Janz NK, Becker MH: The health belief model: a decade later. Health Educ Q. 1984, 11: 1-47. 10.1177/109019818401100101.CrossRefPubMed
40.
go back to reference Locke EA, Latham GP: New directions in goal-setting theory. Assoc Psychol Sci. 2006, 15: 265-268. Locke EA, Latham GP: New directions in goal-setting theory. Assoc Psychol Sci. 2006, 15: 265-268.
Metadata
Title
Study protocol: effects of the THAO-child health intervention program on the prevention of childhood obesity - The POIBC study
Authors
Santiago F Gomez
Rafael Casas
Vanessa Taylor Palomo
Anna Martin Pujol
Montserrat Fíto
Helmut Schröder
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2014
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-14-215

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