Due to concerns about the morbidity and mortality associated with the high prevalence of obesity, it is now one of the top priorities in the prevention and control of non-communicable diseases (NCDs) [1]. Data are however available from the corresponding author (Cheah WL at wlcheah@unimas.my) upon reasonable request and with permission of the funder (MRC Newton-Ungku Omar Fund grant (MR/P013805/1). Oja L, Jürimäe T. Assessment of motor ability of 4- and 5-year-old children. (2013) 132:e1361–83. doi: 10.1007/s10389-016-0715-x, 41. 2000;70(1):18–21. One of the possible reasons was that they felt that the intervention was a top-down approach that was not developed with input from the teachers. After completing the first cycle of each module (four weeks each), a repetition was done on a two-weekly basis for each module. (2018) 44:427–32. Interventions that are instituted during early childhood have been shown to be the best and most effective approach to fostering lifelong healthy behaviors [2]. doi: 10.1542/peds.2013-1167. Kobel S, Wartha O, Steinacker JM. Three- and four-year-old children benefited from the intervention (3 years: x¯IG= 63.88; x¯CG= 48.98; F(1.106)= 5.60,  p≤ 0.02,ηP2= 0.05) (4 years: x¯IG= 54.25; x¯CG= 24.94; F(1.200)= 12.01,  p≤ 0.001,ηP2= 0.06), whereas, 5-year-old children in the intervention group performed no differently than those in the control group ( The details of the training are presented in Table 5. Without adding extra lessons or interfering too much, the teacher-based programme supports and structures already present elements of the daily kindergarten routine such as educational lessons, physical activity sessions, and trips into more health promoting ones. 2013;27(1):106–16. Die Eine-Welt-Vision im Kita-Alltag leben. Available online at: https://apps.who.int/iris/handle/10665/311664 (accessed April 7, 2020). Based on the teachers’ monthly logbook over the 6-month intervention period, the implementation/retention of environmental changes and children’s lifestyle behavior achieved an average of 96.7% completeness, with a range of 91–99% for all the elements. Kim HS, Chu SH, Lee HK, Im JA, Park JY. The theory-based intervention (36, 37) consists of weekly exercises and games lessons with the focus to improve children's motor abilities, also includes ready-to-use ideas, action alternatives, and instructions to get children to be more physically active and gain knowledge about their body and health, as well as eat more healthily (38). For the performed analyses, a significance level of α ≤ 5% was defined; data were calculated using SPSS Statistics 25 (SPSS Inc., Chicago, IL, US). Dtsch Z Sportmed. ToyBox Malaysia introduced sensory games and physical activities which gave teachers and assistants more ideas in diversifying the promotion of childhood obesity prevention. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. For this cluster randomized longitudinal study, nearly 8,000 kindergartens in south-west Germany were contacted by mail. . p. 297–319. In this study, we undertook a process evaluation alongside the outcome evaluation for the Toybox Study Malaysia. Your privacy choices/Manage cookies we use in the preference centre. volume 23, Article number: 1082 (2023) (2006) 368:299–304. No use, distribution or reproduction is permitted which does not comply with these terms. Pädagogische Interventionen sind keine erzieherischen Maßnahmen, sondern beziehen sich auf eine Reihe von Strategien (die Teil eines Programms sein können), die von den Bedürfnissen des Schülers abhängen. Fundamental movement skill interventions in youth: a systematic review and meta-analysis. To evaluate the adapted ToyBox-Study through a pilot RCT trial as compared to the usual practice in kindergartens by evaluating behaviors (i.e., diet, sedentary behavior, physical activity) and health-related outcomes as measured using accelerometer and anthropometer indicators. (2001) 149:807–18. At the end of the training, they filled up the training evaluation form. The model for the boys explains 36.7% of the variance (adjusted R2=0.367,  F(5.172) 21.49, p<​ 0.000,ηP2=0.384), the model for the girls explains 36.6% of the variance (adjusted R2=0.366,  F(5.152) 17.11, p< 0.000,ηP2=0.386). 24. Obes Rev. Handbuch Bildungs- und Erziehungssoziologie [Handbook of education's sociology]. In diesem Zusammenhang gibt es sogenannte Zieldimensionen, die . For nominally scaled variables chi-square tests; for ordinal scaled variables, Mann-Whitney U-tests, and for metric variables, t-tests for independent samples were used. Based on the standardized protocol of the ToyBox study [13], retention was measured based on the proportions and characteristics of kindergartens, teachers and families that completed the intervention. Dtsch Z Sportmed. Process evaluation design and tools used in a kindergarten-based, family-involved intervention to prevent obesity in early childhood The ToyBox-study. 2014;384(9945):766–81. Permission to conduct the study was also obtained from the Community Development Department, Ministry of Rural and Regional Development, Malaysia. Wenn Sie nicht möchten, dass Ihr Name angezeigt wird, wählen Sie bitte zusätzlich einen Anzeigenamen, den wir dann anstelle Ihres Namens veröffentlichen. The kindergartens were catered for underprivileged children from lower-income families either for free or minimal fee. Despite some challenges, this study showed that the ToyBox program could be completed within the time plan. PubMed  Strong WB, Malina RM, Blimkie CJ, Daniels SR, Dishman RK, Gutin B, et al. Ihre E-Mail-Adresse zeigen wir nicht an. Effect of multidimensional lifestyle intervention on fitness and adiposity in predominantly migrant preschool children (Ballabeina): cluster randomised controlled trial. To measure the quality and quantity of the program delivery under the implementation aspect, the evaluation of recruitment, retention, dosage delivered (completeness), and the dosage received (exposure and satisfaction) was performed. Part of We would like to thank the Department of Community Development (KEMAS) under the Ministry of Rural Development (Malaysia), as well as all the teachers, parents, and children for participating in this project. (2012) 30:379–86. All methods were performed in accordance with the relevant guidelines and regulations. Strategie: Sanfte Intervention Warten und Beobachten in respektvoller Distanz, die Selbstständigkeit unterstützen und Kindern etwas zutrauen 2. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. Percept Motor Skills. Jaščenoka J, Petermann F. Bewegungsförderung im kindergarten – was ist notwendig, was ist überflüssig? Children between the ages of three and four (6) and 4 and 6 years of age (7) are encouraged to engage in a minimum of 180 min of physical activity per day, respectively, which includes structured and unstructured activities (7). All teachers and their assistants felt satisfied with the intervention program. As shown in Figure 1, at follow-up, the children in the intervention group ran on average 55.3 m more in 3 min than at baseline; children in the control group improved their endurance performance with 31.6 m more than the previous year significantly less, even if adjusted for gender, age, SES and baseline values (F(1.329)= 20.95, p< 0.000, ηP2=0.060). Lower Hutt: ISAK (2011). Toybox is a kindergarten-based intervention program that targets sedentary behavior, snacking and drinking habits, as well as promoting physical activity in an effort to improve healthy energy balance-related behaviors among children attending kindergartens in Malaysia. Secular changes in pediatric aerobic fitness test performance: the global picture. Craemer MD, Verloigne M, Bourdeaudhuij ID, et al. (2010) 8:41–49. Sportwissenschaftliches Lexikon [Lexicon of sport science] Schorndorf: Hofmann (1992). A total of 1072 children from three ethnics groups (Malay, Iban, and Bidayuh), in Kuala Lumpur and Selangor (Peninsular Malaysia), Bau, Lundu, Samarahan, and Siburan (East Malaysia) were invited. (2019) 70:67–74. Was soll durch die Fallbesprechung erreicht werden? In both performance groups (high and average), the development of endurance performance was significantly higher than that of children in the control group with the same initial level (average:F(1.160) = 15.07, p ≤ 0.000, ηP2 = 0.09;high:F(1.78) = 5.54,p= 0.02; ηP2 = 0.07). Psychol Sport Exerc. Lubans DR, Morgan PJ, Cliff DP, Barnett LM, Okely AD. Additionally, ideas on how to re-arrange rooms and outdoor spaces for more opportunities to be physically active as well as helpful structures and norms were presented to enable the development of healthy eating habits. Zweiter Deutscher Kinder- und Jugendsportbericht: Schwerpunkt: Kindheit [Second German children‘s and youth sports report: Focus: Childhood]. In addition, parental feedback on comprehensibility, readability, relevance, and credibility, as well as the attractiveness of the newsletters and tip cards was also obtained during the post-intervention survey to reflect their perception of the ToyBox Malaysia program as a whole. (2018) 3:24–31. doi: 10.1007/s12662-016-0421-4. (2014) 15:382–91. The low-threshold health promotion programme “Join the Healthy Boat” in kindergartens promotes physical activity in order to also improve motor abilities. BMC Public Health SK, OW, and CL carried out the study. The kindergarten-based health promotion programme Join the Healthy Boat and its evaluation study were financed by the Baden-Württemberg Foundation, which had no influence on the content of this paper. Based on the encouraging feedback from the teachers, assistants, and parents, the ToyBox Study Malaysia intervention program appeared to be successful. 5 years: x¯IG= 43.63; x¯CG= 0.5; F(1.12)= 3.69,  p≤ 0.08,ηP2=0.24). Staat & Gesellschaft - Kinder- & Jugendhilfe - Betreuungsquote - Statistisches Bundesamt [State & society – child and youth welfare – childcare quota – federal statistical office]. All author contributed to the article and approved the submitted version. Table 1. (2018) 7:231–4. Skilled examiners carried out the tests on a one-to-one basis, including trained students who recorded the results. Int J Obes. However, parents can serve as important role models in the development of healthy lifestyle from young. Process evaluation of a kindergarten-based intervention for obesity prevention in early childhood: the Toybox study Malaysia. Moreover, a whole-school approach provides a platform for school-based programs that incorporate the integration of curriculum support and reinforcement [22]. However, there are some limitations to this study. For kindergartens, there are only few studies examining the influence of health promotion measures on motor abilities.