Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
MINISTOP is an evidence-based app for parents of preschool aged children with the overall aim to promote healthy lifestyle behaviors and prevent the development of overweight and obesity. MINISTOP has been previously been evaluated in two previous trials (MINISTOP 1.0 and 2.0) with promising results. Therefore, the overall aim of this trial is to evaluate the large scale implementation of MINISTOP within Swedish primary child healthcare. The specific aims are to:
(i) To compare two different implementation strategies for MINISTOP 3.0 (i.e., Basic vs.
Enhanced) on: a) acceptability, appropriateness, feasibility as well as organizational readiness to implement MINISTOP 3.0 within primary child healthcare (primary outcomes) and b) reach, costs, adoption, and sustainability of MINISTOP 3.0 within primary child healthcare (secondary outcomes).
(ii) To compare two different implementation strategies of MINISTOP 3.0 within primary child healthcare on children's key dietary indicators, physical activity, and screen time (secondary outcomes).
(iii) To compare the cost-effectiveness of two different implementation strategies for MINISTOP 3.0.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Basic | Active Comparator | The MINISTOP app will be offered to all parents of children at the 2.5/3-year routine visit at primary child healthcare. The child healthcare centers randomly allocated to the basic group will receive the basic implementation strategy package. |
|
| Enhanced | Experimental | The MINISTOP app will be offered to all parents of children at the 2.5/3-year routine visit at primary child healthcare. The child healthcare centers randomly allocated to the enhanced group will receive the enhanced implementation strategy package. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MINISTOP 3.0 | Behavioral | MINISTOP 3.0 is a behavioral changed program with the overall aim to promote healthier lifestyle behaviors (i.e., diet, physical activity, and sedentary behavior) among 2.5/3-year old children. The MINISTOP 3.0 program consists of features such as information, monitoring, and feedback (dietary variables, physical activity, and screen time) and is built around 13 themes over a 6-month period. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in acceptability of MINISTOP 3.0 | Acceptability of MINISTOP 3.0 by child healthcare nurses (assessed by the questionnaire by Weiner et al.). It includes four questions assessed on a five point likert scale ranging from completely disagree to completely agree. | Baseline, 3 &12 months after implementation |
| Change in appropriateness of MINISTOP 3.0 | Appropriateness of MINISTOP 3.0 by child healthcare nurses (assessed by the questionnaire by Weiner et al.). It includes four questions assessed on a five point likert scale ranging from completely disagree to completely agree. | Baseline, 3 & 12 months after implementation |
| Change in feasibility of MINISTOP 3.0 | Feasibility of MINISTOP 3.0 by child healthcare nurses (assessed by the questionnaire by Weiner et al.). It includes four questions assessed on a five point likert scale ranging from completely disagree to completely agree. | Baseline, 3 &12 months after implementation |
| Change in organizational readiness for implementing MINISTOP 3.0 | Organizational readiness as perceived by child healthcare nurses, which will be measured using the E-READY questionnaire. This questionnaire consists of 32 questions rated on a 4-point likert scale. | Baseline 3 and 12 months after implementation |
| Measure | Description | Time Frame |
|---|---|---|
| Adoption of MINISTOP 3.0 | Assessment based on a questionnaire from 1 to 5 with 5 indicating a better score | 3, 8, and 12 months after implementation |
| Costs of the implementation of MINISTOP 3.0 |
Not provided
Inclusion Criteria:
No exclusion criteria.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska Institutet | Huddinge | Stockholm County | 141 83 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39333981 | Derived | Thomas K, Lof M, Lundgren M, Fagerstrom M, Hesketh KD, Brown V, Habel H, Delisle Nystrom C. MINISTOP 3.0: Implementation of a mHealth obesity prevention program within Swedish child healthcare - study protocol for a cluster randomized controlled trial. BMC Public Health. 2024 Sep 27;24(1):2594. doi: 10.1186/s12889-024-20137-0. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D063766 | Pediatric Obesity |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
Not provided
Not provided
Cluster randomized controlled trial utilizing a hybrid type III implementation-effectiveness design.
Not provided
Not provided
Not provided
Not provided
|
Collected through administrative data from participating child healthcare centers regarding implementing and maintaining the MINISTOP platform, as well as the nurses time with the MINISTOP program (Swedish Krona, SEK).
| Baseline and 2, 4, 6, 8, 10, and 12 months after implementation. |
| Sustainability | Semi-structured interviews with primary child healthcare nurses | 12 months after implementation |
| Parental usage of MINISTOP 3.0 using objectively measured activity in the app | Number of recordings and messages read in the app (per time unity such as per week) | 6 months after the families start using the MINISTOP app |
| Children's intake of key dietary indicators as assess by a questionnaire. | Intake of fruits, vegetables, sweet and savoury snacks, as well as sweetened beverages (grams/day) | Baseline and 6 months after receiving MINISTOP 3.0 |
| Children's physical activity as assessed by a questionnaire | Time spent in moderate-to-vigorous physical activity (minutes/day) | Baseline and 6 months after receiving MINISTOP 3.0 |
| Children's screen time as assessed by a questionnaire | Time spent watching screens (minutes/day) | Baseline and 6 months after receiving MINISTOP 3.0 |
| D009750 |
| Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |