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      School-Based Family-Oriented Health Interventions to Promote Physical Activity in Children and Adolescents: A Systematic Review

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          Abstract

          Objective

          This study aimed to systematically review and analyse intervention programs in a school context centred on the family, focused on increasing youths' physical activity.

          Data source

          The research was carried out in the PubMed, Scopus and Web of Science databases.

          Study inclusion criteria

          Studies were included if participants were children or adolescents, focusing on school-based intervention studies with parental involvement and physical activity, sedentary behaviour or physical fitness outcomes.

          Data extraction

          The search was performed according to the PRISMA protocol. A total of 416 articles were identified. After being considered for eligibility and duplicates, 22 studies were identified as relevant for inclusion.

          Data synthesis

          Sample and intervention characteristics, objective, the role of the family, outcomes measures, main findings regarding the outcomes and risk of bias.

          Results

          Ten studies reported improvements in physical activity, 6 in sedentary behaviour and 9 in the components of physical fitness and/or skills related to healthy behaviours and lifestyles. Most of the interventions adopted a multidisciplinary and multi-component approach.

          Conclusions

          Most interventions employed a school’s multidisciplinary/multi-component approach to promoting physical activity, nutrition, and general education for healthier lifestyle behaviours. The impact of school-based interventions involving families on youth’s physical activity levels is still a relatively emerging theme. Further research is needed given the diversity of the intervention’s characteristics and the disparity in the results’ efficacy.

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          Most cited references66

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          The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

          The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.
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            A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions.

            Several groups have outlined methodologies for systematic literature reviews of the effectiveness of interventions. The Effective Public Health Practice Project (EPHPP) began in 1998. Its mandate is to provide research evidence to guide and support the Ontario Ministry of Health in outlining minimum requirements for public health services in the province. Also, the project is expected to disseminate the results provincially, nationally, and internationally. Most of the reviews are relevant to public health nursing practice. This article describes four issues related to the systematic literature reviews of the effectiveness of public health nursing interventions: (1) the process of systematically reviewing the literature, (2) the development of a quality assessment instrument, (3) the results of the EPHPP to date, and (4) some results of the dissemination strategies used. The eight steps of the systematic review process including question formulation, searching and retrieving the literature, establishing relevance criteria, assessing studies for relevance, assessing relevant studies for methodological quality, data extraction and synthesis, writing the report, and dissemination are outlined. Also, the development and assessment of content and construct validity and intrarater reliability of the quality assessment questionnaire used in the process are described. More than 20 systematic reviews have been completed. Content validity was ascertained by the use of a number of experts to review the questionnaire during its development. Construct validity was demonstrated through comparisons with another highly rated instrument. Intrarater reliability was established using Cohen's Kappa. Dissemination strategies used appear to be effective in that professionals report being aware of the reviews and using them in program planning/policymaking decisions. The EPHPP has demonstrated the ability to adapt the most current methods of systematic literature reviews of effectiveness to questions related to public health nursing. Other positive outcomes from the process include the development of a critical mass of public health researchers and practitioners who can actively participate in the process, and the work on dissemination has been successful in attracting external funds. A program of research in this area is being developed.
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              Supporting public health priorities: recommendations for physical education and physical activity promotion in schools.

              Physical activity (PA) provides numerous physiological and psychosocial benefits. However, lifestyle changes, including reduced PA opportunities in multiple settings, have resulted in an escalation of overweight and obesity and related health problems. Poor physical and mental health, including metabolic and cardiovascular problems is seen in progressively younger ages, and the systematic decline in school PA has contributed to this trend. Of note, the crowded school curriculum with an intense focus on academic achievement, lack of school leadership support, funding and resources, plus poor quality teaching are barriers to PA promotion in schools. The school setting and physical educators in particular, must embrace their role in public health by adopting a comprehensive school PA program. We provide an overview of key issues and challenges in the area plus best bets and recommendations for physical education and PA promotion in the school system moving forward.
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                Author and article information

                Journal
                Am J Health Promot
                Am J Health Promot
                spahp
                AHP
                American Journal of Health Promotion
                SAGE Publications (Sage CA: Los Angeles, CA )
                0890-1171
                2168-6602
                22 November 2022
                February 2023
                : 37
                : 2
                : 243-262
                Affiliations
                [1 ]Department of Physical Education and Sport, Ringgold 56057, universityUniversity de Madeira; , Funchal, Portugal
                [2 ]LARSYS, universityInteractive Technologies Institute; , Funchal, Portugal
                [3 ]Research Center in Sports Sciences, Health Sciences, and Human Development (CIDESD), Vila Real, Portugal
                [4 ]CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisboa, Portugal
                [5 ]ISAMB, Ringgold 70882, universityUniversity of Lisbon; , Lisbon, Portugal
                [6 ]Physiology and Biochemistry Department, Ringgold 49938, universityUniversity School of Physical Education in Wrocław; , Wrocław, Poland
                [7 ]Department of Biostructure, Ringgold 49938, universityUniversity School of Physical Education; , Wroclaw, Poland
                Author notes
                [*]Élvio Rúbio Gouveia, Universidade da Madeira, Departamento de Educação Física e Desporto, Campus Universitário da Penteada; 9000-390 Funchal, Portugal. Email: erubiog@ 123456staff.uma.pt
                Author information
                https://orcid.org/0000-0003-1395-2468
                https://orcid.org/0000-0003-0927-692X
                https://orcid.org/0000-0001-6072-6012
                https://orcid.org/0000-0002-1795-4367
                https://orcid.org/0000-0001-9850-7771
                Article
                10.1177_08901171221113836
                10.1177/08901171221113836
                9850376
                36413351
                48187061-df27-4c6c-9a29-3fea4d27192b
                © The Author(s) 2022

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Funding
                Funded by: Education, Audiovisual and Culture Executive Agency, FundRef https://doi.org/10.13039/501100000785;
                Award ID: 622288-EPP-1-2020-1-PT-SPO-SCP
                Categories
                Literature Review
                Custom metadata
                ts10

                physical activity program,school context,family participation,adolescents

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