Lessons Learned From 10 Years of Preschool Intervention for Health Promotion: JACC State-of-the-Art Review

Gloria Santos-Beneit, Rodrigo Fernández-Jiménez, Amaya de Cos-Gandoy, Carla Rodríguez, Vanesa Carral, Patricia Bodega, Mercedes de Miguel, Xavier Orrit, Domenec Haro, José L. Peñalvo, Juan Miguel Fernández-Alvira, Carles Peyra, Jaime A. Céspedes, Alexandra Turco, Marilyn Hunn, Risa Jaslow, Jorge Baxter, Isabel Carvajal, Valentin Fuster

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations


Implementing a health promotion program for children is a complex endeavor. In this review, we outline the key lessons learned over 10 years of experience in implementing the SI! Program (Salud Integral–Comprehensive Health) for cardiovascular health promotion in preschool settings in 3 countries: Colombia (Bogotá), Spain (Madrid), and the United States (Harlem, New York). By matching rigorous efficacy studies with implementation science, we can help bridge the divide between science and educational practice. Achieving sustained lifestyle changes in preschool children through health promotion programs is likely to require the integration of several factors: 1) multidisciplinary teams; 2) multidimensional educational programs; 3) multilevel interventions; 4) local program coordination and community engagement; and 5) scientific evaluation through randomized controlled trials. Implementation of effective health promotion interventions early in life may induce long-lasting healthy behaviors that could help to curb the cardiovascular disease epidemic.

Original languageEnglish
Pages (from-to)283-298
Number of pages16
JournalJournal of the American College of Cardiology
Issue number3
StatePublished - 25 Jan 2022


  • cardiovascular disease
  • child
  • health promotion
  • implementation science
  • lifestyle
  • prevention


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