TY - JOUR
T1 - Lessons Learned From 10 Years of Preschool Intervention for Health Promotion
T2 - JACC State-of-the-Art Review
AU - Santos-Beneit, Gloria
AU - Fernández-Jiménez, Rodrigo
AU - de Cos-Gandoy, Amaya
AU - Rodríguez, Carla
AU - Carral, Vanesa
AU - Bodega, Patricia
AU - de Miguel, Mercedes
AU - Orrit, Xavier
AU - Haro, Domenec
AU - Peñalvo, José L.
AU - Fernández-Alvira, Juan Miguel
AU - Peyra, Carles
AU - Céspedes, Jaime A.
AU - Turco, Alexandra
AU - Hunn, Marilyn
AU - Jaslow, Risa
AU - Baxter, Jorge
AU - Carvajal, Isabel
AU - Fuster, Valentin
N1 - Funding Information:
This work is supported by the SHE Foundation and “la Caixa” Foundation (LCF/CE16/10700001). The project in Colombia was funded by Santo Domingo Foundation; the study in the United States (FAMILIA) was funded by the American Heart Association (grant no. 14SFRN20490315); and the study in Spain (SI! Program) was funded by the SHE Foundation, the research grant FIS-PI11/01885 (Fondo de Investigación Sanitaria del Instituto de Salud Carlos III), and Fundació la Marató de TV3 (369/C/2016). Dr Santos-Beneit is the recipient of grant LCF/PR/MS19/12220001 funded by “la Caixa” Foundation (ID 100010434). Dr Fernández-Jiménez is the recipient of grant PI19/01704 funded by the Fondo de Investigación Sanitaria–Instituto de Salud Carlos III and co-funded by the European Regional Development Fund/European Social Fund “A way to make Europe”/“Investing in your future.” The Centro Nacional de Investigaciones Cardiovasculares is supported by the Instituto de Salud Carlos III, the Ministerio de Ciencia e Innovación, and the Pro CNIC Foundation, and is a Severo Ochoa Center of Excellence (CEX2020-001041-S). All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
Funding Information:
The authors thank the SHE Foundation, intellectual owner of the SI! Program, and its collaborators. The authors also thank Sesame Workshop for providing supporting materials for the intervention and for their long-standing partnership, in particular Brenda Campos and Carolina Casas. The authors are indebted to the children, families, and teachers who participated in the projects in Colombia, Spain, and the United Sates, as well as to the local teams who collaborated in the studies. The authors especially thank Maribel Santana and Carles Vilarrub?. Simon Bartlett provided English editing.
Publisher Copyright:
© 2022 The Authors
PY - 2022/1/25
Y1 - 2022/1/25
N2 - 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.
AB - 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.
KW - cardiovascular disease
KW - child
KW - health promotion
KW - implementation science
KW - lifestyle
KW - prevention
UR - http://www.scopus.com/inward/record.url?scp=85123266489&partnerID=8YFLogxK
U2 - 10.1016/j.jacc.2021.10.046
DO - 10.1016/j.jacc.2021.10.046
M3 - Review article
C2 - 35057915
AN - SCOPUS:85123266489
SN - 0735-1097
VL - 79
SP - 283
EP - 298
JO - Journal of the American College of Cardiology
JF - Journal of the American College of Cardiology
IS - 3
ER -