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Pico Template Nur4164
Pico Template Nur4164
Childhood obesity is a major health epidemic in the United States. Obesity can cause a
wide array of long term health issues. It is important as a health care provider to promote health
and wellness to families. Children in the United states are no longer required to take the
presidential fitness test. If school-based programs are more effective then home-based programs,
school-based programs need to be implemented back into schools. If home-based exercise
programs are more effective, parents and children need education on successful exercise
programs to use at home. Overall, the aim is to decrease childhood obesity and increase physical
activity of school aged children.
In school age children what is the effect of a school-based exercise program versus family based
exercise interventions in reducing childhood obesity?
4. Provide a listing of the search terms that you would use to identify credible resources for
each part of your PICO component.
PICO component Clinical Question Search Strategy
5. List any inclusion criteria that you may want to use to help narrow the search process to
lead to a more effective search.
Criteria Limitation
Patient age 5-18 years old
Language English
Gender
Publication 2014-2018
dates
Other School age, exercise, childhood obesity
6. For the selected database, please provide a print-out page of the first page of the search
indicating the number of articles and pertinent limiting criteria.
1.
2.
3.
7. Use this table to identify the levels of evidence for the articles you are using for this
assignment.
Levels of
Evidence
I Systematic review or meta-analysis of RCTs
II RCT
III Controlled trial without randomization
IV Case-control or cohort study
V Systematic review of qualitative or descriptive studies
VI Qualitative or descriptive study
VII Opinion or consensus
Ash, T., Agaronov, A., Young, T., Aftosmes-Tobio, A., & Davison, K. (2017). Family-based
analysis. International Journal of Behavioral Nutrition & Physical Activity, 14(1), 1–12.
https://doi-org.db20.linccweb.org/10.1186/s12966-017-0571-2
Level of evidence: V
This article was a review on studies completed to see if family-based interventions are effective
in preventing childhood obesity. The family-based exercise programs were more successful.
However, it is noted in this review that there were barriers in educating parents and the studies
had age limitations, mainly focusing on ages 2-10. The reviews of the listed studies do support
the idea that a family-based exercise program is more effective in fighting childhood obesity than
Bryant, M., Burton, W., Cundill, B., Farrin, A. J., Nixon, J., Stevens, J., . . . Brown, J. (2017).
Level of Evidence: II
This article creates and tests a home intervention program for childhood obesity. The goal of the
study states that in order “To reverse trends in obesity, there is a clear need to engage parents in
shaping healthy weight-related behaviours in their children”. The test engages parents and
help prevent childhood obesity. The study states that there was difficulty in maintaining parent
engagement and the study could be difficult to replicate due to demographics and parent
engagement issues.
Elinder, L. S., Patterson, E., Nyberg, G., & Norman, Å. (2018). A Healthy School Start Plus for
support in the school setting - study protocol for a parallel group cluster randomised
org.db20.linccweb.org/10.1186/s12889-018-5354-4
Level of evidence: IV
This study compares home based programs effectiveness on childhood obesity versus school-
based programs. The result of the research here was also stated, “the key to obesity prevention
may be the home environment where parents shape the food, meal, and physical activity
environment”. This article also brings to light that most kids are less active at home on the
Hesketh, K., & Campbell, K. (2014). Obesity prevention interventions for early childhood: An
doi:10.1093/acprof:oso/9780199572915.003.0034
Level of Evidence: V
This is a systematic review of multiple approaches to address childhood obesity. This compares
home based programs to school based physical activity interventions. This review discusses
evidence-based practice studies and compares both school and family-based programs stating
“Family-based intervention programs are considered as one of the most successful methods for
interventions at home or at school, the most effective intervention to prevent childhood obesity
in school aged children is to have a home-based exercise program. Studies have shown that
intervention at school paired with intervention or exercise at home is the most effective
approach. Children that are supported and encouraged at home with an exercise program are
more likely to have a lower BMI then those who only exercise at school. Familial support
improves overall commitment to the exercise program and leads to other healthy interventions
such as an improved diet or meal plan. Families should be encouraged to exercise regularly with
their children. Nurses should educate families on the importance of physical activity and the
negative impact childhood obesity can have on overall health. An extensive review of recent
relevant studies supports that idea that family-based exercise programs are more effective then
school-based programs.