{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T09:59:10Z","timestamp":1772013550364,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008316","name":"Baden-W\u00fcrttemberg Stiftung","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008316","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>Inactivity and an unhealthy diet amongst others have led to an increased prevalence of overweight and obesity even in young children. Since most health behaviours develop during childhood health promotion has to start early. The setting kindergarten has been shown as ideal for such interventions. \u201cJoin the Healthy Boat\u201d is a kindergarten-based health promotion programme with a cluster-randomised study focussing on increased physical activity, reduced screen media use, and sugar-sweetened beverages, as well as a higher fruit and vegetable intake. Intervention and materials were developed using Bartholomew\u2019s Intervention Mapping approach considering Bandura\u2019s social-cognitive theory and Bronfenbrenner\u2019s ecological framework for human development. The programme is distributed using a train-the-trainer approach and currently implemented in 618 kindergartens. The effectiveness of this one-year intervention with an intervention and a control group will be examined in 62 kindergartens using standardised protocols, materials, and tools for outcome and process evaluation. A sample of 1021 children and their parents provided consent and participated in the intervention. Results of this study are awaited to give a better understanding of health behaviours in early childhood and to identify strategies for effective health promotion. The current paper describes development and design of the intervention and its implementation and planned evaluation.<jats:italic>Trial Registration<\/jats:italic>. The study is registered at the German Clinical Trials Register (DRKS), Freiburg University, Germany, ID:<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/drks-neu.uniklinik-freiburg.de\/drks_web\/navigate.do?navigationId=trial.HTML&amp;TRIAL_ID=DRKS00010089\">DRKS00010089<\/jats:ext-link>.<\/jats:p>","DOI":"10.1155\/2017\/4347675","type":"journal-article","created":{"date-parts":[[2017,2,20]],"date-time":"2017-02-20T16:03:08Z","timestamp":1487606588000},"page":"1-9","source":"Crossref","is-referenced-by-count":35,"title":["Design, Implementation, and Study Protocol of a Kindergarten-Based Health Promotion Intervention"],"prefix":"10.1155","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0545-1500","authenticated-orcid":true,"given":"Susanne","family":"Kobel","sequence":"first","affiliation":[{"name":"Division of Sports and Rehabilitation, Department of Internal Medicine II, Ulm University Medical Centre, 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