MINISTOP is an evidence-based app for parents of preschool aged children with the overall aim to promote healthy lifestyle behaviors and prevent the development of overweight and obesity. MINISTOP has been previously been evaluated in two previous trials (MINISTOP 1.0 and 2.0) with promising results. Therefore, the overall aim of this trial is to evaluate the large scale implementation of MINISTOP within Swedish primary child healthcare. The specific aims are to: (i) To compare two different implementation strategies for MINISTOP 3.0 (i.e., Basic vs. Enhanced) on: a) acceptability, appropriateness, feasibility as well as organizational readiness to implement MINISTOP 3.0 within primary child healthcare (primary outcomes) and b) reach, costs, adoption, and sustainability of MINISTOP 3.0 within primary child healthcare (secondary outcomes). (ii) To compare two different implementation strategies of MINISTOP 3.0 within primary child healthcare on children's key dietary indicators, physical activity, and screen time (secondary outcomes). (iii) To compare the cost-effectiveness of two different implementation strategies for MINISTOP 3.0.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
120
MINISTOP 3.0 is a behavioral changed program with the overall aim to promote healthier lifestyle behaviors (i.e., diet, physical activity, and sedentary behavior) among 2.5/3-year old children. The MINISTOP 3.0 program consists of features such as information, monitoring, and feedback (dietary variables, physical activity, and screen time) and is built around 13 themes over a 6-month period.
Karolinska Institutet
Huddinge, Stockholm County, Sweden
Change in acceptability of MINISTOP 3.0
Acceptability of MINISTOP 3.0 by child healthcare nurses (assessed by the questionnaire by Weiner et al.). It includes four questions assessed on a five point likert scale ranging from completely disagree to completely agree.
Time frame: Baseline, 3 &12 months after implementation
Change in appropriateness of MINISTOP 3.0
Appropriateness of MINISTOP 3.0 by child healthcare nurses (assessed by the questionnaire by Weiner et al.). It includes four questions assessed on a five point likert scale ranging from completely disagree to completely agree.
Time frame: Baseline, 3 & 12 months after implementation
Change in feasibility of MINISTOP 3.0
Feasibility of MINISTOP 3.0 by child healthcare nurses (assessed by the questionnaire by Weiner et al.). It includes four questions assessed on a five point likert scale ranging from completely disagree to completely agree.
Time frame: Baseline, 3 &12 months after implementation
Change in organizational readiness for implementing MINISTOP 3.0
Organizational readiness as perceived by child healthcare nurses, which will be measured using the E-READY questionnaire. This questionnaire consists of 32 questions rated on a 4-point likert scale.
Time frame: Baseline 3 and 12 months after implementation
Adoption of MINISTOP 3.0
Assessment based on a questionnaire from 1 to 5 with 5 indicating a better score
Time frame: 3, 8, and 12 months after implementation
Costs of the implementation of MINISTOP 3.0
Collected through administrative data from participating child healthcare centers regarding implementing and maintaining the MINISTOP platform, as well as the nurses time with the MINISTOP program (Swedish Krona, SEK).
Time frame: Baseline and 2, 4, 6, 8, 10, and 12 months after implementation.
Sustainability
Semi-structured interviews with primary child healthcare nurses
Time frame: 12 months after implementation
Parental usage of MINISTOP 3.0 using objectively measured activity in the app
Number of recordings and messages read in the app (per time unity such as per week)
Time frame: 6 months after the families start using the MINISTOP app
Children's intake of key dietary indicators as assess by a questionnaire.
Intake of fruits, vegetables, sweet and savoury snacks, as well as sweetened beverages (grams/day)
Time frame: Baseline and 6 months after receiving MINISTOP 3.0
Children's physical activity as assessed by a questionnaire
Time spent in moderate-to-vigorous physical activity (minutes/day)
Time frame: Baseline and 6 months after receiving MINISTOP 3.0
Children's screen time as assessed by a questionnaire
Time spent watching screens (minutes/day)
Time frame: Baseline and 6 months after receiving MINISTOP 3.0
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.