Christiane Kiese-Himmel, Andreas Nickisch, Franziska Werner
[Auditory Processing Disorder: Is The Diagnosis Already Possible In First Graders?]
Laryngo- rhino- otologie
investigate effectiveness schoolbased multiple health behaviour change ehealth intervention modifying risk factors chronic disease secondary outcomes cluster randomised controlled trial students baseline 2019 year 7 1114 years old 71 australian public independent catholic schools health4life ehealth schoolbased multiple health behaviour change intervention reducing increases six major behavioural risk factors chronic disease physical inactivity poor diet excessive recreational screen time poor sleep use alcohol tobacco comprises six online video modules health education class smartphone app comparison health4life usual health education respect impact changes twelve secondary outcomes related six behavioural risk factors assessed surveys baseline immediately intervention 12 24 months intervention binge drinking discretionary food consumption risk inadequate fruit vegetable intake difficulty falling asleep light physical activity frequency categorical tobacco smoking frequency alcohol drinking frequency alcoholrelated harm daytime sleepiness time spent watching television using electronic devices continuous total 6640 year 7 students completed baseline survey health4life 3610 control 3030 6454 972 completed least one followup survey 5698 858 two followup surveys health4life statistically effective usual school health education influencing changes twelve outcomes 24 months example fruit intake inadequate odds ratio 108 95 confidence interval ci 057205 vegetable intake inadequate 097 95 ci 064147 increased light physical activity 100 95 ci 072138 tobacco use frequency relative difference 003 95 ci 058 064 days per 30 days alcohol use frequency relative difference 034 95 ci 116 049 days per 30 days device use time relative difference 007 95 ci 029 016 hours per day health4life effective usual school year 7 health education modifying adolescent risk factors chronic disease future ehealth multiple health behaviour change intervention research examine timing length intervention well increasing number engagement strategies eg goal setting intervention australian new zealand clinical trials registry actrn12619000431123 prospective