Kaori Ishii, Ai Shibata, Minoru Adachi, Yoshiyuki Mano, Koichiro Oka
School grade and sex differences in domain-specific sedentary behaviors among Japanese elementary school children: a cross-sectional study
BMC public health
developed informed health choices ihc primary school resources teach children assess trustworthiness claims effects treatments evaluated resources randomised trial uganda paper describes process evaluation conducted alongside trial identify factors affecting implementation impact scaling intervention potential adverse beneficial effects intervention 85 teachers 60 schools intervention arm trial completed questionnaire lesson end term conducted structured classroom observations 60 schools interviews focus groups purposively selected six schools interviewed district education officers teachers head teachers children parents used framework analysis approach analyse data participants liked ihc resources felt content important motivated teachers contributed positive attitudes although teachers started lacking confidence many found childrens enthusiasm lessons made confident nearly everyone interviewed thought children learnt something important many thought improved decisionmaking main barrier scaling use ihc resources participants identified need incorporate lessons national curriculum mostly positive findings reflect trial results showed large effects childrens teachers critical appraisal skills main limitations evaluation investigators responsible developing evaluating intervention