Lessons Learned From 10 Years of Preschool Intervention for Health Promotion

Gloria Santos-Beneit; Rodrigo Fernández‐Jiménez; Amaya de Cos-Gandoy; Carla Rodríguez; Vanesa Carral; Patricia Bodega; Mercedes de Miguel; Xavier Orrit; Domènec Haro; José L. Peñalvo; Juan Miguel Fernández-Alvira; Carles Peyra; Jaime Céspedes; Alexandra Turco; Marilyn Hunn; Risa Jaslow; Jorge Baxter; Isabel Carvajal; Valentı́n Fuster

doi:10.1016/j.jacc.2021.10.046

Key Points

To review the key lessons learned from 10 years of implementing the SI! Program for cardiovascular health promotion in preschool settings across three countries.
Narrative review summarizing 10 years of experience with the SI! Program (Salud Integral-Comprehensive Health) implemented in preschool settings.
Multinational scope encompassing sites in Colombia (Bogotá), Spain (Madrid), and the United States (Harlem, New York).
Synthesis of implementation science principles combined with efficacy assessments conducted via randomized controlled trials.
Identified five core components necessary for sustained lifestyle modifications: multidisciplinary teams, multidimensional curricula, multilevel interventions, local community engagement, and randomized controlled trial evaluations.
Demonstrated that aligning educational practice with implementation science enables scalable and durable health promotion in early childhood.
Concluded that initiating structured cardiovascular health promotion during preschool years can instill long-term healthy habits to help mitigate cardiovascular disease.

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Implication

Review highlights key strategies for cardiovascular health promotion in preschool children, indicating that early multilevel interventions can support sustained healthy behaviors.

Abstract

Implementing a health promotion program for children is a complex endeavor. In this review, we outline the key lessons learned over 10 years of experience in implementing the SI! Program (Salud Integral-Comprehensive Health) for cardiovascular health promotion in preschool settings in 3 countries: Colombia (Bogotá), Spain (Madrid), and the United States (Harlem, New York). By matching rigorous efficacy studies with implementation science, we can help bridge the divide between science and educational practice. Achieving sustained lifestyle changes in preschool children through health promotion programs is likely to require the integration of several factors: 1) multidisciplinary teams; 2) multidimensional educational programs; 3) multilevel interventions; 4) local program coordination and community engagement; and 5) scientific evaluation through randomized controlled trials. Implementation of effective health promotion interventions early in life may induce long-lasting healthy behaviors that could help to curb the cardiovascular disease epidemic.

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Santos-Beneit et al. (2022) studied this question.

synapsesocial.com/papers/6a143edf40803be22f894d5e https://doi.org/10.1016/j.jacc.2021.10.046

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Lessons Learned From 10 Years of Preschool Intervention for Health Promotion

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Lessons Learned From 10 Years of Preschool Intervention for Health Promotion

Key Points

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Implication

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