Table 2 Overview of the intervention components of ‘JolinchenKids - Fit and Healthy in Daycare’
Module “Diet” | |
(1) DF environment | • “drinking oasis” and “colorful garden” (un-sweetened beverages throughout the day, raw foods twice per day) |
(2) Wooden train | • consisting of six wagons, each of them representing a food group; to be used by DF staff to teach children about food groups |
(3) Card box “Healthy-and-tasty-land” | • one activity/ game per week (e.g., excursion, recipe, quiz) |
(4) Healthy breakfast buffet | • once per week |
(5) Joint activities with parents | • twice per year (e.g., sugar quiz) |
(6) Newsletters | • e.g., instructions for healthy recipes distributed to parents once per year |
Module “Physical Activity” | |
(1) DF environment | • creating areas with sufficient space for active play |
(2) Card box “Get-fit-in-the-jungle” | • at least one hour per week of engagement in PA games to enhance static balance, flexibility, strength, endurance, and speed |
(3) Joint activities with parents | • twice per year (e.g., “family olympics”) |
(4) Newsletters | • e.g., general information about PA, ideas for PA games to be included in everyday family life distributed to parents once per year |
Module “Mental Well-being” | |
(1) DF environment | • creation of a space where children can take breaks |
(2) Card box “Feel-good-island” | • use of the hand puppet named “Jolinchen” |
• one hour per week (e.g., handling of conflicts, identifying and describing emotions) | |
• short timeouts when needed (e.g., employment of techniques for stress management) | |
(3) Workshop for parents entitled “How to nurture children’s wellbeing” | • once per year executed by DF staff |
(4) Joint activities with parents | • twice per year |
(5) Newsletters | • information about card box topics distributed to parents once per year (e.g., identifying and describing emotions, handling of conflicts, stress management, strengthening of self-image of children) |
Module “Parental Participation” | |
(1) “JolinchenKids” team | • establishment of a team to organize implementation (DF administrator, DF staff, parents) |
(2) Workshop “How to engage parents” for DF staff | • executed once during the 3-year implementation period by employees of the health insurance |
(3) Manual “Parents are joining” | • practical information for DF staff about how to engage parents in program activities |
(4) Card box “Joint activities with parents” | • general information about joint activities with parents |
(5) Newsletters | • module-specific information and suggestions regarding games to be integrated into day-to-day family life distributed to parents once per year per module |
(6) “Message in a bottle” | • take home instructions for PA games or recipes for healthy meals to be distributed to each child for a time period of two weeks |
Module “Health Promotion among DF staff” | |
(1) Workshop “Fit at the job” | • once in three years executed by employees of the health insurance |
(2) Manual “How to live healthier” | • information regarding health behavior change and the incorporation of health behavior in day-to-day DF activities |
(3) Further counseling and classes | • preventive healthcare services provided by the health insurance (e.g., classes in progressive muscle relaxation, pilates, nordic walking) |