Effectiveness of multilevel interventions based on socio-ecological model to decrease sedentary time in children: a systematic review of controlled studies
Marie Cholley-Gomez, Steven Laujac, Cyrille Delpierre, Marion Carayol
Abstract
Objectives: Preventive actions of sedentary behavior (SB) based on the socio-ecological model are needed among children and young adolescents. The aim of this systematic review is to ascertain the effectiveness of multilevel interventions (i.e., involving consideration of at least two interventional levels) in reducing sedentary time (ST) in children aged 5-12 years. Methods: Adhering to PRISMA guidelines, a systematic literature search was conducted in three databases (PsyInfo, PubMed and ERIC) until July 2021. Results: = 9), 1 (50%), 9 (47%) and 7 (78%) were effective and reported significant reduction of ST, respectively. Conclusion: Interventions tend to be more effective when they involve 4 levels, using both agentic and structural strategies (targeting intrinsic determinants, in the organizational environment of the child). Findings underline the relevance of multilevel strategies to reduce ST in children, but also raise issues about operationalization of the socio-ecological perspective. Systematic review registration: PROSPERO, identifier: CRD42020209653.