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. 2022 Jul 23;23:590. doi: 10.1186/s13063-022-06525-0

Table 1.

Overview of the thematic modules in the STARKIDS intervention

Overview Concept(s) Educative/interactive texts Animated films Reflection tools Serious games
STARKIDS Start
 Introduction to the program / X
 Information about weight development in childhood and adolescence / X X
 Introduction eating and drinking

- Meal frequency and timing

- Drinks, with emphasis on sweet beverages

- Composition of a healthy diet

- Frequently asked questions about drinks and foods

X X X X
 Introduction activity and media

- Benefits of physical activity

- Adequate amounts of physical activity

- Opportunities for physical activity and opportunities to discover new places for physical activity

- Dealing with barriers and obstacles for physical activity

- Adequate times of media consumption

- Identifying marketing mechanisms for unhealthy foods and drinks

- Tips for media consumption

X X X X
 Introduction family life

- Family as a support system

- Listening to each other

- Joint family activities

- Eating meals together

- Consolation and reward (other than food)

X X X
 Introduction in mindfulness - Basic information about mindfulness and how it can support a health weigh development process X X
Eating and drinking
 Information about the dietary concept in STARKIDS

- Why strict diets do not work

- What is different in STARKIDS

X X
 Meal frequency and timing

- Information on meal frequency and timing

- Frequently asked questions on this topic

X X X
 Drinks

- Drinks, with emphasis on sweet beverages

- Frequently asked questions on the topic

X X X X
 Primary focus: energy density

- Explanation of the dietary energy density concept

- Practical use of the dietary energy concept in daily life

- How to make clever food choices based on the dietary energy density concept

- Frequently asked questions on the topic

X X X X
 Portion sizes

- Information about adequate portion sizes

- Examples and tips for choosing adequate meals and snacks

X
 Tips for everyday life

- Tips for grocery shopping

- Frequently asked questions about everyday meals

- Information about the Nutri-Score

X X
 Uncontrolled eating

- Information about binge eating, emotional eating, night eating, and grazing

- Strategies for avoiding uncontrolled eating

- Information for further help in case of eating disorder pathology

X
 Mindful eating and drinking - Information about how mindfulness can support healthy saturation and indulgence X X
Activity and media
 Enjoying physical activity

- Information about fitness, energy consumption, and bodily reactions to physical activity

- Supporting the fit between individual motives and corresponding possibilities to be physically active

- Overview of different types of sports and exercise

- Offering autonomous activity choices

X X X X
 Exploring locations for physical activity

- Tips for different locations for physical activity

- Information about cycling

- Strategies for integrating more physical activity in everyday life

- Reflecting individual locations for physical activity

X X X
 Being physically active together

- Considering possible buddies for being active together, e.g., in clubs, with family members, in the neighborhood

- Promotion of family activities

- Illustrating role models from the obesity context to enhance the feeling of relatedness

X X X X
 Becoming physically active (in daily life, in leisure time, in sports clubs or schools)

- Information about age-appropriate amounts of physical activity

- Tips for keeping motivated for physical activity in everyday life

- Summary and tips for parents to support their children/adolescents

- Reflection of and individual feedback about the amount of weekly physical activities

X X X X
 Media consumption

- Information about the age-appropriate amounts of screen time

- Tips for children’s media consumption

- Identifying marketing mechanisms for unhealthy foods on TV, social media, grocery shopping

- Introduction to compulsive gambling and further help

X X X
 Mindful activity and media consumption - Information about how mindfulness can help through a balanced amount of activity and rest X X
Family life
 Strengthening family life

- Listening to each other

- Talking about difficult topics

- Strengthening family cohesion

X X X
 Dealing with stress

- Associations between stress and overweight/obesity

- Identifying emotions

- Possibilities for dealing with difficult emotions, negative thoughts and stress

X X X
 Sleeping habits

- Associations between stress, sleep, and weight increase

- Tips for helpful sleeping habits

X X X
 Weight stigmatization

- Individual appearances

- Tips for dealing with stigmatization

X
 Self-worth

- Developing a positive relationship to oneself

- Strengthening a positive body image

X X
 Mindful dealing with oneself - Information how mindfulness can support personal changes and healthy sleep X X
STARKIDS Keep on
 Reflection of the last year with the STARKIDS program / X
 Dealing with setbacks

- Identifying risk situations and setbacks

- Reflections of strategies against setbacks

- Strategies for sustained change

X
STARKIDS Joker
 Strengthening motivation and commitment

- Reflecting individual obstacles and reasons for staying with the program

- Developing strategies to strengthen commitment

- Tips for introducing change one step at a time

X X X