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Area of Science:

  • Environmental Health
  • Pediatric Health
  • Epidemiology

Background:

  • Long-term school-based health research presents unique challenges.
  • The COVID-19 pandemic introduced significant disruptions to ongoing studies.
  • Sustaining school participation is crucial for cohort study integrity.

Purpose of the Study:

  • To assess the impact of improved air quality on children's lung development and health.
  • To evaluate the effectiveness of strategies for long-term school-based research engagement.
  • To document lessons learned from a 5-year children's health cohort study.

Main Methods:

  • Annual health assessments and parental questionnaires for over 3000 children across 84 primary and 35 secondary schools.
  • Collection of anthropometric, spirometry, physical activity, cognitive, epigenetic, and biomarker data.
  • Implementation of an air pollution learning and outreach program with incentives for participation.

Main Results:

  • Achieved an average annual participant attrition rate of 11.6%, below the 20% threshold.
  • Maintained participation of all schools throughout the 5-year study duration.
  • Demonstrated success in mitigating non-response bias through engagement strategies.

Conclusions:

  • Successful long-term school-based research requires stakeholder agreement, preparatory work, and engaging outreach.
  • Incentives and flexible, accessible research teams are key to maintaining school and parental cooperation.
  • The study provides a replicable template for future school-based health research initiatives.