Physical Activity and Nutrition Intervention in Afterschool Programs

NCT02144519 | Completed Results DMC

• 1 other identifier: 1R01HL112787-01A1
• Study Type: interventional
• Target: 2,635
• Locations: 0 countries
• Sites: N/A

Brief Summary

The investigators long-term goal is to advance the adoption and successful implementation of policies that promote PA and nutrition in after school programs (ASP) nationwide. The investigators objective here is two fold. First, the investigators will test the effectiveness of two promising strategies designed to 1) increase the amount of PA children accumulate while attending an ASP and 2) promote changes in the nutritional quality of the snacks served. This represents a fundamental step in establishing practice-based guidelines (best practices) for the uptake and achievement of public health policy goals (CA and Harvard). Second, the investigators will examine the barriers and facilitators to implementing these strategies. The expected outcome of this study is evidence supporting best practices for ASPs to employ to meet policy goals.

Conditions

Childhood Obesity

Outcome Measures

Primary Outcomes (1)

• Change in Percentage of Children Meeting Physical Activity Policy

  We will assess the number of children meeting the physical activity policy of 30 minutes or more of moderate-to-vigorous physical activity. The primary physical activity (PA) and sedentary behavior outcome was derived via accelerometry. All children attending an ASP on unannounced measurement days had an opportunity to wear the ActiGraph GT3X+. The accelerometers were distilled using 5-second epochs. When children arrived to a program, they were fitted with an accelerometer and the arrival time was recorded (monitor time on). Before a child departed from a program, research staff removed the belt and recorded the time of departure (monitor time off). Children wore the monitors for their entire attendance at the ASPs. Cutpoint thresholds associated with moderate and vigorous activity were used to distill the PA intensity levels and sedentary behavior. Children were considered to have a valid day of accelerometer data if their total wear time (time off minus time on) was ≥60 minutes.

  Spring of Year 1, Year 2, and Year 3

Secondary Outcomes (1)

• Changes in Nutritional Quality of Snacks

  Spring of Year 1, Year 2, and Year 3

Study Arms (2)

Immediate Intervention

EXPERIMENTAL

Over the 3 year project, this arm receives the Healthy Eating and Physical Activity intervention after year 1 (baseline) for a total of 2 years (year 2 and 3).

Behavioral: Healthy Eating and Physical Activity

Delayed Intervention

EXPERIMENTAL

Over the 3 year project, this arm serves as the no treatment control/comparison group for year 1 and 2 (2 years of baseline) and receives the Healthy Eating and Physical Activity intervention in year 3 for a total of 1 year.

Behavioral: Healthy Eating and Physical Activity

Interventions

Healthy Eating and Physical Activity BEHAVIORAL

Create partnerships with ASPs to help facilitate changes in programming to meet the National Afterschool Alliance's HEPA Standards.

Also known as: HEPA

Delayed Intervention; Immediate Intervention

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Programs that:
• Operate immediately after the school day
• Operate every day of the school year for a minimum of 2 hours
• Serve a minimum of 30 children of elementary age (6-12 years)
• Operate in a school, community or faith Setting
• Provide a snack
• Provide homework assistance/completion time
• Provide enrichment
• Provide opportunities for physical activity
• All children enrolled, staff, and afterschool program (ASP) leaders in the ASPs were eligible to participate in the study.

You may not qualify if:

• Programs that:
• Were singularly focused
• Programs that were physical activity focused
• Children that:
• Have any physical and/or orthopedic impairment that would limit a child's ability to participate in regular physical activity.

Sponsors & Collaborators

• University of South Carolina: lead
• National Institutes of Health (NIH): collaborator
• National Heart, Lung, and Blood Institute (NHLBI): collaborator

Related Publications (3)

• Beets MW, Weaver RG, Turner-McGrievy G, Huberty J, Ward DS, Pate RR, Freedman D, Hutto B, Moore JB, Bottai M, Chandler J, Brazendale K, Beighle A. Physical activity outcomes in afterschool programs: A group randomized controlled trial. Prev Med. 2016 Sep;90:207-15. doi: 10.1016/j.ypmed.2016.07.002. Epub 2016 Jul 7.

  PMID: 27397608 DERIVED

• Beets MW, Weaver RG, Turner-McGrievy G, Huberty J, Ward DS, Freedman D, Hutto B, Moore JB, Beighle A. Making Healthy Eating Policy Practice: A Group Randomized Controlled Trial on Changes in Snack Quality, Costs, and Consumption in After-School Programs. Am J Health Promot. 2016 Sep;30(7):521-31. doi: 10.4278/ajhp.141001-QUAN-486. Epub 2016 Jun 17.

  PMID: 26158679 DERIVED

• Beets MW, Weaver RG, Turner-McGrievy G, Huberty J, Ward DS, Pate RR, Freedman D, Hutto B, Moore JB, Beighle A. Making policy practice in afterschool programs: a randomized controlled trial on physical activity changes. Am J Prev Med. 2015 Jun;48(6):694-706. doi: 10.1016/j.amepre.2015.01.012.

  PMID: 25998921 DERIVED

MeSH Terms

Conditions

Pediatric Obesity

Interventions

Diet, Healthy; Exercise

Condition Hierarchy (Ancestors)

Obesity; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Diet; Nutritional Physiological Phenomena; Diet, Food, and Nutrition; Physiological Phenomena; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Results Point of Contact

• Title: Michael W Beets
• Organization: University of South Carolina

beets@mailbox.sc.edu

8037773003

Study Officials

• Michael W Beets, PhD

  University of South Carolina

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Michael W. Beets, PhD

Study Record Dates

• First Submitted: May 13, 2014
• First Posted: May 22, 2014
• Study Start: August 1, 2012
• Primary Completion: April 1, 2015
• Study Completion: May 1, 2016
• Last Updated: November 16, 2020
• Results First Posted: January 31, 2018

Record last verified: 2020-11