NCT03346356

Brief Summary

In close collaboration with the Nevada County 4-H Youth Development Program, the Shaping Healthy Choices Program was implemented utilizing 4-H teenagers as cross-age teachers for younger youth. The 4-H Youth Development Program is an education program of the University of California Cooperative Extension that emphasizes learning citizenship, leadership, and life skills. The program creates positive opportunities for youth to learn, develop skills, and become engaged in their local communities. This is accomplished with combined efforts of youth, volunteer leaders, and University staff and faculty through a fun, hands-on learning approach to non-formal education. As a requirement to participate in the program, all youth had to enroll in 4-H for the 2016-2017 year. Teenagers were initially trained in inquiry-based and experiential learning techniques before facilitating the program. Teenage teachers collectively lead classroom education, garden activities, and cooking demonstrations. Additionally, teenage teachers, UC Cooperative Extension staff, and UC Davis students organized and implemented a community health fair for elementary-aged children. Measurements were taken on nutrition knowledge, vegetables preferences, civic responsibility, program fidelity, and self-efficacy for teaching nutrition. A parent interview was also conducted to gauge parental engagement and perception of whether their child had behavior changes while participating in the program. Preliminary findings from the parent interview show that children were more likely to support and engage in healthy eating practices throughout their involvement than they had before the program. Children also have expressed interests in continuing their participation in subsequent years. All other data for this intervention are currently undergoing analyses.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Oct 2016

Shorter than P25 for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 24, 2016

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 9, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 9, 2017

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

October 30, 2017

Completed
18 days until next milestone

First Posted

Study publicly available on registry

November 17, 2017

Completed
Last Updated

November 17, 2017

Status Verified

November 1, 2017

Enrollment Period

8 months

First QC Date

October 30, 2017

Last Update Submit

November 14, 2017

Conditions

Outcome Measures

Primary Outcomes (1)

  • Change in nutrition knowledge

    Nutrition knowledge was assessed using two validated measurement tools: one for younger youth and one for adolescents. Both questionnaires have a similar format and include multiple choice options.

    Change in baseline nutrition knowledge at post-intervention approximately 6 months later

Secondary Outcomes (3)

  • Change in self-efficacy for teaching nutrition

    Change in baseline self-efficacy for teaching nutrition at post-intervention approximately 6 months later

  • Change in Civic Responsibility

    Change in baseline Civic Responsibility at post-intervention approximately 6 months later

  • Change in vegetables preferences

    Change in baseline vegetable preferences for teaching nutrition at post-intervention approximately 6 months later

Study Arms (2)

Teenagers as cross-age teachers

EXPERIMENTAL

After the initial training, the teenage teachers facilitated the curricula associated with the SHCP, Discovering Healthy Choices and Cooking Up Healthy Choices, approximately twice a month. The curricula can be viewed at http://cns.ucdavis.edu/programs/shcp/curriculum.html. Each activity provided step-by-step instructions that the teenage teachers were asked to follow. Younger youth served as participants for the classroom and garden-based activities.

Behavioral: Teenagers as cross-age SHCP teachers for younger youth

Comparison group

NO INTERVENTION

Youth of similar ages to the intervention group completed the same assessments, but did not receive the intervention.

Interventions

Implementation of the SHCP using teenagers as cross-age teachers for younger youth

Teenagers as cross-age teachers

Eligibility Criteria

Age8 Years - 18 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • The research team will recruit and consent youth study participants and their parents from members of the Nevada County 4-H Youth Development Program. Youth study participants must be ages 14-18 for teenage teachers and 8-13 for younger youth participants. Study participants must be able to attend two-hour bimonthly meetings at the 4-H office and/or (depending on the activity) Food Bank garden in Grass Valley, California. Teenage teachers will also be required to complete ten hours of initial training before the start of SHCP implementation. All participants will be required to join the Nevada County 4-H Youth Development Program if they are not already a member. Teenage teachers' registration fees will be paid for by the research team. Comparison youth will be recruited from registered members of the Placer County 4-H Youth Development Program. Placer County 4-H club members will also be ages 14-18 for teenage comparisons and 8-13 for younger youth comparisons.

You may not qualify if:

  • Foster children and wards of the state will not be enrolled in this study. Children younger than 8 or older than 18 are not eligible to participate.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 30, 2017

First Posted

November 17, 2017

Study Start

October 24, 2016

Primary Completion

June 9, 2017

Study Completion

June 9, 2017

Last Updated

November 17, 2017

Record last verified: 2017-11

Data Sharing

IPD Sharing
Will not share