Increasing Water Access and Appeal in Community Recreation Centers

NCT03637465 | Completed

• 2 other identifiers: 4920074395
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a cluster randomized controlled trial with n=28 City of Philadelphia recreation centers (14 matched pairs) designed to determine the effectiveness of a comprehensive multi-level intervention to increase water access and appeal in community recreation centers on 1) center-level water intake as measured by water meters, and 2) purchase of outside beverages as measured by observations of recreation center youth.

Conditions

Health Behavior

Keywords

hydration; water intake; sugar sweetened beverages; youth; children

Outcome Measures

Primary Outcomes (2)

• Center water consumption

  Change in average gallons of water per day used at the center drinking water source as measured by flow meters over each 2-week measurement period.

  Three measurement periods, each lasting 2 weeks, will occur: baseline (2-4 months pre-intervention), mid-point (3-5 months post intervention), and post (7-10 months post intervention).

• Outside beverages during programs

  Changes in the average number of sugary beverages per day brought to summer camp.

  Three measurement periods, each lasting 2 weeks, will occur: baseline (2-4 months pre-intervention), mid-point (3-5 months post intervention), and post (7-10 months post intervention).

Secondary Outcomes (4)

• Single use beverage containers

  Three measurement periods, each lasting 2 weeks, will occur: baseline (2-4 months pre-intervention), mid-point (3-5 months post intervention), and post (7-10 months post intervention).

• Staff consumption of sugary beverages

  Three measurement periods, each lasting 2 weeks, will occur: baseline (2-4 months pre-intervention), mid-point (3-5 months post intervention), and post (7-10 months post intervention).

• Fountain related maintenance problems

  Questionnaire administered 2-5 times per site up to 8 months post intervention

• Center attendance

  Three measurement periods, each lasting 2 weeks, will occur: baseline (2-4 months pre-intervention), mid-point (3-5 months post intervention), and post (7-10 months post intervention).

Study Arms (2)

Hydrate Philly Intervention

EXPERIMENTAL

Intervention group that receives hydration station intervention

Behavioral: Hydrate Philly

Control

NO INTERVENTION

Control group that receives no intervention, but observational data is collected; converted to wait-listed intervention status after enrollment and randomization was completed

Interventions

Hydrate Philly BEHAVIORAL

Hydrate Philly is a multi-component intervention that includes water safety testing, provision of 1-2 hydration stations per recreation center, distribution of reusable water bottles for youth, a campaign to promote the acceptability of tap water, and the reduction of access to competing unhealthy beverages through vending machine standards and discouraging "black bags" (characteristic small, black, plastic bags provided to customers with their corner store purchases, typically including a sugar sweetened beverage and/or unhealthy snack foods).

Hydrate Philly Intervention

Eligibility Criteria

• Age: 3 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Recreation center is located in a low-income neighborhood in the City of Philadelphia, defined by ≥20% of the residents in the zip code at or below Federal Poverty Level
• Recreation center includes both summer and after-school programming
• Recreation center is willing to comply with City of Philadelphia Healthy Vending standards and discourage sugar sweetened beverage consumption
• Recreation center has water lines appropriate for installing indoor hydration stations

You may not qualify if:

• Unwilling to accept randomization

Sponsors & Collaborators

• Philadelphia Department of Public Health: lead
• Stanford University: collaborator
• Children's Hospital of Philadelphia: collaborator

Study Sites (1)

Philadelphia Department of Public Health, Division of Chronic Disease Prevention

Philadelphia, Pennsylvania, 19107, United States

Location

Related Publications (2)

• Lawman HG, Grossman S, Lofton X, Tasian G, Patel AI. Hydrate Philly: An Intervention to Increase Water Access and Appeal in Recreation Centers. Prev Chronic Dis. 2020 Feb 20;17:E15. doi: 10.5888/pcd17.190277.

  PMID: 32078503 DERIVED

• Lawman HG, Lofton X, Grossman S, Root M, Perez M, Tasian G, Patel A. A randomized trial of a multi-level intervention to increase water access and appeal in community recreation centers. Contemp Clin Trials. 2019 Apr;79:14-20. doi: 10.1016/j.cct.2019.02.003. Epub 2019 Feb 13.

  PMID: 30771559 DERIVED

MeSH Terms

Conditions

Health Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Hannah G Lawman, PhD

  Philadelphia Department of Public Health, Division of Chronic Disease Prevention

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director of Research and Evaluation, Get Healthy Philly

Model Details: This cluster RCT involves 14 matched pairs; study recruitment and randomization occurs at the recreation center-level. Participating sites are matched based on center size, summer program enrollment, presence of indoor gym, neighborhood income \& race/ethnicity. Then, an intervention site and control site are randomly determined by a coin flip within each pair.

Study Record Dates

• First Submitted: July 31, 2018
• First Posted: August 20, 2018
• Study Start: May 1, 2017
• Primary Completion: September 30, 2018
• Study Completion: October 30, 2018
• Last Updated: April 2, 2019

Record last verified: 2019-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)