Healthy Kids Beyond the Bell: Investigating the Impact of After-School and Summer Programs
Increasing Low-income Children's Access to Healthy Structured Programming to Reduce Obesity
1 other identifier
interventional
480
1 country
1
Brief Summary
Nearly one in five children are obese, and disparities in overweight and obesity between children from low- and middle-to-high-income households persist despite a multitude of school-based interventions. The structured days hypothesis posits that structure within a school day plays a protective role for children against obesogenic behaviors, and, ultimately, prevents the occurrence of excessive weight gain, thus, past school-based efforts are misplaced. This study will provide access to healthy structured programming via vouchers to afterschool programs and summer day camps during two "windows of vulnerability" (ie afterschool and summer) for low-income children.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Mar 2024
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 17, 2023
CompletedFirst Posted
Study publicly available on registry
May 30, 2023
CompletedStudy Start
First participant enrolled
March 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 31, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 31, 2028
March 12, 2024
March 1, 2024
4.1 years
May 17, 2023
March 9, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Body Mass Index
BMI translated into BMI z-scores based on Centers for Disease Control age-sex-specific zBMI growth charts
End of school year (0 months, start of summer), beginning of school year (3 months, end of summer) and end of following school year (12 months)
Study Arms (4)
Control
NO INTERVENTIONdoes not attend afterschool or summer programing
After school
EXPERIMENTALAttends after school programming for 32 weeks during the school year
Summer camp
EXPERIMENTALAttends summer day camp programming for 8 weeks during the summer vacation from school
After school and Summer Camp
EXPERIMENTALAttends after school programming for 32 weeks during the school year and summer day camp programming for 8 weeks during the summer vacation from school
Interventions
The after school program are existing community-based programs that take place immediately after the regular school day (typically 3:00-6:00pm); are located in a school; are available daily throughout the academic year (Monday through Friday); and provide a combination of scheduled activities, which include a snack, homework assistance/tutoring, enrichment activities (e.g., arts and crafts, music), and opportunities for children to be physically active.
The summer day camp programs are existing camps which take place at schools from which children will be recruited. The camps are not singularly focused, such as sport camps or academic only camps. Rather, the camps provide indoor and outdoor opportunities for children to be physically active each day, provide enrichment and academic programming, as well as provide breakfast, lunch, and snacks.
Eligibility Criteria
You may qualify if:
- k-4th grader in a partner school
- eligible for free and reduced price lunch (a widely recognized indicator of
- socioeconomic level and poverty status)
- parent that indicates "yes' on an informed consent document for participation in the study
You may not qualify if:
- Diagnosis of an intellectual disability, such as Down Syndrome, Fragile X, Fetal Alcohol
- a physical disability, such as wheelchair use, that prevents the ability to ambulate without assistance.
- Families who plan to enroll their children in a summer camp or after school program or relocate (i.e., move) during the 14-month period that they participate
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of South Carolina
Columbia, South Carolina, 29205, United States
Related Publications (1)
Weaver RG, Beets MW, Adams EL, Kaczynski AT, Chen B, Armstrong B, Burkart S, Kiely K, Cepni AB, White JW 3rd, Finnegan O, Savidge M, Parker H, Randolph GAT. Rationale and design of Healthy Kids Beyond the Bell: a 2x2 full factorial study evaluating the impact of summer and after-school programming on children's body mass index and health behaviors. Trials. 2024 Oct 24;25(1):714. doi: 10.1186/s13063-024-08555-2.
PMID: 39449089DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- PREVENTION
- Intervention Model
- FACTORIAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
May 17, 2023
First Posted
May 30, 2023
Study Start
March 1, 2024
Primary Completion (Estimated)
March 31, 2028
Study Completion (Estimated)
August 31, 2028
Last Updated
March 12, 2024
Record last verified: 2024-03
Data Sharing
- IPD Sharing
- Will not share