Policy to Practice: Statewide Rollout of YMCA Childhood Obesity Standards

Sponsor

University of South Carolina (Other)

Overall Status

Completed

CT.gov ID

NCT02394717

Collaborator

National Institutes of Health (NIH) (NIH), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (NIH)

1,000

Enrollment

Location

Arm

Duration (Months)

22.2

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The investigators long term-goal is to help YMCA programs across the nation successfully acheive the Y of USA "Healthy Eating and Physical Activity Standards". Our objective here is threefold. First, the investigators will work with South Carolina YMCA leadership to achieve the "Healthy Eating and Physical Activity Standards" and implement our HEPA Strategies in YMCA programs across the state, evaluate the uptake of and adherence to the standards and strategies, and identify factors that influence their implementation. Second, the investigators will evaluate the impact of acheiving the standards on children's MVPA and the serving and consumption of FV and water during the programs. Third, the investigators will evaluate the costs associated with and the cost-effectiveness of meeting the standards in terms of improvements in activity and healthy eating.

Condition or Disease	Intervention/Treatment	Phase
Childhood Obesity	Behavioral: Healthy Eating and Physical Activity	N/A

Detailed Description

The investigators research team developed a conceptual framework that identifies critical modifiable levers within Out of School Time programs that can be altered and/or strengthened to reach policy or standards goals. These include the policy environment at the national, state and local levels; characteristics of the individual site, program leadership, staff, and children; and existing outside organizational partnerships. This framework was informed by complex systems change, social ecology, systemic capacity building , and the literature on the impact of public health policy that identifies key elements of the system to be targeted as well as possible influences on those elements.

Viewing OST programs as complex systems, "Healthy Eating and Physical Activity Standards" represent one of many leverage points within a system. Existing efforts to implement standards rest solely upon the voluntary adoption of the standards, with little to no other changes to the OST program setting. It is clear from our preliminary work and comprehensive reviews that OST programs are falling short of meeting goals set forth in the standards.

Study Design

Study Type:

Interventional

Actual Enrollment :

1000 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Prevention

Official Title:

Policy to Practice: Statewide Rollout of YMCA Childhood Obesity Standards

Study Start Date :

Aug 1, 2014

Actual Primary Completion Date :

May 1, 2018

Actual Study Completion Date :

May 1, 2018

Arms and Interventions

Arm	Intervention/Treatment
Other: Intervention All YMCA programs will receive the Healthy Eating and Physical Activity Intervention throughout the study. All programs will receive the HEPA Strategies intervetion to assist them with achievement of the HEPA Standards.	Behavioral: Healthy Eating and Physical Activity Create partnerships with ASPs to help facilitate changes in programming to meet the National Afterschool Alliance's HEPA Standards. Other Names: HEPA

Arm

Intervention/Treatment

Other: Intervention

All YMCA programs will receive the Healthy Eating and Physical Activity Intervention throughout the study. All programs will receive the HEPA Strategies intervetion to assist them with achievement of the HEPA Standards.

Behavioral: Healthy Eating and Physical Activity

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

Other Names:

HEPA

Outcome Measures

Primary Outcome Measures

Change in proportion of children meeting physical activity policy [Baseline, Fall of Year 2, and Fall of Year 3]
We will assess the number of children meeting the physical activity policy of 30 minutes or more of moderate-to-vigorous physical activity

Secondary Outcome Measures

Changes in Nutritional Quality of Snacks [Baseline, Fall of Year 2 and Fall of Year 3]
We will assess quality of snacks served at the ASPs in terms of number of fruits and vegetables served per week.

Eligibility Criteria

Criteria

Ages Eligible for Study:

5 Years to 12 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

All children enrolled in participating afterschool programs will be eligible to take part in the study.

Exclusion Criteria:

Any physical/orthopedic impairment that would limit a child's ability to participate in regular physical activity (e.g., wheelchair user).

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	University of South Carolina	Columbia	South Carolina	United States	29201

Sponsors and Collaborators

University of South Carolina
National Institutes of Health (NIH)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Investigators

Principal Investigator: Michael W Beets, PhD, University of South Carolina

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Michael Beets, Principal Investigator, University of South Carolina

ClinicalTrials.gov Identifier:

NCT02394717

Other Study ID Numbers:

Pro00031161
1R01HD079422-01

First Posted:

Mar 20, 2015

Last Update Posted:

Nov 18, 2020

Last Verified:

Nov 1, 2020

Additional relevant MeSH terms:

Obesity

Pediatric Obesity

Study Results

No Results Posted as of Nov 18, 2020