Hydrate Philly: Increasing Water Access and Appeal in Community Recreation Centers
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Hydrate Philly Intervention Intervention group that receives hydration station intervention |
Behavioral: Hydrate Philly
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).
|
| No Intervention: Control Control group that receives no intervention, but observational data is collected; converted to wait-listed intervention status after enrollment and randomization was completed |
Outcome Measures
Primary Outcome Measures
- Center water consumption [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).]
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.
- Outside beverages during programs [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).]
Changes in the average number of sugary beverages per day brought to summer camp.
Secondary Outcome Measures
- 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).]
Average number of single use containers (bottled water + sugary beverages) as measured by recreation center staff daily reports
- 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).]
Change in frequency of staff consumption of sugary beverages (i.e., number of days in past 30 days with sugary beverages consumed) as measured by the Beverage Intake Questionnaire (BEVQ-15) survey assessing past 30 day recall of overall beverage intake. Range is 0 - 30 with higher values indicating more days sugary beverages were consumed.
- Fountain related maintenance problems [Questionnaire administered 2-5 times per site up to 8 months post intervention]
Average maintenance rating of scale with 8 items (4-point scale; i.e., everyday, 3-4 times, once or twice, or never) at post as measured by staff self-report. Subscales include average routine maintenance (3 items) versus average maintenance problems (5 items).
- 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).]
The number of youth attending the recreation center program daily
Eligibility Criteria
Criteria
Inclusion Criteria:
-
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
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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
Exclusion Criteria:
- Unwilling to accept randomization
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Philadelphia Department of Public Health, Division of Chronic Disease Prevention | Philadelphia | Pennsylvania | United States | 19107 |
Sponsors and Collaborators
- Philadelphia Department of Public Health
- Stanford University
- Children's Hospital of Philadelphia
Investigators
- Principal Investigator: Hannah G Lawman, PhD, Philadelphia Department of Public Health, Division of Chronic Disease Prevention
Study Documents (Full-Text)
More Information
Publications
None provided.- 49200
- 74395