Policy to Practice: Statewide Rollout of YMCA Childhood Obesity Standards

Childhood Obesity Clinical Trial

Official title:

Policy to Practice: Statewide Rollout of YMCA Childhood Obesity Standards

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02394717
• Other study ID #: Pro00031161
• Secondary ID: 1R01HD079422-01
• Status: Completed
• Phase: N/A
• Start date: August 2014
• Est. completion date: May 2018

Study information

• Verified date: November 2020
• Source: University of South Carolina
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1000
• Est. completion date: May 2018
• Est. primary completion date: May 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 5 Years to 12 Years

Eligibility

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).

Related Conditions & MeSH terms

• Childhood Obesity
• Obesity
• Pediatric Obesity

Intervention

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.

Locations

Country	Name	City	State
United States	University of South Carolina	Columbia	South Carolina

Sponsors (3)

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

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in proportion of children meeting physical activity policy	We will assess the number of children meeting the physical activity policy of 30 minutes or more of moderate-to-vigorous physical activity	Baseline, Fall of Year 2, and Fall of Year 3
Secondary	Changes in Nutritional Quality of Snacks	We will assess quality of snacks served at the ASPs in terms of number of fruits and vegetables served per week.	Baseline, Fall of Year 2 and Fall of Year 3