Increasing Water Access and Appeal in Community Recreation Centers

Health Behavior Clinical Trial

— Hydrate Philly  

Official title:

A Randomized Trial of a Comprehensive Multi-level Intervention to Increase Water Access and Appeal in Community Recreation Centers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03637465
• Other study ID #: 49200
• Secondary ID: 74395
• Status: Completed
• Phase: N/A
• Start date: May 1, 2017
• Est. completion date: October 30, 2018

Study information

• Verified date: April 2019
• Source: Philadelphia Department of Public Health
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 28
• Est. completion date: October 30, 2018
• Est. primary completion date: September 30, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 3 Years to 100 Years

Eligibility

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

• 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

Related Conditions & MeSH terms

• Health Behavior

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).

Locations

Country	Name	City	State
United States	Philadelphia Department of Public Health, Division of Chronic Disease Prevention	Philadelphia	Pennsylvania

Sponsors (3)

Lead Sponsor	Collaborator
Philadelphia Department of Public Health	Children's Hospital of Philadelphia, Stanford University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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).
Primary	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	Single use beverage containers	Average number of single use containers (bottled water + sugary beverages) as measured by recreation center staff daily reports	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	Staff consumption of sugary beverages	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.	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	Fountain related maintenance problems	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).	Questionnaire administered 2-5 times per site up to 8 months post intervention
Secondary	Center attendance	The number of youth attending the recreation center program daily	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).