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Completed

NCT Number: NCT03118635

Effect of the Enhanced Summer Food Service Program on Schoolchildren

Convergent findings from several studies document that children, especially those who are already overweight or obese or from racial / ethnic minority groups, are at risk for accelerated weight gain during the summer months. Therefore, this project is comprised of three separate community-based interventions designed to increase access to healthy meals and physical activity opportunities to minimize excess summer weight gain in elementary school children from a diverse, low-income Rhode Island community. Specifically, we will complete a quasi-experimental study in which we will design and deliver a physical activity intervention in conjunction with the Summer Food Service Program (SFSP) to 50 children living in a low-income, urban community. We anticipate that the addition of physical activity programming to the SFSP, a federal program funded by the USDA which reimburses states for serving lunch meals to children during the summer in communities where at least 50% of students are eligible for free or reduced-price school meals, will increase both the acceptability and effectiveness of the SFSP and affect 1) physical activity levels, 2) sedentary behavior, and 3) diet quality. The primary outcome (change in BMI z-score) will be compared between the 50 kids enrolled in the active intervention and 50 children enrolled in the control condition, both recruited from the same community.

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Key information

Age range

6 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The Miriam Hospital

Providence, Rhode Island, 02906, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Low-income (defined as qualifying for free or reduced-price meals as part of the National School Lunch Program)
  • Ages 6-12 years
  • Ability of child to speak, read and write English (for purposes of assessment and intervention)
  • Parent/guardian involvement
  • Agreement to study participation
  • Intent to participate in the SFSP in the upcoming summer

Exclusion criteria

  • Medical condition that would interfere with participation in physical activity
  • Enrolled in a camp or other physical activity based summer program.

Treatment and study plan

Intervention

Behavioral

Physical activity programming in accordance with the SPARK - After School curriculum as well as engaging activities provided by local community partners. The intervention proceeded the SFSP lunch meal service, so that children received approximately three hours of physical activity programming daily.

Primary outcomes

  1. Change in BMI z-score over the summer

    Time frame: Three months (summer)

    BMI was measured at the baseline visit (early June 2016) and three months later at the end of the summer (late August, 2016). Outcome of interest was change (BMIz at f/u - BMIz at baseline)

Secondary outcomes

  1. Physical Activity

    Time frame: Cross-sectional measure taken for 7 days during the window of weeks 4-6 of the 8 week intervention

    Activity was measured using a wrist-worn ActiGraph for 7-days. Outcome of interest was minutes of bout-related moderate to vigorous physical activity

  2. Sedentary Behavior

    Time frame: Cross-sectional measure taken for 7 days during the window of weeks 4-6 of the 8 week intervention

    Activity was measured using a wrist-worn ActiGraph for 7-days. Outcome of interest was percent of total wear time spent sedentary (<100 counts/minute)

  3. Energy intake

    Time frame: Cross-sectional measure taken for 7 days during the window of weeks 4-6 of the 8 week intervention

    Reported calorie intake from three, non-consecutive 24-hour diet recalls

Sponsors and collaborators

Lead sponsor

The Miriam Hospital

Other

Collaborators

  • Brown University

Registry information

Official study title

Assessing the Effect of the Enhanced Summer Food Service Program on the Health of Schoolchildren

Acronym: PHAST

Important dates

Study start
2016
Primary completion
2016
Study completion
2016
First posted
Apr 18, 2017
Registry last updated
Sep 4, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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