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Completed

NCT Number: NCT03637465

Increasing Water Access and Appeal in Community Recreation Centers

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.

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Key information

Conditions

Health Behavior Behavior

Age range

3 year–100 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Philadelphia Department of Public Health, Division of Chronic Disease Prevention

Philadelphia, Pennsylvania, 19107, United States

Who can participate

Healthy volunteers accepted: No

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

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

Treatment and study plan

Hydrate Philly

Behavioral

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).

Primary outcomes

  1. Center water consumption

    Time frame: 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.

  2. Outside beverages during programs

    Time frame: 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 outcomes

  1. Single use beverage containers

    Time frame: 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

  2. Staff consumption of sugary beverages

    Time frame: 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.

  3. Fountain related maintenance problems

    Time frame: 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).

  4. Center attendance

    Time frame: 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

Sponsors and collaborators

Lead sponsor

Philadelphia Department of Public Health

Other Gov

Collaborators

  • Children's Hospital of Philadelphia
  • Stanford University

Registry information

Official study title

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

Acronym: Hydrate Philly

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Aug 20, 2018
Registry last updated
Apr 2, 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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