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Completed

NCT Number: NCT02394717

Policy to Practice: Statewide Rollout of YMCA Childhood Obesity Standards

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.

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Key information

Conditions

Childhood Obesity Body Weight Nutrition Disorders Nutritional and Metabolic Diseases Obesity Overnutrition Overweight Pathological Conditions, Signs and Symptoms Pediatric Obesity Signs and Symptoms

Age range

5 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of South Carolina

Columbia, South Carolina, 29201, United States

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

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

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).

Treatment and study plan

Healthy Eating and Physical Activity

Behavioral

Create partnerships with ASPs to help facilitate changes in programming to meet the National Afterschool Alliance's HEPA Standards.

Other names: HEPA

Primary outcomes

  1. Change in proportion of children meeting physical activity policy

    Time frame: Baseline, Fall of Year 2, and Fall of Year 3

    We will assess the number of children meeting the physical activity policy of 30 minutes or more of moderate-to-vigorous physical activity

Secondary outcomes

  1. Changes in Nutritional Quality of Snacks

    Time frame: Baseline, Fall of Year 2 and Fall of Year 3

    We will assess quality of snacks served at the ASPs in terms of number of fruits and vegetables served per week.

Sponsors and collaborators

Lead sponsor

University of South Carolina

Other

Collaborators

  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
  • National Institutes of Health (NIH)

Registry information

Important dates

Study start
2014
Primary completion
2018
Study completion
2018
First posted
Mar 20, 2015
Registry last updated
Nov 18, 2020

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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