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An Evaluation of "Growing Healthy Places: Mississauga"

Not Applicable
Not yet recruiting
Conditions
Quality of Life (QOL)
Physical Activity
Diet Quality
Body Esteem
Obesity &Amp; Overweight
Community
Registration Number
NCT07191925
Lead Sponsor
Brock University
Brief Summary

The goal of this intervention study is to learn if community co-designed activities to improve diet and physical activity can impact the health of children ages 6-13 in Mississauga, Canada. The main questions it aims to answer are:

1. Do the community co-designed interventions improve health-related quality of life of children after one year and two years?

2. Do the community co-designed interventions improve the physical activity and eating behaviors of children after one year and two years?

Ten intervention and 12 control schools will take part in this study. The schools were recruited from the Mississauga area using an application process. Selection and group assignment involved a multi-stage process with initial randomization followed by manual adjustment (to balance groups on key observable characteristics and respond to stakeholder concerns about spillovers and implementation feasibility).

Researchers will compare students in schools that receive the interventions to students in schools that receive no interventions to see if the interventions improve health-related quality of life, increase physical activity and improve eating behaviors.

Participants will:

* attend participating elementary or middle schools (in either intervention neighborhoods or control neighborhoods)

* complete an anonymous questionnaire about their wellbeing, physical activity, and eating behaviors at baseline, after one year, and after two years

* potentially participate in school and community programs (if in an intervention school neighborhood)

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
4900
Inclusion Criteria
  • Informed consent obtained by the child's parent or legal guardian before any study-related activities
  • Aged 6-13 years (both 6 and 13 allowed) at the time of signing consent
  • Enrolled in Grades 3-8 in one of the participating schools at the time of data collection
Exclusion Criteria
  • Parent(s) or legal guardians do not provide fully informed consent
  • Parent(s) or legal guardians withdraw their consent for their child participating in the research
  • Child does not agree to participate on the data collection day

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Health-related Quality of Life as assessed by KIDSCREEN-10 indexBaseline, one-year follow-up, two-year follow-up.

Health-related quality of life will be proxied by the KIDSCREEN-10 scale, which is developed from 27-item KIDSCREEN-27 scale and assesses health-related quality of life on five dimensions: physical, psychological, autonomy and parent relations, peers and social support, school environment. Each item uses a 5-point Likert-style response based on how strong the respondent is feeling or the frequency of doing / feeling things over the last week.

KIDSCREEN instruments were originally designed for ages 8-18 but have been validated in ages 6-18. Item wording is slightly adapted for typical Canadian phrasing.

Responses to each item are coded 1-5, items scores are summed, and the total score is linearly transformed to a 0-100 scale. A higher score corresponds to a higher health-related quality of life.

Secondary Outcome Measures
NameTimeMethod
Average daily moderate-to-vigorous physical activity (MVPA)Baseline, one-year follow-up, two-year follow-up

Daily minutes of moderate-to-vigorous physical activity is measured using a single questionnaire item adapted from the Youth Health - Physical Activity \& Sedentary Behavior Module questionnaire. The question that asks students to indicate the total time range in minutes spent doing moderate or vigorous physical activities the previous day (with examples provided). Provided time intervals are adjusted depending on the age of the participant to facilitate accurate recall. Total MVPA time is calculated by assuming the midpoint of the time interval.

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