An Ecological Approach to Addressing Childhood Obesity Issues in Imperial County
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,184
- 试验地点
- 4
- 主要终点
- BMI z-score change in 1184 children, 2-11 years old, assigned to a Health Care plus Public Health intervention, a Health Care intervention only, a Public Health intervention only, or a control condition
研究概览
简要总结
Our Choice is one of three CORD (Childhood Obesity Research Demonstration) studies funded by the Centers for Disease Control and Prevention in 2011 to test multi-sector, multi-level approaches to prevent and control childhood obesity. Our Choice is translating evidence-based approaches for modifying behaviors, policies, systems, and environments to promote fruit and vegetable consumption, physical activity, water consumption, and quality sleep. The ultimate goal is to assist Children's Health Insurance Program-eligible children between 2-12 years old attain a healthy weight. In addition to site-specific intervention and evaluation activities, Our Choice is working with the University of Houston Evaluation Center to conduct a cross-site evaluation on a set of shared measures.
详细描述
Our Choice is a partnership between a university-affiliated research institute, a federally qualified health center, and a county public health department. We used formative research, advisory committee members' recommendations, and previous research to inform the development of the Our Choice project. Our theory-informed multi-sector, multi-level intervention targets improvements in four health behaviors: fruit, vegetable, and water consumption, physical activity, and sleep. Intervention partners include 1200 families, a federally qualified health center (including three clinics), 26 early care and education centers, two elementary school districts (and 20 elementary schools), three community recreation centers, and three restaurants. Intervention components in all sectors target changes in behaviors, policies, systems, and the social and physical environment. Evaluation activities include assessment of the primary outcome, BMI z-score, at baseline, 12- and 18-months post-baseline, and sector evaluations at baseline, 12, and 24-months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Factorial
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 2 Years 至 11 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •If family had school-age child, child must attend one of the designated Our Choice schools located in one of three designated cities.
- •If family had preschool-age child, family must reside in one of three designated cities.
- •Children ages 2-11 years old
- •Maximum two children per household
- •Children above the 5th percentile body mass index
- •Family agrees to remain in the area throughout the duration of the study
- •Participating parent had to understand English or Spanish
排除标准
- •Child has any condition that significantly limits eating or physical activity in a way that interventions would be impacted
结局指标
主要结局
BMI z-score change in 1184 children, 2-11 years old, assigned to a Health Care plus Public Health intervention, a Health Care intervention only, a Public Health intervention only, or a control condition
时间窗: 12-month and 18-month post baseline evaluation; December 2015
次要结局
- Child waist circumference(12-month and 18-month post baseline evaluation; December 2015)
- Parent waist circumference(12-month and 18-month post baseline evaluation; December 2015)
- Parent body mass index(12-month and 18-month post baseline evaluation; December 2015)
- Parent blood pressure(12-month and 18-month post baseline evaluation; December 2015)