Appalachians Together Restoring the Eating Environment (Appal-TREE): Advancing Sustainable CBPR Interventions to Improve Healthy Diet in Rural Appalachian Children
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 1,657
- 主要终点
- Change in fruit and vegetable consumption (adults)
研究概览
简要总结
Most of the nation's serious chronic health challenges and causes of death, including diabetes, heart disease, cancer, and obesity, are directly linked to sub-optimal diet. Both poor diets and associated disease are disproportionately common in the Appalachian counties of eastern Kentucky, a region with stark health inequities, including elevated rates of obesity, overweight, and premature mortality. The purpose of this study is to evaluate a multi-component intervention developed through community-based participatory research methods for improving access to healthy foods and enhancing dietary intake in eastern Kentucky. The intervention components evaluated in this study consist of: 1) a school-based campaign to promote water consumption in middle and high schools and 2) a series of group cooking classes for adults.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 10 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •For school-based component: Student in selected middle or high school classroom in a participating school in intervention or comparison counties (6th to 12th grades)
- •For cooking classes: adult aged 18 years or older and residing in intervention county who have at least one dependent child attending middle or high school in the participating school districts
排除标准
- •Unable to speak or read English, as all materials will be presented in English
研究组 & 干预措施
School-based water campaign
Students who attend middle and high schools in the intervention counties will receive a school-based water campaign. A sample of students from each school will complete surveys before and after the installation of the water refilling stations to measure beverage consumption, knowledge, attitudes, and self-efficacy.
干预措施: School-based water campaign (Behavioral)
Comparison schools
A sample of students who attend middle and high schools in the comparison county, which does not receive any intervention components, will complete surveys to measure beverage consumption, knowledge, attitudes, and self-efficacy.
Community cooking classes
Adults in the same intervention counties as the school-based water campaign will enroll in group cooking classes. They will complete a baseline and two follow-up surveys to measure changes in fruit and vegetable consumption, attitudes, and self-efficacy.
干预措施: Community cooking classes (Behavioral)
结局指标
主要结局
Change in fruit and vegetable consumption (adults)
时间窗: Baseline to 8 weeks
Survey items address frequency and quantity of consumption of fruits and vegetables in the past month.
Change in beverage consumption (students)
时间窗: Baseline, 6 months, 12 months, 18 months, 24 months, 30 months
Survey items address frequency and quantity of beverages consumed in past month. Includes water, pop/soda, diet pop/soda, sports drinks, energy drinks, sweetened tea, 100% fruit juice, and milk.
次要结局
- Change in purchasing of drinks (students)(Baseline, 6 months, 12 months, 18 months, 24 months, 30 months)
- Change in perceptions of availability of health foods (adults)(Baseline to 8 weeks)
- Change in barriers to health eating (adults)(Baseline to 8 weeks)
- Change in attitudes and preferences about beverages (students)(Baseline, 6 months, 12 months, 18 months, 24 months, 30 months)
- Change in food preparation habits (adults)(Baseline to 8 weeks)
- Change in food purchasing habits (adults)(Baseline to 8 weeks)
研究者
Mark Swanson, PhD
Associate Professor
University of Kentucky