Advancing Water Security: a Community Participatory School-Based Hydration Intervention

Not Applicable

Recruiting

• Conditions: Dental Caries; Obesity Prevention

• Registration Number: NCT06714929
• Lead Sponsor: Virginia Commonwealth University

Brief Summary

The goal of this study is to determine the effectiveness and sustainability of a community-participatory hydration intervention over 3 years within a district that has newly installed hydration stations and is operating under a policy designed to enhance heathy hydration practices and promote equitable access to drinking water.

Detailed Description

The goal of this study is to determine the effectiveness of a hydration intervention on hydration station usage (primary outcome), Body Mass Index z-scores (zBMI) and dental caries (primary biomedical outcomes), and water bottle usage, beverage selection and intake, and academic outcomes (secondary outcomes).

Study Timeline

• Status Verified: 2024-09
• Study Start: 2024-09-03
• Study First Submitted: 2024-11-10
• Study First Submitted QC: 2024-12-02
• Last Update Submitted: 2024-12-03
• Study First Posted: 2024-12-04
• Last Update Posted: 2024-12-06
• Primary Completion: 2027-04
• Study Completion: 2028-05

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 7200

Inclusion Criteria

• Lunchroom observations: All students (K-5th [Pre-Kindergarten if applicable]) who eat lunch in the cafeteria on assessment days are eligible
• BMI and dental caries assessments: 1) student enrolls in study while in 3rd grade (followed through 5th g)
• Student surveys: Students in 4th-5th grade are eligible to complete surveys assessing beverage intake and perceptions of hydration practices within their school district.
• Staff surveys: All staff in the target schools will be eligible to complete the Personnel Survey.

Exclusion Criteria

• Lunchroom observations: None.
• BMI and dental caries assessments: Students are ineligible if they are unable to complete assessments due to developmental or physical reasons, 2) planning to move in the study duration
• Student surveys: None.
• Staff surveys: None.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Primary Outcome Measures

Name	Time	Method
Water Station Usage	Years 1-3	Ounces of water per student per day measured by hydration station flow meters.
Dental Caries Status	up to 3 years	Tooth decay or cavities will be measured using a modified International Caries Detection and Assessment System (ICDAS)
Body Mass Index (BMI)	up to 3 years	NHANES Anthropometry methods used to measure height and weight. Age and sex-specific BMIz-score and BMI percentile will be calculated using Epi Info

Secondary Outcome Measures

Name	Time	Method
Water Bottle Usage at Lunch	up to 3 years	% of students with water bottles in school
Beverage Selection at Lunch	up to 3 years	% of each beverage selected (water, white milk, flavored milk, 100% juice, soda, sports-drink, other sugar-sweetened beverage (SSB), other non-SSB, unknown)
Academics	up to 3 years	Standards of Learning scores ranging from 0-600 with higher scores representing higher academic proficiency.
Beverage Intake	up to 3 years	modified beverage intake questionnaire (BEVQ; 12-item) will assess frequency and amount of SSB and water consumption to determine average daily consumption in fl oz and kcal over the past month for each item and across categories: water, total SSBs (sweetened juice and drinks, regular carbonated beverages, sweet tea, sweetened coffee, energy drinks), milk, 100% juice.
School Environment	up to 3 years	Measured via semi-structured interview: assessing water and SSB-related access, policies and practices in their school
Beverage Sales	up to 3 years	We will evaluate purchases of white milk, sugar-sweetened milk, 100% juice, and other beverages.
National School Lunch Program (NSLP) Participation	up to 3 years	Daily and monthly NSLP participation rates will be obtained
Water Source Assessment	up to 3 years	Video of water sources and then coded by trained raters. Coding for: cleanliness, wear, availability of drinking vessels, filter status, obstructions, signage, trash, and water flow
School Personnel Knowledge	up to 3 years	Measured via surveys: perceptions of water bottle use and hydration in school, knowledge and beliefs about hydration, personnel hydration practices, and awareness of and adherence to existing hydration policy

Trial Locations

Locations (1)

Children's Hospital of Richmond at VCU Healthy Lifestyles Center; 🇺🇸 Henrico, Virginia, United States