Choose Health: Food, Fun, and Fitness Curriculum Promotes Positive Behaviors in 3rd-5th Graders Compared to Control

Not Applicable

Completed

• Conditions: Childhood Obesity; Nutrition Poor
• Interventions: Behavioral: CHFFF nutrition education

• Registration Number: NCT03524911
• Lead Sponsor: Cornell University

Brief Summary

The Choose Health: Food, Fun, and Fitness (CHFFF) curriculum was evaluated in 3rd-5th graders, hypothesizing that change pre- to post- CHFFF education would be greater than in the same child during a delayed intervention control period.

Detailed Description

Choose Health: Food, Fun, and Fitness (CHFFF) is a Cornell curriculum for 3rd-6th graders targeting behaviors to prevent obesity and chronic disease risk: fewer sweetened drinks; more vegetables, fruits, and whole grains; fewer high-fat and high-sugar foods; and active play. The 6 lessons use experiential learning, food preparation, active games, goal setting, and a family newsletter. It was evaluated in 561 Expanded Food and Nutrition Education (EFNEP) participants in 27 after-school and 28 in-school groups in 5 NY counties in 2015 using a quasi-experimental design, with a delayed-intervention control period prior to CHFFF. Youth completed a self-reported survey 3 times: at initial enrollment, after a 6-week no-intervention control period, and after receiving the 6 weekly CHFFF lessons. Outcome measures included dietary intake scores created based on factor analysis, and related precursors. It was hypothesized that change pre- to post- CHFFF education would be greater than in the same child during the delayed intervention control period. Following CHFFF, youth improved significantly (p\<.05) compared to their control period in overall diet quality, vegetable intake, fruit intake, soda/fast food intake and choice, and the frequency with which they read nutrition facts labels, shared about healthy eating with their family, and tried a new food.

Study Timeline

• Study Start: 2014-10-23
• Primary Completion: 2015-06-11
• Study Completion: 2015-06-11
• Study First Submitted: 2018-05-02
• Study First Submitted QC: 2018-05-14
• Study First Posted: 2018-05-15
• Status Verified: 2022-03
• Last Update Submitted: 2022-03-08
• Last Update Posted: 2022-03-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 561

Inclusion Criteria

• Participants in EFNEP nutrition education in schools and in after-school programs in 5 counties in NY during the 2014-2015 school year

Exclusion Criteria

• Younger than 3rd grade (n=3)
• Those with fewer than 4 lessons (n=9)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
CHFFF nutrition education	CHFFF nutrition education	Expanded Food and Nutrition Education (EFNEP) participants in 5 NY counties in 2015

Primary Outcome Measures

Name	Time	Method
Child Diet	Youth completed the survey at initial enrollment, after a 6-week delayed-intervention control period, and after receiving CHFFF.	Dietary intake was assessed via a self-reported survey, then 4 dietary scores were created based on factor analysis: overall diet quality, vegetable intake, fruit intake, and soda/fast food intake.

Secondary Outcome Measures

Name	Time	Method
Psychosocial mediators	Youth completed the survey at initial enrollment, after a 6-week delayed-intervention control period, and after receiving CHFFF.	Assessed via a self-report survey, these included soda/fast food choices, and the frequency with which they read nutrition facts labels, shared about healthy eating with their family, and tried a new food.