scholarly journals Impact of implementation factors on children's water consumption in the Out-of-School Nutrition and Physical Activity group-randomized trial

2014 ◽  
Vol 2014 (143) ◽  
pp. 79-101 ◽  
Author(s):  
Rebekka M. Lee ◽  
Cassandra Okechukwu ◽  
Karen M. Emmons ◽  
Steven L. Gortmaker
2016 ◽  
Vol 170 (2) ◽  
pp. 155 ◽  
Author(s):  
Angie L. Cradock ◽  
Jessica L. Barrett ◽  
Catherine M. Giles ◽  
Rebekka M. Lee ◽  
Erica L. Kenney ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rebekka M. Lee ◽  
Jessica L. Barrett ◽  
James G. Daly ◽  
Rebecca S. Mozaffarian ◽  
Catherine M. Giles ◽  
...  

Abstract Background There is a great need to identify implementation strategies to successfully scale-up public health interventions in order to achieve their intended population impact. The Out-of-school Nutrition and Physical Activity group-randomized trial previously demonstrated improvements in children’s vigorous physical activity and the healthfulness of foods and beverages consumed. This implementation study aimed to assess the effects and costs of two training models to scale-up this evidence-based intervention. Methods A 3-arm group-randomized trial was conducted to compare effectiveness of in-person and online training models for scaling up the intervention compared to controls. One-third of sites were randomized to the in-person train-the-trainer model: local YMCA facilitators attended a training session and then conducted three learning collaborative meetings and technical assistance. One-third were assigned to the online model, consisting of self-paced monthly learning modules, videos, quizzes, and facilitated discussion boards. Remaining sites served as controls. Fifty-three afterschool sites from three YMCA Associations in different regions of the country completed baseline and follow-up observations using a validated tool of afterschool nutrition and physical activity practices. We used multivariable regression models, accounting for clustering of observations, to assess intervention effects on an aggregate afterschool practice primary outcome, and conducted secondary analyses of nine intervention goals (e.g. serving water). Cost data were collected to determine the resources to implement each training model. Results Changes in the primary outcome indicate that, on average, sites in the in-person arm achieved 0.44 additional goals compared to controls (95%CI 0.02, 0.86, p = 0.04). Increases in the number of additional goals achieved in sites in the online arm were not significantly greater than control sites (+ 0.28, 95% CI -0.18, 0.73, p = 0.24). Goal-specific improvements were observed for increasing water offered in the in-person arm and fruits and vegetables offered in the online arm. The cost per person trained was $678 for the in-person training model and $336 for the on-line training model. Conclusions This pilot trial presents promising findings on implementation strategies for scale-up. It validated the in-person training model as an effective approach. The less expensive online training may be a useful option for geographically disbursed sites where in-person training is challenging. Trial registration Although this study does not report the results of a health care intervention on human subjects, it is a randomized trial and was therefore retrospectively registered in ClinicalTrials.gov on July 4, 2019 in accordance with the BMC guidelines to ensure the complete publication of all results (NCT04009304).


2001 ◽  
Vol 26 (1) ◽  
pp. 57-69 ◽  
Author(s):  
Diane C. Holliman ◽  
Ute C. Orgassa ◽  
Jennie Pillion Forney

2015 ◽  
Author(s):  
Betty T. Izumi ◽  
Amy J. Schulz ◽  
Graciela Mentz ◽  
Barbara A. Israel ◽  
Sharon L. Sand ◽  
...  

2013 ◽  
Vol 27 (S1) ◽  
Author(s):  
Christina D. Economos ◽  
Heather Angstrom ◽  
Stephanie Anzman‐Frasca ◽  
Peter R. Dolan ◽  
Molly B. Newman ◽  
...  

Author(s):  
Martin Niedermeier ◽  
Elisabeth M. Weiss ◽  
Lisa Steidl-Müller ◽  
Martin Burtscher ◽  
Martin Kopp

Physical activity is a promising intervention to restore cognitive function after prolonged sedentary periods. However, little is known about the effect of short physical activity bouts on cognition especially among individuals that are used to physical activity. Therefore, the goal of the present study was to assess the impact of a single ten-minute physical activity bout on the cognitive domain of visual attention compared to sedentary behavior in a population of physically active sport students. Using a randomized controlled design, 51 healthy and physically active sport students [mean age: 22.3 (SD: 2.0) years, 33.3% female] were allocated to one of the following interventions in the break of a two-hour study course: physical activity group (running for ten minutes) and sedentary control group. Visual attention was measured post-intervention using a modified trail making test. Pre-, post-, and 30 min after intervention, perceived attention, and affective states were measured. Between-group comparisons were used to analyze whether visual attention and/or changes in perceived attention or affective states differed between groups. The physical activity group showed significantly higher visual attention post-intervention compared with the sedentary control group, p = 0.003, d = 0.89. Perceived attention, p = 0.006, d = 0.87, and arousal, p < 0.001, d = 1.68, showed a significantly larger pre- and post-intervention increase in the physical activity group compared with the sedentary control group, which was not evident 30 min after intervention. A single ten-minute running intervention in study breaks might help to restore the basal visual attentional domain of cognition after prolonged sedentary periods more effectively compared with common sedentary behavior in breaks between study lessons.


Sign in / Sign up

Export Citation Format

Share Document