Childhood Obesity
Conditions
Keywords
Childhood obesity, Latino, Hispanic
Brief summary
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.
Detailed description
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.
Interventions
BEHAVIORALFamily wellness workshops
Nine family wellness workshops and eight family physical activity sessions facilitated by community health workers.
BEHAVIORALObesity chronic care model
BEHAVIORALPhysical activity, healthy eating, water drinking, healthy sleep promotion
BEHAVIORALEnvironment, policy, systems changes in clinic setting only
BEHAVIORALNo intervention
No intervention.
BEHAVIORALEnvironment, policy, and systems changes in schools, early child care education & recreation
Sponsors
Centers for Disease Control and Prevention
San Diego State University
Study design
Allocation
NON_RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
2 Years to 11 Years
Healthy volunteers
Yes
Inclusion criteria
* 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
Exclusion criteria
* Child has any condition that significantly limits eating or physical activity in a way that interventions would be impacted
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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 | 12-month and 18-month post baseline evaluation; December 2015 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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 | Weight and height |
| Parent blood pressure | 12-month and 18-month post baseline evaluation; December 2015 | — |
Other
| Measure | Time frame | Description |
|---|---|---|
| Health clinic implementation of the assessment and treatment of child overweight and obesity guidelines at a specific percentile | 12-month and 24-month post baseline evaluation; October 2015 | Electronic health records (EHR), attendance sheets of trainings attended by health clinic staff, chronic care days in place at each clinic, EHR modifications for assessment and treatment of childhood overweight and obesity, health message posters installed, satisfaction with aspects of the intervention |
| Body mass index in early care and education centers | Year 1 and Year 2 of intervention; July 2014 | Height and weight measures of children in 23 early child care and education centers. |
| Body mass index in elementary schools | Year 1 and year 2 of intervention | Height and weight measures were collected from Kindergarten, 2nd or 3rd, and 5th grade students from 13 elementary schools. |
| Health clinic health policy adoption | 12-month and 24-month post baseline sector evaluation; October 2015 | Clinic manager interviews |
Countries
United States
Outcome results
None listed