Drinking Behavior, Feeding Behavior
Conditions
Brief summary
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.
Interventions
BEHAVIORALSchool-based water campaign
Includes: 1) the installation of filtered water bottle refilling stations, 2) the distribution of reusable water bottles to all students and teachers, and 3) a social marketing campaign to support the increase of water consumption among students.
BEHAVIORALCommunity cooking classes
Cooking classes will be delivered to groups of 8-12 adult participants as a series of 8 weekly classes in community venues. The content of each class is driven by topics and themes identified and prioritized by community members, namely cooking healthy on tight budget.
Sponsors
National Institute on Minority Health and Health Disparities (NIMHD)
Community Farm Alliance
Mark Swanson, PhD
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
10 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* 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
Exclusion criteria
* Unable to speak or read English, as all materials will be presented in English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in beverage consumption (students) | 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. |
| Change in fruit and vegetable consumption (adults) | Baseline to 8 weeks | Survey items address frequency and quantity of consumption of fruits and vegetables in the past month. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in food preparation habits (adults) | Baseline to 8 weeks | Survey items address meal planning and preparation |
| Change in food purchasing habits (adults) | Baseline to 8 weeks | Survey items address frequency of purchasing food at work, grocery/convenience stores, restaurants and produce stands |
| Change in attitudes and preferences about beverages (students) | Baseline, 6 months, 12 months, 18 months, 24 months, 30 months | Survey items address taste preferences, attitudes about eating/drinking behavior and body image, and self-efficacy. |
| Change in barriers to health eating (adults) | Baseline to 8 weeks | Survey items address physical, psychosocial, emotional, and financial barriers to healthy eating |
| Change in perceptions of availability of health foods (adults) | Baseline to 8 weeks | Survey items address availability of high quality fruits and vegetables and low-fat foods |
| Change in purchasing of drinks (students) | Baseline, 6 months, 12 months, 18 months, 24 months, 30 months | Survey items will address frequency of purchasing beverages at fast food restaurants, convenience stores, and school venues and events. |
Outcome results
None listed