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

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

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03524911

Enrollment

561

Registered

2018-05-15

Start date

2014-10-23

Completion date

2015-06-11

Last updated

2022-03-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Childhood Obesity, Nutrition Poor

Keywords

Nutrition education, Evaluation, Child diet, EFNEP

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.

Interventions

BEHAVIORALCHFFF nutrition education

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

PREVENTION

Masking

NONE

Intervention model description

Delayed intervention

Eligibility

Sex/Gender

ALL

Age

8 Years to 12 Years

Healthy volunteers

Yes

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)

Design outcomes

Primary

Measure	Time frame	Description
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

Measure	Time frame	Description
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.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026