Factors Influencing the Implementation of Organized Physical Activity and Fruit and Vegetable Snacks in the HOP'N After-School Obesity Prevention Program

Hastmann, Tanis J.; Bopp, Melissa; Fallon, Elizabeth A.; Rosenkranz, Richard R.; Dzewaltowski, David A.

doi:10.1016/j.jneb.2012.06.005

Cited by 37 publications

(41 citation statements)

References 25 publications

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“…[18–20] Since staff turnover at the site leader and frontline staffing positions are one of the major challenges faced within the ASP setting, [21, 22] investigating the delivery of an intervention over multiple years within this setting is critical. Many of the staff employed at ASPs are part-time or transitional (only employed for a single school year) employees.…”

Section: Introductionmentioning

confidence: 99%

Physical activity outcomes in afterschool programs: A group randomized controlled trial

Beets

Weaver

Turner‐McGrievy

et al. 2016

Preventive Medicine

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Introduction Afterschool programs (ASPs) across the US are working towards achieving the standard of all children accumulating 30minutes of moderate-to-vigorous physical activity (MVPA) during program time. This study describes the two-year impact of an intervention designed to assist ASPs meeting the 30min/d MVPA standard. Methods Using a two-year delayed treatment, group randomized controlled trial, 20 ASPs serving ~1,700 children/year (6–12yrs) were randomized to either an immediate (n=10, baseline-2013 and 2yrs intervention fall-2013-to-spring-2015) or delayed group (n=10, baseline 2013–2014 and 1yr intervention fall-2014-to-spring-2015). The intervention, Strategies-To-Enhance-Practice (STEPs), focused on programming MVPA in the daily schedule, training of staff and leaders, and ongoing technical support/assistance. Accelerometry-derived proportion of children meeting the 30min/d MVPA standard was measured in the spring of each year. Mixed model logistic regressions were used to examine the change in the odds of achieving the MVPA standard. Analyses were conducted in 2015. Data were collected in one southeastern US state. Results Immediate boys (n=677) and delayed girls (n=658) increased the percent achieving 30min MVPA/d from 35.9% to 47.0% (odds ratio [OR]=1.88, 95%CI 1.18–3.00) and 13.1% to 19.1% (OR=1.42, 95%CI 1.03–1.96). Immediate girls (n=613) and delayed boys (n=687) exhibited a nonsignificant increase from 19.1% to 21.6% (OR=1.20, 95%CI 0.84–1.72) and 29.0% to 31.3% (OR=1.13, 95%CI 0.80–1.58). Conclusions STEPs can have an impact on children’s MVPA and time spent sedentary, yet was unable to fully achieve the goal of all children accumulating 30min MVPA/d. Additional efforts are need to identify strategies ASPs can use to meet this important public health standard.

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Section: Introductionmentioning

confidence: 99%

Physical activity outcomes in afterschool programs: A group randomized controlled trial

Beets

Weaver

Turner‐McGrievy

et al. 2016

Preventive Medicine

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show abstract

“…However, these studies have failed to address a major barrier in serving healthier snacks – cost. 21-24 Another study 5, 14 did not make changes in the quality of snacks served, with this largely due to cost and the lack of priority of serving a more healthful snack, like a fruit or vegetable. Three physical activity interventions in the ASP setting have reported modest increases in physical activity through the use of pre-packaged curricula.…”

Section: Introductionmentioning

confidence: 99%

“…5, 13, 17 However, five studies reported that pre-packaged curricula do not increase children’s physical activity compared to ASPs not using the curricula. 14-16, 18, 20 Moreover, pre-packaged curricula can be costly 25 or contain a large number of unfamiliar games that are difficult for unskilled staff to play. 20 Moreover, no physical activity interventions in the ASP setting have explicitly investigated the impact on clearly defined policy goals.…”

Section: Introductionmentioning

confidence: 99%

Making healthy eating and physical activity policy practice: The design and overview of a group randomized controlled trial in afterschool programs

Beets¹,

Weaver²,

Turner‐McGrievy³

et al. 2014

Contemporary Clinical Trials

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National and state organizations have developed policies calling upon afterschool programs (ASPs, 3-6pm) to serve a fruit or vegetable (FV) each day for snack, while eliminating foods and beverages high in added-sugars, and to ensure children accumulate a minimum of 30 min/d of moderate-to-vigorous physical activity (MVPA). Few efficacious and cost-effective strategies exist to assist ASP providers in achieving these important public health goals. This paper reports on the design and conceptual framework of Making Healthy Eating and Physical Activity (HEPA) Policy Practice in ASPs, a 3-year group randomized controlled trial testing the effectiveness of strategies designed to improve snacks served and increase MVPA in children attending community-based ASPs. Twenty ASPs, serving over 1,800 children (6-12yrs) will be enrolled and match-paired based on enrollment size, average daily min/d MVPA, and days/week FV served, with ASPs randomized after baseline data collection to immediate intervention or a 1-year delayed group. The framework employed, STEPs (Strategies To Enhance Practice), focuses on intentional programming of HEPA in each ASPs’ daily schedule, and includes a grocery store partnership to reduce price barriers to purchasing FV, professional development training to promote physical activity to develop core physical activity competencies, as well as ongoing technical support/assistance. Primary outcome measures include children’s accelerometry-derived MVPA and time spend sedentary while attending an ASP, direct observation of staff HEPA promoting and inhibiting behaviors, types of snacks served, and child consumption of snacks, as well as, cost of snacks via receipts and detailed accounting of intervention delivery costs to estimate cost-effectiveness.

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“…Cost is a major barrier to meeting existing nutritional guidelines for snacks in ASPs. 6–8 Additionally, studies indicate a large portion of the fruits and vegetables served to children, primarily during school lunch, go uneaten 9–11 . Thus, while short-term changes in meeting the standards have been achieved, 3, 4, 12 it is unclear if these are sustainable.…”

Section: Introductionmentioning

confidence: 99%

From Policy to Practice: Addressing Snack Quality, Consumption, and Price in After-School Programs

Beets

Tilley

Weaver

et al. 2014

Journal of Nutrition Education and Behavior

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Objective To evaluate a community partnership between afterschool programs (ASPs) and grocery store to provide discounted pricing on snacks to meet the National Afterschool Association Healthy Eating Standards that call for serving a fruit/vegetable (FV) daily, while eliminating sugar-based foods/beverages. Methods A single-group, pre- with multiple post-test design (Spring 2011–2013) in four large-scale ASPs serving 500 children/day was used along with direct observation of snacks served, consumed, and cost. Results At baseline FV, sugar-sweetened beverages (SSB), and desserts were served 0.1±0.5, 1.7±2.0, and 2.0±1.4 days/wk. By Spring 2013, FV increased to 5.0±0.0 days/wk, while SSB and desserts were eliminated. Eighty-four percent of children consumed the fruit; 59% consumed the vegetables. Cost associated with purchasing snacks resulted in a $2,000–$3,000 savings over a standard 180day school year. Conclusions and Implications This partnership can serve as a model for successfully meeting nutrition policies established for ASP snacks.

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Factors Influencing the Implementation of Organized Physical Activity and Fruit and Vegetable Snacks in the HOP'N After-School Obesity Prevention Program

Cited by 37 publications

References 25 publications

Physical activity outcomes in afterschool programs: A group randomized controlled trial

Physical activity outcomes in afterschool programs: A group randomized controlled trial

Making healthy eating and physical activity policy practice: The design and overview of a group randomized controlled trial in afterschool programs

From Policy to Practice: Addressing Snack Quality, Consumption, and Price in After-School Programs

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