- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01914185
Alberta Project Promoting Active Living and Healthy Eating in Schools (APPLE Schools)
23. marts 2020 opdateret af: University of Alberta
The Effectiveness of a Comprehensive School Health Intervention in Improving Healthy Eating and Physical Activity and Preventing Childhood Obesity
The objectives were to 1) make students eat healthier and be more active; and 2) prevent overweight and obesity.
Children will therefore be less likely overweight or obese.
Beginning in January 2008, the Alberta Project Promoting active Living and healthy Eating in Schools (APPLE Schools) was implemented in 10 schools throughout the Canadian Province, Alberta.
Full-time School Health Facilitators were placed in each of the schools to implement what is know in Canada as Comprehensive School Health (CSH).
In the United States, CSH is more commonly referred to as "Coordinated School Health", while the synonymous term "Health Promoting Schools" is often used in Australia and Europe.
The project was evaluated annually in the spring from 2008 to 2011 and as of 2009 evaluations included the use of time-stamped pedometers.
The comparison group included approximately 150 schools that were randomly selected to reflect the population of Alberta, Canada.
Twenty of these randomly selected schools also participated in data collection which involved the use of time-stamped pedometers.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
The Alberta Project Promoting active Living and healthy Eating in Schools (APPLE Schools) is a quasi-experimental pre-post trial with a non-equivalent parallel control group.
The intervention began in January 2008 and lasted through June 2011 and was implemented school-wide.
As out primary interest is to reduce the prevalence of overweight and obesity in schools, the essential comparisons were across grade five students in differing calendar years.
At each survey all grade five students were invited to participate.
The current design allowed intervention effects to be assessed over time at the school-level.
Surveys were administered in the spring of 2008, 2009, 2010, and 2011 in intervention schools.
And in the spring of 2008 and 2011 in control schools.
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
8663
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
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Alberta
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Edmonton, Alberta, Canada, T6G2T4
- Population Health Intervention Research Unit
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Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
5 år til 14 år (Barn)
Tager imod sunde frivillige
Ja
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
Intervention Schools:
- school located in a socioeconomically disadvantaged neighbourhood and a demonstrated need for health promotion
- Grade five students with parent consent, who also assented to participate were included in annual evaluations
Control Schools:
- Grade five students with parent consent, who also assented to participate were included in annual evaluations
Exclusion Criteria:
Intervention & Control Schools:
- Schools that did not receive jurisdictional approval to participate
- Grade five students who did not receive parent consent or did not provide their assent were not included in annual evaluations
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Ingen indgriben: Comparison Schools
Regular health promotion activities
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Eksperimentel: Comprehensive School Health (CSH)
Full time School Health Facilitator present in each school on a day-to-day basis for 3.5 years responsible for facilitating implementation of Comprehensive School Health
|
APPLE Schools uses a CSH approach to health promotion which addresses health through four inter-related pillars 1) positive social and physical environments 2) teaching and learning 3) healthy school policy 4) partnerships and services.
A key component of the APPLE Schools intervention was the placement of a full-time School Health Facilitator in each school.
Their role was to facilitate the development and implementation of the project, to ensure that it met the schools' unique needs for health promotion, and that it aligned with the core principles of CSH.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Overweight and obesity
Tidsramme: 24 months
|
Students' body weight was measured to the nearest 0.1kg using calibrated digital scales and height was measured to the nearest 0.1cm.
BMI was calculated as weight divided by height^2 (kg/m^2).
Overweight and obesity were defined using the International Obesity Task Force age and sex specific body mass index (BMI) cut-off points.
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24 months
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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physical activity
Tidsramme: 24 months
|
Children's physical activity was measured using time-stamped pedometers which were worn for 9 consecutive days. The Physical Activity Questionnaire for Older Children (PAQ-C) was also used to assess children's physical activity levels |
24 months
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Diet Quality
Tidsramme: 24 months
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Students' diet quality was assessed through the use of the Harvard Youth/Adolescent Food Frequency Questionnaire.
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24 months
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Efterforskere
- Ledende efterforsker: Paul J Veugelers, PhD, University of Alberta
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Fung C, Kuhle S, Lu C, Purcell M, Schwartz M, Storey K, Veugelers PJ. From "best practice" to "next practice": the effectiveness of school-based health promotion in improving healthy eating and physical activity and preventing childhood obesity. Int J Behav Nutr Phys Act. 2012 Mar 13;9:27. doi: 10.1186/1479-5868-9-27.
- Bastian KA, Maximova K, McGavock J, Veugelers P. Does School-Based Health Promotion Affect Physical Activity on Weekends? And, Does It Reach Those Students Most in Need of Health Promotion? PLoS One. 2015 Oct 21;10(10):e0137987. doi: 10.1371/journal.pone.0137987. eCollection 2015.
- Vander Ploeg KA, McGavock J, Maximova K, Veugelers PJ. School-based health promotion and physical activity during and after school hours. Pediatrics. 2014 Feb;133(2):e371-8. doi: 10.1542/peds.2013-2383. Epub 2014 Jan 13.
- Vander Ploeg KA, Maximova K, McGavock J, Davis W, Veugelers P. Do school-based physical activity interventions increase or reduce inequalities in health? Soc Sci Med. 2014 Jul;112:80-7. doi: 10.1016/j.socscimed.2014.04.032. Epub 2014 Apr 29.
- Dube N, Khan K, Loehr S, Chu Y, Veugelers P. The use of entertainment and communication technologies before sleep could affect sleep and weight status: a population-based study among children. Int J Behav Nutr Phys Act. 2017 Jul 19;14(1):97. doi: 10.1186/s12966-017-0547-2.
Hjælpsomme links
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. januar 2008
Primær færdiggørelse (Faktiske)
1. juni 2011
Studieafslutning (Faktiske)
1. juni 2011
Datoer for studieregistrering
Først indsendt
31. juli 2013
Først indsendt, der opfyldte QC-kriterier
31. juli 2013
Først opslået (Skøn)
2. august 2013
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
25. marts 2020
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
23. marts 2020
Sidst verificeret
1. juli 2013
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- Pro00003800
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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