Alberta Project Promoting Active Living and Healthy Eating in Schools (APPLE Schools)
23. März 2020 aktualisiert von: 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.
Studienübersicht
Status
Abgeschlossen
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
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.
Studientyp
Interventionell
Einschreibung (Tatsächlich)
8663
Phase
- Unzutreffend
Kontakte und Standorte
Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.
Studienorte
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Alberta
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Edmonton, Alberta, Kanada, T6G2T4
- Population Health Intervention Research Unit
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Teilnahmekriterien
Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.
Zulassungskriterien
Studienberechtigtes Alter
5 Jahre bis 14 Jahre (Kind)
Akzeptiert gesunde Freiwillige
Ja
Studienberechtigte Geschlechter
Alle
Beschreibung
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
Studienplan
Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Verhütung
- Zuteilung: Nicht randomisiert
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
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Kein Eingriff: Comparison Schools
Regular health promotion activities
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Experimental: 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
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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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Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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Overweight and obesity
Zeitfenster: 24 months
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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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Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
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physical activity
Zeitfenster: 24 months
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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
Zeitfenster: 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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Mitarbeiter und Ermittler
Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.
Sponsor
Ermittler
- Hauptermittler: Paul J Veugelers, PhD, University of Alberta
Publikationen und hilfreiche Links
Die Bereitstellung dieser Publikationen erfolgt freiwillig durch die für die Eingabe von Informationen über die Studie verantwortliche Person. Diese können sich auf alles beziehen, was mit dem Studium zu tun hat.
Allgemeine Veröffentlichungen
- 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.
Nützliche Links
Studienaufzeichnungsdaten
Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.
Haupttermine studieren
Studienbeginn
1. Januar 2008
Primärer Abschluss (Tatsächlich)
1. Juni 2011
Studienabschluss (Tatsächlich)
1. Juni 2011
Studienanmeldedaten
Zuerst eingereicht
31. Juli 2013
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
31. Juli 2013
Zuerst gepostet (Schätzen)
2. August 2013
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
25. März 2020
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
23. März 2020
Zuletzt verifiziert
1. Juli 2013
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- Pro00003800
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