Alberta Project Promoting Active Living and Healthy Eating in Schools (APPLE Schools)
23 marzo 2020 aggiornato da: 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.
Panoramica dello studio
Stato
Completato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
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.
Tipo di studio
Interventistico
Iscrizione (Effettivo)
8663
Fase
- Non applicabile
Contatti e Sedi
Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.
Luoghi di studio
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Alberta
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Edmonton, Alberta, Canada, T6G2T4
- Population Health Intervention Research Unit
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Criteri di partecipazione
I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.
Criteri di ammissibilità
Età idonea allo studio
Da 5 anni a 14 anni (Bambino)
Accetta volontari sani
Sì
Sessi ammissibili allo studio
Tutto
Descrizione
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
Piano di studio
Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Prevenzione
- Assegnazione: Non randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
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Nessun intervento: Comparison Schools
Regular health promotion activities
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Sperimentale: 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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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Overweight and obesity
Lasso di tempo: 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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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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physical activity
Lasso di tempo: 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
Lasso di tempo: 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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Collaboratori e investigatori
Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.
Sponsor
Investigatori
- Investigatore principale: Paul J Veugelers, PhD, University of Alberta
Pubblicazioni e link utili
La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.
Pubblicazioni generali
- 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.
Collegamenti utili
Studiare le date dei record
Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.
Studia le date principali
Inizio studio
1 gennaio 2008
Completamento primario (Effettivo)
1 giugno 2011
Completamento dello studio (Effettivo)
1 giugno 2011
Date di iscrizione allo studio
Primo inviato
31 luglio 2013
Primo inviato che soddisfa i criteri di controllo qualità
31 luglio 2013
Primo Inserito (Stima)
2 agosto 2013
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
25 marzo 2020
Ultimo aggiornamento inviato che soddisfa i criteri QC
23 marzo 2020
Ultimo verificato
1 luglio 2013
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- Pro00003800
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
Prove cliniche su Comprehensive School Health (CSH)
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