Alberta Project Promoting Active Living and Healthy Eating in Schools (APPLE Schools)
2020年3月23日 更新者：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.
調査の概要
詳細な説明
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.
研究の種類
介入
入学 (実際)
8663
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
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Alberta
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Edmonton、Alberta、カナダ、T6G2T4
- Population Health Intervention Research Unit
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
5年～14年 (子)
健康ボランティアの受け入れ
はい
受講資格のある性別
全て
説明
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
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：非ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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介入なし：Comparison Schools
Regular health promotion activities
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実験的：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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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Overweight and obesity
時間枠：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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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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physical activity
時間枠：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
時間枠：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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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
捜査官
- 主任研究者：Paul J Veugelers, PhD、University of Alberta
出版物と役立つリンク
研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。
一般刊行物
- 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.
便利なリンク
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始
2008年1月1日
一次修了 (実際)
2011年6月1日
研究の完了 (実際)
2011年6月1日
試験登録日
最初に提出
2013年7月31日
QC基準を満たした最初の提出物
2013年7月31日
最初の投稿 (見積もり)
2013年8月2日
学習記録の更新
投稿された最後の更新 (実際)
2020年3月25日
QC基準を満たした最後の更新が送信されました
2020年3月23日
最終確認日
2013年7月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。