Participation in structured programming may prevent unhealthy weight gain during the summer in school-aged children from low-income neighbourhoods: feasibility, fidelity and preliminary efficacy findings from the Camp NERF study.
Objective: Evaluate the feasibility, fidelity and preliminary efficacy of Camp NERF to prevent unhealthy weight gain and promote healthy behaviours in children during the summer.Design: Camp NERF was an 8-week, multicomponent, theory-based programme coupled with the US Department of Agriculture's Su...
| Published in: | Public Health Nutrition Vol. 22; no. 6; pp. 1100 - 1113 |
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| Main Authors: | , , , , , , , |
| Format: | research Journal Article |
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Cambridge University Press
Apr2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136101874&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136101874 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13689800 N8M jtl: Public Health Nutrition issn: 13689800 maglogo: N pubinfo: dt: Apr2019 vid: 22 iid: 6 pid: 15979 pub: Cambridge University Press artinfo: ui: 136101874 136101874 NLM30604663 136101874 10.1017/S1368980018003403 NLM30604663 136101874 ppf: 1100 ppct: 13 formats: tig: atl: Participation in structured programming may prevent unhealthy weight gain during the summer in school-aged children from low-income neighbourhoods: feasibility, fidelity and preliminary efficacy findings from the Camp NERF study. aug: au: Hopkins, Laura C Holloman, Christopher Melnyk, Bernadette Fristad, Mary Goodway, Jacqueline D Kennel, Julie A Eneli, Ihuoma Gunther, Carolyn affil: Department of Human Sciences, The Ohio State University, 313 Campbell Hall, 1787 Neil Avenue, Columbus, OH 43210, USA sug: subj: Pediatric Obesity Prevention and Control Poverty Program Evaluation Methods Urban Population Health Promotion Methods Weight Gain Child, Preschool Female Pilot Studies Child Seasons Ohio Human Health Behavior Male Exercise Validation Studies Comparative Studies Evaluation Research Multicenter Studies Caregiver Strain Index Clinical Assessment Tools Psychosocial Adjustment to Illness Scale Child, Preschool: 2-5 years Child: 6-12 years Female Male ab: Objective: Evaluate the feasibility, fidelity and preliminary efficacy of Camp NERF to prevent unhealthy weight gain and promote healthy behaviours in children during the summer.Design: Camp NERF was an 8-week, multicomponent, theory-based programme coupled with the US Department of Agriculture's Summer Food Service Program. Twelve eligible elementary-school sites were randomized to one of three treatment groups: (i) Active Control (non-nutrition, -physical activity (PA), -mental health); (ii) Standard Care (nutrition and PA); or (iii) Enhanced Care (nutrition and PA, plus cognitive behavioural techniques) programming. Efficacy was determined by assessing mean change by group in child outcomes using hierarchical linear regression models.Setting: Low-income, urban neighbourhoods in Columbus, OH, USA.ParticipantsEconomically disadvantaged, racial minority children of elementary school age (kindergarten-5th grade).Results: Eighty-seven child-caregiver dyads consented; eighty-one completed pre- and post-intervention assessments resulting in a 93·10 % retention rate. Delivery of the intended lesson occurred 79-90 % of the time. Of the children, 56·98 % (n 49) were female; 89·53 % (n 77) were Black. Overall mean change in BMI Z-score from baseline to post-intervention was -0·03 (se 0·05); change in BMI Z-score did not differ significantly between treatment group. Change in nutrition, PA, mental health or psychosocial outcomes did not differ between groups.Conclusions: Results from the current study demonstrate feasibility and fidelity, yet no intervention effect of Camp NERF. Instead, findings suggest that participation in structured programming of any type (health behaviour-related or not) may prevent unhealthy summer weight gain. Additional studies are needed to confirm findings. Results have implications for child nutrition policy addressing the issue of summer health. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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