Design and methodology of a cluster-randomized trial in early care and education centers to meet physical activity guidelines: Sustainability via Active Garden Education (SAGE)

Rebecca Lee, Elizabeth Lorenzo, Jacob Szeszulski, Anel Arriola, Meredith Bruening, Paul A. Estabrooks, Jennie Hill, Flavio Marsiglia, Teresia O'Connor, Kim Sellers Pollins, Gabriel Shaibi, Erica Soltero, Michael Todd

Research output: Contribution to journalArticle

Abstract

Strategies are needed to help early care and education centers (ECEC) comply with policies to meet daily physical activity and fruit and vegetable guidelines for young children. This manuscript describes the design and methodology of Sustainability via Active Garden Education (SAGE), a 12-session cluster-randomized controlled crossover design trial using community-based participatory research (CBPR) to test a garden-based ECEC physical activity and fruit and vegetables promotion intervention for young children aged 3–5 years in 20 sites. The SAGE curriculum uses the plant lifecycle as a metaphor for human development. Children learn how to plant, water, weed, harvest, and do simple food preparation involving washing, cleaning, and sampling fruit and vegetables along with active learning songs, games, science experiments, mindful eating exercises, and interactive discussions to reinforce various healthy lifestyle topics. Parents will receive newsletters and text messages linked to the curriculum, describing local resources and events, and to remind them about activities and assessments. Children will be measured on physical activity, height, and weight and observed during meal and snack times to document dietary habits. Parents will complete measures about dietary habits outside of the ECEC, parenting practices, home physical activity resources, and home fruit and vegetable availability. SAGE fills an important void in the policy literature by employing a participatory strategy to produce a carefully crafted and engaging curriculum with the goal of meeting health policy guidelines and educational accreditation standards. If successful, SAGE may inform and inspire widespread dissemination and implementation to reduce health disparities and improve health equity.

Original languageEnglish (US)
Pages (from-to)8-18
Number of pages11
JournalContemporary Clinical Trials
Volume77
DOIs
StatePublished - Feb 1 2019

Fingerprint

Guidelines
Exercise
Education
Vegetables
Fruit
Curriculum
Feeding Behavior
Cross-Over Studies
Nonprofessional Education
Parents
Community-Based Participatory Research
Text Messaging
Snacks
Metaphor
Problem-Based Learning
Accreditation
Human Development
Music
Health Policy
Meals

Keywords

  • Child
  • Diet
  • Exercise
  • Health
  • Policy
  • Preschool

ASJC Scopus subject areas

  • Pharmacology (medical)

Cite this

Design and methodology of a cluster-randomized trial in early care and education centers to meet physical activity guidelines : Sustainability via Active Garden Education (SAGE). / Lee, Rebecca; Lorenzo, Elizabeth; Szeszulski, Jacob; Arriola, Anel; Bruening, Meredith; Estabrooks, Paul A.; Hill, Jennie; Marsiglia, Flavio; O'Connor, Teresia; Pollins, Kim Sellers; Shaibi, Gabriel; Soltero, Erica; Todd, Michael.

In: Contemporary Clinical Trials, Vol. 77, 01.02.2019, p. 8-18.

Research output: Contribution to journalArticle

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