Two-Year Healthy Eating Outcomes: An RCT in Afterschool Programs

Michael W. Beets, R. Glenn Weaver, Gabrielle Turner-McGrievy, Jennifer Huberty, Justin B. Moore, Dianne S. Ward, Darcy A. Freedman, Aaron Beighle

    Research output: Contribution to journalArticle

    6 Citations (Scopus)

    Abstract

    Introduction: Across the U.S., afterschool programs (ASPs, 3:00. pm-6:00. pm) are trying to achieve nationally endorsed nutrition standards (Healthy Eating Standards) calling for fruits/vegetables and water to be served every day, while eliminating sugar-sweetened beverages and foods. The purpose of this study was to evaluate the 2-year changes in the types of foods and beverages served during a community-based intervention designed to achieve the Healthy Eating Standards. Study design: Randomized delayed treatment trial with an immediate (1-year baseline and 2-year intervention) or delayed (2-year baseline and 1-year intervention) group. Setting/participants: Twenty ASPs serving 1,700 children (aged 5-12 years) were recruited, with baseline occurring spring 2013, and outcome assessment occurring spring 2014 and 2015. Intervention: The multistep intervention, Strategies To Enhance Practice for Healthy Eating, assisted ASP leaders/staff to serve foods/beverages that meet the nutrition standards. Main outcome measures: The foods and beverages served for snack were observed directly. Results: Compared with non-intervention years, both the immediate and delayed groups increased the number of days/week that fruits/vegetables (0.6 vs 1.7 days/week and 0.6 vs 4.4 days/week, OR=3.80, 95% CI=1.45, 9.95) and water (2.3 vs 3.7 days/week and 2.7 vs 4.8 days/week, OR=4.65, 95% CI=1.69, 12.79) were served. Sugar-sweetened beverages were almost eliminated by post-assessment (1.2 vs 0.2 days/week and 3.2 vs 0.0 days/week, OR=0.05, 95% CI=0.02, 0.13). Only the immediate group decreased the number of days/week desserts were served (2.9 vs 0.6 days/week, OR=0.10, 95% CI=0.03, 0.33). Implementation barriers for the delayed group included once/month delivery schedules for fruits/vegetables and limited storage space for foods meeting the Healthy Eating Standards. Conclusions: Improvements in the foods/beverages served in ASPs can be made, yet were hindered by structural barriers related to procurement and storage of perishable foods. Additional efforts are needed to support ASPs as they work toward fully achieving the Healthy Eating Standards.

    Original languageEnglish (US)
    JournalAmerican Journal of Preventive Medicine
    DOIs
    StateAccepted/In press - 2017

    Fingerprint

    Food and Beverages
    Food Storage
    Vegetables
    Fruit
    Outcome Assessment (Health Care)
    Snacks
    Water
    Beverages
    Healthy Diet
    Appointments and Schedules

    ASJC Scopus subject areas

    • Epidemiology
    • Public Health, Environmental and Occupational Health

    Cite this

    Beets, M. W., Weaver, R. G., Turner-McGrievy, G., Huberty, J., Moore, J. B., Ward, D. S., ... Beighle, A. (Accepted/In press). Two-Year Healthy Eating Outcomes: An RCT in Afterschool Programs. American Journal of Preventive Medicine. https://doi.org/10.1016/j.amepre.2017.03.009

    Two-Year Healthy Eating Outcomes : An RCT in Afterschool Programs. / Beets, Michael W.; Weaver, R. Glenn; Turner-McGrievy, Gabrielle; Huberty, Jennifer; Moore, Justin B.; Ward, Dianne S.; Freedman, Darcy A.; Beighle, Aaron.

    In: American Journal of Preventive Medicine, 2017.

    Research output: Contribution to journalArticle

    Beets, Michael W. ; Weaver, R. Glenn ; Turner-McGrievy, Gabrielle ; Huberty, Jennifer ; Moore, Justin B. ; Ward, Dianne S. ; Freedman, Darcy A. ; Beighle, Aaron. / Two-Year Healthy Eating Outcomes : An RCT in Afterschool Programs. In: American Journal of Preventive Medicine. 2017.
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    abstract = "Introduction: Across the U.S., afterschool programs (ASPs, 3:00. pm-6:00. pm) are trying to achieve nationally endorsed nutrition standards (Healthy Eating Standards) calling for fruits/vegetables and water to be served every day, while eliminating sugar-sweetened beverages and foods. The purpose of this study was to evaluate the 2-year changes in the types of foods and beverages served during a community-based intervention designed to achieve the Healthy Eating Standards. Study design: Randomized delayed treatment trial with an immediate (1-year baseline and 2-year intervention) or delayed (2-year baseline and 1-year intervention) group. Setting/participants: Twenty ASPs serving 1,700 children (aged 5-12 years) were recruited, with baseline occurring spring 2013, and outcome assessment occurring spring 2014 and 2015. Intervention: The multistep intervention, Strategies To Enhance Practice for Healthy Eating, assisted ASP leaders/staff to serve foods/beverages that meet the nutrition standards. Main outcome measures: The foods and beverages served for snack were observed directly. Results: Compared with non-intervention years, both the immediate and delayed groups increased the number of days/week that fruits/vegetables (0.6 vs 1.7 days/week and 0.6 vs 4.4 days/week, OR=3.80, 95{\%} CI=1.45, 9.95) and water (2.3 vs 3.7 days/week and 2.7 vs 4.8 days/week, OR=4.65, 95{\%} CI=1.69, 12.79) were served. Sugar-sweetened beverages were almost eliminated by post-assessment (1.2 vs 0.2 days/week and 3.2 vs 0.0 days/week, OR=0.05, 95{\%} CI=0.02, 0.13). Only the immediate group decreased the number of days/week desserts were served (2.9 vs 0.6 days/week, OR=0.10, 95{\%} CI=0.03, 0.33). Implementation barriers for the delayed group included once/month delivery schedules for fruits/vegetables and limited storage space for foods meeting the Healthy Eating Standards. Conclusions: Improvements in the foods/beverages served in ASPs can be made, yet were hindered by structural barriers related to procurement and storage of perishable foods. Additional efforts are needed to support ASPs as they work toward fully achieving the Healthy Eating Standards.",
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    T2 - An RCT in Afterschool Programs

    AU - Beets, Michael W.

    AU - Weaver, R. Glenn

    AU - Turner-McGrievy, Gabrielle

    AU - Huberty, Jennifer

    AU - Moore, Justin B.

    AU - Ward, Dianne S.

    AU - Freedman, Darcy A.

    AU - Beighle, Aaron

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    N2 - Introduction: Across the U.S., afterschool programs (ASPs, 3:00. pm-6:00. pm) are trying to achieve nationally endorsed nutrition standards (Healthy Eating Standards) calling for fruits/vegetables and water to be served every day, while eliminating sugar-sweetened beverages and foods. The purpose of this study was to evaluate the 2-year changes in the types of foods and beverages served during a community-based intervention designed to achieve the Healthy Eating Standards. Study design: Randomized delayed treatment trial with an immediate (1-year baseline and 2-year intervention) or delayed (2-year baseline and 1-year intervention) group. Setting/participants: Twenty ASPs serving 1,700 children (aged 5-12 years) were recruited, with baseline occurring spring 2013, and outcome assessment occurring spring 2014 and 2015. Intervention: The multistep intervention, Strategies To Enhance Practice for Healthy Eating, assisted ASP leaders/staff to serve foods/beverages that meet the nutrition standards. Main outcome measures: The foods and beverages served for snack were observed directly. Results: Compared with non-intervention years, both the immediate and delayed groups increased the number of days/week that fruits/vegetables (0.6 vs 1.7 days/week and 0.6 vs 4.4 days/week, OR=3.80, 95% CI=1.45, 9.95) and water (2.3 vs 3.7 days/week and 2.7 vs 4.8 days/week, OR=4.65, 95% CI=1.69, 12.79) were served. Sugar-sweetened beverages were almost eliminated by post-assessment (1.2 vs 0.2 days/week and 3.2 vs 0.0 days/week, OR=0.05, 95% CI=0.02, 0.13). Only the immediate group decreased the number of days/week desserts were served (2.9 vs 0.6 days/week, OR=0.10, 95% CI=0.03, 0.33). Implementation barriers for the delayed group included once/month delivery schedules for fruits/vegetables and limited storage space for foods meeting the Healthy Eating Standards. Conclusions: Improvements in the foods/beverages served in ASPs can be made, yet were hindered by structural barriers related to procurement and storage of perishable foods. Additional efforts are needed to support ASPs as they work toward fully achieving the Healthy Eating Standards.

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