Turn up the HEAT - Healthy Eating and Activity Time in Summer Day Camps (HEPA)

• ClinicalTrials.gov Identifier: NCT02161809
• Recruitment Status: Completed
• First Posted: June 12, 2014
• Last Update Posted: November 18, 2020
• Sponsor: University of South Carolina
• Information provided by (Responsible Party): Michael Beets, University of South Carolina

Study Description

Brief Summary:

The investigators long-term goal is to increase the number of Summer Day Camps (SDC) that meet the National Afterschool Association Healthy Eating and Physical Activity (HEPA) Standards. The objective is to evaluate the effectiveness of a multi-component intervention designed to increase children's PA levels and improve the quality of lunches and snacks children consume in SDCs. The HEPA intervention is designed to target children, parents, staff, program leaders, and the SDC environment and uses a train-the-trainer model with SDC leaders to train their staff to deliver and integrate the intervention into routine practice. In the proposed study, the investigators will evaluate these HEPA strategies, using a 4-year randomized controlled trial with 20 SDCs. An important feature of the study will be the evaluation of maintenance of the intervention after the removal of research support (e.g., training, boosters) during the final year, as well as costs associated with implementation.

The investigators hypothesize that intervention SDCs will achieve significantly greater increases in HEPA, compared to control SDCs. The investigators expect the study to support the cost-effectiveness and maintenance of our strategies for promoting HEPA that will facilitate SDCs meeting newly-established HEPA standards for this setting.

Condition or disease	Intervention/treatment	Phase
Childhood Obesity	Behavioral: Healthy Eating and Physical Activity	Not Applicable

Detailed Description:

The investigators aim to:

Evaluate the impact of the HEPA interventions on: 1.) The proportion of children meeting the PA Standard (i.e., ≥60min MVPA/d) while attending summer day camp; 2.) The proportion of foods (e.g., fruit, vegetable, water) children and staff bring and consume at the summer day camp that meet the HE Standards; and 3/) Changes in children's age-sex specific BMI percentile from the start to end of summer

Evaluate the cost-effectiveness of the HEPA intervention

Evaluate the maintenance of the HEPA intervention in summer day camps

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 1000 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Primary Purpose: Other
• Official Title: Turn up the HEAT - Healthy Eating and Activity Time in Summer Day Camps
• Study Start Date: January 2015
• Actual Primary Completion Date: August 2018
• Actual Study Completion Date: August 2018

Arms and Interventions

Arm	Intervention/treatment
Experimental: Physical Activity Intervention; This arm (10 summer day camps) will receive the Physical Activity intervention the first year and both healthy eating and physical activity the second and thrid years.	Behavioral: Healthy Eating and Physical Activity; The Healthy Eating and Physical Activity (HEPA) intervention aims to increase the quality of foods and beverages and physical activity opportunities in summer day camps. Through staff-level training, physical activity opportunities are modified to provide children with a substantial amount of meaningful physical activity. Through working with foods service providers, changes to the types of foods and beverages served will be made.; Other Name: HEPA
Healthy EAting Intervention; This arm (10 summer day camps) will receive the Healthy Eating intervention the first year and both healthy eating and physical activity the second and thrid years.	Behavioral: Healthy Eating and Physical Activity; The Healthy Eating and Physical Activity (HEPA) intervention aims to increase the quality of foods and beverages and physical activity opportunities in summer day camps. Through staff-level training, physical activity opportunities are modified to provide children with a substantial amount of meaningful physical activity. Through working with foods service providers, changes to the types of foods and beverages served will be made.; Other Name: HEPA

Outcome Measures

Primary Outcome Measures :

1. Changes in percentage of children meeting 60min of MVPA [ Time Frame: Year 1 - Year 4 ]
   Changes in percentage of children at each summer day camp that meet the National Afterschool Alliance Standard of 60 minutes of moderate-to-vigorous physical activity daily.

Secondary Outcome Measures :

1. Change in percentage of children bringing/consuming healthy foods/beverages [ Time Frame: Year 1 - Year 4 ]
   Trained observers will record the foods/beverages brought/consumed at SDC - snacks and lunches

Eligibility Criteria

• Ages Eligible for Study: 6 Years to 14 Years (Child)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

• Summer Day camps will be eligible if:
• They operate for at least 10 weeks during the summer
• They do not have any primary focus such as sports, art, or tutoring (must be a general camp)
• Enrollment is at least 40 campers
• Operation hours are at least 8 hours.

Exclusion Criteria:

• Children will be unable to wear an activity monitor if experience any physical and/or orthopedic impairment that limits the child's ability to participate in regular PA (e.g., wheelchair user)

Contacts and Locations

Locations

United States, South Carolina

University of South Carolina

Columbia, South Carolina, United States, 29201

Sponsors and Collaborators

University of South Carolina

Investigators

• Principal Investigator: Michael W Beets, PhD; University of South Carolina

More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Weaver RG, Brazendale K, Chandler JL, Turner-McGrievy GM, Moore JB, Huberty JL, Ward DS, Beets MW. First year physical activity findings from turn up the HEAT (Healthy Eating and Activity Time) in summer day camps. PLoS One. 2017 Mar 28;12(3):e0173791. doi: 10.1371/journal.pone.0173791. eCollection 2017.

• Responsible Party: Michael Beets, Principal Investigator, University of South Carolina
• ClinicalTrials.gov Identifier: NCT02161809
• Other Study ID Numbers: Pro00032881
• First Posted: June 12, 2014
• Last Update Posted: November 18, 2020
• Last Verified: November 2020

Keywords provided by Michael Beets, University of South Carolina:

MVPA; Healthy Eating; children; childhood obesity

Additional relevant MeSH terms:

Pediatric Obesity; Obesity; Overnutrition; Nutrition Disorders; Overweight; Body Weight