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Effect of Hip Hop Nutrition-Math Curriculum

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT03952754
Recruitment Status : Recruiting
First Posted : May 16, 2019
Last Update Posted : July 15, 2020
Information provided by (Responsible Party):
Olajide Williams, Columbia University

Brief Summary:

This study is testing the efficacy of the integrative approach to:

  1. teach 5th grade children menu board calorie literacy as measured by our novel recently validated menu board calorie literacy (MBCL) instrument;
  2. provide strategies designed to improve food purchasing behaviors; and
  3. facilitate the transmission of core lesson messages from children to parents via a procedure that we have termed "Child Mediated Health Communication (CMHC)".

Condition or disease Intervention/treatment Phase
Health Behavior Behavioral: Hip Hop Nutrition-Math Curriculum Behavioral: Food Explorers Program Not Applicable

Detailed Description:

Data show that nearly 25% of children aged four to eight years consumed fast food on a typical day. These trends in fast food consumption are more acute among low-income urban dwellers where higher rates of overweight and childhood obesity are seen. This has led to a focus on providing fast food consumers with point-of-purchase nutrition information, such as the calorie posting mandates, in the hopes that these decision cues will help consumers make better informed dietary decisions. Most children chose their own meals at the point-of-purchase. It is clear that additional strategies are needed to encourage the point-of-purchase use of calorie postings, however available studies provide little insight into best practices or the types of approaches needed.

It is with this in mind that the investigator developed a school-based approach to improve point-of purchase use of calorie postings, by creating a novel intervention that targets menu board calorie literacy as a means of improving food-purchasing behaviors.

Hip Hop Nutrition-Math Curriculum is a novel behaviorally focused multimedia, musical school health rap toolkit that targets what we refer to as menu board calorie literacy. 4th grade common core math standards are integrated into the program in a manner that incorporates evidence-based nutrition education recommendations by the Institute of Medicine and the Centers for Disease Control and Prevention (CDC).

The investigator proposes to test the efficacy of the integrative approach on food purchasing behaviors of children in an adequately powered, controlled trial. The investigator will test the intervention in the after-school setting among economically disadvantaged children and incorporate parental engagement in our outcome evaluations. There is a partnership with New York City's largest after-school program vendor, New York Edge (formerly called Sports and Arts in Schools foundation/SASF), for the implementation of this study.

The goal of a health literacy intervention is to improve health decision-making and/or behavior. For this reason, the investigator will measure both menu board calorie literacy and food choice behavior at a point-of-purchase.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 560 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Effect of an Integrated Nutrition-math Curriculum to Improve Food-purchasing Behavior of Children
Actual Study Start Date : January 7, 2019
Estimated Primary Completion Date : January 30, 2023
Estimated Study Completion Date : June 30, 2023

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Group 2: Hip Hop Nutrition-Math Curriculum
The intervention group will receive an tailored program for ten weeks, meeting twice a week.
Behavioral: Hip Hop Nutrition-Math Curriculum
This program teaches children skills needed to understand restaurant-menu boards, how to make healthy food choices, while reinforcing the common core math concepts they are learning in school. The program consists of: 2 lessons a week, of about 1 hour each lesson, for a total of 20 lessons.
Other Name: Hip Hop Nutrition math-based education program

Active Comparator: Group 1: Food Explorers Program
The control group will receive the usual care for nutrition program provided by the schools, called Food Explorers. The group will also be conducted ten weeks, meeting twice a week.
Behavioral: Food Explorers Program
After-school program Food Explorers will represent "Usual Care". This program comprises food and exploration activities, familiarizing children with diverse foods, nutrition concepts, tasty recipes and physical activity.
Other Name: Food Explorers Curriculum

Primary Outcome Measures :
  1. Number of students with positive behavior change at Food Sales [ Time Frame: Within Year5 of the study ]

    Students will be tracked on the food purchases they make at "Food Sales" conducted through study.

    Each child will be given an identifiable food voucher for use at the Food Sale. However, point-of-purchase behaviors will be assessed with the children unaware that their food choices being tracked. The food categories range from low calorie/nutrient to high.

    A change from a purchase of a high-calorie/nutrient item to a low-calorie/nutrient item will indicate a positive behavior change.

Secondary Outcome Measures :
  1. Menu Board Calorie Literacy Score [ Time Frame: Baseline, Post-Intervention (approximately 10 Weeks), 3-Month Follow Up ]
    Content knowledge of students will be assessed by the total number of correct responses on the survey measures.

  2. Parental Nutritional Knowledge Score [ Time Frame: Baseline, Post-Intervention (approximately 10 Weeks), 3-Month Follow Up ]
    Nutrition knowledge score will be assessed using a 7-item questionnaire at Baseline, Immediately post intervention, and at 3-months post intervention. Changes in the composite score will be analyzed across each of the test sequences range of 0 - 7, with higher scores representing greater nutrition knowledge.

Other Outcome Measures:
  1. Exploratory Outcome Measures: BMI Percentiles [ Time Frame: Baseline, Post-Intervention (approximately 10 Weeks), 3-Month Follow Up ]
    The change in BMI percentiles from a high-index to low-index will indicate a change in BMI and program impact.

Information from the National Library of Medicine

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Ages Eligible for Study:   9 Years to 12 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • 5th grade student participating in the New York Edge after school program

Exclusion Criteria:

  • Absence of Internet access at home
  • No working phone line
  • Major psychiatric disability or medical condition that may affect participation (e.g., psychotic illness, terminal illness)
  • Non-English speaking students

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03952754

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Contact: Luisa G Chan, M.A. 212-342-3668
Contact: Vanessa Sawyer, RD 860-881-3881

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United States, New York
Columbia University Irving Medical Center Recruiting
New York, New York, United States, 10032
Contact: Luisa G Chan, MA    212-342-3668   
Sub-Investigator: James M Noble, MD         
Sub-Investigator: John Rausch, MD         
Principal Investigator: Olajide Williams, MD         
Sponsors and Collaborators
Columbia University
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Principal Investigator: Olajide Williams, MD Columbia University
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Responsible Party: Olajide Williams, Associate Professor of Neurology, Columbia University Identifier: NCT03952754    
Other Study ID Numbers: AAAR5173
First Posted: May 16, 2019    Key Record Dates
Last Update Posted: July 15, 2020
Last Verified: July 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Olajide Williams, Columbia University:
School Children