Hannah G Lawman1, Xavier Lofton2, Sara Grossman2, Mica Root2, Meka Perez3, Gregory Tasian4, Anisha Patel5. 1. Philadelphia Department of Public Health, Philadelphia, PA, USA. Electronic address: Hannah.Lawman@phila.gov. 2. Philadelphia Department of Public Health, Philadelphia, PA, USA. 3. Philadelphia Department of Public Health, Philadelphia, PA, USA; Philadelphia Parks and Recreation Department, Philadelphia, PA, USA. 4. Children's Hospital of Philadelphia, Philadelphia, PA, USA. 5. School of Medicine, Stanford University, Stanford, CA, USA; Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, CA, USA.
Abstract
INTRODUCTION: Improving children's tap water intake and reducing sugar-sweetened beverage (SSB) consumption is beneficial for health and health equity, particularly in low-income communities and communities of color. Existing community level interventions to improve the intake of tap water have predominantly occurred in schools and have focused on promoting water consumption in cafeterias during lunch or snack periods. METHODS: The "Hydrate Philly" intervention was developed to target multiple environmental and social factors to improve tap water consumption in community recreation centers in low-income communities: replacing old and unappealing water fountains with appealing water-bottle-filling "hydration stations", conducting water safety testing and publicizing results, disseminating reusable water bottles, promoting tap water, and discouraging SSB consumption. Efficacy of the intervention will be tested through a group-randomized controlled trial (n = 28 centers) of the intervention's impact on center-level water fountain/station use as measured by flow meters during a youth summer camp program primarilyfor children aged 6-12 years. Intervention impact on the primary outcome (use of drinking water sources) will be examined with a difference-in-differences approach using an ordinary least squares regression model for analysis at the center level. Secondary outcomes include SSBs brought to summer camp, reusable and single-use bottled water use, program trash, and recreation center staff SSB consumption. DISCUSSION: Multilevel approaches are needed to increase tap water intake and decrease SSB consumption among low-income and minority youth beyond school and meal settings. The current study describes the Hydrate Philly intervention, the study design, and baseline characteristics of recreation centers participating in the study. ClinicalTrials.gov Registration: #NCT03637465.
RCT Entities:
INTRODUCTION: Improving children's tapwater intake and reducing sugar-sweetened beverage (SSB) consumption is beneficial for health and health equity, particularly in low-income communities and communities of color. Existing community level interventions to improve the intake of tapwater have predominantly occurred in schools and have focused on promoting water consumption in cafeterias during lunch or snack periods. METHODS: The "Hydrate Philly" intervention was developed to target multiple environmental and social factors to improve tapwater consumption in community recreation centers in low-income communities: replacing old and unappealing water fountains with appealing water-bottle-filling "hydration stations", conducting water safety testing and publicizing results, disseminating reusable water bottles, promoting tapwater, and discouraging SSB consumption. Efficacy of the intervention will be tested through a group-randomized controlled trial (n = 28 centers) of the intervention's impact on center-level water fountain/station use as measured by flow meters during a youth summer camp program primarily for children aged 6-12 years. Intervention impact on the primary outcome (use of drinking water sources) will be examined with a difference-in-differences approach using an ordinary least squares regression model for analysis at the center level. Secondary outcomes include SSBs brought to summer camp, reusable and single-use bottled water use, program trash, and recreation center staff SSB consumption. DISCUSSION: Multilevel approaches are needed to increase tapwater intake and decrease SSB consumption among low-income and minority youth beyond school and meal settings. The current study describes the Hydrate Philly intervention, the study design, and baseline characteristics of recreation centers participating in the study. ClinicalTrials.gov Registration: #NCT03637465.
Authors: Stephen J Onufrak; Sohyun Park; Joseph R Sharkey; Caitlin Merlo; Wesley R Dean; Bettylou Sherry Journal: J Sch Health Date: 2014-03 Impact factor: 2.118
Authors: John C Peters; Holly R Wyatt; Gary D Foster; Zhaoxing Pan; Alexis C Wojtanowski; Stephanie S Vander Veur; Sharon J Herring; Carrie Brill; James O Hill Journal: Obesity (Silver Spring) Date: 2014-06 Impact factor: 5.002
Authors: Michelle R Lent; Stephanie Vander Veur; Giridhar Mallya; Tara A McCoy; Timothy A Sanders; Lisa Colby; Colleen Rauchut Tewksbury; Hannah G Lawman; Brianna Sandoval; Sandy Sherman; Judith Wylie-Rosett; Gary D Foster Journal: Public Health Nutr Date: 2014-08-13 Impact factor: 4.022