Process Evaluation of Making HEPA Policy Practice

Weaver, R. Glenn; Moore, Justin B.; Huberty, Jennifer; Freedman, Darcy A.; Turner‐McGrievy, Brie; Beighle, Aaron; Ward, Dianne S.; Pate, Russell R.; Saunders, Ruth P.; Brazendale, Keith; Chandler, Jessica; Ajja, Rahma; Kyryliuk, Becky; Beets, Michael W.

doi:10.1177/1524839916647331

Cited by 13 publications

(16 citation statements)

References 39 publications

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“…As detailed in the process evaluation, [39, 40] during spring 2015 (the only year of intervention for the delayed group) 9 of the 10 delayed ASPs reduced their schedule PA opportunities to no more than 60 minutes/day and 5 of them allowed children to select a sedentary activity, such as using the computer lab, during this time. Two recent study show that extending the time allocated for PA [53] and not allowing children to select an inactive activity [54] were associated with higher levels of MVPA and less time spent sedentary in ASPs.…”

Section: Discussionmentioning

confidence: 99%

Physical activity outcomes in afterschool programs: A group randomized controlled trial

Beets

Weaver

Turner‐McGrievy

et al. 2016

Preventive Medicine

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Introduction Afterschool programs (ASPs) across the US are working towards achieving the standard of all children accumulating 30minutes of moderate-to-vigorous physical activity (MVPA) during program time. This study describes the two-year impact of an intervention designed to assist ASPs meeting the 30min/d MVPA standard. Methods Using a two-year delayed treatment, group randomized controlled trial, 20 ASPs serving ~1,700 children/year (6–12yrs) were randomized to either an immediate (n=10, baseline-2013 and 2yrs intervention fall-2013-to-spring-2015) or delayed group (n=10, baseline 2013–2014 and 1yr intervention fall-2014-to-spring-2015). The intervention, Strategies-To-Enhance-Practice (STEPs), focused on programming MVPA in the daily schedule, training of staff and leaders, and ongoing technical support/assistance. Accelerometry-derived proportion of children meeting the 30min/d MVPA standard was measured in the spring of each year. Mixed model logistic regressions were used to examine the change in the odds of achieving the MVPA standard. Analyses were conducted in 2015. Data were collected in one southeastern US state. Results Immediate boys (n=677) and delayed girls (n=658) increased the percent achieving 30min MVPA/d from 35.9% to 47.0% (odds ratio [OR]=1.88, 95%CI 1.18–3.00) and 13.1% to 19.1% (OR=1.42, 95%CI 1.03–1.96). Immediate girls (n=613) and delayed boys (n=687) exhibited a nonsignificant increase from 19.1% to 21.6% (OR=1.20, 95%CI 0.84–1.72) and 29.0% to 31.3% (OR=1.13, 95%CI 0.80–1.58). Conclusions STEPs can have an impact on children’s MVPA and time spent sedentary, yet was unable to fully achieve the goal of all children accumulating 30min MVPA/d. Additional efforts are need to identify strategies ASPs can use to meet this important public health standard.

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Section: Discussionmentioning

confidence: 99%

Physical activity outcomes in afterschool programs: A group randomized controlled trial

Beets

Weaver

Turner‐McGrievy

et al. 2016

Preventive Medicine

Self Cite

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“…Teachers were determined to be in the high group if their index score for that strategy was above the median index score across teachers. Index scores were created by summing baseline, outcome, and change from baseline to outcome in the percentage of time a strategy was observed during PE lessons (Weaver, Moore, et al, 2016).…”

Section: Methodsmentioning

confidence: 99%

Initial Outcomes of a Participatory-Based, Competency-Building Approach to Increasing Physical Education Teachers’ Physical Activity Promotion and Students’ Physical Activity: A Pilot Study

et al. 2017

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This study examined the initial effects of a participatory-based, competency-/skill-building professional development workshop for physical education (PE) teachers on the use of physical activity (PA) promotion practices (e.g., eliminating lines, small-sided games) and students' moderate-to-vigorous physical activity (MVPA). A total of 823 students (52.8% boys) wore accelerometers at baseline (fall 2015) and outcome (spring 2016) on PE and non-PE days. The System for Observing Fitness Instruction Time+ measured changes in PA promotion practices. Teachers ( n = 9) attended a 90-minute workshop prior to outcome data collection. Mixed-model linear regressions estimated changes in teacher practices and students' MVPA. Three of the nine targeted PA promotion practices changed in the desired direction (i.e., p < .05; increased motor content and lessons taught outdoors, reduced activities with lines), with three more teacher practices trending in the desired direction (i.e., reduced management time and activities with elimination, increased small-sided games). During PE, boys and girls increased MVPA by 2.0 (95% confidence interval [1.1, 3.0]), and 1.3 (95% confidence interval [0.5-2.0]) minutes, respectively. However, there were no statistically significant changes in boys' or girls' MVPA during the school day. Greater implementation of promotion practices by the PE teachers was associated with boys', but not girls', MVPA during PE. Girls in high- and low-implementing teachers' lessons experienced increases in MVPA, suggesting that even small changes in PA promotion practices can increase girls' MVPA during PE. Overall, the workshops were effective at increasing teachers' PA promotion and students' MVPA in PE. Other school-based strategies that complement and extend efforts targeting PE are recommended to increase children's total daily PA.

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“…Similar results have been documented in structured, staff-led after-school programs, with many programs failing to provide fruits, vegetables, and water on a regular basis and demonstrating challenges meeting PA guidelines [ 16 , 27 ]. Studies of health policy implementation in staff-led OST programs have revealed improved nutrition and PA outcomes, suggesting volunteer-led OST programs could also benefit from such interventions [ 28 , 29 ]. Yet to date, interventions to promote nutrition and PA guidelines to volunteer-led OST programs have not been undertaken.…”

Section: Discussionmentioning

confidence: 99%

Snacks, beverages, and physical activity during volunteer-led out-of-school-time programs: a cross-sectional analysis

et al. 2017

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BackgroundTens of millions of children regularly participate in out-of-school-time (OST) programs, providing an opportunity for child health promotion. Most research on OST has focused on structured, staff-led after-school programs, as opposed to volunteer-led programs such as enrichment programs and youth sports. The aim of this study was to describe snacks, beverages, and physical activity (PA) practices in volunteer-led OST programs across five organizations in three states.MethodsAn online survey including the Out-of-School-Time Snacks, Beverages, and Physical Activity Questionnaire was distributed to 1,695 adult leaders of enrichment and youth sports programs serving 5–12 year-old children in Maine, Massachusetts, and New Hampshire, USA. The response rate was 57.8%, with 980 leaders participating and 698 (136 youth sports, 562 enrichment) remaining after data cleaning procedures. Frequencies were calculated to describe snack, beverage, and PA offerings during typical meetings and whether healthy snack, beverage, and PA criteria were met. Criteria were developed a priori with the intent to capture co-occurring practices that together indicate healthy snack (fruits and vegetables or no snack over salty/sweet snacks); beverage (water over sugar-sweetened beverages); and PA environments (regular opportunities for >15 or 45 min of PA in enrichment and sports programs, respectively).ResultsAbout half of enrichment leaders reported that snacks and beverages were provided during typical meetings vs. one-fifth of sports leaders. In 28.4% of enrichment programs, PA was offered at every meeting vs. 98.5% of sports programs. Among enrichment programs, 50.4 and 25.8% met healthy snack and beverage criteria, respectively, and 29.4% met PA criteria, with 27.6% meeting criteria in two or more areas, and 5.0% in all three. Among sports programs, 72.8 and 78.7% met healthy snack and beverage criteria, respectively, and 71.3% met PA criteria. Eighty-two percent met criteria in two or more areas, and 46.3% met criteria in all three.ConclusionsMost programs did not meet criteria for healthier snacks and beverages and opportunities for PA during typical meetings, indicating room for improvement in encouraging widespread adoption of these practices. Efforts to improve the healthfulness of snacks and beverages and increase opportunities for PA during volunteer-led OST programs are warranted.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4040-2) contains supplementary material, which is available to authorized users.

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Process Evaluation of Making HEPA Policy Practice

Cited by 13 publications

References 39 publications

Physical activity outcomes in afterschool programs: A group randomized controlled trial

Physical activity outcomes in afterschool programs: A group randomized controlled trial

Initial Outcomes of a Participatory-Based, Competency-Building Approach to Increasing Physical Education Teachers’ Physical Activity Promotion and Students’ Physical Activity: A Pilot Study

Snacks, beverages, and physical activity during volunteer-led out-of-school-time programs: a cross-sectional analysis

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