Optimizing the Impact of the Healthy School Recognized Campus Program on Youth's CVD Risk Factors (HSRC)

Texas A&M University

Status: Completed

Conditions: Physical Activity; Nutrition; Cardiovascular Diseases

Treatments: Behavioral: Mentoring Program; Behavioral: Enhanced Engagement; Behavioral: Enhanced Resources

Study type: Interventional

Funder types: Other

Identifiers

NCT05977959

AHA HSRC

Details and patient eligibility

About

Healthy School Recognized Campus is a Texas A&M AgriLife Extension initiative that supports the delivery of school-based physical activity and nutrition programs for diverse youth across Texas. The purpose of this study is to improve the delivery of these programs and optimize the effect they have on youth's cardiovascular risk factors.

Full description

The investigators will conduct a group randomized factorial trial using the Multiphase Optimization STrategy (MOST) framework to evaluate the impact (i.e., implementation and effectiveness) of three implementation strategies on program implementation and youth's cardiovascular disease risk. HSRC is a Texas A&M AgriLife Extension initiative that supports the delivery of school-based physical activity and nutrition programs.

Elementary schools in North and East Texas (n=16) of similar socio-economic status will be randomized at baseline to receive either 3, 2, 1, or no strategies to support HSRC program implementation. All schools will participate in HSRC during the full school year.

The investigators hypothesize that one strategy will result in significantly greater HSRC implementation and effectiveness than the other strategies tested.

Enrollment: 159 patients

Sex: All

Ages: 10 to 14 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

School Inclusion Criteria:

• located in North and East Texas
• Public elementary school

Student Inclusion Criteria"

• at least 10 years old by September 1, 2023 (2024 for the 2024-2025 school year)
• enrolled in the 5th or 6th grade
• able to read, speak, and write in English

Exclusion Criteria:

• any motor or cognitive impairments or other health conditions that would prevent them from completing a physical assessment

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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159 participants in 8 patient groups

Mentoring Program

Experimental group

Description:

Participants in this group will receive the Mentoring Program strategy in addition to Healthy School Recognized Campus.

Treatment:

Behavioral: Mentoring Program

Enhanced Resources

Experimental group

Description:

Participants in this group will receive the Enhanced Resources strategy in addition to Healthy School Recognized Campus.

Treatment:

Behavioral: Enhanced Resources

Enhanced Engagement

Experimental group

Description:

Participants in this group will receive the Enhanced Engagement strategy in addition to Healthy School Recognized Campus.

Treatment:

Behavioral: Enhanced Engagement

No Intervention

No Intervention group

Description:

All schools will participate in the HSRC initiative. The requirements for the initiative are to complete a school-wide walking program, 1 youth, and 1 adult program from a list of available programs that make up the initiative.

Mentoring + Enhanced Resources

Experimental group

Description:

Participants in this group will receive the Mentoring Program and Enhanced Resources strategies in addition to Healthy School Recognized Campus.

Treatment:

Behavioral: Enhanced Resources

Behavioral: Mentoring Program

Mentoring + Enhanced Engagement

Experimental group

Description:

Participants in this group will receive the Mentoring Program and Enhanced Engagement strategies in addition to Healthy School Recognized Campus.

Treatment:

Behavioral: Enhanced Engagement

Behavioral: Mentoring Program

Enhanced Resources + Enhanced Engagement

Experimental group

Description:

Participants in this group will receive the Enhanced Resources and Enhanced Engagement strategies in addition to Healthy School Recognized Campus.

Treatment:

Behavioral: Enhanced Resources

Behavioral: Enhanced Engagement

Mentoring + Enhanced Resources + Enhanced Engagement

Experimental group

Description:

Participants in this group will receive the Mentoring Program, Enhanced Resources, and Enhanced Engagement strategies in addition to Healthy School Recognized Campus.

Treatment:

Behavioral: Enhanced Resources

Behavioral: Enhanced Engagement

Behavioral: Mentoring Program