Trial reportAmerican journal of health promotion : AJHP2016
Making Healthy Eating Policy Practice: A Group Randomized Controlled Trial on Changes in Snack Quality, Costs, and Consumption in After-School Programs.
Trial report in American journal of health promotion : AJHP, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Opportunities in the Extended Day: Approaches for Promoting Physical Activity and Healthy Eating During Out-of-School Time.The Journal of school health · 2023Pooled it
- Interventions to Promote Healthy Meals in Full-Service Restaurants and Canteens: A Systematic Review and Meta-Analysis.Nutrients · 2021Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2020Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2019Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2018Pooled it
- Impact of the Out-of-School Nutrition and Physical Activity (OSNAP) Group Randomized Controlled Trial on Children's Food, Beverage, and Calorie Consumption among Snacks Served.Journal of the Academy of Nutrition and Dietetics · 2018Trial
- Economic evaluation of a group randomized controlled trial on healthy eating and physical activity in afterschool programs.Preventive medicine · 2018Trial
- Two-Year Healthy Eating Outcomes: An RCT in Afterschool Programs.American journal of preventive medicine · 2017Trial
- Process Evaluation of Making HEPA Policy Practice: A Group Randomized Trial.Health promotion practice · 2016Trial
- Intervention leads to improvements in the nutrient profile of snacks served in afterschool programs: a group randomized controlled trial.Translational behavioral medicine · 2016Trial
- Making healthy eating and physical activity policy practice: process evaluation of a group randomized controlled intervention in afterschool programs.Health education research · 2015Trial
- Food provision and healthy eating environments in before school care: an observational study.Public health nutrition · 2025Observational
- 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2024Review
- Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association.Circulation · 2023Review
- Foods and beverages provided in out of school hours care services: an observational study.BMC public health · 2022Observational
- Heart Disease and Stroke Statistics-2021 Update: A Report From the American Heart Association.Circulation · 2021Article
- Healthy eating and physical activity environments in out-of-school hours care: an observational study protocol.BMJ open · 2020Article
- The application of mHealth to monitor implementation of best practices to support healthy eating and physical activity in afterschool programs.Global health promotion · 2020Article
- Development and Validation of the Policies, Opportunities, Initiatives and Notable Topics (POINTS) Audit for Campuses and Worksites.International journal of environmental research and public health · 2019Article
- Identifying Strategies Programs Adopt to Meet Healthy Eating and Physical Activity Standards in Afterschool Programs.Health education & behavior : the official publication of the Society for Public Health Education · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
purposeThe aim of this study was to evaluate an intervention designed to assist after-school programs (ASPs) in meeting snack nutrition policies that specify that a fruit or vegetable be served daily and sugar-sweetened beverages/foods and artificially flavored foods eliminated.
designThe study used a 1-year group-randomized controlled trial.
settingThe study took place in ASPs operating in South Carolina, United States. SUBJECTS: Twenty ASPs serving over 1700 children were recruited, match-paired postbaseline on enrollment size and days fruits/vegetables were served per week, and randomized to either intervention (n = 10) or control (n = 10) groups.
interventionThe study used Strategies To Enhance Practice for Healthy Eating (STEPs-HE), a multistep adaptive intervention framework that assists ASP leaders and staff to serve snacks that meet nutrition policies while maintaining cost. MEASURES: Direct observation of snacks served and consumed and monthly snack expenditures as determined by receipts were used. ANALYSIS: The study used nonparametric and mixed-model repeated measures.
resultsBy postassessment, intervention ASPs increased serving of fruits/vegetables to 3.9 ± 2.1 vs. 0.7 ± 1.7 d/wk and decreased serving sugar-sweetened beverages to 0.1 ± 0.7 vs. 1.8 ± 2.4 d/wk and sugar-sweetened foods to 0.3 ± 1.1 vs. 2.7 ± 2.5 d/wk compared to controls, respectively. Cost of snacks increased by $0.02/snack in the intervention ASPs ($0.36 to $0.38) compared to a $0.01 per snack decrease in the control group ($0.39 to $0.38). Across both assessments and groups, 80% to 100% of children consumed FVs.
conclusionsThe STEPs-HE intervention can assist ASPs in meeting nationally endorsed nutrition policies with marginal increases in cost.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.