Trial reportAmerican journal of preventive medicine2017
Two-Year Healthy Eating Outcomes: An RCT in Afterschool Programs.
Trial report in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 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
12 citing papers in PubMed, 4 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
- Identification and Evaluation of Tools Utilised for Measuring Food Provision in Childcare Centres and Primary Schools: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Interventions to increase the consumption of water among children: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2020Pooled it
- Factors associated with water consumption among children: a systematic review.The international journal of behavioral nutrition and physical activity · 2019Pooled it
- Development and Testing of an Out-of-School Hours Care Professional Development Program: A Pilot Cluster Randomised Controlled Trial.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Trial
- 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
- Food provision and healthy eating environments in before school care: an observational study.Public health nutrition · 2025Observational
- Peer education program to improve fluid consumption in primary schools-lessons learned from an innovative pilot study.Heliyon · 2024Article
- Foods and beverages provided in out of school hours care services: an observational study.BMC public health · 2022Observational
- Promoting Healthy Environments In Afterschool Settings: The LiveWell Greenville Afterschool Initiative.Preventing chronic disease · 2018Article
- Survey of Afterschool Programs Suggests Most Offer Fruit and Vegetables Daily.Preventing chronic disease · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
introductionAcross the U.S., afterschool programs (ASPs, 3:00pm-6:00pm) are trying to achieve nationally endorsed nutrition standards (Healthy Eating Standards) calling for fruits/vegetables and water to be served every day, while eliminating sugar-sweetened beverages and foods. The purpose of this study was to evaluate the 2-year changes in the types of foods and beverages served during a community-based intervention designed to achieve the Healthy Eating Standards. STUDY
designRandomized delayed treatment trial with an immediate (1-year baseline and 2-year intervention) or delayed (2-year baseline and 1-year intervention) group. SETTING/
participantsTwenty ASPs serving 1,700 children (aged 5-12 years) were recruited, with baseline occurring spring 2013, and outcome assessment occurring spring 2014 and 2015.
interventionThe multistep intervention, Strategies To Enhance Practice for Healthy Eating, assisted ASP leaders/staff to serve foods/beverages that meet the nutrition standards.
main outcome measuresThe foods and beverages served for snack were observed directly.
resultsCompared with non-intervention years, both the immediate and delayed groups increased the number of days/week that fruits/vegetables (0.6 vs 1.7 days/week and 0.6 vs 4.4 days/week, OR=3.80, 95% CI=1.45, 9.95) and water (2.3 vs 3.7 days/week and 2.7 vs 4.8 days/week, OR=4.65, 95% CI=1.69, 12.79) were served. Sugar-sweetened beverages were almost eliminated by post-assessment (1.2 vs 0.2 days/week and 3.2 vs 0.0 days/week, OR=0.05, 95% CI=0.02, 0.13). Only the immediate group decreased the number of days/week desserts were served (2.9 vs 0.6 days/week, OR=0.10, 95% CI=0.03, 0.33). Implementation barriers for the delayed group included once/month delivery schedules for fruits/vegetables and limited storage space for foods meeting the Healthy Eating Standards.
conclusionsImprovements in the foods/beverages served in ASPs can be made, yet were hindered by structural barriers related to procurement and storage of perishable foods. Additional efforts are needed to support ASPs as they work toward fully achieving the Healthy Eating Standards.
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