A youth empowerment intervention to prevent childhood obesity: design and methods for a cluster randomized trial of the H2GO! program

• Published in: BMC public health 2021-09, Vol.21 (1), p.1-1675, Article 1675
• Main Authors: Wang, Monica L., Sprague Martinez, Linda S., Weinberg, Janice, Alatorre, Selenne, Lemon, Stephenie C., Rosal, Milagros C.
• Format: Article
• Language: English
• Subjects: Body mass index; Body size; Caregivers; Childhood; Childhood obesity; Children; Children & youth; Clinical trials; Cluster randomized trial; Clusters; Community health services; Coronaviruses; COVID-19; Curricula; Design and methods; Empowerment; Evaluation; Feedback; Health behavior; Hispanic Americans; Income; Intervention; Low income groups; Management; Narratives; Nutrition research; Obesity; Obesity in children; Parents; Prevention; Public health; Risk factors; Study Protocol; Sugar-sweetened beverage consumption; Youth; Youth empowerment
• ISSN: 1471-2458; 1471-2458
• DOI: 10.1186/s12889-021-11660-5

Background Reducing sugar-sweetened beverage (SSB) consumption is a promising dietary target for childhood obesity prevention. This paper describes the design and methods of a cluster randomized trial of H.sub.2GO!, a youth empowerment intervention to prevent childhood obesity through reducing SSB consumption among a low-income, ethnically diverse sample of youth. Methods This cluster randomized controlled trial is an academic-community partnership with the Massachusetts Alliance of Boys and Girls Clubs (BGC). Ten BGC sites will be randomly assigned to the H.sub.2GO! intervention or a wait-list, usual care control. Eligible study participants will be N = 450 parent-child pairs (youth ages 9-12 years and their parents/caregivers) recruited from participating BGCs. The 6-week in-person H.sub.2GO! intervention consists of 12 group-based sessions delivered by BGC staff and youth-led activities. An innovative feature of the intervention is the development of youth-produced narratives as a strategy to facilitate youth empowerment and parental engagement. Child outcomes include measured body mass index z scores (zBMI), beverage intake, and youth empowerment. Parent outcomes include beverage intake and availability of SSBs at home. Outcomes will be measured at baseline and at 2, 6, and 12 months. With a 75% retention rate, the study is powered to detect a minimum group difference of 0.1 zBMI units over 12 months. Discussion Empowering youth may be a promising intervention approach to prevent childhood obesity through reducing SSB consumption. This intervention was designed to be delivered through BGCs and is hypothesized to be efficacious, relevant, and acceptable for the target population of low-income and ethnically diverse youth. Trial registration ClinicalTrials.gov NCT04265794. Registered 11 February 2020. Keywords: Childhood obesity, Youth empowerment, Cluster randomized trial, Sugar-sweetened beverage consumption, Design and methods