Dissemination of healthy kids out of school principles for obesity prevention: A RE-AIM analysis

Health-promoting behaviors for childhood obesity prevention are needed across multiple environments where children spend time, including out-of-school time (OST). Therefore Healthy Kids Out of School (HKOS) developed intervention strategies to promote three evidence-based principles (Drink Right, Mo...

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Bibliographic Details
Published in:Preventive medicine 2019-02, Vol.119, p.37-43
Main Authors: Economos, Christina D., Anzman-Frasca, Stephanie, Koomas, Alyssa H., Bakun, Peter J., Brown, Clarissa M., Brown, Diane, Folta, Sara C., Fullerton, Karen J., Sacheck, Jennifer M., Sharma, Shanti, Nelson, Miriam E.
Format: Article
Language:English
Subjects:
Afterschool
Beverages
Child
Exercise - physiology
Female
Health promotion
Health Promotion - organization & administration
Humans
Leadership
Leisure Activities
Male
Nutrition
Obesity prevention
OST
Out-of-school
Pediatric Obesity - prevention & control
Physical activity
RE-AIM
Schools
Snacks
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Summary:Health-promoting behaviors for childhood obesity prevention are needed across multiple environments where children spend time, including out-of-school time (OST). Therefore Healthy Kids Out of School (HKOS) developed intervention strategies to promote three evidence-based principles (Drink Right, Move More, Snack Smart) for obesity prevention in OST. The strategies were developed with stakeholder input, disseminated, and evaluated (2012–2015) in two volunteer-led OST organizations, Boy Scouts of America (BSA) and 4-H, across three US states using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework. Mixed methods were used involving surveys, key informant interviews, and organizational-level data collection. Sixty out of 81 (74.1%) BSA districts and 4-H counties reaching 84,590 children (72% of children participating in BSA and 4-H in three states) adopted the strategies. 530 surveys completed by local OST leaders at baseline and 294 at follow-up showed the percentage of programs offering healthy beverages and opportunities for physical activity increased from baseline to follow-up (beverages 26% baseline, 35% follow-up, odds ratio (OR) 1.53; physical activity 31% baseline, 45% follow-up, OR 1.79; all p 
ISSN:0091-7435
1096-0260
DOI:10.1016/j.ypmed.2018.12.007