Fuel for Fun: Cooking With Kids Plus Parents and Play

Study Overview
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Brief Summary
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Fuel for Fun: Cooking with Kids Plus Parents and Play (FFF), is an integrated research, extension, and education project targeting 4th grade students. Its long-term goal of reducing the risk of childhood obesity will be addressed by promoting healthful food and activity environments, policies and behaviors through: 1) building and testing the efficacy of a 4th grade comprehensive school- and family-based intervention, 2) applying it to an after-school setting to broaden its reach, and, 3) disseminating both versions through outreach.

Detailed Description
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Fuel for Fun: Cooking with Kids Plus Parents and Play (FFF) is based on existing, evidence-based components: the experiential Cooking with Kids curriculum, the SPARK Active Recreation program; principles of behavioral economics in school cafeterias and homes; the online About Eating 5-lesson module based on eating competence concepts, and a family-based FFF component specifically designed for this intervention. Each component addresses policy and environment in addition to behavior change at school and home. The main research project - school-based FFF - will be implemented in 8 low-to-moderate income schools for two years using an asynchronous design that allows for assessment of the school-based program alone and in combination with both parent programs. Changes in fruit and vegetable intake (measured by self-report, cafeteria plate waste) and activity levels (measured by self-report and accelerometry) are primary outcomes, with measured BMI as a secondary outcome. Subsequent studies will involve the development of an after-school version and adoption of FFF by other districts. University students will gain valuable research experience and school and Extension educators will receive important childhood obesity prevention training. The project's long term goal is consistent with the United States Department of Agriculture (USDA) goal of improving the nation's nutrition and health by promoting the development of healthy eating and activity habits in children.

Official Title
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Cooking With Kids 2.0: Plus Parents and Play

Conditions
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Pediatric Obesity

Intervention / Treatment
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* Behavioral: School
* Behavioral: Family
* Behavioral: About Eating


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all students enrolled in participating classrooms are invited to participate Exclusion Criteria: none

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: School Only<br>Students whose schools are randomized to this condition only receive the classroom, cafeteria and SPARK active recess components | Behavioral: School<br>* students receive Cooking With Kids (CWK) - Colorado cooking & tasting lessons, SPARK active recess, and Cafeteria Connections<br>|
| Experimental: School + Family<br>Students whose schools are randomized to this condition receive the classroom, cafeteria and SPARK active recess components and the family component (family nights, parent blog and action packs) | Behavioral: School<br>* students receive Cooking With Kids (CWK) - Colorado cooking & tasting lessons, SPARK active recess, and Cafeteria Connections<br>Behavioral: Family<br>* students receive the FFF family component - family nights, parent blog, and action packs that go home after each CWK-Colorado lesson<br>|
| Experimental: School + About Eating<br>Students whose schools are randomized to this condition only receive the classroom, cafeteria and SPARK active recess components and their parents are invited to participate in the online 6 lesson About Eating program. | Behavioral: School<br>* students receive Cooking With Kids (CWK) - Colorado cooking & tasting lessons, SPARK active recess, and Cafeteria Connections<br>Behavioral: About Eating<br>* parents who completed the parent survey are invited to access the 6 lesson online About Eating program<br>|
| Experimental: School + Family + About Eating<br>students whose schools are randomized to this condition receive the classroom, cafeteria and SPARK active recess components and the family component (family nights, parent blog and action packs) and their parents are invited to participate in the online 6 lesson About Eating program. | Behavioral: School<br>* students receive Cooking With Kids (CWK) - Colorado cooking & tasting lessons, SPARK active recess, and Cafeteria Connections<br>Behavioral: Family<br>* students receive the FFF family component - family nights, parent blog, and action packs that go home after each CWK-Colorado lesson<br>Behavioral: About Eating<br>* parents who completed the parent survey are invited to access the 6 lesson online About Eating program<br>|
| No Intervention: Control<br>students and their parents in all schools during cohort 1 and 4 (and Ponderosa students in cohort 3) are tested but provided no intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Fruit and Vegetable Consumption at School Lunch | using observation and digital photography we will assess student selection and consumption of fruits and vegetables during school lunch; measured at the grade level | assessed 4 times each 9-month school year; once prior to intervention beginning (i.e., September), approximately 10 weeks and then 20 weeks later, and finally once after the intervention ends (i.e., May). | 
| Change in Student Activity Level | Using accelerometers, we will assess a week of activity; 3 of 8 participating schools have been randomized to participate in this data collection | assessed 3 times over 1 year; initially prior to the intervention beginning (i.e., September), a 2nd time once the intervention ends (i.e., May), and then again at the beginning of the following school year (i.e., September) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Body Mass Index | using a standard protocol, we will measure height and weight of all participating students and then calculate BMI z-scores | assessed 3 times over 1 year; initially prior to the intervention beginning (i.e., September), a 2nd time once the intervention ends (i.e., May), and then again at the beginning of the following school year (i.e., September) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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School, Family, Fruit and Vegetables, Cooking, Physical Activity