Testing the Feasibility and Preliminary Effect of Summer Camp

Study Overview
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Brief Summary
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This pilot randomized controlled trial was designed to assess the feasibility and preliminary efficacy of randomizing children, ages 6-12 years from two low-income communities in Rhode Island, to attend a summer day camp (CAMP) or to experience summer as usual (SAU). Children randomized to CAMP attended a Boys and Girls Club summer day camp for 8-weeks in summer 2017 or 2018. As part of the consent process, children randomized to SAU agreed to experience an unstructured summer (i.e. not enroll in more than one week of summer camp, summer school or other structured summer programming). Primary feasibility outcomes included retention, engagement and completion of midsummer measures. Secondary outcomes, change in BMIz (a proxy for excess summer weight gain), physical activity engagement, sedentary behavior, and diet (energy intake and diet quality), were collected by blinded research staff at the end of the school year, midsummer and the end of the summer.

Official Title
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Testing the Feasibility and Preliminary Effect of Summer Day Camp on Excess Summer Weight Gain in Children From Low-income Communities

Conditions
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Childhood Obesity Prevention

Intervention / Treatment
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* Behavioral: Boys and Girls Club summer day camp


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Qualify for free or reduced-price meals at school Speak English (for purposes of camp participation) Agree, along with their parent(s), to randomization. Exclusion Criteria: A medical condition that interferes with participation in physical activity Enrollment in summer programming (camp, summer school, etc) for more than one week

Ages Eligible for Study
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Minimum Age: 6 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: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CAMP<br>Children randomized to CAMP were enrolled in the Boys and Girls Club Camp in one of two low-income Rhode Island communities in summer 2017 or 2018 for 7-weeks in 2017 and 8-weeks in 2018 due to a delayed end to the 2017 school year (i.e. snow days). Camp was offered daily from 8:30 to 4:30. | Behavioral: Boys and Girls Club summer day camp<br>* Daily camp activities included sports, games, obstacle courses, swimming and boating, summer learning and arts and crafts. Lunch was served daily via the USDA's Summer Food Service Program.<br>|
| No Intervention: Summer As Usual<br>Children randomized to the SAU group were asked to experience an unstructured summer as otherwise planned by their parent / guardian. They agreed to not attend structured summer programming (i.e. camp, summer school, or day care) for more than one week over the summer so as to provide an inactive control group for comparison to those in CAMP. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Retention | Number of participants who completed both baseline and end of summer assessments | Baseline to end of summer; 8 weeks | 
| Camp Attendance | Number of days children attended the Boys and Girls Club Camp | 8 weeks | 
| Participation in Summer Activities | Number of days children attended camp, summer school, or day care over the summer | 8 weeks | 
| Completion of study measures | Number of participants who completed three 24-hour diet recalls and/or 7-days of actigraphy at baseline and mid-summer assessment visits | Baseline (May / June); Midsummer (mid-July) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Excess summer weight gain | Change in BMIz | Baseline to end of summer; 8 weeks | 
| Physical Activity | Change in minutes of moderate to vigorous physical activity (MVPA) as measured by ActiGraph accelerometer | 4-6 weeks (from baseline (end of May / beginning of June) to mid-summer (mid-July)) | 
| Sedentary Behavior | Change in percent time spent sedentary as measured by ActiGraph accelerometer | 4-6 weeks (from baseline (end of May / beginning of June) to mid-summer (mid-July)) | 
| Energy Intake | Change in total energy intake as measured from 3 non-consecutive 24-hour diet recalls | 4-6 weeks (from baseline (end of May / beginning of June) to mid-summer (mid-July)) | 
| Diet Quality | Change in Diet Quality as measured by the HEI-2015 from three non-consecutive 24-hour diet recalls | 4-6 weeks (from baseline (end of May / beginning of June) to mid-summer (mid-July)) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Summer Camp, Child overweight / obesity, Diet, Physical Activity