Clinical trial NCT03637465: Increasing Water Access and Appeal in Community Recreation Centers
Official title: A Randomized Trial of a Comprehensive Multi-level Intervention to Increase Water Access and Appeal in Community Recreation Centers
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Health Behavior
Keywords: hydration
water intake
sugar sweetened beverages
youth
children
Lead sponsor: Philadelphia Department of Public Health
Sponsor class: OTHER_GOV
Collaborators: name: Stanford University
name: Children's Hospital of Philadelphia
First posted: 2018-08-20
Enrollment: 28
Sex: ALL
Minimum age (years): 3
Maximum age (years): 100
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This cluster RCT involves 14 matched pairs; study recruitment and randomization occurs at the recreation center-level. Participating sites are matched based on center size, summer program enrollment, presence of indoor gym, neighborhood income \& race/ethnicity. Then, an intervention site and control site are randomly determined by a coin flip within each pair.
Primary purpose: PREVENTION

Brief summary: This study is a cluster randomized controlled trial with n=28 City of Philadelphia recreation centers (14 matched pairs) designed to determine the effectiveness of a comprehensive multi-level intervention to increase water access and appeal in community recreation centers on 1) center-level water intake as measured by water meters, and 2) purchase of outside beverages as measured by observations of recreation center youth.


Eligibility criteria: Inclusion Criteria:

* Recreation center is located in a low-income neighborhood in the City of Philadelphia, defined by ≥20% of the residents in the zip code at or below Federal Poverty Level
* Recreation center includes both summer and after-school programming
* Recreation center is willing to comply with City of Philadelphia Healthy Vending standards and discourage sugar sweetened beverage consumption
* Recreation center has water lines appropriate for installing indoor hydration stations

Exclusion Criteria:

* Unwilling to accept randomization

Primary outcomes:
measure: Center water consumption
timeFrame: Three measurement periods, each lasting 2 weeks, will occur: baseline (2-4 months pre-intervention), mid-point (3-5 months post intervention), and post (7-10 months post intervention).
measure: Outside beverages during programs
timeFrame: Three measurement periods, each lasting 2 weeks, will occur: baseline (2-4 months pre-intervention), mid-point (3-5 months post intervention), and post (7-10 months post intervention).
Secondary outcomes:
measure: Single use beverage containers
timeFrame: Three measurement periods, each lasting 2 weeks, will occur: baseline (2-4 months pre-intervention), mid-point (3-5 months post intervention), and post (7-10 months post intervention).
measure: Staff consumption of sugary beverages
timeFrame: Three measurement periods, each lasting 2 weeks, will occur: baseline (2-4 months pre-intervention), mid-point (3-5 months post intervention), and post (7-10 months post intervention).
measure: Fountain related maintenance problems
timeFrame: Questionnaire administered 2-5 times per site up to 8 months post intervention
measure: Center attendance
timeFrame: Three measurement periods, each lasting 2 weeks, will occur: baseline (2-4 months pre-intervention), mid-point (3-5 months post intervention), and post (7-10 months post intervention).
Other outcomes:
Locations:
city: Philadelphia
country: United States
facility: Philadelphia Department of Public Health, Division of Chronic Disease Prevention
state: Pennsylvania
Study officials:
affiliation: Philadelphia Department of Public Health, Division of Chronic Disease Prevention
name: Hannah G Lawman, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Lawman HG, Grossman S, Lofton X, Tasian G, Patel AI. Hydrate Philly: An Intervention to Increase Water Access and Appeal in Recreation Centers. Prev Chronic Dis. 2020 Feb 20;17:E15. doi: 10.5888/pcd17.190277.
citation: Lawman HG, Lofton X, Grossman S, Root M, Perez M, Tasian G, Patel A. A randomized trial of a multi-level intervention to increase water access and appeal in community recreation centers. Contemp Clin Trials. 2019 Apr;79:14-20. doi: 10.1016/j.cct.2019.02.003. Epub 2019 Feb 13.