Clinical trial NCT02996422: Appalachians Together Restoring the Eating Environment: Improving Healthy Diet in Rural Appalachian Kentucky
Official title: Appalachians Together Restoring the Eating Environment (Appal-TREE): Advancing Sustainable CBPR Interventions to Improve Healthy Diet in Rural Appalachian Children
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Feeding Behavior
Drinking Behavior
Lead sponsor: University of Kentucky
Sponsor class: OTHER
Collaborators: name: National Institute on Minority Health and Health Disparities (NIMHD)
name: Community Farm Alliance
First posted: 2016-12-19
Enrollment: 1657
Sex: ALL
Minimum age (years): 10
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Most of the nation's serious chronic health challenges and causes of death, including diabetes, heart disease, cancer, and obesity, are directly linked to sub-optimal diet. Both poor diets and associated disease are disproportionately common in the Appalachian counties of eastern Kentucky, a region with stark health inequities, including elevated rates of obesity, overweight, and premature mortality. The purpose of this study is to evaluate a multi-component intervention developed through community-based participatory research methods for improving access to healthy foods and enhancing dietary intake in eastern Kentucky. The intervention components evaluated in this study consist of: 1) a school-based campaign to promote water consumption in middle and high schools and 2) a series of group cooking classes for adults.


Eligibility criteria: Inclusion Criteria:

* For school-based component: Student in selected middle or high school classroom in a participating school in intervention or comparison counties (6th to 12th grades)
* For cooking classes: adult aged 18 years or older and residing in intervention county who have at least one dependent child attending middle or high school in the participating school districts

Exclusion Criteria:

* Unable to speak or read English, as all materials will be presented in English

Primary outcomes:
measure: Change in beverage consumption (students)
timeFrame: Baseline, 6 months, 12 months, 18 months, 24 months, 30 months
measure: Change in fruit and vegetable consumption (adults)
timeFrame: Baseline to 8 weeks
Secondary outcomes:
measure: Change in attitudes and preferences about beverages (students)
timeFrame: Baseline, 6 months, 12 months, 18 months, 24 months, 30 months
measure: Change in purchasing of drinks (students)
timeFrame: Baseline, 6 months, 12 months, 18 months, 24 months, 30 months
measure: Change in food preparation habits (adults)
timeFrame: Baseline to 8 weeks
measure: Change in food purchasing habits (adults)
timeFrame: Baseline to 8 weeks
measure: Change in perceptions of availability of health foods (adults)
timeFrame: Baseline to 8 weeks
measure: Change in barriers to health eating (adults)
timeFrame: Baseline to 8 weeks
Other outcomes:
Locations:
Study officials:
affiliation: University of Kentucky
name: Mark Swanson, PhD
role: PRINCIPAL_INVESTIGATOR
References: