Nationally, 9.4 million youth 17 years and under attend YMCA programs. Thus, the YMCA is uniquely position to influence childhood obesity levels by increasing physical activity levels and promoting dietary changes. In many communities, particularly those that are low income, rural, and/or unsafe, the YMCA's out-of-school time (OST) programs (afterschool - 3-6pm and all day summer programs) represent one of the few outside-of- school settings where youth can be physically active and receive nutritious food options (e.g., fruits and vegetables). Our ongoing collaborative work with the YMCA has indicated that youth attending YMCA OST programs have low levels of moderate-to-vigorous physical activity and are provided snacks of low-nutrient energy dense choices (e.g., pretzels, chips, granola bars). Currently, the YMCA has no national policies or benchmarks related to promoting physical activity or the quality of snacks during its afterschool or summer programs. Our collaborative team includes the CEO and Directors of the three Columbia, SC YMCAs, community stakeholders, and university researchers. Using community-based participatory research principles and drawing from the unique experiences, capabilities, and diversity of our collaborative team, the following question and specific aims were developed to address the critical core issues of childhood obesity: "What policies can be developed and effectively implemented to ensure that the YMCA OST programs contribute to youth meeting recommendations for physical activity and dietary intake?" Specifically, this proposal will seek to: 1) collaboratively develop policies and benchmarks designed to promote physical activity and improve nutrition during YMCA summer and afterschool programs;2) implement and evaluate these policies and benchmarks using a non-randomized pre/post-test comparison group design with approximately 780 youth (5- 12yrs old, 50% girls, 50% African American);and 3) describe organizational and staff changes in attitudes and beliefs towards promoting physical activity and good dietary behaviors before and after policy implementation. The proposed research will inform policy development for YMCA youth-oriented programs in the greater Columbia, SC area. Importantly, given that almost 10 million youth attend YMCAs nationally, this research has the potential to reduce childhood obesity through ensuring that youth who attend YMCA programs engage in sufficient amounts of health-enhancing physical activity and consume foods high in dietary quality. The information gained in this study will lay the groundwork for evaluating policy uptake and implementation in subsequent studies in a nationally-representative sample of YMCA summer and afterschool programs.

Public Health Relevance

The YMCA serves as one the most prominent organizations in the U.S. that can have a major impact on children's and adolescents'obesity levels through positive physical activity and dietary changes. Currently, the YMCA has no national policies or benchmarks related to promoting physical activity or the quality of snacks during its afterschool or summer programs. The goal of the proposed project is to collaboratively develop, implement, and evaluate policies designed to increase physical activity and dietary quality of foods offered during YMCA afterschool and summer programming.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Exploratory/Developmental Grants (R21)
Project #
5R21HL106020-02
Application #
8309333
Study Section
Community Influences on Health Behavior (CIHB)
Program Officer
Pratt, Charlotte
Project Start
2011-08-01
Project End
2013-07-31
Budget Start
2012-08-01
Budget End
2013-07-31
Support Year
2
Fiscal Year
2012
Total Cost
$170,450
Indirect Cost
$45,450
Name
University of South Carolina at Columbia
Department
Other Health Professions
Type
Schools of Public Health
DUNS #
041387846
City
Columbia
State
SC
Country
United States
Zip Code
29208
Weaver, Robert Glenn; Beets, Michael W; Saunders, Ruth P et al. (2014) A comprehensive professional development training's effect on afterschool program staff behaviors to promote healthy eating and physical activity. J Public Health Manag Pract 20:E6-E14
Beets, Michael W; Tilley, Falon; Turner-McGrievy, Gabrielle et al. (2014) Community partnership to address snack quality and cost in after-school programs. J Sch Health 84:543-8
Beets, Michael W; Tilley, Falon; Weaver, Robert G et al. (2014) Increasing fruit, vegetable and water consumption in summer day camps--3-year findings of the healthy lunchbox challenge. Health Educ Res 29:812-21
Tilley, Falon; Weaver, Robert G; Beets, Michael W et al. (2014) Healthy eating in summer day camps: the Healthy Lunchbox Challenge. J Nutr Educ Behav 46:134-41
Hughey, S Morgan; Weaver, R Glenn; Saunders, Ruth et al. (2014) Process evaluation of an intervention to increase child activity levels in afterschool programs. Eval Program Plann 45:164-70
Beets, Michael W; Tilley, Falon; Kyryliuk, Rebecca et al. (2014) Children select unhealthy choices when given a choice among snack offerings. J Acad Nutr Diet 114:1440-6
Beets, Michael W; Weaver, Robert G; Moore, Justin B et al. (2014) From policy to practice: strategies to meet physical activity standards in YMCA afterschool programs. Am J Prev Med 46:281-8
Beets, Michael W; Huberty, Jennifer; Beighle, Aaron et al. (2013) Impact of policy environment characteristics on physical activity and sedentary behaviors of children attending afterschool programs. Health Educ Behav 40:296-304