This study will test whether theory-driven youth + adult-based environmental change interventions can build and sustain targeted diet and activity behaviors among middle school youth. The study proposes to test the effects of school environment and curriculum interventions promoting fruit and vegetable (F&V) consumption, physical activity (PA), and their environmental determinants. The project involves goal-setting and efficacy building interventions designed to develop the skills and group efficacy of both adult school personnel and students. The adult-based interventions are designed to change the school environments through a school coalition assisted by a local coordinator; the youth interventions involve the participation of students in the processes of building the local health behavior environments, targeting both school lunch and after school activity environments. Eight schools will be randomly assigned to experimental and eight to control (no treatment) conditions. Measurement of F&V and PA behaviors will be conducted in the spring of 6th (baseline), 7th, 8th, and 9th grades, constituting primary outcomes, and will be assessed by self-report and verified by objective measures of school lunch purchases and physical activity monitoring. The impact of the program on hypothesized personal, environmental, and behavioral determinants of F&V and PA will also be measured. Process evaluation will monitor environmental change, program implementation, and system changes.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
5R01HD037367-04
Application #
6521148
Study Section
Special Emphasis Panel (ZRG1-HUD-2 (01))
Program Officer
Haverkos, Lynne
Project Start
1999-09-01
Project End
2004-06-30
Budget Start
2002-07-01
Budget End
2004-06-30
Support Year
4
Fiscal Year
2002
Total Cost
$292,305
Indirect Cost
Name
Kansas State University
Department
Miscellaneous
Type
Schools of Arts and Sciences
DUNS #
City
Manhattan
State
KS
Country
United States
Zip Code
66506
Geller, Karly S; Dzewaltowski, David A (2010) Youth proxy efficacy for fruit and vegetable availability varies by gender and socio-economic status. Public Health Nutr 13:843-51
Dzewaltowski, David A; Estabrooks, Paul A; Welk, Greg et al. (2009) Healthy youth places: a randomized controlled trial to determine the effectiveness of facilitating adult and youth leaders to promote physical activity and fruit and vegetable consumption in middle schools. Health Educ Behav 36:583-600
Dzewaltowski, David A; Karteroliotis, Konstantinos; Welk, Greg et al. (2007) Measurement of self-efficacy and proxy efficacy for middle school youth physical activity. J Sport Exerc Psychol 29:310-32
Klesges, Lisa M; Estabrooks, Paul A; Dzewaltowski, David A et al. (2005) Beginning with the application in mind: designing and planning health behavior change interventions to enhance dissemination. Ann Behav Med 29 Suppl:66-75
Dzewaltowski, David A; Estabrooks, Paul A; Klesges, Lisa M et al. (2004) Behavior change intervention research in community settings: how generalizable are the results? Health Promot Int 19:235-45
Welk, Gregory J; Dzewaltowski, David A; Hill, Jennie L (2004) Comparison of the computerized ACTIVITYGRAM instrument and the previous day physical activity recall for assessing physical activity in children. Res Q Exerc Sport 75:370-80
Estabrooks, Paul; Dzewaltowski, David A; Glasgow, Russell E et al. (2003) Reporting of validity from school health promotion studies published in 12 leading journals, 1996-2000. J Sch Health 73:21-8
Bauman, Adrian E; Sallis, James F; Dzewaltowski, David A et al. (2002) Toward a better understanding of the influences on physical activity: the role of determinants, correlates, causal variables, mediators, moderators, and confounders. Am J Prev Med 23:5-14
Dzewaltowski, David A; Estabrooks, Paul A; Johnston, Judy A (2002) Healthy youth places promoting nutrition and physical activity. Health Educ Res 17:541-51
Ryan, Gregory J; Dzewaltowski, David A (2002) Comparing the relationships between different types of self-efficacy and physical activity in youth. Health Educ Behav 29:491-504