Open AccessImpact of implementation factors on children's water consumption in the Out‐of‐School Nutrition and Physical Activity group‐randomized trial
Author(s) -
Lee Rebekka M.,
Okechukwu Cassandra,
Emmons Karen M.,
Gortmaker Steven L.
Publication year - 2014
Publication title -
new directions for youth development
Language(s) - English
Resource type - Journals
eISSN - 1537-5781
pISSN - 1533-8916
DOI - 10.1002/yd.20105
Subject(s) - context (archaeology) , randomized controlled trial , psychological intervention , intervention (counseling) , environmental health , consumption (sociology) , water consumption , physical activity , gerontology , psychology , obesity , medicine , physical therapy , nursing , engineering , geography , social science , surgery , archaeology , sociology , waste management
National data suggest that children are not consuming enough water. Experimental evidence has linked increased water consumption to obesity prevention, and the National AfterSchool Association has named serving water as ones of its standards for healthy eating and physical activity in out‐of‐school time settings. From fall 2010 to spring 2011, twenty Boston afterschool program sites participated in the Out‐of‐School Nutrition and Physical Activity (OSNAP) initiative, a group‐randomized trial investigating nutrition and physical activity policies and practices that promote child health. Researchers used data from OSNAP to study the key factors that influence the implementation of practices that promote water intake. Aspects of the organizational capacity of the afterschool programs, characteristics of the providers, and the community context were hypothesized to impact changes in children's water consumption. This chapter demonstrates the effectiveness of an afterschool intervention on increases in children's water consumption. It also outlines the substantial influence that implementation factors can have on the effectiveness of an obesity prevention intervention, highlighting the importance of understanding how interventions are delivered in real‐world settings.