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Saunders R.P.,Education and Behavior | Moore J.B.,Education and Behavior | Moore J.B.,University of South Carolina | Turner-McGrievy G.,Education and Behavior | And 4 more authors.
Health Education Research | Year: 2015

This study describes the link between level of implementation and outcomes from an intervention to increase afterschool programs' (ASPs) achievement of healthy eating and physical activity (HE-PA) Standards. Ten intervention ASPs implemented the Strategies-To-Enhance-Practice (STEPs), a multi-component, adaptive intervention framework identifying factors essential to meeting HE-PA Standards, while 10 control ASPs continued routine practice. All programs, intervention and control, were assigned a STEPs for HE-PA index score based on implementation. Mixed-effects linear regressions showed high implementation ASPs had the greatest percentage of boys and girls achieving 30 min of moderate-to-vigorous physical activity (47.3 and 29.3%), followed by low implementation ASPs (41.3 and 25.0%), and control ASPs (34.8 and 18.5%). For healthy eating, high/low implementation programs served fruits and vegetables an equivalent number of days, but more days than control programs (74.0 and 79.1% of days versus 14.2%). A similar pattern emerged for the percent of days sugar-sweetened foods and beverages were served, with high and low implementation programs serving sugarsweetened foods (8.0 and 8.4% of days versus 52.2%), and beverages (8.7 and 2.9% of days versus 34.7%) equivalently, but less often than control programs. Differences in characteristics and implementation of STEPs for HE-PA between high/low implementers were also identified. ©The Author 2015. Source

Moore J.B.,Education and Behavior | Moore J.B.,Wake Forest Baptist Medical Center | Brinkley J.,East Carolina University | Morris S.F.,Cooperative Studies Program Epidemiology CenterDurham | And 2 more authors.
Journal of Public Health Management and Practice | Year: 2016

Objective: To determine the effectiveness of targeted grant funding for the implementation of multilevel community interventions to increase moderate to vigorous physical activity (MVPA) and decrease time spent sedentary among a large sample of youth in North Carolina. Design: A repeated, cross-sectional, group-randomized controlled trial design with a delayed treatment group. Setting: Twenty counties in North Carolina. Participants: Analyses were conducted on 2138 youth, grades 4 to 8, who provided complete data across the 3 waves. Intervention: The North Carolina Eat Smart, Move More Community Grants program consisted of 20 separate community interventions implemented by grantees that targeted increasing physical activity and/or decreasing sedentary time in youth. County grantees were pair-matched and randomized to receive funding for implementation in year 1 (2010-2011) or year 2 (2011-2012). MVPA/sedentary time was assessed via accelerometer with demographics assessed via self-report in 3 waves of data collection (fall 2010, 2011, and 2012). Main Outcome Measure: MVPA and sedentary time measured via accelerometry. Results: After adjusting for covariates, there was no difference in MVPA between counties implementing in year 1 (2010-2011) and those implementing in year 2 (2011-2012; ie, waitlist controls) comparing data collection wave 1 to wave 2 (fall 2010-2011). A significant increase of 2.32 minutes per day of MVPA was observed following the implementation year across all counties as compared with the baseline year. Differences were largely driven by increased MVPA in elementary school youth (fourth and fifth grades). No significant changes in sedentary time were observed. Conclusions: Low-cost, high-reach mini-grants can have a small, but meaningful effect on children's MVPA, with greater effects seen in younger children. Future studies should examine characteristics of mini-grants projects that are associated with the greatest increases in MVPA among youth. © 2016 Wolters Kluwer Health, Inc. All rights reserved. Source

Walsemann K.M.,Education and Behavior | Bell B.A.,University of South Carolina
American Journal of Public Health | Year: 2010

Objectives. We examined the extent to which within-school segregation, as measured by unevenness in the distribution of Black and White adolescents across levels of the English curriculum (advanced placement-international baccalaureate-honors, general, remedial, or no English), was associated with smoking, drinking, and educational aspirations, which previous studies found are related to school racial/ethnic composition. Methods. We analyzed data from wave 1 of the National Longitudinal Study of Adolescent Health, restricting our sample to non-Hispanic Blacks (n=2731) and Whites (n=4158) who from 1994 to 1995 attended high schools that enrolled Black and White students. Results. White female students had higher predicted probabilities of smoking or drinking than did Black female students; the largest differences were in schools with high levels of within-school segregation. Black male students had higher predicted probabilities of high educational aspirations than did White male students in schools with low levels of within-school segregation; this association was attenuated for Black males attending schools with moderate or high levels of within-school segregation. Conclusions. Our results provide evidence that within-school segregation may influence both students' aspirations and their behaviors. Source

Kegler M.C.,Emory University | Carvalho M.L.,Emory University | Ory M.,Texas A&M University | Kellstedt D.,Texas A&M University | And 5 more authors.
Journal of Public Health Management and Practice | Year: 2015

Mini-grants are an increasingly common tool for engaging communities in evidence-based interventions for promoting public health. This article describes efforts by 4 Centers for Disease Control and Prevention/National Cancer Institutea "funded Cancer Prevention and Control Research Network centers to design and implement mini-grant programs to disseminate evidence-based interventions for cancer prevention and control. This article also describes source of evidence-based interventions, funding levels, selection criteria, time frame, number and size of grants, types of organizations funded, selected accomplishments, training and technical assistance, and evaluation topics/methods. Grant size ranged from $1000 to $10 000 (median = $6250). This mini-grant opportunity was characterized by its emphasis on training and technical assistance for evidence-based programming and dissemination of interventions from National Cancer Institute's Research-Tested Intervention Programs and Centers for Disease Control and Prevention's Guide to Community Preventive Services. All projects had an evaluation component, although they varied in scope. Mini-grant processes described can serve as a model for organizations such as state health departments working to bridge the gap between research and practice. © 2015 Wolters Kluwer Health, Inc. Source

Parra-Medina D.,Education and Behavior | Salinas J.,University of Texas Health Science Center at Houston | Fore E.,University of South Carolina | Poston M.,University of South Carolina | Wilson D.K.,University of South Carolina
American Journal of Public Health | Year: 2011

Objectives. We evaluated a theory-based lifestyle intervention targeting physical activity and dietary fat intake among African American women at high risk for cardiovascular disease. Methods. The Heart Healthy and Ethnically Relevant Lifestyle trial (2005-2008) randomly assigned 266 low-income African American women aged 35 years and older who were patients of South Carolina community health care centers into comprehensive or standard care interventions. Comprehensive participants received standard care (stage-matched provider counseling and assisted goal setting) plus 12 months of telephone counseling and tailored newsletters. Primary outcomes were 6- and 12-month self-reported physical activity and dietary fat intake. Results. Comprehensive participants were more likely than were standard care participants to decrease total physical activity (odds ratio [OR]=3.13; 95% confidence interval [CI]=1.18, 8.25) and increase leisure-time physical activity (OR=3.82; 95% CI=1.41, 10.3) at 6 months (no 12-month differences). Mean reductions in Dietary Risk Assessment score occurred in both groups but were greater among comprehensive participants than among standard care participants (6 months, -8.50 vs -5.34; 12 months, -7.16 vs -3.37; P<.001). Conclusions. The comprehensive intervention improved women's leisuretime physical activity and dietary fat intake, highlighting a replicable model to help primary care providers implement lifestyle counseling. Source

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