Examining Home-Visiting Strategies to Prevent Obesity Among American Indians, Focusing on Early Childhood Outcomes and Water Insecurity

Reservation-based American Indian (AI) children suffer the highest rates of childhood obesity in the United States. This project will provide evidence to support the integration of childhood obesity prevention modules into government-funded home-visiting programs. It will also identify the role of water insecurity in sugar-sweetened beverage (SSB) intake. The specific aims of the study are More

Using State Laws & Regulations to Promote Healthy Eating and Physical Activity in Afterschool Programs

Out-of-School time (OST) programs are a promising setting for reducing child obesity risk by promoting healthy eating and providing opportunities for physical activity. The Healthy Out-of-School Time Coalition developed the National AfterSchool Association Healthy Eating and Physical Activity standards in 2011 to provide comprehensive guidance on how to promote healthy eating and physical activity. To More

A Trial of the Efficacy and Cost of Water Delivery Systems in San Francisco Bay Area Middle Schools, 2013

This study aimed to examine the efficacy and cost of two water delivery systems—water dispensers with cups and water coolers with cups—in increasing students’ lunchtime intake of water in lower-income middle schools. Twelve middle schools in the San Francisco Bay Area participated in a cluster randomized control trial in which they were assigned to one More

Developing, Validating and Feasibility Testing a Cost-Effective Photo-Evidence Method to Assess Effectiveness of Access to Drinking Water in Schools

This study will develop and validate a photo-evidence method to measure effectiveness of water access in schools since the Healthy and Hunger-Free Kids Act of 2010 requires that potable water be available to children at no charge during mealtimes in areas where meals are served. The aims of this study are to: 1) develop and More

Gathering Baseline Data to Understand Implementation Changes and the Impact of the New Child and Adult Care Food Program Standards

The U.S. Department of Agriculture (USDA) recently proposed updated nutrition standards for foods and beverages served in Child and Adult Care Food Program (CACFP) participating child-care centers and homes. This study will contribute to the tracking of successes and challenges following implementation of the new nutrition standards, and will build off of two prior HER-funded More

Examining Policies Providing Access to Free Water in Schools and the Health Impact of an Alternative to Sugar-Sweetened Beverages

This award will support a natural experiment that will (1) examine the change in free drinking water access in Food Service Areas in California public schools from before to after Senate Bill 1413/Healthy Hunger Free Kids Act implementation; (2) assess changes in the proportion of schools with excellent water access and barriers and facilitators to More

Implementation of Competitive Food and Beverage Standards in a Sample of Massachusetts Schools: The NOURISH Study (Nutrition Opportunities to Understand Reforms Involving Student Health)

During 2012, Massachusetts adopted comprehensive school competitive food and beverage standards that closely align with Institute of Medicine recommendations and Smart Snacks in School national standards. The NOURISH study examined middle and high schools’ compliance with the Massachusetts standards after the first year of implementation. Employing an observational cohort study with a pre-/post-test design, researchers More

Easy-to-Understand Calorie Information Reduces Sugary Drink Purchases Among Teens

Sugar-sweetened beverages (SSB) are an important contributor to adolescent obesity. One promising environmental strategy to reduce consumption of SSBs is to provide consumers with easily understandable caloric information. This infographic examines the effect of in-store calorie signage on adolescent sugary drink purchases. Findings presented in this infographic come from a related HER-funded journal article.