In June 2016, the Philadelphia City Council passed a 1.5 cents per ounce tax on sugar-sweetened beverages (SSBs). Given the tax, the climate for promoting water and discouraging SSB consumption in Philadelphia is ideal for testing interventions that may increase water consumption. Specific aims of this study are to: l) determine the effectiveness of a comprehensive multi-level intervention to increase water access and appeal in community recreation centers on center-level water intake and the purchase of outside SSBs; and 2) determine secondary effects on discarded disposable bottles, use of reusable bottles, and recreation center staff consumption of SSBs. The proposed multi-component intervention will include water safety testing, provision of one to three hydration stations per recreation center, distribution of reusable water bottles for youth, a campaign to promote the acceptability of tap water, and the reduction of access to competing unhealthy beverages through vending machine standards and discouraging outside SSBs. Water flow meters will be installed at 28 recreation centers in low-income, minority neighborhoods to collect objective data on water consumption at each center. Observations of center youth will be used to assess prevalence of outside SSBs and usage of reusable water bottles. Staff SSB consumption will be self reported and discarded disposable bottles will be weighed. Multilevel models will be used for analysis of results.
Studying the Effectiveness of an Intervention to Increase Water Access and Appeal for Underserved Populations Outside School Settings
Previous interventions to increase water access and consumption have focused on school settings, have shown mixed results on sugar-sweetened beverage (SSB) consumption, and have rarely addressed tap water safety. Our randomized controlled trial examined how improving access and appeal of water in recreation centers in low-income neighborhoods affected counts of … More
Promoting Responsive Bottle-Feeding Within WIC: Evaluation of a Policy, Systems, and Environmental Change Approach
Bottle-fed infants are at greater risk for overfeeding and rapid weight gain (RWG), so evidence-based strategies for promoting healthy bottle-feeding practices are needed. The aim of this study was to assess whether policy, systems, and environmental (PSE) strategies for promoting responsive bottle-feeding practices within the Special Supplemental Nutrition Program for … More
Examining the Effects of Taxes and Warning Labels on Parents’ Purchases of Sugar-Sweetened Beverages Using a Choice Experiment
The purpose of this study is to conduct a discrete choice experiment to investigate whether warning labels on Sugar-Sweetened Beverages (SSBs) alter the effectiveness of a tax on SSBs, especially among parents who are Black, Latinx and lower income. The research team will conduct an online choice experiment with 2,700 … More