260732 CATCH Kids Club 3-Year Pilot in After-School Programs

Tuesday, October 30, 2012

Jennifer Han, PhD, CHES , Community Epidemiology and Evaluation, Oklahoma State Department of Health, Oklahoma City, OK
Miriam McGaugh, PhD , Community Epidemiology and Evaluation, Oklahoma State Department of Health, Oklahoma City, OK
Kathy Payne, MHR , Health Promotion, Community Development Service, Oklahoma State Department of Health, Oklahoma City, OK
Angela Watkins, MBA, MPH , Community Epidemiology and Evaluation, Oklahoma State Department of Health, Oklahoma City, OK
Background: The Coordinated Approach to Child Health Kids Club (CKC) pilot was implemented in 20 after-school programs across the state with the primary goal of reducing obesity among participants. Purpose: The purpose of this evaluation was to determine if CKC participation resulted in increased physical activity behavior and self-efficacy among enrolled children. Significance: If CKC improves participants' physical activity behavior and self-efficacy, then CKC can be expanded into other after-school programs across the state. Methodology: Between 2007 and 2010, 3rd-5th grade students enrolled in CKC after-school programs (n=1,439) completed a questionnaire assessing physical activity behavior and self-efficacy each fall and spring. Observers quantified physical activity of K-5 students (n=76) each spring using SOFIT (System for Observing Fitness Instruction Time). Group changes in behavior and self-efficacy were assessed each semester via t-tests. Group changes in physical activity were assessed yearly using t-tests. Results: Students' confidence in being active increased from fall to spring in the first two years, and declined between years (means: Fall07, 2.34; Spr08, 2.48; Fall08, 2.28; Spr09, 2.50; Fall09, 2.31; Spr10, 2.29; p < 0.05). Time spent in moderate-to-vigorous physical activity increased from 43.3% to 59.8% between years 1 and 2, and declined slightly to 52.8% in year 3. Conclusions: Implementing CATCH in after-school programs improved physical activity self-efficacy and time spent being physically active during the school year. Consequently, CATCH has expanded to 80 after-school programs, and the efficacy of having a physical activity policy in an after-school program is being piloted at 10 of these sites.

Learning Areas:
Administer health education strategies, interventions and programs

Learning Objectives:
Discuss the effectiveness of a Coordinated Approach to Child Health (CATCH) in after-school programs.

Keywords: Physical Activity, School-Based Programs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My doctoral education and research focused on physical activity. I am one of three primary evaluators for the CATCH Kids Club program in my state, and am currently assessing the 4th year of data for this prorgam. I have also created surveys to assess the latest modification to CATCH, which is implementing nutrition and physical activity policy at 10 after-school sites.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.