CATCH Healthy Habits: An evidence-based intergenerational approach to improving child and older adult physical activity and nutrition

Background: Obesity, nutrition, and physical activity are important public health issues for children and older adults. To address this need, the OASIS Institute and University of Texas developed CATCH Healthy Habits, an intergenerational adaptation of the evidence-based Coordinated Approach To Child Health (CATCH) program. In 19 cities across 15 states, older adult volunteers facilitate the program, which encourages children to improve nutritional choices and increase physical activity in out-of-school settings. Methods: To evaluate the program’s effectiveness, child participants (grades 3-5) and older adult volunteers, were surveyed before and after the program using items adapted from the ASSQ and BRFSS. Physical activity was observed during the program among adults and children (grades K-5) using the System for Observing Fitness Instruction Time (SOFIT). Volunteer return on investment was measured using the Strategic Metrics and Results Tracking (SMART) tool. Results: Data was collected from 3,829 children (47% female; average age: 9 years) and 729 older adults (82% female; average age: 67 years). Both child and older adult participants reported increased physical activity and fruit and vegetable consumption. Children also reported increased confidence eating fewer foods high in fat and salt and decreased screen time. Older adults also reported increases in muscle strength and flexibility. SOFIT results found that 68% of children and 50% of adults met or exceeded  recommendations for moderate-to-vigorous physical activity. Conclusions: Intergenerational physical activity and nutrition programs, such as CATCH Healthy Habits, can significantly improve the health-related attitudes and behaviors of children and older adults.