Effectiveness and Spillover of an After-School Health Promotion Program for Hispanic Elementary School Children

Bibliographic Data

ID11039363
AuthorsHendrik D de Heer (0000-0001-6023-7382, At the time of the study, Hendrik D. de Heer and Osvaldo Morera were with the Department of Psychology, and Rockie Pederson was with the Department of Kinesiology, University of Texas, El Paso. Hendrik D. de Heer and Laura Koehly were with the Social and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, MD.), Laura M Koehly (0000-0003-4588-2898, National Human Genome Research Institute), Laura Koehly (At the time of the study, Hendrik D. de Heer and Osvaldo Morera were with the Department of Psychology, and Rockie Pederson was with the Department of Kinesiology, University of Texas, El Paso. Hendrik D. de Heer and Laura Koehly were with the Social and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, MD.), Rockie Pederson (At the time of the study, Hendrik D. de Heer and Osvaldo Morera were with the Department of Psychology, and Rockie Pederson was with the Department of Kinesiology, University of Texas, El Paso. Hendrik D. de Heer and Laura Koehly were with the Social and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, MD.), Osvaldo F Morera (0000-0002-9660-177X, National Human Genome Research Institute), Osvaldo Morera (At the time of the study, Hendrik D. de Heer and Osvaldo Morera were with the Department of Psychology, and Rockie Pederson was with the Department of Kinesiology, University of Texas, El Paso. Hendrik D. de Heer and Laura Koehly were with the Social and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, MD.)
Year2011
Volume101
Issue10
Pages1907-1913
Publication date2011-10-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2011.300177
PMID21852659
PMCIDPMC3222338
OpenAlexW2156112974
LanguageEN
Citations received10
References cited27

Objectives. We evaluated the effectiveness and spillover of an after-school health education and physical activity program among Hispanic elementary school children. Methods. In fall 2008, students in third through fifth grades in 6 schools in El Paso, Texas (n = 901), were randomized to intervention (n = 292 participants) or control (n = 354) classrooms (4 unknown). Intervention classrooms also contained a spillover group (n = 251) that did not join the after-school program but that completed measurements and surveys. The intervention was a 12-week culturally tailored after-school program meeting twice a week. Four-month outcomes were body mass index, aerobic capacity, and dietary intentions and knowledge. We calculated intervention exposure as the proportion of after-school participants per classroom. Results. Intervention exposure predicted lower body mass index (P = .045), higher aerobic capacity (P = .012), and greater intentions to eat healthy (P = .046) for the classroom at follow-up. Intervention effectiveness increased with increasing proportions of intervention participants in a classroom. Nonparticipants who had classroom contact with program participants experienced health improvements that could reduce their risk of obesity. Conclusions. Spillover of beneficial intervention effects to nonparticipants is a valuable public health benefit and should be part of program impact assessments

Body mass index · Environmental health · Health education · Health promotion · Intervention (counseling) · Physical therapy · Program evaluation · Promotion (chess) · Public health · Spillover effect · Medicine · Nursing · Obesity, Physical Activity, Diet · School Health and Nursing Education · Youth Development and Social Support · Gerontology

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