Thirsty? Choose Water! A regional perspective to promoting water consumption in secondary school students
Bibliographic Data
| ID | 15093095 |
|---|---|
| Authors | Nicole Kajons (0000-0003-2739-9632, Central Coast Local Health District), Justine Gowland-Ella, Justine Gowland‐Ella (0000-0002-5790-6589, Central Coast Local Health District), Samantha Batchelor (0000-0002-0926-8113, Central Coast Local Health District), Nina Kingon (Central Coast Local Health District), Michael David (0000-0002-1926-7800, Griffith University, corresponding author) |
| Year | 2023 |
| Volume | 26 |
| Issue | 11 |
| Pages | 2526-2538 |
| Publication date | 2023-11-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Health Nutrition (JOURNAL) |
| Journal identifiers | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980023001313 |
| PMID | 37424298 |
| OpenAlex | W4383710904 |
| Language | EN |
| References cited | 33 |
Objective: Adolescents are high consumers of sugar-sweetened beverages (SSB), which contribute to overweight and obesity – a significant public health issue. Evidence suggests that replacing SSB with water and school-based interventions can reduce consumption. This study examines the acceptability of a previously trialled intervention (Thirsty? Choose Water!) in regional and remote secondary schools. Design: An open-label randomised controlled trial using a two-by-two factorial design tested the outcomes of a behavioural and/or environmental intervention on SSB and water consumption. Setting: Regional and remote secondary schools (public, catholic and independent) within the boundaries of two regional Local Health Districts within New South Wales. Participants: Twenty-four schools participated in the study. The target group was year 7 students ( n 1640) – 72 % of eligible students completed baseline data. The study followed students into year 8 ( n 1188) – 52 % of eligible students completed post-intervention data. Forty teachers undertook training to deliver the intervention. Results: Interventions showed high levels of acceptability. Students demonstrated changes in knowledge, attitudes and consumption behaviours. Multivariable ordinal logression analysis demonstrated that all interventions increased the odds of students increasing their water consumption (though not statistically significant). Conversely, the combined (OR: 0·75; 95 % CI: 0·59, 0·97) or environmental intervention (OR: 0·68; 95 % CI: 0·51, 0·90) had greater odds of reducing SSB consumption and was statistically significant. Conclusions: This study builds on recent Australian evidence regarding the impact of school-based interventions on water and SSB consumption. In this study, despite a minor intervention change, and the impacts of fires, floods and COVID-19 on study implementation, the interventions were highly regarded by the school communities with positive outcomes
Consumption (sociology · Environmental health · Intervention (counseling · Logistic regression · Obesity · Odds · Overweight · Psychological intervention · Public health · Public health interventions · Sociology · Water consumption · Child Nutrition and Water Access · Climate Change and Health Impacts · Engineering · Medicine · Nursing · Obesity, Physical Activity, Diet
Assessing Proportionality in the Proportional Odds Model for Ordinal Logistic Regression
Water, hydration, and health
Goodness of Link Tests for Generalized Linear Models
Thirsty? Choose Water! Behavioural interventions and water stations in secondary schools a two-by-two factorial randomised controlled trial
Sugar-sweetened beverage taxation
Efficacy of school-based interventions aimed at decreasing sugar-sweetened beverage consumption among adolescents
A social network-based intervention stimulating peer influence on children's self-reported water consumption
Month changes in dietary intake of adolescent girls attending schools in low-income communities following the Neat Girls cluster randomized controlled trial
| Highly cited | No |
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