The Child and Adolescent Trial for Cardiovascular Health (CATCH): Intervention, Implementation, and Feasibility for Elementary Schools in the United States

1997 ◽  
Vol 24 (6) ◽  
pp. 716-735 ◽  
Author(s):  
Cheryl L. Perry ◽  
Deborah E. Sellers ◽  
Carolyn Johnson ◽  
Sheryl Pedersen ◽  
Kathryn J. Bachman ◽  
...  
Keyword(s):  
United States ◽  
Elementary Schools ◽  
Physical Education ◽  
Cardiovascular Health ◽  
Food Service ◽  
Child And Adolescent ◽  
The United States ◽  
Process Data ◽  
School Food ◽  
School Food Service

The Child and Adolescent Trial for Cardiovascular Health (CATCH) was the largest school-based field trial ever sponsored by the National Institutes of Health. The trial demonstrated positive changes in the school food service and physical education program, as well as in students' cardiovascular health behaviors. Because the CATCH intervention programs were implemented in 56 schools (in four states) that were typical of schools throughout the United States, their reception by schools and degree of implementation provide evidence about their feasibility for schools nationally. Extensive process evaluation data were collected from students, teachers, school food service personnel, and physical education specialists throughout the three school years of the CATCH intervention. Four of the CATCH programs—school food service, physical education, classroom curricula, and home programs—were assessed over the three school years. The process data provide information on participation, dose, fidelity, and compatibility of the CATCH programs in the intervention schools for these programs. High levels of participation, dose, fidelity, and compatibility were observed for the four programs during the 3 school years. CATCH emerges as a model of a feasible multilevel health promotion program to improve eating and exercise behaviors for elementary schools in the United States.

Feeding others' children : a comparative ethnography of school food service employees and how they make meaning

2016 ◽  
Author(s):  
◽  
Ashley D. Vancil-Leap
Keyword(s):  
Participant Observation ◽  
Food Service ◽  
The United States ◽  
School Nutrition ◽  
Policy Implications ◽  
Regulatory Structure ◽  
School Food ◽  
Service Employees ◽  
School Food Service ◽  
Food Service Employees

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] Utilizing 18 months of participant observation, 25 in-depth interviews and numerous textual sources, this research is an ethnography at an elementary, middle, and high school looking at how school food service employees (i.e. lunch ladies) make meaning out of this low-status, low-paying occupation in the context of changes to federal policies on school nutrition. Overall, I argue that lunch ladies use care work as resources in mundane, yet unique, ways even as their work is shaped and constrained by the financial and regulatory structure changes of the National School Lunch and Breakfast Programs. The goal is to show how food, femininity and labor are interrelated to produce inequalities, as well as, create opportunities for equality. Consequently, this project possesses social, cultural, and policy implications by analyzing an invisible group that provides service to every school in the United States and who influence student's school food choices.

The Environmental Component: Changing School Food Service to Promote Cardiovascular Health

1989 ◽  
Vol 16 (2) ◽  
pp. 285-297 ◽  
Author(s):  
R. Curtis Ellison ◽  
Ann L. Capper ◽  
Robert J. Goldberg ◽  
Jelia C. Witschi ◽  
Fredrick J. Stare
Keyword(s):  
Cardiovascular Health ◽  
Food Service ◽  
School Food ◽  
School Food Service ◽  
Environmental Component

How the Catch Eat Smart Program Helps Implement the USDA Regulations in School Cafeterias

2003 ◽  
Vol 30 (4) ◽  
pp. 434-446 ◽  
Author(s):  
Deanna M. Hoelscher ◽  
Paul Mitchell ◽  
Johanna Dwyer ◽  
John Elder ◽  
Ann Clesi ◽  
...  
Keyword(s):  
Cardiovascular Health ◽  
Demographic Data ◽  
Guideline Implementation ◽  
Food Service ◽  
School Lunch ◽  
School Food ◽  
Main Trial ◽  
School Food Service ◽  
Lunch Program ◽  
School Cafeterias

This article describes the implementation of the U.S. Department of Agriculture's National School Lunch Program (NSLP) standards in school lunch menus in 56 intervention and 20 control schools from the Child and Adolescent Trial for Cardiovascular Health (CATCH) 5 years after the main trial, compared with 12 schools previously unexposed to CATCH. School food service personnel completed questionnaires to assess CATCH guideline implementation, demographic data, behavioral constructs, training, program material use, and par ticipation in competing programs. Five days of menus and recipes were collected from school cafeteria staff, averaged, and compared to USDA School Meal Initiative (SMI) standards. Significant differences between intervention and unexposed schools were found for training and knowledge of CATCH and in mean percentage energy from fat and carbohydrates. Intervention schools most closely met USDA SMI recommendations for fat. Thus, the CATCH Eat Smart Program assisted school cafeterias in meeting USDA guidelines 5 years postimplementation.

Maintenance of Effects of the Eat Smart School Food Service Program: Results from the Catch-on Study

2003 ◽  
Vol 30 (4) ◽  
pp. 418-433 ◽  
Author(s):  
Stavroula K. Osganian ◽  
Deanna M. Hoelscher ◽  
Michelle Zive ◽  
Paul D. Mitchell ◽  
Patricia Snyder ◽  
...  
Keyword(s):  
Cardiovascular Health ◽  
Food Service ◽  
Saturated Fat ◽  
School Food ◽  
School Conditions ◽  
School Food Service ◽  
Service Intervention ◽  
Total Fat ◽  
And Control

The Child and Adolescent Trial for Cardiovascular Health (CATCH) Eat Smart Program targeted the food service of the 56 CATCH intervention elementary schools to effect positive changes in the total fat and saturated fat content of school lunch. Maintenance of the food service intervention in former intervention ( n = 56) and control ( n = 20) schools was evaluated 5 years postintervention. After 5 years of follow-up and no further intervention, the former CATCH intervention schools not only maintained prior levels but also had further decreases in the mean percentage of calories from total and saturated fat to 31% and 10.4%, respectively. Significant decreases in these nutrients were also observed in the former CATCH control schools; however, the former intervention schools more closely approached the Eat Smart goal for total fat. Overall, sodium levels rose in both school conditions and did not differ significantly at follow-up.

scholarly journals Obesity Prevalence and Dietary Intake of Antioxidants in Native American Adolescents

2016 ◽  
Vol 5 (3) ◽  
pp. 222
Author(s):  
Maria Cristina Perez ◽  
Benjamin D. Knisley ◽  
Grace E. Crosby ◽  
Shasha Zheng ◽  
M. Margaret Barth
Keyword(s):  
Native American ◽  
Dietary Intake ◽  
Food Service ◽  
Primary Source ◽  
The United States ◽  
Normal Weight ◽  
Obesity Prevalence ◽  
School Food ◽  
School Food Service ◽  
Antioxidant Intake

Antioxidants are well known for possessing anti-inflammatory properties, which can reduce the risk of chronic disease and obesity. However, very little research has been done to examine antioxidant intake among adolescent minority populations such as Native American adolescents. Our study examined the significance of antioxidant intake among Native American adolescents at an urban residential high school in Southern California. Our study population consisted of 183 male and female Native American adolescents, 14-18 years of age, representing 43 tribes from across the United States. Students’ primary source of meals was provided by the school food service. Based on the BMI calculations, the rate of obesity within our population was 38% for males and 40% for females, more than two-fold the national rate indicated by NHANESIII data. We used the Harvard School of Public Health Youth/Adolescent Questionnaire (HSPH YAQ), a semi-quantitative food frequency questionnaire, to examine antioxidant nutrient intake and evaluate the differences in the intake between normal and obese weight students. Statistical analysis of the results showed that intakes of vitamins C, E, and lycopene were the antioxidant nutrients found to be significantly different between normal and obese weight students and intakes of these nutrients were found to be higher among normal weight students (p-values = 0.02451, 0.00847, and 0.04928, respectively). These results suggest that dietary intake of antioxidants could be increased among Native American adolescents. Further research is needed to confirm our findings and identify effective ways for school food service to incorporate antioxidant rich foods into school menus.

scholarly journals Obesity Prevalence and Dietary Intake of Antioxidants in Native American Adolescents

2016 ◽  
Vol 5 (3) ◽  
pp. 222
Author(s):  
Maria Cristina Perez ◽  
Benjamin D. Knisley ◽  
Grace E. Crosby ◽  
Shasha Zheng ◽  
M. Margaret Barth
Keyword(s):  
Native American ◽  
Dietary Intake ◽  
Food Service ◽  
Primary Source ◽  
The United States ◽  
Normal Weight ◽  
Obesity Prevalence ◽  
School Food ◽  
School Food Service ◽  
Antioxidant Intake

Antioxidants are well known for possessing anti-inflammatory properties, which can reduce the risk of chronic disease and obesity. However, very little research has been done to examine antioxidant intake among adolescent minority populations such as Native American adolescents. Our study examined the significance of antioxidant intake among Native American adolescents at an urban residential high school in Southern California. Our study population consisted of 183 male and female Native American adolescents, 14-18 years of age, representing 43 tribes from across the United States. Students’ primary source of meals was provided by the school food service. Based on the BMI calculations, the rate of obesity within our population was 38% for males and 40% for females, more than two-fold the national rate indicated by NHANESIII data. We used the Harvard School of Public Health Youth/Adolescent Questionnaire (HSPH YAQ), a semi-quantitative food frequency questionnaire, to examine antioxidant nutrient intake and evaluate the differences in the intake between normal and obese weight students. Statistical analysis of the results showed that intakes of vitamins C, E, and lycopene were the antioxidant nutrients found to be significantly different between normal and obese weight students and intakes of these nutrients were found to be higher among normal weight students (p-values = 0.02451, 0.00847, and 0.04928, respectively). These results suggest that dietary intake of antioxidants could be increased among Native American adolescents. Further research is needed to confirm our findings and identify effective ways for school food service to incorporate antioxidant rich foods into school menus.

Maintenance of a Health Promotion Program in Elementary Schools: Results from the Catch-on Study Key Informant Interviews

2003 ◽  
Vol 30 (4) ◽  
pp. 503-518 ◽  
Author(s):  
Leslie A. Lytle ◽  
Jerri Ward ◽  
Phillip R. Nader ◽  
Sheryl Pedersen ◽  
BJ Williston
Keyword(s):  
Health Promotion ◽  
Physical Education ◽  
Program Implementation ◽  
Cardiovascular Health ◽  
Food Service ◽  
School Personnel ◽  
Health Promotion Program ◽  
School Food ◽  
Service Staff ◽  
Key Informant

To better understand the institutionalization process in Child and Adolescent Trial for Cardiovascular Health (CATCH) intervention and control schools, 199 key informant interviews were conducted with school food service staff, physical education teachers, classroom teachers, and administrators at the four CATCH-ON field centers. School personnel were asked to talk about the degree of CATCH program implementation, who at the school or school district was instrumental in promoting CATCH, and the conditions that facilitated or impeded the institutionalization of CATCH activities and philosophies. The CATCH Physical Education (PE) component appeared to have the highest level of institutionalization, and the CATCH classroom curriculum and family components appeared to have the lowest levels of institutionalization. The primary barriers expressed included the low priority for health promotion activities and time constraints of schools; lack of mechanisms for training of school staff; and lack of sufficient funds for materials, equipment, and lower fat vendor products.

Long-Term Implementation of the Catch Physical Education Program

2003 ◽  
Vol 30 (4) ◽  
pp. 463-475 ◽  
Author(s):  
Steven H. Kelder ◽  
Paul D. Mitchell ◽  
Thomas L. McKenzie ◽  
Carol Derby ◽  
Patricia K. Strikmiller ◽  
...  
Keyword(s):  
Elementary Schools ◽  
Physical Education ◽  
Cardiovascular Health ◽  
Secular Trend ◽  
Vigorous Physical Activity ◽  
The United States ◽  
Unexposed Control ◽  
Service Training ◽  
Positive Effect

To test the effectiveness of the Child and Adolescent Trial for Cardiovascular Health (CATCH) program, a randomized trial was conducted in 96 elementary schools in four regions of the United States. Results from the original trial indicated a significant positive effect on the delivery of physical education (PE). All 56 former intervention schools (FI), 20 randomly selected former control schools (FC), and 12 newly selected unexposed control schools (UC) were assessed 5 years postintervention. Results indicate a strong secular trend of increasing moderate to vigorous physical activity (MVPA) in PE classes among both FC and UC schools. The FI schools surpassed the Healthy People 2010 goal for MVPA during PE lesson time (i.e., 50%), whereas the FC and UC schools came close to it. Barriers to implementing CATCH PE included insufficient training and lower importance of PE compared to other academic areas and indicate the need for in-service training.

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