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

Author:

Perry Cheryl L.1,Sellers Deborah E.2,Johnson Carolyn3,Pedersen Sheryl4,Bachman Kathryn J.5,Parcel Guy S.6,Stone Elaine J.7,Luepker Russell V.8,Wu Margaret9,Nader Philip R.10,Cook Kathleen11

Affiliation:

1. Cheryl L. Perry, PhD, is a professor in the Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis.

2. Deborah E. Sellers, PhD, is a project director at the Educational Development Center, Newton, MA.

3. Carolyn Johnson, PhD, is a research associate professor in the Department of Cummunity Health Sciences, Tulane University, New Orleans, LA.

4. Sheryl Pedersen, MPH, CHES, is a health educator in the School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA.

5. Kathryn J. Bachman, MS, EdS, is the director of community and school health education in the Department of Pediatrics, Division of Community Pediatrics, University of California at San Diego.

6. Guy S. Parcel, PhD, MPH, is a professor in and the director of the Center for Health Promotion Research and Development, University of Texas Health Sciences Center, University of Texas, Houston.

7. Elaine J. Stone, PhD, MPH, is a health science administrator at the National Heart, Lung, and Blood Institute, Bethesda, MD.

8. Russell V. Luepker, MD, is a professor in and the head of the Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis.

9. Margaret Wu, PhD, is a mathematical statistician at the National Heart, Lung, and Blood Institute, Bethesda, MD.

10. Philip R. Nader, MD, is a professor of pediatrics and chief of the Division of Community Pediatrics, University of California at San Diego.

11. Kathleen Cook, MEd, is a research coordinator in the Center for Health Promotion Research and Development, University of Texas Health Sciences Center, University of Texas, Houston.

Abstract

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.

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health,Arts and Humanities (miscellaneous)

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