Trial Outcomes & Findings for Children's Healthy Living Community Randomized Trial (NCT NCT01881373)
NCT ID: NCT01881373
Last Updated: 2024-03-04
Results Overview
Body mass index is weight in kg divided by height in meters squared. Overweight is \> = 85th percentile to \< 95th percentile BMI for age and sex according to CDC 2000. Obesity is \> = 95th percentile BMI for age and sex according to CDC 2000. Change from baseline to 24 months in prevalence of overweight plus obesity in selected communities. Comparison group is healthy weight \>= 5th percentile to \< 85th percentile for age and sex according to CDC 2000. Underweight (\<5th percentile) were excluded.
COMPLETED
NA
9840 participants
Baseline, 24 months
2024-03-04
Participant Flow
communities were selected where \>25% of the population was of indigenous/native descent (native to each jurisdiction), \>10% of the population was under age 10 years, \>1000 population size, and communities were relatively accessible
Eighteen selected communities were matched for size and randomized within jurisdiction to intervention or control. Nine additional communities were monitored with no randomization for temporal trends of obesity. 2-8 year old children and their households and environments were measured and evaluated in each of these communities.
Unit of analysis: Communities
Participant milestones
| Measure |
CHL Program
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Delayed Optimized CHL Program
Comparison community that participated in community engagement process and received delayed optimized program.
|
Temporal
Communities assessed for temporal trends
|
|---|---|---|---|
|
Baseline
STARTED
|
1517 9
|
1491 9
|
1321 9
|
|
Baseline
COMPLETED
|
1517 9
|
1491 9
|
1321 9
|
|
Baseline
NOT COMPLETED
|
0 0
|
0 0
|
0 0
|
|
24 Months
STARTED
|
1342 9
|
1295 9
|
1405 9
|
|
24 Months
COMPLETED
|
1342 9
|
1295 9
|
1405 9
|
|
24 Months
NOT COMPLETED
|
0 0
|
0 0
|
0 0
|
|
78 Months
STARTED
|
500 9
|
479 9
|
490 9
|
|
78 Months
COMPLETED
|
500 9
|
479 9
|
490 9
|
|
78 Months
NOT COMPLETED
|
0 0
|
0 0
|
0 0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Children's Healthy Living Community Randomized Trial
Baseline characteristics by cohort
| Measure |
CHL Program
n=9 community
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 community
Control community that participated in community engagement process and received delayed optimized program.
|
Temporal
n=9 community
Control community with limited interaction; for temporal change assessment of anthropometry.
|
Total
n=27 community
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Continuous
|
5.42 years
n=5 Participants
|
5.49 years
n=7 Participants
|
5.22 years
n=5 Participants
|
5.38 years
n=4 Participants
|
|
Sex: Female, Male
Female
|
1699 Participants
n=5 Participants
|
1596 Participants
n=7 Participants
|
1571 Participants
n=5 Participants
|
4866 Participants
n=4 Participants
|
|
Sex: Female, Male
Male
|
1660 Participants
n=5 Participants
|
1669 Participants
n=7 Participants
|
1645 Participants
n=5 Participants
|
4974 Participants
n=4 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
35 Participants
n=5 Participants
|
28 Participants
n=7 Participants
|
215 Participants
n=5 Participants
|
278 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Asian
|
186 Participants
n=5 Participants
|
410 Participants
n=7 Participants
|
468 Participants
n=5 Participants
|
1064 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
1940 Participants
n=5 Participants
|
1735 Participants
n=7 Participants
|
1281 Participants
n=5 Participants
|
4956 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Black or African American
|
32 Participants
n=5 Participants
|
8 Participants
n=7 Participants
|
17 Participants
n=5 Participants
|
57 Participants
n=4 Participants
|
|
Race (NIH/OMB)
White
|
302 Participants
n=5 Participants
|
328 Participants
n=7 Participants
|
363 Participants
n=5 Participants
|
993 Participants
n=4 Participants
|
|
Race (NIH/OMB)
More than one race
|
842 Participants
n=5 Participants
|
735 Participants
n=7 Participants
|
848 Participants
n=5 Participants
|
2425 Participants
n=4 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
22 Participants
n=5 Participants
|
21 Participants
n=7 Participants
|
24 Participants
n=5 Participants
|
67 Participants
n=4 Participants
|
|
Region of Enrollment
Northern Mariana Islands
|
714 Participants
n=5 Participants
|
688 Participants
n=7 Participants
|
717 Participants
n=5 Participants
|
2119 Participants
n=4 Participants
|
|
Region of Enrollment
Guam
|
781 Participants
n=5 Participants
|
759 Participants
n=7 Participants
|
277 Participants
n=5 Participants
|
1817 Participants
n=4 Participants
|
|
Region of Enrollment
American Samoa
|
682 Participants
n=5 Participants
|
673 Participants
n=7 Participants
|
739 Participants
n=5 Participants
|
2094 Participants
n=4 Participants
|
|
Region of Enrollment
United States
|
433 Participants
n=5 Participants
|
425 Participants
n=7 Participants
|
736 Participants
n=5 Participants
|
1594 Participants
n=4 Participants
|
|
Region of Enrollment
United States Minor Outlying Islands
|
749 Participants
n=5 Participants
|
720 Participants
n=7 Participants
|
747 Participants
n=5 Participants
|
2216 Participants
n=4 Participants
|
PRIMARY outcome
Timeframe: Baseline, 24 monthsPopulation: Children 2-8y in selected communities of the Pacific Region; the children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
Body mass index is weight in kg divided by height in meters squared. Overweight is \> = 85th percentile to \< 95th percentile BMI for age and sex according to CDC 2000. Obesity is \> = 95th percentile BMI for age and sex according to CDC 2000. Change from baseline to 24 months in prevalence of overweight plus obesity in selected communities. Comparison group is healthy weight \>= 5th percentile to \< 85th percentile for age and sex according to CDC 2000. Underweight (\<5th percentile) were excluded.
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
n=9 communities
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Prevalence of Overweight and Obesity Using Body Mass Index Percentile for Age and Sex
|
-2.8 percentage of 2 to 8 yo children
Standard Error 1.16
|
1.4 percentage of 2 to 8 yo children
Standard Error 1.49
|
-0.40 percentage of 2 to 8 yo children
Standard Error 2.0
|
PRIMARY outcome
Timeframe: Baseline, 78 monthsPopulation: Children 2-8 years in the selected Pacific communities.The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
Waist circumference measured in centimeters at umbilicus.
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
n=9 communities
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Waist Circumference
|
0.83 centimeters
Standard Error 0.05
|
2.47 centimeters
Standard Error 0.04
|
1.19 centimeters
Standard Error 0.03
|
PRIMARY outcome
Timeframe: Baseline, 24 monthsPopulation: Children 2-8 in communities that were randomized to intervention or control. Acanthosis nigricans not assessed in temporal communities.The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
Scale title: Burke Acanthosis nigricans Score, minimum 0, maximum 4. Higher score is worse. Analysis was dichotomized as present (1-4) or absent (0). A Screening on back of neck for Acanthosis nigricans according to Burke, J., D. Hale, H. Hazuda, and M. Stern. 1999. A quantitative scale of acanthosis nigricans. Diabetes Care. 22(10):1655-1659. Epub 1999/10/20. PubMed PMID: 10526730. Scale varies from 0 to 4 with 0 as not present and 4 most severe. Analysis was done on absent (0) or present (1-4).
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Prevalence of Acanthosis Nigricans
|
-4.1 percentage of 2-8 yo children
Standard Error 0.79
|
-0.5 percentage of 2-8 yo children
Standard Error 0.96
|
—
|
PRIMARY outcome
Timeframe: Baseline, 78 monthsPopulation: Children 2-8y in selected communities of the Pacific Region; the children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
Body mass index is weight in kg divided by height in meters squared. Overweight is \> = 85th percentile to \< 95th percentile BMI for age and sex according to CDC 2000. Obesity is \> = 95th percentile BMI for age and sex according to CDC 2000. Change from baseline to 78 months in prevalence of overweight plus obesity in selected communities. Comparison group is healthy weight \>= 5th percentile to \< 85th percentile for age and sex according to CDC 2000. Underweight (\<5th percentile) were excluded.
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
n=9 communities
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Prevalence of Overweight and Obesity Using Body Mass Index Percentile for Age and Sex
|
-5.28 percentage of 2 to 8 yo children
Standard Error 0.17
|
7.32 percentage of 2 to 8 yo children
Standard Error 0.11
|
-0.19 percentage of 2 to 8 yo children
Standard Error 0.11
|
PRIMARY outcome
Timeframe: Baseline, 24 monthsPopulation: Children 2-8 years in the selected Pacific communities. The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
Waist circumference measured in centimeters at umbilicus.
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
n=9 communities
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Waist Circumference
|
-0.12 centimeters
Interval -0.72 to 0.49
|
0.59 centimeters
Interval 0.33 to 0.85
|
0.54 centimeters
Interval -0.14 to 1.21
|
PRIMARY outcome
Timeframe: Baseline, 78 monthsPopulation: Children 2-8 in communities that were randomized to intervention or control. Acanthosis nigricans not assessed in temporal communities.The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
Scale title: Burke Acanthosis nigricans Score, minimum 0, maximum 4. Higher score is worse. Analysis was dichotomized as present (1-4) or absent (0). A Screening on back of neck for Acanthosis nigricans according to Burke, J., D. Hale, H. Hazuda, and M. Stern. 1999. A quantitative scale of acanthosis nigricans. Diabetes Care. 22(10):1655-1659. Epub 1999/10/20. PubMed PMID: 10526730. Scale varies from 0 to 4 with 0 as not present and 4 most severe. Analysis was done on absent (0) or present (1-4).
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Prevalence of Acanthosis Nigricans
|
-4.1 percentage of 2-8 yo children
Standard Error 0.79
|
-0.5 percentage of 2-8 yo children
Standard Error 0.96
|
—
|
SECONDARY outcome
Timeframe: Change from baseline to 24 monthsPopulation: Children 2 to 8 from communities randomized to CHL program or Control. Temporal communities not assessed for sugar sweetened beverage intake.The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
cups per day, determined from 2 random days of food records and weighted for weekend and weekday
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Sugar Sweetened Beverage Intake
|
-0.05 cups per day
Standard Error 0.08
|
-0.06 cups per day
Standard Error 0.04
|
—
|
SECONDARY outcome
Timeframe: Baseline, 24 monthsPopulation: Children 2 to 8 randomized to CHL program or Control Community. Temporal community not assessed for physical activity.
number of minutes per day within bouts of 5 minutes averaged over 4 to 6 days of accelerometer usage
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Mean of Moderate and Vigorous Activity Per Day in Minutes
|
-1.35 number of minutes per day within bouts o
Standard Error 1.82
|
-0.18 number of minutes per day within bouts o
Standard Error 1.80
|
—
|
SECONDARY outcome
Timeframe: Baseline, 24 monthsPopulation: Children 2 to 8 randomized to CHL program or Control Community. Temporal community not assessed for physical activity.
number of minutes per day within bouts of 5 minutes averaged over 4 to 6 days of accelerometer usage
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Sedentary and Light Physical Activity
|
1.78 number of minutes per day within bouts o
Standard Error 3.96
|
-1.64 number of minutes per day within bouts o
Standard Error 3.90
|
—
|
SECONDARY outcome
Timeframe: Change from Baseline to 24 monthsPopulation: Children 2 to 8 randomized to CHL program or Control Community. Temporal community not assessed for screen time.The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
Hours per day spent in screen activity
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Screen Time
|
-0.2 hours per day
Standard Error 0.18
|
0.3 hours per day
Standard Error 0.22
|
—
|
SECONDARY outcome
Timeframe: Change from Baseline to 24 monthsPopulation: Children 2 to 8y randomized to CHL program or Control Community. Temporal community not assessed for sleep disturbance.The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
Tayside sleep scale; minimum is 1, maximum is 9, where higher is worse. lower score is less disturbance (range is 1-9) Tayside Children's Sleep Questionnaire by McGreavey JA, Donnan PT, Pagliari HC, Sullivan FM.The Tayside children's sleep questionnaire: a simple tool to evaluate sleep problems in young children. Child Care Health Dev. 2005 Sep;31(5):539-44.
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Sleep Disturbance Score
|
-0.4 units on a scale
Standard Error 0.35
|
0.3 units on a scale
Standard Error 0.19
|
—
|
SECONDARY outcome
Timeframe: Change from Baseline to 24 monthsPopulation: Children 2 to 8 randomized to CHL program or Control Community. Temporal community not assessed for water intake.
cups per day, determined from 2 random days of food records and weighted for weekend and weekday. The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Water Intake
|
0.07 cups per day
Standard Error 0.06
|
0.11 cups per day
Standard Error 0.04
|
—
|
SECONDARY outcome
Timeframe: Change from baseline to 24 monthsPopulation: Children 2 to 8 randomized to CHL program or Control Community. Temporal community not assessed for fruit intake.
cups per day, determined from 2 random days of food records and weighted for weekend and weekday
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Fruit Intake
|
-0.07 cups per day
Standard Error 0.03
|
-0.05 cups per day
Standard Error 0.02
|
—
|
SECONDARY outcome
Timeframe: Change from baseline to 24 monthsPopulation: Children 2 to 8y randomized to CHL program or Control Community. Temporal community not assessed for vegetable intake.
cups per day, determined from 2 random days of food records and weighted for weekend and weekday
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Vegetable Intake
|
-0.01 cups per day
Standard Error 0.02
|
0 cups per day
Standard Error 0.01
|
—
|
SECONDARY outcome
Timeframe: Baseline, 24 monthsPopulation: Children 2 to 8y randomized to CHL program or Control Community. Temporal community not assessed for accelerometry.
number of minutes per day within bouts of 5 minutes averaged over 4 to 6 days of accelerometer usage
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Metabolic Equivalents (METs) Per Day
|
-0.29 number of minutes per day within bouts o
Standard Error 0.09
|
-0.24 number of minutes per day within bouts o
Standard Error 0.09
|
—
|
SECONDARY outcome
Timeframe: change from baseline to 24 monthsPopulation: Children 2-8y in the selected Pacific communities.
Sleep hours per day measure by questionnaire as reported by caregiver.
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
n=9 communities
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Hours of Sleep Per Day
|
0.07 hours per day
Standard Error 0.16
|
0.25 hours per day
Standard Error 0.17
|
0.09 hours per day
Standard Error 0.17
|
SECONDARY outcome
Timeframe: change from baseline to 78 monthsPopulation: Children 2 to 8 from communities randomized to CHL program or Control. Temporal communities not assessed for sugar sweetened beverage intake.The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
cups per day, determined from 2 random days of food records and weighted for weekend and weekday
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Sugar Sweetened Beverage Intake
|
-0.05 cups per day
Standard Error 0.07
|
-0.14 cups per day
Standard Error 0.08
|
—
|
SECONDARY outcome
Timeframe: change from Baseline to 78 monthsPopulation: Children 2 to 8 randomized to CHL program or Control Community. Temporal community not assessed for screen time.The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
Hours per day spent in screen activity
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Screen Time
|
0.006 hours per day
Standard Error 0.01
|
0.10 hours per day
Standard Error 0.02
|
—
|
SECONDARY outcome
Timeframe: Change from baseline to 78 months, The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.Population: Children 2 to 8y randomized to CHL program or Control Community. Temporal community not assessed for sleep disturbance.
Tayside sleep scale; minimum is 1, maximum is 9, where higher is worse. lower score is less disturbance (range is 1-9) Tayside Children's Sleep Questionnaire by McGreavey JA, Donnan PT, Pagliari HC, Sullivan FM.The Tayside children's sleep questionnaire: a simple tool to evaluate sleep problems in young children. Child Care Health Dev. 2005 Sep;31(5):539-44.
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Sleep Disturbance Score
|
1.83 units on a scale
Standard Error 0.02
|
1.46 units on a scale
Standard Error 0.05
|
—
|
SECONDARY outcome
Timeframe: change from baseline to 78 months.The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.Population: Children 2 to 8 randomized to CHL program or Control Community. Temporal community not assessed for water intake.The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
cups per day, determined from 2 random days of food records and weighted for weekend and weekday
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Water Intake
|
0.02 cups per day
Standard Error 0.03
|
0 cups per day
Standard Error 0.02
|
—
|
SECONDARY outcome
Timeframe: change from baseline to 78 monthsPopulation: Children 2 to 8 randomized to CHL program or Control Community. Temporal community not assessed for fruit intake.
cups per day, determined from 2 random days of food records and weighted for weekend and weekday
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Fruit Intake
|
0.02 cups per day
Standard Error 0.06
|
-0.19 cups per day
Standard Error 0.10
|
—
|
SECONDARY outcome
Timeframe: change from baseline to 78 monthsPopulation: Children 2 to 8y randomized to CHL program or Control Community. Temporal community not assessed for vegetable intake.
cups per day, determined from 2 random days of food records and weighted for weekend and weekday
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Vegetable Intake
|
0 cups per day
Standard Error 0.05
|
-0.06 cups per day
Standard Error 0.04
|
—
|
SECONDARY outcome
Timeframe: change from baseline to 78 monthsPopulation: Children 2-8y in the selected Pacific communities.The children from each community recruited each time were NOT the same children. The number of communities is consistent across time.
Sleep hours per day measure by questionnaire as reported by caregiver.
Outcome measures
| Measure |
CHL Program
n=9 communities
Multiple component environmentally focused intervention designed with a community engagement process.
CHL program: Multiple component environmentally focused program designed with community engagement.
|
Control Community
n=9 communities
Comparison community that participated in community engagement process and will receive delayed optimized program.
|
Temporal
n=9 communities
Communities measured for temporal trends
|
|---|---|---|---|
|
Change in Hours of Sleep Per Day
|
0.2 hours per day
Standard Error 0.18
|
0 hours per day
Standard Error 0.11
|
0.01 hours per day
Standard Error 0.2
|
Adverse Events
CHL Program
Delayed Optimized CHL Program
Temporal
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place