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Effectiveness of a multi-faceted,school-based health intervention program with 4th graders in Alabama
Institution:1. Department of Human Development and Family Studies, Auburn University, Auburn, AL 36849, USA;2. Department of Consumer and Design Sciences, Auburn University, Auburn, AL 36849, USA;3. Department of Nutrition, Dietetics, and Hospitality Management, Auburn University, Auburn, AL 36849, USA;1. ASUP 106, Fayetteville, AR 72701, School of Social Work, University of Arkansas, United States;2. Enderis Hall 1165, Milwaukee, WI 53211, Helen Bader School of Social Welfare, University of Wisconsin at Milwaukee, United States;3. 1010 W. Nevada Street Suite 2080, Urbana, IL 61801, Children and Family Research Center, School of Social Work, University of Illinois at Urbana-Champaign, United States;1. Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN 46202, United States;2. Department of Medicine, Indiana University School of Medicine, 410 W 10th St, Suite 3000, Indianapolis, IN 46202, United States;3. Department of Biostatistics, Indiana University School of Medicine, 410 W 10th St, Suite 3000, Indianapolis, IN 46202, United States;4. Childers Consulting, LLC, United States
Abstract:Childhood obesity is considered one of the most prevalent, chronic disorders in the U.S. with Alabama among the states with the highest incidence. Schools have the opportunity to play a vital role in educating children about healthy nutritional, physical, and psychological choices. The purpose of this multi-faceted, school-based health intervention was to educate children about healthy nutrition, promote physical activity, and use avatars as an educational and motivational tool for understanding and developing healthy bodies. Six fourth-grade classrooms in rural Alabama participated. The intervention group consisted of 25 males and 26 females (43% African-American, 57% European-American; 26% obese, 14% overweight) who received a 10-week nutrition education program that incorporated classroom physical activity and exposure to avatars. The control group consisted of 30 males and 24 females (41% African-American, 59% European-American; 28% obese, 15% overweight) who received no intervention or initial avatar exposure. Repeated Measures Analysis of Variance determined that only intervention children significantly improved their healthy food choice intentions, ability to identify fatty foods, and general nutrition knowledge at posttest. Additionally, most intervention students reported that manipulating their avatar's body size helped them think about healthy weight (86%-helpful, 12%-somewhat helpful) and their own best, healthy body size (76%-yes, 22%-maybe). Intervention children picked healthier avatars as their ideal/desired body size at posttest. This intervention improved nutrition knowledge and attitudes and provided preliminary evidence that avatars can be a useful tool in childhood health interventions to help elementary school students think about healthy weight and body size.
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