Online Child’s Health Assessment Tool for Obesity Prevention Programming
Keywords:childhood obesity, youth, CYFAR, after-school, CHAT, nutrition, physical activity, health
To optimize public health in the next decade, prevention of childhood obesity will remain a central focus. To impact behavioral change, data must be linked to continuous quality improvements within existing nutrition and physical activity programming. The Children, Youth, and Families At-Risk Professional Development and Technical Assistance Center has developed a picture-based, online survey tool, the CYFAR Health Assessment Tool (CHAT), to assess health behaviors in youth ages 6 to18 years of age. Used for continuous program improvement, aggregate data results are coupled with tailored health recommendations in 4 domains (behavior and environmental modifications, education, and direct strategies) and evidence-informed resources for dissemination to youth and parents. Program implementers use the data and resources for targeted programmatic improvements that more effectively promote health and well-being. CHAT also informs our collective understanding of youth’s perceptions of health in comparison to their actual behaviors.
Afterschool Alliance. (2014). America after 3PM: Afterschool programs in demand. Retrieved from http://afterschoolalliance.org/documents/AA3PM-2014/AA3PM_National_Report.pdf
Anderson, S. E., Must, A., Curtin, C., & Bandini, L. G. (2012). Meals in our household: Reliability and initial validation of a questionnaire to assess child mealtime behaviors and family mealtime environments. Journal of the Academy of Nutrition and Dietetics, 112(2), 276-284. doi: 10.1016/j.jada.2011.08.035
Bauer, P. J., Doydum, A. O., Pathman, T., Larkina, M., Güler, O. E., & Burch, M. (2012). It’s all about location, location, location: Children’s memory for the “where” of personally experienced events. Journal of Experimental Child Psychology, 113(4), 510-522.
Bleich, S. N., Segal, J., Wu, Y., Wilson, R., & Wang, Y. (2013). Systematic review of community-based childhood obesity prevention studies. Pediatrics, 132(1), 201-210. doi: 10.1542/peds.2013-0886
Bleich, S. N. & Vercammen, K. A. (2018). The negative impact of sugar-sweetened beverages on children’s health: An update of the literature. BMC Obesity, 5(1), 6.
Briefel, R. R., Wilson, A., & Gleason, P. M. (2009). Consumption of low-nutrient, energy-dense foods and beverages at school, home, and other locations among school lunch participants and nonparticipants. Journal of the American Dietetic Association, 109(2), S79-S90.
Bryant, M. J., Ward, D. S., Hales, D., Vaughn, A., Tabak, R. G., & Stevens, J. (2008). Reliability and validity of the healthy home survey: A tool to measure factors within homes hypothesized to relate to overweight in children. International Journal of Behavioral Nutrition and Physical Activity, 5(1), 23.
Carter, B., Rees, P., Hale, L., Bhattacharjee, D., & Paradkar, M. S. (2016). Association between portable screen-based media device access or use and sleep outcomes: A systematic review and meta-analysis. JAMA Pediatrics, 170(12), 1202-1208. doi: 10.1001/jamapediatrics.2016.2341
Chaput, J. P. (2016). Is sleep deprivation a contributor to obesity in children? Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 21(1), 5-11. doi: 10.1007/s40519-015-0233-9
Clearinghouse for Military Family Readiness at Penn State. (2017). Healthy kids’ snacks. [Fact Sheet]. Retrieved from http://psu5210.wpengine.com/wp-content/uploads/2017/08/b2_8healthykidssnacks7-11-17.pdf
Corsini, D. A., Jacobus, K. A., & Leonard, S. D. (1969). Recognition memory of preschool children for pictures and words. Psychonomic Science, 16(4), 192-193.
Deutskens, E., de Ruyter, K., Wetzels, M., & Oosterveld, P. (2004). Response rate and response quality of internet-based surveys: An experimental study. Marketing Letters, 15(1), 21-36.
Economos, C. D., Sacheck, J. M., Chui, K. K. H., Irizzary, L., Guillemont, J., Collins, J. J., & Hyatt, R. R. (2008). School-based behavioral assessment tools are reliable and valid for measurement of fruit and vegetable intake, physical activity, and television viewing in young children. Journal of the American Dietetic Association, 108(4), 695-701. doi: 10.1016/j.jada.2008.01.001
Estabrooks, P. A., Lee, R. E., & Gyurcsik, N. C. (2004). Resources for physical activity participation: Does availability and accessibility differ by neighborhood socioeconomic status? Annals of Behavioral Medicine, 25(2), 100-104.
Foley, L. S., Maddison, R., Jiang, Y., Marsh, S., Olds, T., & Ridley, K. (2013). Pre-sleep activities and time of sleep onset in children. Pediatrics, 131(2), 276-282.
Gattshall, M. L., Shoup, J. A., Marshall, J. A., Crane, L. A., & Estabrooks, P. A. (2008). Validation of a survey instrument to assess home environments for physical activity and healthy eating in overweight children. International Journal of Behavioral Nutrition and Physical Activity, 5(1), 3. doi: 10.1186/1479-5868-5-3
George, S. M. S., Van Horn, M. L., Lawman, H. G., & Wilson, D. K. (2016). Reliability of 24-hour dietary recalls as a measure of diet in African-American youth. Journal of the Academy of Nutrition and Dietetics, 116(10), 1551-1559. doi: 10.1016/j.jand.2016.05.011
Gleason, P., & Suitor, C. (2001). Food for thought: Children's diets in the 1990s. (Policy Brief). Princeton, NJ: Mathematica Policy Research, Inc.
Godzicki, L., Godzicki, N., Krofel, M., & Michaels, R. (2013). Increasing motivation and engagement in elementary and middle school students through technology-supported learning environments. Online Submission.
Gortmaker, S., Long, M., & Wang, Y. C. (2009). The negative impact of sugar-sweetened beverages on children's health: a research synthesis. Robert Wood Johnson Foundation. Retrieved from http://healthyeatingresearch.org/wp-content/uploads/2013/12/HER-SSB-Synthesis-091116_FINAL.pdf
Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2017). NCHS data brief: Prevalence of obesity among adults and youth: United States, 2015-2016 (No. 288). 1-8. Hyattsville, MD: National Center for Health Statistics.
Han, J. C., Lawlor, D. A., & Kimm, S. Y. (2010). Childhood obesity. The Lancet, 375(9727), 1737-1748. doi: 10.1016/S0140-6736(10)60171-7
Kubiszewski, V., Fontaine, R., Rusch, E., & Hazouard, E. (2014). Association between electronic media use and sleep habits: An eight-day follow-up study. International Journal of Adolescence and Youth, 19(3), 395-407. doi: 10.1080/02673843.2012.751039
Levi, J., Segal, L. M., Laurent, R., & Rayburn, J., (2014). The state of obesity: Better policies for a healthier America (Issue Report). Retrieved from the Trust for America’s Health and Robert Wood Johnson Foundation State of Obesity website: https://stateofobesity.org/files/stateofobesity2014.pdf
Lindsay, A. C., Sussner, K. M., Kim, J., & Gortmaker, S. (2006). The role of parents in preventing childhood obesity. The Future of Children, 169-186.
Mahoney, J. L., Lord, H., & Carryl, E. (2005). Afterschool program participation and the development of child obesity and peer acceptance. Applied Developmental Science, 9(4), 202-215.
Masa, R., & Chowa, G. (2013, November). Social and economic determinants of youth health perception: Evidence from the Ghana YouthSave experiment. Paper presented at the 141st APHA Annual Meeting and Exposition, Boston, MA. Available at https://www.researchgate.net/publication/266813246_Social_and_economic_determinants_of_youth_health_perception_Evidence_from_the_Ghana_youthsave_experiment
McGuire, S. (2012). Institute of Medicine. 2012. Accelerating progress in obesity prevention: Solving the weight of the nation. Washington, DC: The National Academies Press. Advances in Nutrition: An International Review Journal, 3(5), 708-709. doi: 10.3945/an.112.002733
McPherson, S. R., Hoelscher, D. M., Alexander, M., Scanlon, K. S., & Serdula, M. K., (2000). Dietary assessment methods among school-aged children: Validity and reliability. Preventive Medicine. 31, 11-33. doi: 10.1006/pmed.2000.0631
Moore, L. V., Roux, A. V. D., Evenson, K. R., McGinn, A. P., & Brines, S. J. (2008). Availability of recreational resources in minority and low socioeconomic status areas. American Journal of Preventive Medicine, 34(1), 16-22.
National Sleep Foundation. (2006). Sleep in America® pPoll. Retrieved from https://sleepfoundation.org/sites/default/files/Highlights_facts_06.pdf
National Sleep Foundation. (2011). Sleep in America® poll. Retrieved from https://sleepfoundation.org/sites/default/files/sleepinamericapoll/SIAP_2011_Summary_of_Findings.pdf
O’Connell, R. (2013). The use of visual methods with children in a mixed methods study of family food practices. International Journal of Social Research Methodology, 16(1), 31-46. doi: 10.1080/13645579.2011.647517
Paruthi, S., Brooks, L. J., D'Ambrosio, C., Hall, W. A., Kotagal, S., Lloyd, R. M., . . . Rosen, C. L. (2016). Recommended amount of sleep for pediatric populations: A consensus statement of the American Academy of Sleep Medicine. Journal of Clinical Sleep Medicine, 12(6), 785. doi: 10.5664/jcsm.5866
Powell, L. M., Slater, S., & Chaloupka, F. J. (2004). The relationship between community physical activity settings and race, ethnicity, and socioeconomic status. Evidence-Based Preventive Medicine, 1(2), 135-144.
Power, E. M. (2003). De-centering the text: Exploring the potential for visual methods in the sociology of food. Journal for the Study of Food and Society, 6(2), 9-20.
Raj, S., Senjam, S. S., & Singh, A. (2013). Assessment of health-promoting behavior and lifestyle of adolescents of a North Indian city. International Journal of Preventive Medicine, 4(10), 1189.
Sallis, J. F., & Glanz, K. (2006). The role of built environments in physical activity, eating, and obesity in childhood. The Future of Children 16(1), 89-108.
Segal, L. M., Rayburn, J., & Beck, S. E. (2017). The state of obesity: Better policies for a healthier America (Issue Report). Retrieved from the Trust for America’s Health and Robert Wood Johnson Foundation State of Obesity website: https://stateofobesity.org/files/stateofobesity2017.pdf
Sylvetsky, A. C., Hennink, M., Comeau, D., Welsh, J. A., Hardy, T., Matzigkeit, L., . . . Vos, M. B. (2013). Youth understanding of healthy eating and obesity: A focus group study. Journal of Obesity, 2013, Article ID 670295. doi: 10.1155/2013/670295
Trust for America’s Health and Robert Wood Johnson Foundation. (n.d.). Socioeconomics and Obesity among Children. Retrieved from https://stateofobesity.org/socioeconomics-obesity/
U.S. Department of Health and Human Services. (2008). 2008 physical activity guidelines for Americans: Be active, healthy, and happy!. Retrieved from https://health.gov/paguidelines/pdf/paguide.pdf
U.S. Department of Health and Human Services and U.S. Department of Agriculture. (2015). 2015-2016 Dietary Guidelines for Americans 8th Edition. Retrieved from https://health.gov/dietaryguidelines/2015/resources/2015-2020_Dietary_Guidelines.pdf
Ver Ploeg, M., Breneman, V., Dutko, P., Williams, R., Snyder, S., Dicken, C., & Kaufman, P. (2012). Access to affordable and nutritious food: Updated estimates of distance to supermarkets using 2010 data. (Economic Research Report 143). Retrieved from the U.S. Department of Agriculture, Economic Research Service website https://www.ers.usda.gov/publications/pub-details/?pubid=45035
Vriend, J. L., Davidson, F. D., Corkum, P. V., Rusak, B., Chambers, C. T., & McLaughlin, E. N. (2013). Manipulating sleep duration alters emotional functioning and cognitive performance in children. Journal of Pediatric Psychology, 38(10), 1058-1069.
Wood, R. T., Griffiths, M. D., & Eatough, V. (2004). Online data collection from video game players: Methodological issues. CyberPsychology & Behavior, 7(5), 511-518.
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