Rosenkranz SBM 09

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Funding for this project was provided by the Sunflower Foundation: Health Care for Kansans, a Topeka-based philanthropic organization with the mission to serve as a catalyst for improving the health of Kansans. * Healthier troops in a SNAP (Scouting Nutrition and Activity Program): Dietary outcomes in girl scouts, their parents, and troop meetings. Richard R. Rosenkranz1 and David. A. Dzewaltowski2 1Department of Human Nutrition and The Youth Health Behavior Research Laboratory, Kansas State University, Manhattan KS 2Department of Kinesiology and The Youth Health Behavior Research Laboratory, Kansas State University, Manhattan KS OBJECTIVE MEASURES PARTICIPANTS INTERVENTION This study evaluated the effect of an intervention delivered through Girl Scouts Juniors troops, designed to create healthful troop meeting environments and foster healthful family mealtimes at home. RESULTS CONCLUSIONS Seven Girl Scout troops were randomized to intervention (n = 3, with 34 girls) or standard-care control (n = 4, with 42 girls) conditions. Girls ranged in age from 9 to 13 (mean = 10.5 + 1.2 years). Table 1. Actual food exposures in troop meetings by condition (442 child snack opportunities) Interventions to improve Girl Scouts meeting environments appear to be feasible on a broader scale. Future work should bridge health promotion to the home environment, to achieve lasting behavior change and obesity prevention . Table 2. Toop environment by condition (71 hours, 20 minutes of direct observation) Troop leader self-ratings for implementation of intervention ranged from 1.43 to 1.86, (0 = none, to 2 = full implementation). Intervention troops were successful in providing greater opportunities for healthful eating in troop meetings, relative to control troops (see tables). Intervention troops offered: significantly greater nutritional educational content (p < .001); significantly greater healthful eating promotion (p < .001); less exposure to candy, cakes, cookies, sugar-sweetened beverages; and greater exposure to fruits, vegetables and water. However, the intervention’s impact beyond troop meetings and on the weight status and health behaviors of girls and parents was negligible. There were no significant differences by condition in: girls’ BMI z-score (p = .544); parent BMI (p = .264); family meal frequency (p = .132); overall fruit and vegetable consumption (p = .269); parent fruit and vegetable consumption (p = .223); child sugar-sweetened beverage consumption (p = .549) or differences in eating with the television at home (p = .280). -Questionnaire- Family meals; fruit; vegetables; soda; TV; PA; shared PA; bonding -Height & Weight  BMI z-Score (CDC ) -Actigraph GT1M counts  minutes in PA levels -Direct observation of session context- attendance; structure; general content; educational content; leader promotion; session type; duration; available food/beverage content (snack + extras) Leaders trained to deliver intervention in troops Intervention based on Social Cognitive Theory Modeling, skill-building, self /proxy efficacy Eight modules total, 60-90 minutes each (Oct.-Feb.) SNAP Curriculum Fun physical activity (PA), preparation & eating fruit/vegetable (FV) snack, family meal role playing & discussion, self-monitoring & goal-setting for target behaviors Troop meeting policies 15 minutes PA, no TV, no soda, no candy Leader encouragement & modeling