Evaluation of the institutionalization of the coordinated approach to child health (CATCH) in a U.S./Mexico border community
Abstract
El Paso Coordinated Approach to Child Health (El Paso CATCH) was evaluated in 24 schools for outcome measures of moderate to vigorous physical activity (MVPA) during physical education (PE), content of PE lessons, content of school meals, and numerous process measures. Chi-square analyses compared frequency data across time for activity during PE and percentage fat in school meals. Descriptive summaries were used for process questionnaire results. Data were also compared to CATCH program goals. For most intervention schools, El Paso CATCH significantly increased MVPA, decreased fat in school meals, and decreased sodium in school breakfasts. However, some schools were not meeting the fat content goals for school lunches, and no schools met the vigorous physical activity (VPA) goals for PE or the sodium goals for school lunches.
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Seventeen of the included studies were assessed as high risk of detection bias.
“Seventeen of the included studies were assessed as high risk [26, 28, 37, 41, 43, 44, 46–49, 52, 54–56, 58, 66, 67] and seven studies were assessed as low risk of detection bias [27, 42, 51, 53, 60, 62, 63].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [48]
Among studies reporting other continuous implementation outcomes (e.g., quantity of physical activity lessons), findings were mixed.
“Among studies reporting other continuous implementation outcomes (e.g., quantity of physical activity lessons), findings were mixed [43, 44, 46, 48, 49, 59, 64, 66].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [48]
Percentage of fat in school meals was reported as reduced by up to 4% in the study by Heath and Coleman.
“Percentage of fat in school meals was reported as reduced by up to 4% in the study by Heath and Coleman [48].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [48]
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Cost Effectiveness of an Elementary School Active Physical Education Policy
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Studies of Physical Education in the United States Using SOFIT: A Review
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The Alameda County Study: A Systematic, Chronological Review
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Using Momentary Time Sampling to Estimate Minutes of Physical Activity in Physical Education
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Comprehensive Approaches to Improving Nutrition: Future Prospects
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The Secret Sauce? Taking the Mystery Out of Scaling-Up School-Based Physical Activity Interventions
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Reliability and Validity of the Physical Education Activities Scale
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Mobilizing a Low Income Border Community to Address State Mandated Coordinated School Health
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Review of Body Mass Index Reduction Interventions among Mexican Origin Latinos and Latinas
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Health and Fitness During Childhood
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Cardiometabolic Disease Education and Health Services Among Public High Schools
Zaganjor, I., Saelee, R., Sekkarie, A., Pavkov, M. E., Koyama, A. K., Choi, J. H., Onufrak, S. J., Choi, D., Han, S., & Krause, K. H. (2026) · JAMA Network Open · doi:10.1001/jamanetworkopen.2026.36060
- Authors
- Heath, E. M., & Coleman, K. J.
- Affiliations
- Utah State University (US)
- The University of Texas at El Paso (US)
- Corresponding author
- Coleman, Karen J.
- ORCID
- Coleman, Karen J.
- Venue
- Health Education & Behavior
- Publisher
- SAGE Publications
- Published
- 2002-08
- Volume
- 29
- Issue
- 4
- Pages
- 444-460
- ISSN
- 1090-1981 (ISSN-L)
- 1552-6127
- OpenAlex
- W2050350471
- Cited by
- 50
- References
- 68
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 4 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 2 · 2012: 5
- FWCI
- 6.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Education & Behavior (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- school-based health programs, program evaluation, moderate-to-vigorous physical activity, physical education, school meals, sodium content, dietary fat, El Paso, U.S.-Mexico border communities, program implementation
- MeSH terms
- Child, Child Welfare, Dietary Fats, Female, Food Services, Health Promotion, Humans, Interviews as Topic, Male, New Mexico, Nutritional Physiological Phenomena, Outcome and Process Assessment, Health Care, Physical Education and Training, Surveys and Questionnaires, School Health Services, Sodium, Dietary, Texas, Program Evaluation, Mexican Americans
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