The Child and Adolescent Trial for Cardiovascular Health (CATCH): Intervention, implementation, and feasibility for elementary schools in the United States

Perry, Cheryl L.; Sellers, Deborah E.; Johnson, Carolyn; Pedersen, Sheryl; Bachman, Kathryn J.; Parcel, Guy S.; Stone, Elaine J.; Luepker, Russell V.; Wu, Margaret; Nader, Philip R.; Cook, Kathleen

doi:10.1177/109019819702400607

Cited by 124School Health and Nursing EducationObesity, Physical Activity, DietHealth Policy Implementation Science

The Child and Adolescent Trial for Cardiovascular Health (CATCH): Intervention, implementation, and feasibility for elementary schools in the United States

Perry, Cheryl L., Sellers, Deborah E., Johnson, Carolyn, Pedersen, Sheryl, Bachman, Kathryn J., Parcel, Guy S., Stone, Elaine J., Luepker, Russell V. +3 more·1997·Health Education & Behavior

DOI 10.1177/109019819702400607

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Abstract

The Child and Adolescent Trial for Cardiovascular Health (CATCH) was the largest school-based field trial ever sponsored by the National Institutes of Health. The trial demonstrated positive changes in the school food service and physical education program, as well as in students' cardiovascular health behaviors. Because the CATCH intervention programs were implemented in 56 schools (in four states) that were typical of schools throughout the United States, their reception by schools and degree of implementation provide evidence about their feasibility for schools nationally. Extensive process evaluation data were collected from students, teachers, school food service personnel, and physical education specialists throughout the three school years of the CATCH intervention. Four of the CATCH programs--school food service, physical education, classroom curricula, and home programs--were assessed over the three school years. The process data provide information on participation, dose, fidelity, and compatibility of the CATCH programs in the intervention schools for these programs. High levels of participation, dose, fidelity, and compatibility were observed for the four programs during the 3 school years. CATCH emerges as a model of a feasible multilevel health promotion program to improve eating and exercise behaviors for elementary schools in the United States.

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Thirteen studies, including four RCTs, were assessed as unclear risk of selection bias as methods of sequence generation and allocation were not reported.
“Thirteen studies, including four RCTs were assessed as unclear risk of selection bias as methods of sequence generation and allocation were not reported [44, 46, 47, 50, 51, 54–56, 58, 64, 66, 67].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [56]
For risk of bias due to baseline imbalances, the majority of studies (n = 11) were assessed as low risk as studies accounted for imbalances by making adjustments for baseline differences during analyses, stratifying by school characteristics or through random allocation of schools to experimental groups.
“For risk of bias due to baseline imbalances, the majority of studies (n = 11) were assessed as low risk as studies accounted for imbalances by making adjustments for baseline differences during analyses, stratifying by school characteristics or through random allocation of schools to experimental groups [37, 38, 41, 46, 47, 55, 56, 58, 60, 64, 67].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [56]
For studies using a cluster-RCT design (n = 15), potential risk of recruitment to cluster was assessed as low for seven studies as randomization occurred either postrecruitment or postbaseline data collection.
“Potential risk of recruitment (to cluster) was assessed as low for seven studies as randomization occurred either postrecruitment or postbaseline data collection [47, 54–56, 58, 60, 64].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [56]
In the study by Perry et al., modest although significant reductions were reported in the percentage of kilocalories from fat (-4.3%) and milligrams of sodium (-100.5) in school lunches.
“Similarly, in the study by Perry et al., modest although significant reductions were reported in the percentage of kilocalories from fat (–4.3%) and milligrams of sodium (–100.5) in school lunches [56].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [56]
Three studies compared implementation strategies to a usual care or minimal support control on measures of lesson quality.
“Three studies compared implementation strategies to a usual care or minimal support control on measures of lesson quality [26, 56, 60].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [56]

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The child and adolescent trial for cardiovascular health (catch) 11This paper was delivered at the October 23–25, 1997, conference “The Determination, Treatment, and Prevention of Obesity,” which was sponsored by the Institute of Nutrition, University of North Carolina at Chapel Hill; Department of Nutrition, School of Public Health and School of Medicine, University of North Carolina at Chapel Hill; and School of Medicine, East Carolina University, in cooperation with the North American Association for the Study of Obesity, the National Institutes of Health, the American Cancer Society, and Eli Lilly & Company.
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School‐Based Cardiovascular Health Promotion: The Child and Adolescent Trial for Cardiovascular Health (CATCH)
Perry, C. L., Stone, E. J., Parcel, G. S., Ellison, R. C., Nader, P. R., Webber, L. S., & Luepker, R. V. (1990) · Journal of School Health · doi:10.1111/j.1746-1561.1990.tb05960.x · Cited by 249 · see citing works
Dissemination and Adoption of the Child and Adolescent Trial for Cardiovascular Health (CATCH): A Case Study in Texas
Hoelscher, D. M., Kelder, S. H., Murray, N., Cribb, P. W., Conroy, J., & Parcel, G. S. (2001) · Journal of Public Health Management and Practice · doi:10.1097/00124784-200107020-00012 · Cited by 90 · see citing works
Outcomes of a Field Trial to Improve Children's Dietary Patterns and Physical Activity: The Child and Adolescent Trial for Cardiovascular Health (CATCH)
Luepker, R. V. (1996) · JAMA · doi:10.1001/jama.1996.03530340032026 · Cited by 1,023 · see citing works
Outcomes of a field trial to improve children's dietary patterns and physical activity: the Child and Adolescent Trial for Cardiovascular Health (CATCH)
Luepker, R. V., Perry, C. L., McKinlay, S. M., Nader, P., Parcel, G., & Stone, E. (1996) · The Journal of Pediatrics · doi:10.1016/s0022-3476(96)70091-4 · Cited by 75 · see citing works

Authors: Perry, C. L., Sellers, D. E., Johnson, C., Pedersen, S., Bachman, K. J., Parcel, G. S., Stone, E. J., Luepker, R. V., Wu, M., Nader, P. R., & Cook, K.
Affiliations: University of Minnesota (US)
Education Development Center (US)
Tulane University (US)
University of California San Diego (US)
The University of Texas Health Science Center at Houston (US)
National Heart, Lung, and Blood Institute (US)
ORCID: Perry, Cheryl L.
Sellers, Deborah E.
Johnson, Carolyn
Luepker, Russell V.
Venue: Health Education & Behavior
Publisher: SAGE Publications
Published: 1997-12
Volume: 24
Issue: 6
Pages: 716-735
ISSN: 1090-1981 (ISSN-L)
1552-6127
DOI: 10.1177/109019819702400607
OpenAlex: W1960196325
Cited by: 123
References: 32
Citations by year: 2026: 2 · 2024: 3 · 2023: 2 · 2022: 4 · 2021: 6 · 2020: 3 · 2019: 4 · 2018: 6 · 2017: 1 · 2016: 2 · 2015: 4 · 2014: 3 · 2013: 6 · 2012: 6
FWCI: 24.03
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Health Education & Behavior (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5u01hl039927-11, 5u01hl039906-12, 5u01hl039852-11)
National Heart, Lung, and Blood Institute (U-01 HL 39906, U01-HL-39927, U01HL39852)
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 › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords: school health promotion, cardiovascular health behaviors, school meals, physical education, elementary school students, intervention implementation, feasibility, fidelity, dosage, compatibility, dietary habits, exercise behavior, home program
MeSH terms: Adolescent, Cardiovascular Diseases, Child, Curriculum, Feasibility Studies, Female, Health Education, Humans, Health Knowledge, Attitudes, Practice, Male, Risk Factors, Program Evaluation

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The Child and Adolescent Trial for Cardiovascular Health (CATCH): Intervention, implementation, and feasibility for elementary schools in the United States

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