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A Mixed-Method Evaluation of a Rural Elementary School Implementing the Coordinated Approach to Child Health (CATCH)

Carmen D Samuel-Hodge¹, Ziya Gizlice², Alexis R Guy²

¹Gillings School of Global Public Health, Department of Nutrition, Center for Promotion and Disease Prevention, University of North Carolina at Chapel Hill, 1700 Martin Luther King Jr. Blvd., Room 216, CB #7426, Chapel Hill, NC 27599-7426, USA.

|June 28, 2023

Summary

Rural children face higher obesity risks. The CATCH program, implemented in a rural school, showed positive outcomes, including reduced BMI z-scores, particularly in Hispanic students, and favorable perceptions.

Keywords:

body mass index childhood obesity health promotion overweight prevention physical fitness qualitative data rural populations school-based intervention

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Area of Science:

Public Health
Pediatric Obesity
Community-Engaged Research

Background:

Children in U.S. rural areas have a 26% higher risk of obesity compared to urban counterparts.
Evidence-based obesity prevention programs are infrequently implemented in rural school settings.
Addressing childhood obesity disparities in underserved rural populations is a critical public health need.

Purpose of the Study:

To evaluate the outcomes and perceptions of implementing the CATCH program in a rural elementary school.
To assess changes in Body Mass Index (BMI) z-scores and obesity prevalence over a 2-year period.
To explore student, parent, and school staff perspectives on program feasibility and effectiveness.

Main Methods:

Quantitative data (height, weight) collected from 272 diverse students at baseline.
Qualitative data gathered through focus groups with students and interviews/surveys with parents and school staff.
Paired BMI z-score data analyzed for 157 students at 2-year follow-up.

Main Results:

Overall mean BMI z-score change was -0.04, with a significant decrease of -0.18 among Hispanic students.
Obesity prevalence in boys decreased by 3 percentage points (from 17% to 14%).
Qualitative data indicated positive perceptions of the CATCH program and its implementation.

Conclusions:

Community-engaged implementation of the CATCH program in a rural school setting demonstrated success.
The program showed promising outcomes in reducing mean BMI changes and obesity prevalence.
Collaborative research efforts involving schools and community partners are effective for childhood obesity interventions.