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CATCH: process evaluation of environmental factors and programs

J P Elder1, S A McGraw, E J Stone

  • 1University of California San Diego School of Medicine 92182-0405.

Health Education Quarterly
|January 1, 1994
PubMed
Summary
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The Child and Adolescent Trial for Cardiovascular Health (CATCH) promotes heart health in youth through school and family programs. It tracks environmental factors to ensure intervention effectiveness and long-term behavior change.

Area of Science:

  • Public Health
  • Pediatric Health
  • Health Promotion

Background:

  • Cardiovascular disease prevention requires early intervention.
  • School and family settings are crucial for promoting healthy habits in preadolescents.
  • Understanding environmental influences is key to effective health behavior change programs.

Purpose of the Study:

  • To evaluate the effectiveness of the Child and Adolescent Trial for Cardiovascular Health (CATCH) program.
  • To assess the impact of school and family-based interventions on preadolescent cardiovascular health behaviors.
  • To identify and account for environmental factors and secular events influencing intervention outcomes.

Main Methods:

  • The CATCH trial is a multicenter study.
  • Interventions target diet (fat, sodium), physical activity, and tobacco use.

Related Experiment Videos

  • Process evaluation includes physiological, psychosocial, behavioral measures, and assessment of environmental/secular factors using the School Health Questionnaire.
  • Main Results:

    • The School Health Questionnaire monitors environmental and secular changes in schools.
    • Data on tobacco-related environmental factors and secular events were collected.
    • This allows for isolating CATCH intervention impact and tracking short-term changes leading to long-term behavior modification.

    Conclusions:

    • Assessing environmental factors and secular events is vital for accurately evaluating health interventions.
    • The CATCH program utilizes comprehensive evaluation methods to ensure intervention efficacy.
    • Tracking proximal changes helps understand pathways to distal, long-term health behavior improvements in children and adolescents.