Table 3.
MA-CORD Primary Outcomes by Sector
| Intervention communities | Comparison community | |||||||
|---|---|---|---|---|---|---|---|---|
| Measures by sector | Example item | Source | B | Y1 | Y2 | B | Y1 | Y2 |
| Federally qualified health center | ||||||||
| Child BMIa | Measured height and weight | EHR extraction | Xa | X | X | Xa | X | X |
| Child diet Fruit, vegetables, SSB, 100% juice, water |
Yesterday, did your child eat any vegetables? | Parent survey, SPAN | X | X | X | X | X | X |
| Child physical activity No. of days active for 60 minutes |
During the past 7 days, on how many days was your child active for at least 60 minutes per day? | Parent survey, YRBS | X | X | X | X | X | X |
| Child screen time TV/DVDs, video games, Internet activities, TV where child sleeps |
On a typical day in the past week, how much time did your child spend watching TV/DVDs? Is there a television in the room where your child sleeps? |
Parent survey | X | X | X | X | X | X |
| Child sleep hygiene Daily hours of sleep, usual bedtime, time child goes to bed on school days |
In the past week, on average how much time did your child sleep during a usual 24-hour period? Does your child have a regular bedtime? What time does your child usually go to bed on a regular school day? |
Parent survey, PSQ | X | X | X | X | X | X |
| Child quality of care | Over the past year, when your child received healthcare, were you given a list of things your child could do to maintain a healthy weight? | Parent survey, PACIC | X | X | X | X | X | X |
| Child quality of life | In the past month, how often has your child had a problem with being teased by other children? | Parent survey, PedsQL | X | X | X | X | X | X |
| WIC | ||||||||
| Child BMI | Measured height and weight | WIC records | Xa | X | X | Xa | X | X |
| Child diet Fruit, vegetables, SSB |
Yesterday, did your child eat any vegetables? | Parent survey, SPAN | X | X | X | X | ||
| Child physical activity No. of days active for 60 minutes |
During the past 7 days, on how many days was your child active for at least 60 minutes per day? | Parent survey, YRBS | X | X | X | X | ||
| Child screen time TV where child sleeps |
Is there a television in the room where this child sleeps? | Parent survey | X | X | X | X | ||
| Child sleep Daily hours of sleep |
In the past week, on average how much time did your child sleep during a usual 24-hour period? | Parent survey, PSQ | X | X | X | X | ||
| Schools | ||||||||
| Child BMIa | Nurse measurement; grades 1, 4, and 7 | Nurse assessment School databases |
Xa | X | X | Xa | X | X |
| Child diet Fruit, vegetables, SSB, water |
Yesterday, did you eat any vegetables? | Student survey | X | X | ||||
| Child physical activity No. of days MVPA or outdoor play for 30 minutes |
Last week, on what days did you exercise or take part in physical activity that made your heart beat fast or made you breathe hard for at least 30 minutes (over entire day)? | Student survey, SPAN | X | X | ||||
| Child screen time TV/DVDs, video games, TV where child sleeps |
On a typical day in the past week, how much time did you spend watching TV/DVDs? | Student survey | X | X | ||||
| Child sleep hygiene Time go to bed on usual weekday, time wake up the next morning |
On a usual weekday this past week, when did you go to bed at night? When did you wake up the next morning? | Student survey | X | X | ||||
B=baseline; Y1=year 1, or 1 year after baseline; Y2=year 2, or 2 years after baseline.
Child BMI data are also available 1–2 years preceding baseline.
MA-CORD, Massachusetts Childhood Obesity Research Demonstration project; TV, television; DVDs, digital video discs; WIC, Special Supplemental Nutrition Program for Women, Infants and Children; EHR, electronic health record; PACIC, Patient Assessment of Chronic Illness Care survey; PedsQL, Pediatrics Quality of Life Inventory; PSQ, Pediatric Sleep Questionnaire; MVPA, moderate-to-vigorous physical activity; SPAN, School Physical Activity and Nutrition monitoring system; SSB, sugar-sweetened beverages; YRBS, Youth Risk Behavior Survey; BMI, body mass index.