Coordinated Approach to Child Health (CATCH)

University of Texas School of Public Health (UTHealth)

Overview

The Coordinated Approach to Child Health (CATCH) is a PSE change and direct education intervention aiming to prevent childhood obesity in school-age children. The two main behavioral targets are helping children identify and choose healthy foods and increasing moderate-to-vigorous physical activity (MVPA). CATCH’s training and curriculum materials provide the information and resources teachers need to implement strategies to improve child health.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: Direct Education, PSE Change

Intervention Reach and Adoption

University of Texas researchers initially developed and implemented the CATCH program, but now the CATCH Global Foundation has been created to expand the reach and implementation of the program. CATCH is implemented in schools (pre-K, grades K-5, grades 6-8), and in afterschool settings. CATCH programs have been implemented in the United States, Ecuador, and Canada and in every state in the United States.

Setting: Schools, Community, Faith-based community

Target Audience: Elementary School, Middle School

Race/Ethnicity: All

Intervention Components

The CATCH program is based on the CDC Whole School, Whole Community, Whole Child (WSCC) model and has four main components: 1) the Eat Smart school nutrition program, 2) Classroom curriculum, 3) a Physical Education program, and 4) a Coordination Kit. The Coordination Kit includes family materials and provides a step-by-step guide to facilitate collaboration among administrators, teachers, nutrition staff, parents, and other important stakeholders. The middle school program (grade 6-8) also incorporates the HEADS UP science education program and the IMPACT physical activity program.

CATCH provides trainings for teachers and other educators who will be implementing the program. http://catchinfo.org/wp-content/uploads/2014/11/Training-Flyer.pdf More information about the various programs and their components can be found on their website: http://catchinfo.org/programs

 

Intervention Materials

Evidence Summary

Evaluations of CATCH have shown that the program is associated with reductions in overweight and obesity, increases in physical activity, improvements in dietary intake, and is cost effective. Reports of supporting evidence are listed on the website (http://catchinfo.org/research/) and include:

  1. Cawley J. The economics of childhood obesity. Health Affairs. 2010;29(3):364-371.
  2. Institute of Medicine. Accelerating Progress in Obesity Prevention: Solving the Weight of the Nation. Washingtion, DC: The National Academies Press; 2012.
  3. Geier AB, Foster GD, Womble LG, et al. The relationship between relative weight and school attendance among elementary schoolchildren. Obesity. 2007;15(8):2157-2161.
  4. Taras, H, Potts-Datema, W. Obesity and student performance at school. Journal of School Health. 2005;75(8):291-295.
  5. Luepker RV, Perry CL, McKinlay SM, et al. Outcomes of a field trial to improve children’s dietary patterns and physical activity: The Child and Adolescent Trial for Cardiovascular Health (CATCH). J Am Med Assoc. 1996;275:768-776.
  6. Nader P, Stone EJ, Lytle LA, et al. Three year maintenance of improved diet and physical activity: the CATCH cohort. Arch Pediatr Adolesc Med. 1999;153(7): 695-704.
  7. Coleman KJ, Tiller CL, Sanchez MA, et al. Prevention of the epidemic increase in child risk of overweight in low-income schools: the El Paso coordinated approach to child health. Arch Pediatr Adolesc Med. 2005;159:217-222.
  8. Hoelscher DM, Kelder SH, Perez A, et al. Changes in the regional prevalence of child obesity in 4th, 8th, and 11th grade students in Texas from 2000-2002 to 2004-2005. Obesity. 2010;18(7):1360-1368.
  9. Hoelscher DM, Springer AE, Ranjit N, et al. Reductions in child obesity among disadvantaged school children with community involvement: the Travis County CATCH Trial. Obesity. 2010;18(S1):S36-44.
  10. Murray N, Garza J, Diamond P, et al. Physical activity improves academic achievement in elementary school children. Science. 2009; under review.
  11. Brown HS, Perez A, Li YP, Hoelscher DM, Kelder SH, Rivera R. The cost-effectiveness of a school-based overweight program. Int J Behav Nutr Phys Act. 2007;4:47

Classification: Evidence-based

Evaluation Indicators

Based on the SNAP-Ed Evaluation Framework, the following outcome indicators can be used to evaluate intervention progress and success.

Readiness and Capacity – Short Term (ST) Changes – Medium Term (MT) Effectiveness and Maintenance – Long Term (LT) Population Results (R)
Individual ST1, ST3 MT1, MT3 LT1, LT3
Environmental Settings ST6 MT5, MT6
Sectors of Influence

Evaluation Materials

CATCH offers pre/post surveys and other evaluation tools, many of which are available on their website at http://catchinfo.org/resources/resource-library/.  Additional evaluation support is available by contacting CATCH at info@catchinfo.org.

Additional Information

Website:  The CATCH website (http://catchinfo.org) includes information about CATCH, a description of programs (pre-k, K-5, 6-8, afterschool, training, CATCH MEND), modules, news and events, research, case studies, and a grant finder.

Contact Person:
CATCH Global Foundation
Phone: 855-500-0050
Email: info@catchinfo.org