Pilot Evaluation of a Walking School Bus Program

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Jason Mendoza, Seattle Children's Hospital
ClinicalTrials.gov Identifier:
NCT00758615
First received: September 22, 2008
Last updated: December 4, 2013
Last verified: December 2013
  Purpose

Walking to school is one of the objectives for children and adolescents in Healthy People 2010 and in previous studies was associated with higher levels of overall physical activity, which has been shown to decrease obesity. Therefore, more children walking to school should result in increased physical activity and presumably reduce obesity. However, increasing child pedestrian activity could increase the risk of child pedestrian injuries. Walking with an adult who provides instruction in pedestrian skills and monitors the child's actual behavior may be the most important component of a successful intervention. Walking with an adult reduced child pedestrian injury risk by almost 70%. A walking school bus (WSB) addresses safety concerns by providing a period of physical activity supervised by several responsible adults and teaching opportunities around pedestrian safety skills on the way to and from school. Children may join the WSB at various points along the set route. Despite the growing popularity of WSB programs in the United States, randomized, controlled-studies are lacking that examine the impact on children's safety, physical activity, and health. We seek to help fill this gap in the literature by piloting a WSB program in elementary schools in the Houston Independent School District to test feasibility. We hypothesize that a WSB program will: (1) increase the number of students walking to school and decrease the number of students driven to school by car, (2) increase students' pedestrian safety behaviors (3) increase students' physical activity, and (4) decrease students' excess weight gain.


Condition Intervention
Obesity
Physical Activity
Pedestrian Safety
Injury Prevention
Behavioral: Walking School Bus

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Pilot and Feasibility Evaluation of a Walking School Bus Program Intervention for Elementary School Students

Resource links provided by NLM:


Further study details as provided by Seattle Children's Hospital:

Primary Outcome Measures:
  • Method of student transportation to school [ Time Frame: Immediately pre- and post-intervention ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Physical activity [ Time Frame: Immediately pre- and post-intervention ] [ Designated as safety issue: No ]
    Physical activity objectively measured by accelerometers.

  • Pedestrian crosswalk behavior [ Time Frame: Immediately pre- and post-intervention ] [ Designated as safety issue: Yes ]
  • Parents' psychosocial constructs related to allowing their child to walk to school [ Time Frame: Immediately pre- and post-intervention ] [ Designated as safety issue: No ]
  • Child's self-efficacy for walking to school [ Time Frame: Immediately pre- and post-intervention ] [ Designated as safety issue: No ]

Enrollment: 149
Study Start Date: September 2008
Study Completion Date: June 2009
Primary Completion Date: June 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: I
Walking School Bus Intervention
Behavioral: Walking School Bus
Students are chaperoned to and from school by adults (study staff or parent volunteers) along set routes.
Other Name: Safe Routes to School
No Intervention: C
Usual school procedures for student transportation to school

  Eligibility

Ages Eligible for Study:   8 Years to 12 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • 4th grade student at a study school in the Houston Independent School District
  • Must be physically able to walk to and from school

Exclusion Criteria:

  • Any condition that would prevent the student from walking to or from school
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00758615

Locations
United States, Texas
Baylor College of Medicine
Houston, Texas, United States, 77030
Sponsors and Collaborators
Seattle Children's Hospital
Investigators
Principal Investigator: Jason A Mendoza, MD, MPH Seattle Children's Research Institute
  More Information

Additional Information:
No publications provided by Seattle Children's Hospital

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Jason Mendoza, Associate Professor of Pediatrics, Seattle Children's Hospital
ClinicalTrials.gov Identifier: NCT00758615     History of Changes
Other Study ID Numbers: 1 R21 CA133418-01, 163773
Study First Received: September 22, 2008
Last Updated: December 4, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by Seattle Children's Hospital:
Obesity
Physical activity
Injury Prevention
Pedestrian safety
Self efficacy
School
Walking School Bus
Safe Routes to School

Additional relevant MeSH terms:
Obesity
Overnutrition
Nutrition Disorders
Overweight
Body Weight
Signs and Symptoms

ClinicalTrials.gov processed this record on September 30, 2014