The Texas CATCH Experience A Translation Success Story

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The Texas CATCH ExperienceA Translation Success
Story

• Steven H. Kelder, PhD
• Michael and Susan Dell Center for Advancement of
  Healthy Living
• University of Texas Health Science Center at
  Houston, School of Public Health
• Presented at Partnerships in Prevention Shaping
  Policies Improving Health
• October 26, 2006

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Trends in Prevalence of Youth Overweight1 in
Texas Compared to National Data
1Overweight is gt 95th Percentile for BMI by
Age/Sex significant difference (CI do not
overlap)
HP 2010 Goal
Source Hoelscher et al., 2004 Ogden et al.,
2006 SPAN, 2004-2005
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Coordinated Approach to Child Health (CATCH)
A Good Place to Start
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A Public Health Approach to Obesity Prevention
Public Health Impact!!
Intervention Efficacy
X
Population Reach
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Intervention Efficacy

• Pilot 1987-91 8 schools
• Trial 1991-94 96 schools
• Tracking 1994-97 51 schools
• Maintenance 1998-99 88 schools
• Dissemination 1998-2006 1900 schools
• Catch Kids Club 1999-2001 16 schools
• Homocysteine 2000-2001 25 schools

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Intervention Efficacy

• EXPORT 2003-2007 LRGV
• Pass CATCH 2004-2007 8 schools
• RWJ Policy 2005-2008 150 schools
• Harris County 2005-2007 430 schools
• CDC SIP 11,12,18 2005-2008 32 schools
• Dell CATCH 2006-2010 97 schools

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Moderate to Vigorous PA(Percent of Lesson Time)
Healthy People 2010 Objective 1.9
Semester
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El Paso CATCH replication. Risk of Overweight or
Overweight in Girls (gt 85th BMI)


(2000)
(1994)
Significantly higher than 3rd grade (baseline).
Source Coleman et al., 2005
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Population Reach
N151 representative Texas elementary schools
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Population Reach
gt2,000 Texas elementary schools Thousands nation
and worldwide
Other Adopters Dept of Def Florida California Ill
inois New York New Mexico Maine Delaware Kansas Na
tl Parks Rec
950,800 children 33 of Texas students
Partner with Flaghouse, Inc
SB19
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Efficacy X Reach Public Health Impact!!
2000-2002
2004-2005
Overweight is gt 95th Percentile for BMI by
Age/Sex
4th Grade Prevalence of Overweight by Health
Service Region, SPAN, 2000-2002 to 2004-2005
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Conclusions

• CATCH is a well documented, evidence based, cost
  effective, and net beneficial program.
• SB 19 appears to have stimulated wide scale
  adoption, training, and implementation of CATCH.
• Overweight prevention efforts among 4th grade
  students appears to be blunting the increase in
  overweight.
• Dissemination of coordinated school health
  programs is time consuming and labor intensive.
  Our public health and education infrastructure is
  insufficiently equipped to handle training and
  implementation demands.

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Acknowledgements

• Deanna Hoelscher, RD, PhD
• Guy Parcel, PhD
• Nancy Murray, MS, DrPH
• R. Sue Day, PhD
• Eun Sul Lee, PhD
• Ralph Frankowski, PhD
• Adriana Pérez, PhD
• Goldy George, PhD
• Andrew Springer, DrPH
• Julia Sanders, MS

• Peter Cribb, MEd
• Jerri Ward, MA, RD,LD
• Carolyn Smith
• Joey Walker, MPH
• Karen Doramus
• Pam Greer
• Tiffni Menendez, MPH
• Heather Hochberg-Garrett, RD
• Roy Allen, MA

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CATCH Supported by

• Flaghouse, Inc.
• National Heart Lung and Blood Institute
• Centers for Disease Control and Prevention
• National Center on Minority Health and Health
  Disparities
• Texas Department of State Health Services
• Robert Wood Johnson
• International Life Sciences Institute
• Paso del Norte Health Foundation
• Houston Endowment
• Michael and Susana Dell Foundation