A Community-Based Behavioral Intervention and Body Mass Index in School-Aged Children: A Cluster Randomized - Summary - MDSpire
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Effects of a Community-Based Behavioral Program on Body Mass Index in School-Aged Children: A Cluster-Randomized Trial

  • By

  • Monica L. Wang

  • Selenne Alatorre

  • Aviva G. Schwarz

  • Janice Weinberg

  • Linda Sprague Martinez

  • Jennifer Aldworth

  • Rabindra Kadel

  • Milagros C. Rosal

  • Stephenie C. Lemon

  • October 9, 2026

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Objective:

To assess whether the H2GO! program affected children’s BMI z score and beverage intake over 12 months compared with usual programming.

Approach:
  • Design and setting: Unblinded, parallel-group cluster-randomized trial conducted at Boys & Girls Club sites in Massachusetts. Sites were pair-matched by region and enrollment before randomization.
  • Participants: Eligible children were 8 to 13 years old, current site members, English-proficient, and able to access a Wi-Fi-enabled device; participating parents or caregivers were adults and English-proficient.
  • Intervention and comparison: H2GO! included 12 one-hour, in-person sessions over about six weeks, delivered by trained staff. Activities addressed sugary-drink reduction and water intake through interactive exercises, youth-created narratives, and parent–child activities. Comparison sites…
  • Assessments: Assessments occurred at baseline and 2, 6, and 12 months. The primary outcome was change in child BMI z score at 12 months; secondary outcomes included changes in sugar-sweetened beverage and water intake.
Key Findings:
  • The provided context describes the trial rationale, design, intervention, and planned outcomes but does not report trial results.
Interpretation:

The context establishes the study’s hypothesis and methods but does not provide evidence about whether H2GO! changed BMI z score or beverage intake.

Limitations:
  • The supplied article context ends during the description of beverage-intake measurement and does not include results or a full account of study limitations.
Sources:

Original Source(s)

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