Patti L Solomon-Rice, Nancy B Robinson, Gloria Soto, Renelinda Arana
Project Building Bridges: A Framework for Preparing Highly Qualified Speech-Language Pathologists to Serve Culturally and Linguistically Diverse Students With Augmentative and Alternative Communication Needs
American journal of speech-language pathology
high consumption sugarsweetened beverages ssb global health concern additionally sugarsweetened beverage ssb consumption disproportionately high among adolescents adults rural appalachia primary study objective determine intervention effects kids sipsmarter students ssb consumption secondary objectives focus caregivers ssb consumption secondary student caregiver outcomes eg body mass index bmi quality life qol type 1 hybrid cluster randomized controlled trial includes 12 appalachian middle schools 6 randomized kids sipsmarter 6 control kids sipsmarter 6month 12 lesson multilevel schoolbased behavior health literacy program aimed reducing ssb among 7th grade middle school students program also incorporates twoway text message strategy caregivers primary prevention intervention 7th grade students caregivers participating schools eligible participate regardless baseline ssb consumption validated instruments used assess ssb behaviors qol height weight objectively measured students selfreported caregivers analyses included modified twopart models time fixed effects controlled relevant demographics included school cluster robust standard errors 526 students 220 caregivers mean sd ages 127 05 406 67 years respectively students 55 female caregivers mostly female 95 white 93 25 high school education less 33 annual household income less 50000 regardless ssb intake baseline relative control participants ssb significantly decreased among students 72 ouncesday 95 ci 107 37 p 0001 effect size es 035 caregivers 63 ouncesday 95 ci 113 13 p 0014 es 033 among students 42 caregivers 28 consumed 24 ssb ouncesday baseline ie high consumers es increased 045 095 respectively significant effects student caregiver qol indicators objectively measured student bmi however caregiver selfreported bmi significantly decreased intervention versus control schools p 0001 kids sipsmarter effective reducing ssb consumption among students caregivers rural medically underserved appalachian region importantly ssb effects even stronger among students caregivers high consumers baseline clincialtrialsgov nct03740113 registered 14 november 2018 retrospectively registered httpsclinicaltrialsgovct2shownct03740113