The objectives of Public Health Ontario’s (PHO) outcomes evaluation are to determine the impact of the Healthy Kids Community Challenge (HKCC) program at the provincial-level on:
- child healthy weights;
- child health behaviours including physical activity, sedentary behaviour, healthy eating, and sleep;
- parental support behaviours;
- perceived barriers to health behaviours;
- awareness of, and participation in, the HKCC program.
The outcomes evaluation is planned to include primary data collection as well as analysis of existing datasets. A separate evaluation is being planned for the six HKCC Aboriginal Stream communities, which will not be participating in these data collection activities.
Outcomes Evaluation Activities
1. HKCC Parent Computer Assisted Telephone Interviews (CATI)
This telephone survey targets parents of school-aged children with at least one child under 18 living in the household. Its purpose is to determine the impact of the HKCC on:
Baseline data was collected between February and March 2015. Follow-up data will be collected at the end of the HKCC program.
- parents’ support for child health behaviours;
- perceived barriers to parental support;
- parental awareness of the HKCC program.
2. HKCC School-Based Data Collection with Direct Measures - Pilot
The purpose of this planned evaluation activity is to assess the impact of the HKCC program on:
- child healthy weights;
- child health behaviours;
- the relationship between parental support behaviours and child health behaviours;
- and, child awareness and participation in the HKCC program.
3. Evaluating Health Behaviours Using the Ontario Student Drug Use and Health Survey (OSDUHS)
OSDUHS is a cross-sectional, provincially-representative survey of Ontario students in Grades 7-12 collected every two years. There are 20 cycles of OSDUHS available for analysis of trend data over time at the provincial level. It will be used to evaluate the impact of the HKCC on: self-reported Body Mass Index (BMI), physical activity, sedentary behaviours, and healthy eating of 11 and 12 year old children in the database. OSDUHS data will be analysed to evaluate differences between HKCC and non-HKCC communities. A baseline comparison is planned to be completed in 2016-17. Follow-up comparisons will be made at or near the end of the HKCC program.
4. Evaluating BMI using Electronic Medical Record Administrative data Linked Database (EMRALD)
EMRALD consists of clinically relevant information that comes from electronic medical records (EMRs) maintained by select family physicians practicing in Ontario. EMRALD data, which is stored at the Institute for Clinical Evaluative Sciences (ICES), will be used to evaluate the impact of the HKCC program on directly measured BMI of children aged 1-12 years. A comparative analysis of EMRALD data will also be conducted to evaluate differences between HKCC and non-HKCC communities. A baseline comparison is planned to be completed in 2016-17. Follow-up comparisons will be made at or near the end of the HKCC program.