Date Approved


Graduate Degree Type


Degree Name

Nursing (D.N.P.)

Degree Program

College of Nursing


Childhood obesity is a national health concern. The CDC reports that 17% of children aged 2-19 are obese. Obesity contributes to numerous health problems. Treating these problems burdens our health care system.

The Coordinated Approach to Child Health (CATCH) Program is an evidence- based physical activity and nutrition program that has been implemented into over 8500 school curriculums and after school programs nationwide. CATCH interventions are based on Social Cognitive Theory. The Health Promotion Model was also used to influence self-efficacy.

CATCH was implemented as part of an existing after school program at a public middle school in West Michigan for a total of 10 weeks. Undergraduate nursing students were trained in CATCH activities and data collection, including height, weight, blood pressure, activity levels and self-efficacy. The nursing students led physical activities and nutrition lessons. The aim was to increase self-efficacy, thereby increasing overall activity levels.

Repeated measures analysis of variance revealed a significant decrease in BMI at conclusion. No significant increases in self-efficacy of physical activity levels were found. No significant relationships were found between self-efficacy or activity levels.

Because adolescents experience a significant decline in activity levels and activity levels track into adulthood, it is important to intervene before this decline begins. CATCH provides physical activities that are fun and enjoyable for adolescents. The results of this dissertation project are site specific, which limits generalizibility to other locations.