Motivating Adolescents with Technology to CHOOSE Health (MATCH)

MATCH targets 7th-grade students at middle schools. MATCH is designed to reach all seventh-grade students enrolled in regular ("mainstream" or non-Exceptional Education) classes at a middle school. In the 2017-18 school year, 46 schools completed the intervention and 4224/6293 (67%) 7th-grade students were reached in the intervention. On average, the student population where MATCH has been implemented is 63% African American, two-thirds with low socioeconomic status, and 51% overweight or obese. Settings: Schools age/Population Group:  Middle School Race: All Ethnicity: Hispanic or Latino Origin, Not of Hispanic or Latino Origin

MATCH includes interdisciplinary lessons and activities, pre- and post- self-report health behavior surveys, pre- and post- height and weight assessments, pre- and post- fitness assessments, goal-setting, self-monitoring through periodic health behavior surveys, physical activity logs, and incentives. These intervention components teach students the importance of eating healthy and being physically active now and provide students with health skills that ultimately lead to behavior change and improved student health. There is a 2-3 week Kickoff unit with 2-3 lessons per subject to introduce MATCH and essential topics. Over 30 lessons are provided, but about 20 lessons comprise the "core" curriculum. MATCH also includes an online data management system with access to lesson materials and real-time views of school-level implementation data. Students, teachers, and administrators all receive access to the MATCH software as part of the program. MATCH follows an intentional progression of goals, lessons, and activities informed by Social Cognitive Theory, Self Determination Theory, and the Social-Ecological Model. Approval at the district level of a school system is required to adopt the MATCH curriculum into the existing school day. Flexible implementation options for schools are available such as the program being implemented across 1 or 2 semesters or by 1 teacher instead of an interdisciplinary manner.

Materials and resources provided by the MATCH program include: MATCH Software/Data Management System MATCH lessons/activities Student workbook containing MATCH Core lessons Pre- and post- measurements of heights and weights, fitness testing and student-assessed lifestyle habits MATCH incentives including pens, drawstring bags, water bottles, and pedometers Scales and stadiometers Any school that has 7th graders is eligible to participate in MATCH.   MATCH has made several enhancements to better support remote instruction and delivery. The resources include: MyActionPlan - Assists students to analyze their baseline data of health behaviors, BMI status, and Aerobic Fitness classification to develop  MySMARTGoals . Based upon multiple evidence-based health behavioral change theories, algorithms developed specifically using Motivational Interviewing principles educate students and allow them to select health behaviors they choose to improve. Progress toward  MySMART Goals are tracked and supported throughout the implementation to result in positive behavior change. MyQuizzes - MATCH Lesson Quizzes can now be taken online to evaluate instructional effectiveness remotely. Quizzes are automatically graded and recorded in  MyGradebook from their teacher's login. MyMeasures - MATCH now offers a "self-reported" option for remotely entering baseline data such as heights and weights, and Aerobic Fitness measures (PACER) for students not able to participate in baseline data collection in regular school implementation.

Peer-reviewed findings have been published (see links below). MATCH outcome evaluation completed in 2008-2009 showed significant BMI decreases compared to control post-intervention and improvement sustained after 1 year. At 4 years, among all participants, BMI z-score decreased in MATCH and increased in control. Self-reported lifestyle behaviors were also assessed. At 1 year, no differences were found between MATCH and control, but at 4 years, MATCH participants reported fewer total servings of sweetened beverages and snacks and fewer hours of weekday TV time than control. The MATCH Program: Long-Term Obesity Prevention Through a Middle School-Based Intervention Effect of School-based Wellness Intervention in 7th Graders on Stage of Change for Lifestyle Behaviors: The MATCH Program Improved Body Mass Index Measures Following a Middle School‐Based Obesity Intervention-The MATCH Program Long-Term Obesity Prevention and the Motivating Adolescents with Technology to CHOOSE Health™ Program Additional MATCH scientific and press publications can be found at this website . Evidence Base:  Research-tested

Based on the SNAP-Ed Evaluation Framework, the following outcome indicators can be used to evaluate intervention progress and success.   Readiness and Capacity - Short Term (ST) Changes - Medium Term (MT) Effectiveness and Maintenance - Long Term (LT) Population Results (R) Individual   MT1 , MT3   R9 Environmental Settings ST7   LT7 , LT8 , LT9 Sectors of Influence ST8     MT1g: 62% of participants reported drinking water at least once per day post-intervention MT1h: 7% of participants reported drinking sugar-sweetened beverages 1 time per week or less post-intervention MT1i: 75% of participants reported consuming low or fat-free milk products yesterday or this week MT1k: 45% of participants reported eating fewer snacks and sweets per week MT3j: 67% of participants improved aerobic fitness as measured by the PACER test ST7: Partnerships with 72 participating schools in North Carolina as of the 2019-20 school year LT7: The MATCH program has been recognized as a North Carolina best practice and showcased at an annual national SNAP-Ed conference. The program has also been a two-time winner of the Regional Engagement Scholarship/W.K. Kellogg Foundation Engagement Award. https://www.aplu.org/news-and-media/News/four-aplu-universities-selected-as-finalists-for-2017-c-peter-magrath-community-engagement-scholarship-award-five-others-recognized-for-their-exemplary-efforts https://www.aplu.org/news-and-media/News/four-aplu-universities-selected-as-finalists-for-2016-c-peter-magrath-award LT8: https://www.fayobserver.com/news/20190511/pitts-cumberland-county-schools-aims-to-get-7th-graders-up-and-moving https://matchwellness.com/Seventh-graders-learn-to-count-calories-The-Wilson-Times.pdf LT9b: $1.5 Million in funds from Blue Cross Blue Shield North Carolina Healthy Blue to support program expansion. http://mediacenter.bcbsnc.com/news/healthy-blue-invests-1-5-million-for-expansion-of-match-wellness-program ST8: MATCH is being implemented in Cumberland County Schools as part of the Cumberland County Next Gen Health Care Sector Partnership to address obesity prevention. The Next Gen Health Care Sector Partnership has 69 partners in 6 diverse sectors. 6 sectors: Healthcare, Economic Development, Workforce Development, Education, Government, Military. 38 healthcare partner agencies, 2 economic development partner agencies, 1 workforce development partner agency, 5 education partner agencies, 20 government partner agencies, 3 military partner agencies. Roles vary by sector, agency and industry need. https://fcedc.com/cumberland-health-providers-launch-first-next-gen-partnership-in-north-carolina/ R9b: 61% of overweight participants decreased their weight status post-intervention

The MATCH Data Management System (DMS) provides data entry forms for height and weight and computes BMI. The lifestyle behavioral survey is also housed in the MATCH DMS. Aggregate pre-post reports are generated by the MATCH DMS after all pre and post data has been entered.

Website: The MATCH website includes additional information on how the MATCH program works, current press, details for administrators and teachers, and testimonials on the program's use and results. Contact Person: Tim Hardison - Founder/President 252-799-7819 tim.hardison@matchwellness.com     *Updated as of August 9, 2023