title: Promotion of water consumption in elementary school children in San Diego, USA and Tlaltizapan, Mexico.
abstract: OBJECTIVE
  Consumption of water may help promote health and prevent obesity in children by decreasing consumption of sugar-sweetened beverages. This study used evidence-based strategies to increase water consumption in Mexican-American and Mexican children.
  
  
  METHODS
  In 2012, two schools in San Diego, USA and two other in Tlaltizapan, Mexico were recruited to Agua para Niños (Water for Kids), a program designed to promote water consumption among elementary grade students. Guided by operant psychology, the intervention focused on school and classroom activities to encourage water consumption. One control and one intervention school in each country were included.
  
  
  RESULTS
  Agua para Niños resulted in increases in observed water consumption and bottle possession among US and Mexican students. Teacher receptivity to the program was very positive in both countries.
  
  
  CONCLUSIONS
  Agua para Niños yielded sufficiently positive behavioral changes to be used in a future fully randomized design, and to contribute to school nutrition policy changes.
authors: Institute for Behavioral and Community Health, School of Public Health, San Diego State University, San Diego, California, Estados Unidos de América.
authors: John P
authors: JP
authors: Elder
authors: Institute for Behavioral and Community Health, School of Public Health, San Diego State University, San Diego, California, Estados Unidos de América.
authors: Christina K
authors: CK
authors: Holub
authors: Institute for Behavioral and Community Health, School of Public Health, San Diego State University, San Diego, California, Estados Unidos de América.
authors: Elva M
authors: EM
authors: Arredondo
authors: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors: Luz María
authors: LM
authors: Sánchez-Romero
authors: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors: Jessica E
authors: JE
authors: Moreno-Saracho
authors: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors: Simón
authors: S
authors: Barquera
authors: Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
authors: Juan
authors: J
authors: Rivera
mesh_terms: D001628:Beverages; D002140:California; D002648:Child; D002652:Child Behavior; D004326:Drinking; D004327:Drinking Behavior; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006630:Hispanic or Latino / Q000523:psychology; D006801:Humans; D008297:Male; D008800:Mexico; D018673:Nutrition Policy; D063766:Pediatric Obesity / Q000517:prevention & control; D015397:Program Evaluation; D012054:Reinforcement, Psychology; D012572:School Health Services / Q000458:organization & administration*; D014881:Water Supply