Virtual Technical Assistance for Child and Adult Care Food Program in Family Child Care Home

NCT04345874 | Completed

• 1 other identifier: 10747
• Study Type: interventional
• Target: 69
• Locations: 1 country
• Sites: 1

Brief Summary

This study evaluates the effect of a fully virtual nutrition technical assistance training program for family child care home providers on the food they serve young children in their care and the food environment in their home. Half the providers will be randomly assigned to the nutrition program and the other half will receive a comparison on environmental health.

Conditions

Nutrition Poor; Health Behavior

Keywords

early childhood education; family childcare home; food environment

Outcome Measures

Primary Outcomes (4)

• Self-reported nutrition practices

  Providers report the frequency and type of fruit and vegetables, milk, and salty snacks served using the NAPSACC Self-Report tool virtually/on-paper, tailored for FCCH

  baseline, changes post 3-months, changes post 12-months

• nutrition environment

  Self-reporting the EPAO survey virtually/on-paper

  baseline, changes post 3-months, changes post 12-months

• compliance of menu and meal with Child and Adult Care Food Program requirements using compliance scoring tool created by collaborative research team

  menus and meals served are compared to the requirements and best practices of the CACFP using compliance scoring tool created by the collaborative research team

  baseline, changes post 3-months, changes post 12-months

• dietary quality of foods served

  analysis of remote food photograph of a child's breakfast, lunch, snack

  baseline, changes post 3-months, changes post 12-months

Secondary Outcomes (2)

• Provider self-efficacy

  baseline, post 3-months, post 12-months

• Environmental health observation

  baseline, post 3-months, post 12-months

Study Arms (2)

Nutrition technical assistance

EXPERIMENTAL

three encounters with Intervention team over three months: two virtual 60-90 minutes visits one-on-one with the FCCH each scheduled at the convenience of the provider and a 3- hour virtual group class with other providers.

Behavioral: Nutrition technical assistance

Children's environmental health technical assistance

EXPERIMENTAL

three encounters with Intervention team over three months: two virtual 60-90 minutes visits one-on-one with the FCCH each scheduled at the convenience of the provider and a 3- hour virtual group class with other providers.

Behavioral: Children's environmental health technical assistance

Interventions

Nutrition technical assistance BEHAVIORAL

Participating family child care home providers in rural counties will be randomized to either the Nutrition Intervention (n=27), or an environmental health comparison group (n=27) that will receive an Integrated Pest Management and Green Cleaning intervention with the same format and visit frequency. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with our intervention team: two 60-90 minutes virtual one-on-one visits scheduled at the convenience of the family child care home provider and a 3-hour virtual group class session with other providers. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention virtually over a period of three months.

Nutrition technical assistance

Children's environmental health technical assistance BEHAVIORAL

Participating family child care home providers in rural counties will be randomized to either the Nutrition Intervention (n=27), or an environmental health comparison group (n=27) that will receive an Integrated Pest Management and Green Cleaning intervention with the same format and visit frequency. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with our intervention team: two 60-90 minutes virtual one-on-one visits scheduled at the convenience of the family child care home provider and a 3-hour virtual group class session with other providers. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention virtually over a period of three months.

Children's environmental health technical assistance

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Family Child Care Home Providers who participate in the Child and Adult Care Food Program in Oklahoma.
• Providers must serve at least 1 2-to-5 year old child and speak English.
• Providers must plan to continue their business while participating in CACFP for the next 12 months.

You may not qualify if:

• Family Child Care Home Providers who care for only infants and toddlers and not speak English.
• Participant withdraws.

Sponsors & Collaborators

• University of Oklahoma: lead
• United States Department of Agriculture (USDA): collaborator

Study Sites (1)

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73114, United States

Location

MeSH Terms

Conditions

Malnutrition; Health Behavior

Condition Hierarchy (Ancestors)

Nutrition Disorders; Nutritional and Metabolic Diseases; Behavior

Study Officials

• Susan B Sisson, PhD

  University of Oklahoma

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized trial where family child care home providers are randomized to either nutrition or environmental health technical assistance intervention. Interventions are matched for time and contact.

Study Record Dates

• First Submitted: April 6, 2020
• First Posted: April 15, 2020
• Study Start: November 1, 2019
• Primary Completion: December 7, 2021
• Study Completion: December 7, 2021
• Last Updated: December 18, 2024

Record last verified: 2024-12

Locations

US (1)