HomeStyles-2: Shaping HOME Environments and LifeSTYLES to Prevent Childhood Obesity

NCT04802291 | Completed

• 1 other identifier: Pro2020001192
• Study Type: interventional
• Target: 459
• Locations: 1 country
• Sites: 1

Brief Summary

Parents are children's primary role models, are food and physical activity gatekeepers, and create the structure/lifestyle environment within the home. Thus, parents strongly influence children's weight-related behaviors and have the opportunity to cultivate a "culture of health" within the home. Yet, there continues to be a dearth of evidence-based obesity prevention intervention programs, especially for families with children aged 6 to 11 years, commonly called the middle childhood years. The aim of the HomeStyles-2 online learning mode RCT is to determine whether this novel, age-appropriate, family intervention enables and motivates parents to shape their home environments and weight-related lifestyle practices (i.e., diet, exercise, sleep) to be more supportive of optimal health and reduced risk of obesity in their middle childhood youth more than those in the control condition. The RCT will include the experimental group and an attention control group who will engage in a bona fide concurrent treatment different in subject matter but equal in nonspecific treatment effects. The participants will be families with school-age children who are systematically randomly assigned by computer to study condition. The HomeStyles intervention is predicated on the social cognitive theory and a social ecological framework. The RCT will collect sociodemographic characteristics of the participant, child, and partner/spouse; child and parent health status; parent weight-related cognitions; weight-related behaviors of the parent and child; and weight-related characteristics of the home environment. Enrollment for this study will begin mid-2021.This paper describes these aspects of the HomeStyles-2 intervention: rationale; sample eligibility criteria and recruitment; study design; experimental group intervention theoretical and philosophical underpinnings, structure, content, and development process; attention control intervention; survey instrument development and components; outcome measures; and planned analyses.

Conditions

Healthy Lifestyle; Home Environment Related Disease; Cognitive Change; Child Behavior; Child Obesity; Parenting; Parents; Parent-Child Relations

Keywords

middle childhood; parent; lifestyle; home environment; obesity; Social Cognitive Theory

Outcome Measures

Primary Outcomes (1)

• Child Weight-Related behaviors

  Child dietary intake, physical activity, and sleep behaviors

  Pre-intervention (baseline), post-intervention (~8 weeks after baseline), follow-up (~4 weeks after post-intervention)

Secondary Outcomes (3)

• Parent Weight-Related Cognitions

  Pre-intervention (baseline), post-intervention (~8 weeks after baseline), follow-up (~4 weeks after post-intervention)

• Supports for Obesity-Preventive Measures

  Pre-intervention (baseline), post-intervention (~8 weeks after baseline), follow-up (~4 weeks after post-intervention)

• Parent Weight-Related behaviors

  Pre-intervention (baseline), post-intervention (~8 weeks after baseline), follow-up (~4 weeks after post-intervention)

Study Arms (2)

Healthy HomeStyles

EXPERIMENTAL

Online educational intervention addressing salient factors affecting school-age children's health and nutritional status: inadequate intake of fruits and vegetables, infrequent family meals, excessive consumption of sugar-sweetened beverages, large portion sizes, irregular breakfast consumption, limited physical activity, and inadequate sleep as well as children's limited food preparation skills.

Behavioral: HomeStyles-2: Obesity Prevention Program for Families with Children in Middle Childhood

Safe HomeStyles

ACTIVE COMPARATOR

Online educational intervention addressing aspects of home safety issues, such as indoor air quality, mold \& moisture, hazardous household products, carbon monoxide, home safety, foodborne illness, and refrigerator temperatures.

Behavioral: HomeStyles-2: Obesity Prevention Program for Families with Children in Middle Childhood

Interventions

HomeStyles-2: Obesity Prevention Program for Families with Children in Middle Childhood BEHAVIORAL

Comparison of 2 educational interventions

Healthy HomeStyles; Safe HomeStyles

Eligibility Criteria

• Age: 24 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• parent between the ages of 24 and 50 years with at least 1 child aged 6 to 11 years; primary food gatekeeper in the household (i.e., makes all or most decisions related to family food choices), have regular Internet access, read English and/or Spanish, and reside in the United States

Sponsors & Collaborators

• Rutgers, The State University of New Jersey: lead
• United States Department of Agriculture (USDA): collaborator

Study Sites (1)

Rutgers University

New Brunswick, New Jersey, 08901, United States

Location

Related Publications (1)

• Byrd-Bredbenner C, Santiago E, Eck KM, Delaney CL, Quick VM, Pozzoli A, Worobey J, Shelnutt KP, Olfert MD. HomeStyles-2: Randomized controlled trial protocol for a web-based obesity prevention program for families with children in middle childhood. Contemp Clin Trials. 2022 Jan;112:106644. doi: 10.1016/j.cct.2021.106644. Epub 2021 Dec 1.

  PMID: 34861408 DERIVED

MeSH Terms

Conditions

Child Behavior; Pediatric Obesity; Obesity

Condition Hierarchy (Ancestors)

Behavior; Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Carol Byrd-Bredbenner, PhD

  Rutgers Universitiy

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: concurrent treatments different in subject matter but equal in nonspecific treatment effects
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Distinguished Professor of Nutrition

Model Details: experimental group and an attention control group

Study Record Dates

• First Submitted: March 14, 2021
• First Posted: March 17, 2021
• Study Start: May 15, 2023
• Primary Completion: July 17, 2024
• Study Completion: July 17, 2024
• Last Updated: March 24, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)