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

NCT05019339 | Completed

• 1 other identifier: IRB201700192
• Study Type: interventional
• Target: 247
• Locations: 1 country
• Sites: 1

Brief Summary

Childhood obesity prevention efforts are needed in the United States, especially for families with low income. Educating parents and caregivers on simple lifestyle and affordable home environment changes is an effective strategy to improve health outcomes for the entire family. Therefore, the purpose of this study is to determine whether HomeStyles-2, a nutrition education and childhood obesity prevention program for families with children in middle childhood (ages 6 to 11 years), motivates parents to shape their home environments and weight-related lifestyle practices to be more supportive of optimal health and weight status of their children aged 6-11 years more so than those in the control condition. The study will include the experimental group and an attention control group who will engage in a nutrition education program, Eat Healthy Be Active, that is equal in nonspecific treatment effects but does not overlap on topics covered in HomeStyles-2. This study will be implemented in Florida's Supplemental Nutrition Assistance Program-Education (SNAP-Ed) program, which provides nutrition education and obesity prevention supports for individuals with low income who are receiving or eligible for SNAP benefits. Nutrition Educators will be randomized to the experimental or attention control condition, and will lead participants through virtual, group-based nutrition education series. The following data will be collected: sociodemographic characteristics of the participant and child; child and parent health status; parent weight-related cognitions; weight-related behaviors of the participant and child; and weight-related characteristics of the home environment. Enrollment for this study will begin late-2021.

Conditions

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

Outcome Measures

Primary Outcomes (1)

• Participant weight-related behaviors

  Participant dietary intake and physical activity behaviors

  Baseline up to follow-up (~4 weeks after post-intervention)

Study Arms (2)

Healthy HomeStyles

EXPERIMENTAL

Six-week virtual, group nutrition education series using the HomeStyles-2 experimental curriculum administered through SNAP-Ed. This curriculum addresses factors affecting school-aged children's health and nutritional status: inadequate intake of fruits and vegetables, infrequent family meals, excessive consumption of sugar-sweetened beverages, large portion sizes, and irregular breakfast consumption.

Behavioral: Healthy HomeStyles

Eat Healthy Be Active

ACTIVE COMPARATOR

Six-week virtual, group nutrition education series using the Eat Healthy Be Active attention control curriculum administered through SNAP-Ed. This curriculum addresses factors affecting overall health and nutritional status: limiting nutrients of concern (saturated fat, sodium, and added sugars), eating healthy while dining out, eating healthy on a budget, losing weight and keeping it off, understanding nutrition facts labels, and being physically active.

Behavioral: Eat Healthy Be Active

Interventions

Healthy HomeStyles BEHAVIORAL

Comparison of 2 educational interventions

Healthy HomeStyles

Eat Healthy Be Active BEHAVIORAL

Comparison of 2 educational interventions

Eat Healthy Be Active

Eligibility Criteria

• Age: 18 Years - 110 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• SNAP-Ed-eligible (i.e., eligible for or receiving SNAP benefits, household income at or below 200% Federal Poverty Guidelines, or living in communities with significant (50% or greater) low-income population)
• Parent or caregiver of a least 1 child aged 6 to 11 years
• Have regular Internet and/or telephone access
• Can read and comprehend English or Spanish
• Reside in study catchment area (i.e., Florida)
• Have not previously participated in nutrition education series using the attention control curriculum

Sponsors & Collaborators

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

Study Sites (1)

University of Florda

Gainesville, Florida, 32610, United States

Location

Related Publications (1)

• Carman K, O'Neal LJ, Byrd-Bredbenner C, Olfert MD, Shelnutt KP. HomeStyles-2 for SNAP-Ed families with children in middle childhood: Cluster randomized trial protocol. Contemp Clin Trials. 2022 Jun;117:106771. doi: 10.1016/j.cct.2022.106771. Epub 2022 Apr 27.

  PMID: 35489646 DERIVED

MeSH Terms

Conditions

Child Behavior; Pediatric Obesity

Condition Hierarchy (Ancestors)

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

Study Officials

• Karla Shelnutt, PhD

  University of Florida

  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: experimental group and attention control group

Study Record Dates

• First Submitted: August 11, 2021
• First Posted: August 24, 2021
• Study Start: November 19, 2021
• Primary Completion: April 30, 2023
• Study Completion: April 30, 2023
• Last Updated: June 1, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)