Virtual Technical Assistance for Child and Adult Care Food Program in Family Child Care Home
- Conditions
- Health BehaviorNutrition Poor
- Interventions
- Behavioral: Children's environmental health technical assistanceBehavioral: Nutrition technical assistance
- Registration Number
- NCT04345874
- Lead Sponsor
- University of Oklahoma
- 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.
- Detailed Description
Early care and education (ECE) providers play a vital role in ensuring that young children have access to nutritious foods. Over 25% of children in ECE (1.2 million children) attend Family Child Care Homes (FCCH). Improvements in the Child and Adult Care Food Program (CACFP) may introduce new barriers for FCCH, which have limited meal preparation capacity. Limited research has examined foods served by FCCH providers, and no group randomized trials have been conducted using a Community-Based Participatory approach in FCCH and including an evaluation of intervention costs.
Goals: 1. Determine the effectiveness of a virtual, rural outreach community-based Nutrition Technical Assistance Intervention to enhance meeting CACFP best-practices.
Methods: Conduct a cross-sectional assessment of a random sample of FCCH providers' (n=54) menus and meals served. Foods will be evaluated against the CACFP requirements and best-practices. Trained Extension Educators will implement both interventions (n=27 intervention, n=27 comparison) focused in rural counties, reaching underserved rural and low-income populations. The intervention is based on theoretical foundations and formative interviews, and will consist of two virtual 60-90-minute one-on-one visits with the FCCH and one virtual group class lasting approximately 3 hours.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 69
- 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.
- Family Child Care Home Providers who care for only infants and toddlers and not speak English.
- Participant withdraws.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Children's environmental health technical assistance Children's environmental health technical assistance 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. Nutrition technical assistance Nutrition technical assistance 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.
- Primary Outcome Measures
Name Time Method Self-reported nutrition practices baseline, changes post 3-months, changes post 12-months 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
nutrition environment baseline, changes post 3-months, changes post 12-months Self-reporting the EPAO survey virtually/on-paper
compliance of menu and meal with Child and Adult Care Food Program requirements using compliance scoring tool created by collaborative research team baseline, changes post 3-months, changes post 12-months 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
dietary quality of foods served baseline, changes post 3-months, changes post 12-months analysis of remote food photograph of a child's breakfast, lunch, snack
- Secondary Outcome Measures
Name Time Method Provider self-efficacy baseline, post 3-months, post 12-months providers will self report nutrition and environmental health self-efficacy using using survey created by the collaborative research team virtually/on-paper
Environmental health observation baseline, post 3-months, post 12-months observation of household cleaners and chemicals and signs of pests virtually, a tool created by the collaborative research team
Trial Locations
- Locations (1)
University of Oklahoma Health Sciences Center
🇺🇸Oklahoma City, Oklahoma, United States