Compliance and Technical Assistance for Child and Adult Care Food Program in Family Child Care Homes- Virtual Implementation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 69
- 试验地点
- 1
- 主要终点
- Self-reported nutrition practices
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •Family Child Care Home Providers who care for only infants and toddlers and not speak English.
- •Participant withdraws.
研究组 & 干预措施
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.
干预措施: Nutrition technical assistance (Behavioral)
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.
干预措施: Children's environmental health technical assistance (Behavioral)
结局指标
主要结局
Self-reported nutrition practices
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: baseline, changes post 3-months, changes post 12-months
analysis of remote food photograph of a child's breakfast, lunch, snack
次要结局
- Provider self-efficacy(baseline, post 3-months, post 12-months)
- Environmental health observation(baseline, post 3-months, post 12-months)