Home Plate: A Trial to Improve Home Food Preparation Practices Among Parents of Toddlers

Not Applicable

Completed

• Conditions: Obesity
• Interventions: Behavioral: Home Plate

• Registration Number: NCT02458833
• Lead Sponsor: Children's Hospital of Philadelphia

Brief Summary

This study aims to test the effectiveness of a community-based, peer-mentored intervention to improve home food preparation practices in families with young children.

Detailed Description

Barriers to healthy eating and active living are at the heart of the obesity epidemic. This study focuses on a key factor underlying healthy eating: home food preparation. This study aims to test the effectiveness of a community-based, peer-mentored intervention to improve home food preparation practices in families with young children. The investigators will partner with community-based organizations serving families with children ages 1 to 3 years in West Philadelphia aiming specifically to:

1. Test the intervention's effect on diet and physical health.

Hypothesis 1: The intervention group will have improved home food preparation practices and a healthier diet compared to the control group.

2. Test the intervention's effect on family health.

Hypothesis 2: The intervention group will report improved parenting skills and more hopeful patterns of thinking.

3. Identify factors present at baseline and during engagement with the intervention that distinguish intervention participants who have improved diet, physical health, and family health from those who do not.

Study Timeline

• Study First Submitted: 2015-05-28
• Study First Submitted QC: 2015-05-29
• Study Start: 2015-06
• Study First Posted: 2015-06-01
• Primary Completion: 2017-07
• Study Completion: 2017-07-13
• Status Verified: 2019-04
• Last Update Submitted: 2019-04-22
• Last Update Posted: 2019-04-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 115

Inclusion Criteria

mentees

1. English-speaking
2. Able to give informed consent.
3. Legal guardian and caregiver of at least one child, age 1-3 years

Inclusion Criteria: children

1. 1-3 year old children of mentee primary caregivers enrolled in the study
2. If a mentee caregiver has more than one child, then all their eligible children (ages 1-3 years) will be enrolled in the study.

Inclusion Criteria: peer mentors

1. Eligible peer mentors should meet the inclusion criteria set forth above for mentees. (Children of peer mentors will not be eligible for this study.)

   In addition,

2. The study team will decide which participants will be invited to be peer mentors, based on attributes including interest, leadership ability, and home food preparation skills.

Exclusion Criteria

1. Caregivers and children not meeting the inclusion criteria above.
2. Caregivers who are pregnant at the time of enrollment.
3. Caregivers or children with a medical condition that significantly affects their diet or eating habits. (The study team will ask during the time of recruitment if subjects or their children have a medical condition that significantly affects diet or eating habits.)
4. Subjects who, in the opinion of the Investigator, may be unable to participate in the study schedules or procedures.

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	Home Plate	Behavioral: Home Plate intervention
Delayed Entry Control	Home Plate	This Arm will receive the Home Plate intervention 3 months after the Intervention Arm completes the intervention.

Primary Outcome Measures

Name	Time	Method
Dietary Energy Density (Child Participants)	19-30 weeks from baseline	Child participants' 24-hour dietary recalls will be collected by trained study staff from adult caregivers. 24-hour dietary recalls will be collected on a minimum of 2 and a maximum of 3 separate days. The results will then be used to calculate the energy density of the child's diet.

Secondary Outcome Measures

Name	Time	Method
Emotional and Family Health	19-30 weeks from baseline	Adult participants will complete surveys to assess the their emotional health and the health of their families.
Home Food Environment	19-30 weeks from baseline	Adult participants will complete surveys to assess the foods currently available in their homes, how they feel about managing food-related tasks, and the interactions they have with their child(ren) regarding food and eating.
Diet Quality	19-30 weeks from baseline	In addition to dietary energy density, 24-hour dietary recall data will be used to calculate both child and adult study participants' intake of fruits, vegetables, whole grains, and added sugars.
Home Food Preparation Practices	19-30 weeks from baseline	Adult participants will complete surveys to assess the foods they usually prepare at home, as well as the time, energy, and confidence they have to prepare meals for their household.
Household Routines	19-30 weeks from baseline	Adult participants will complete surveys to assess their household routines related to activities such as sleep, physical activity, and screen time.
Body mass index	19-30 weeks from baseline	Heights and weights will be measured by trained study staff and will be used to calculate body mass index (BMI) of adult and child participants.
Dietary Energy Density (Adult Participants)	19-30 weeks from baseline	24-hour dietary recalls will be collected by trained study staff from adult study participants. 24-hour dietary recalls will be collected on a minimum of 2 and a maximum of 3 separate days. The results will then be used to calculate dietary energy density.

Trial Locations

Locations (1)

The Children's Hospital of Philadelphia; 🇺🇸 Philadelphia, Pennsylvania, United States