Super Chef: Family Fun in the Kitchen!
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 88
- 试验地点
- 2
- 主要终点
- Number of families who complete all phases of the study as assessed by staff logs
研究概览
简要总结
Given the limited effectiveness of single food group-targeted interventions to enhance child nutrition, a key component of current and future health, innovative approaches are needed. Healthy dietary patterns are emerging as an important intervention target, and the Mediterranean Dietary pattern has been particularly effective at reducing cardiovascular disease risk factors, a leading cause of death in the US. Since parents are the gatekeepers of the home food environment and influence child intake through food-related parenting practices, children enjoy cooking with parents, and home food preparation is associated with more healthful dietary intake. Therefore, the investigators propose to develop and assess the feasibility, acceptability, and preliminary efficacy of an online cooking intervention for parent-child dyads living in low-income households that promotes the Mediterranean dietary pattern and healthful food-related parenting practices.
详细描述
Few interventions targeting single food groups have demonstrated long-term health success. The Mediterranean Diet dietary pattern has been associated with reduced risk of cardiovascular disease (CVD), a leading cause of death in the US. Dietary behaviors established in childhood track into adulthood, suggesting that healthful dietary behaviors should be established during childhood. Children living in low-income households are at greater risk of CVD and generally have less healthful diets, indicating a need for interventions promoting more healthful dietary practices. Parents are the gatekeepers of the home food environment and influence children's dietary behaviors through parenting practices around food (i.e., modeling of eating behaviors, home availability).
Foods prepared and eaten at home have been associated with better diet quality. Cooking skills have been associated with home meal preparation, and children enjoy cooking with parents. Encouraging parents to involve children in home food preparation and using healthful food parenting practices may be an effective way to help children adopt a healthful dietary pattern. However, to promote behavior change, interventions should be convenient, enjoyable, and personally relevant. Since Internet use and access are prevalent, including among families with lower incomes, the proposed research will build on previous research with parent-child dyads from low-income households to develop an online cooking education intervention that promotes the Mediterranean dietary pattern and healthful food parenting practices. Once developed, the investigators will assess its feasibility, acceptability, and preliminary efficacy with 44 parent-child dyads. The results of this study have the potential to enhance child cardiovascular health and inform the design of digital interventions promoting sustainable dietary behaviors in at-risk children.
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
- 10 Years 至 65 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •a 10-12 years old child and a parent/caregiver
- •family qualifies for free or reduced price meals at school
- •reliable internet access
- •resident of Texas
- •fluent in English
排除标准
- •major auditory or vision impairment
- •lack of binocular vision
- •history of seizure disorder
- •claustrophobia
- •psychiatric conditions (e.g., paranoia, manic depressive psychosis)
- •prior dizziness or motion sickness when using virtual reality
- •currently being treated with medications or medical condition that impacts dietary intake (e.g., cancer, attention deficit hyperactivity disorder) or ability to participate in data collection (e.g., intellectual impairments)
- •physician advice to modify diet for a current or ongoing health or medical condition
- •eligible but child birth sex stratum (male, female) filled
- •another parent or sibling participated in program development
结局指标
主要结局
Number of families who complete all phases of the study as assessed by staff logs
时间窗: through study completion, an average of 10 weeks
Staff will maintain logs of when a family completes each phase of the study, including pre-intervention data collection, the online program sessions, and data collection immediately after completing the intervention. Family completion is defined as both parent and child completion of a phase.
Usability of recordings from device collected during data collection immediately after the intervention as assessed by staff logs
时间窗: immediately after the intervention
Staff will maintain logs of number of recordings generated and the number of recordings that could be analyzed
Child satisfaction with the Intervention as assessed by a 10 item survey
时间窗: immediately after the intervention
The 10-item measure has been used by Dr. Thompson in previous studies with children and adults. Items will be rated using a 2-point Likert scale (no=1, yes=2). Scores can range from 10-20, with higher scores representing higher satisfaction
Acceptability of wearing recording device at pre-intervention as assessed by agreement to wear a recording device
时间窗: pre-intervention
Staff will maintain logs of parents who agree to wear the recording device as part of pre-intervention data collection (yes=1, no=0).
Acceptability of recording device immediately after the intervention as assessed by agreement to wear the device
时间窗: immediately after the intervention
Staff will maintain logs of parents who agree to wear a recording device as part of data collection immediately after the intervention (yes=1, no=0).
Recruitment goal attainment as assessed by staff logs
时间窗: pre-intervention
Staff will maintain logs of the number of families who express interest in the study and of those, the number who qualify and enroll in the study
Parent satisfaction with the Intervention as assessed by a 10 item survey
时间窗: immediately after the intervention
The 10-item measure has been used by Dr. Thompson in previous studies with children and adults. Items will be rated using a 2-point Likert scale (no=1, yes=2). Scores can range from 10-20, with higher scores representing higher satisfaction
Usability of recordings from device collected during pre-intervention data collection as assessed by staff logs
时间窗: pre-intervention
Staff will maintain logs of number of recordings generated and the number of recordings that could be analyzed
次要结局
- Change in parent self efficacy to involve child in home food preparation as assessed by the adapted self-efficacy scale of the Cooking and Food Provisioning Action Scale(pre-intervention, immediately after the intervention)
- Change in autonomous motivation to help child learn to cook as assessed by the adapted Treatment Self-Regulation Motivation Questionnaire(immediately after the intervention)
- Change in home food availability as assessed by parent completion of the Fulkerson et al Home Food Inventory(pre-intervention, immediately after the intervention)
- Change in child dietary intake as assessed by dietitian-assisted 24 hour dietary recalls(pre-intervention, immediately after the intervention)
- Change in child involvement in home food preparation as assessed by parent response to the question used in the Eating and Activity over Time project (Project EAT)(pre-intervention, immediately after the intervention)
- Objective assessment of change in child involvement in food preparation assessed by device recordings obtained during food preparation(pre-intervention, immediately after the intervention)
- Change in parent self efficacy to use food parenting practices as assessed by the Competence/Self-Efficacy for Vegetable Food Parenting Practices Scale(pre-intervention, immediately after the intervention)
- Change in child involvement in home food preparation as assessed by child response to the question used in Project EAT(pre-intervention, immediately after the intervention)
- Change in parent use of food parenting practices assessed by the Food Parenting Practice Item Bank(pre-intervention, immediately after the intervention)
- Change in parent dietary intake as assessed by the Harvard food frequency questionnaire(pre-intervention, immediately after the intervention)
- Objective assessment of change in parent use of food parenting practices assessed by device recordings obtained during food preparation(pre-intervention, immediately after the intervention)
研究者
Deborah Thompson
Professor of Pediatrics
Baylor College of Medicine