Technical Assistance for Child and Adult Care Food Program in Family Child Care Home
- Conditions
- Nutrition PoorHealth Behavior
- Interventions
- Behavioral: Children's environmental healthBehavioral: Nutrition assistance
- Registration Number
- NCT03560050
- Lead Sponsor
- University of Oklahoma
- Brief Summary
This study evaluates the effect of a 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 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 compliance of menus and meals provided in FCCH with CACFP guidelines. 2. Determine the effectiveness of a pilot community-based Nutrition Technical Assistance intervention to enhance meeting CACFP best-practices. 3. Determine the effectiveness of a statewide community-based Nutrition Technical Assistance Intervention to enhance meeting CACFP best-practices. 4. Expand university student opportunities for participation in health research.
Methods: Conduct a cross-sectional assessment of a random sample of FCCH providers' (n=52) menus and meals served. Foods will be evaluated against the CACFP requirements and best-practices. After the cross-sectional examination, providers in the pilot will be randomly assigned to a Nutrition Technical Assistance (n=26) or attention comparison intervention (n=26). Following the pilot, trained Extension Educators will implement both interventions (n=27 intervention, n=27 comparison) in six selected counties, reaching underserved rural and low-income populations. The intervention is based on theoretical foundations and formative interviews, and will consist of two 60-90-minute visits to the FCCH and one group class lasting approximately 3 hours.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 49
- Family child care home providers within 60 minutes of Oklahoma City who participate in the Child and Adults Care Food Program
- none
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Behavioral: Children's environmental health Children's environmental health three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers. Behavioral: Nutrition assistance Nutrition assistance three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
- Primary Outcome Measures
Name Time Method Change in self-reported nutrition practices baseline, post 3-months, post 12-months Providers report the frequency of fruit and vegetables, milk, and salty snacks served
- Secondary Outcome Measures
Name Time Method Change in nutrition environment using the Environment and Policy Assessment Observation baseline, post 3-months, post 12-months observation of food environment during lunch on 2 unannounced days
Change in Provider knowledge and self efficacy baseline, post 3-months, post 12-months providers will self report nutrition and environmental health knowledge and self efficacy
Change in Environmental health observation baseline, post 3-months, post 12-months observation of household cleaners and chemicals and signs of pests
Change in children's dietary intake baseline, post 3-months, post 12-months observation of children's dietary intake on 2 unannounced days
Change in compliance of menu and meal with Child and Adult Care Food Program baseline, post 3-months, post 12-months menus and meals are compared to the requirements and best practices of the CACFP
Trial Locations
- Locations (1)
University of Oklahoma Health Sciences Center
🇺🇸Oklahoma City, Oklahoma, United States