Compliance and Technical Assistance for Child and Adult Care Food Program in Family Child Care Homes
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Oklahoma
- Enrollment
- 72
- Locations
- 2
- Primary Endpoint
- Change in self-reported nutrition practices
Study Overview
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 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=52) menus and meals served. Foods will be evaluated against the CACFP requirements and best-practices. After the cross-sectional examination, providers will be randomly assigned to a Nutrition Technical Assistance (n=26) or attention comparison intervention (n=26). 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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Family child care home providers within 60 minutes of Oklahoma City who participate in the Child and Adults Care Food Program
Exclusion Criteria
- Not provided
Arms & Interventions
Behavioral: 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.
Intervention: Nutrition assistance (Behavioral)
Outcomes
Primary Outcomes
Change in self-reported nutrition practices
Time Frame: baseline, post 3-months, post 12-months
Providers report the frequency of fruit and vegetables, milk, and salty snacks served
Secondary Outcomes
- Change in nutrition environment using the Environment and Policy Assessment Observation(baseline, post 3-months, post 12-months)
- Change in Provider knowledge and self efficacy(baseline, post 3-months, post 12-months)
- Change in Environmental health observation(baseline, post 3-months, post 12-months)
- Change in children's dietary intake(baseline, post 3-months, post 12-months)
- Change in compliance of menu and meal with Child and Adult Care Food Program(baseline, post 3-months, post 12-months)
Investigators
Susan B. Sisson
Associate Professor
University of Oklahoma