Preventing Obesity in Infants and Toddlers in Child Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 960
- 试验地点
- 6
- 主要终点
- change in weight-for-length z-score
研究概览
简要总结
This study will evaluate the efficacy of a six-month-long intervention in improving the nutrition and physical activity environments of child care centers serving racially and ethnically diverse children from birth to two years of age and the family home. The focus of the intervention will be on center policies, provider and parent practices, and children's home environments that influence dietary intake and physical activity. Outcomes for this study include child dietary intake, physical activity, and two adiposity measures: weight-for-length and skinfold thicknesses. Child care centers and children's home environments will also be measured to evaluate how well they support healthy behaviors.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 3 Months 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •licensed child care centers in North Carolina (NC) serving children birth - 2
- •within 120 mile radius of Duke University
- •children must be from participating center and 3-18 months of age at baseline
- •read/speak English
- •adult teachers from infant/toddler classrooms within participating centers
- •adult parents of infant/toddlers within participating centers
排除标准
- •child care centers outside of 120 mile radius of Duke University
- •children younger than 3 months or over 18 months of age
- •parents with children who intend to leave the participating center in < 12 months
研究组 & 干预措施
Back to Sleep
The Back to Sleep arm will encourage safe sleep practices to reduce the risk of Sudden Infant Death Syndrome (SIDS) in child care and at home. This include:
- center and family self-assessment,
- center intervention materials delivered several times over the 6-month period, and;
- parent handouts
After the intervention period, comparator centers will receive an abbreviated version of the Baby NAP SACC intervention.
干预措施: Back to Sleep (Behavioral)
Baby NAP SACC
The intervention will include four complementary and mutually reinforcing components:
- center and family self-assessment;
- targeted technical assistance by Baby NAP SACC consultant for providers and parents;
- training workshops for child care providers; and
- parent outreach and support.
干预措施: Baby NAP SACC (Behavioral)
结局指标
主要结局
change in weight-for-length z-score
时间窗: pre to post-intervention (from baseline to post-intervention; approximately 8 months later)
change in skinfold thickness
时间窗: pre to post-intervention (from baseline to post-intervention; approximately 8 months later)
次要结局
- change in child physical activity via accelerometer(pre to post-intervention (from baseline to post-intervention; approximately 8 months later))
- change in child dietary intake(pre to post-intervention (from baseline to post-intervention; approximately 8 months later))
- change in child care policies and practices(pre to post-intervention (from baseline to post-intervention; approximately 8 months later))