Family Empowerment for Enhanced Development
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Obesity, Childhood
- Sponsor
- University of Pittsburgh
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Change From Baseline 3-Day Food Diary (Dietary Variety) at 3 Months
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This study evaluates the feasibility and preliminary effects of offering the Mealtime PREP intervention to low-income families with young children. All enrolled families will receive the Mealtime PREP intervention in the home to evaluate the effects on child nutrition.
Detailed Description
Children have not been spared from the obesity epidemic. There is a great need for innovative interventions to help families build healthy habits early in life for obesity prevention. Low-income preschoolers have a disproportionately high rate of childhood obesity, and their families face complex barriers to healthy behavior change. This proposed pilot study will examine the feasibility of delivering the Promoting Routines of Exploration and Play during Mealtime (Mealtime PREP) intervention in a sample of low-income families with young children (ages 2-5). Our parent-mediated intervention is designed to promote healthy dietary variety using routine family meals, positive reinforcement, social modeling, and food exploration and play. By harnessing the behavior change capacity of behavioral activation to alter daily mealtimes incrementally, parents are empowered to overcome barriers to healthy habit formation. Each family will participate in a six-week intervention that is delivered by occupational therapy clinicians in the home environment. Each session will last approximately one hour and include individualized parent-training and a parent-led mealtime with direct feedback from the clinician. We planned to screen up to 100 potential parent and child participants, with a plan to deliver intervention to 20 child participants.
Investigators
Angela Caldwell
Assistant Professor
University of Pittsburgh
Eligibility Criteria
Inclusion Criteria
- •within age range 2-5 years
- •reside in a low-income household (as specified by income within the range to qualify for Special Supplemental Nutrition Program for Women, Infants, and Children.
- •\>18 years old
- •ability to read and speak in English
- •willing to participate in 6 home-based intervention sessions
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Change From Baseline 3-Day Food Diary (Dietary Variety) at 3 Months
Time Frame: baseline and 3 months
The 3-Day Food Diary is the preferred method of dietary assessment (intake and variety of food consumed) because of a balance between validity and burden. Includes all food consumed and approximate servings for 3 days. Servings of foods consumed from each food group will be tallied and compared to national daily recommendations. We calculated the number of unique foods consumed at baseline and the 3-month follow-up.
Secondary Outcomes
- Change From Baseline Nutrition Screening Tool for Every Preschooler (Nutritional Risk) at 3 Months(baseline and 3 months)
- Change From Baseline Parenting-Stress Inventory, Short-Form (PSI-SF) to 3 Months(Baseline, 3 months)