Virtual Technical Assistance for Child and Adult Care Food Program in Family Child Care Home

Health Behavior Clinical Trial

Official title:

Compliance and Technical Assistance for Child and Adult Care Food Program in Family Child Care Homes- Virtual Implementation

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04345874
• Other study ID #: 10747
• Status: Completed
• Phase: N/A
• Start date: November 1, 2019
• Est. completion date: December 7, 2021

Study information

• Verified date: May 2022
• Source: University of Oklahoma
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study evaluates the effect of a fully virtual 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 randomly assigned to the nutrition program and the other half will receive a comparison on environmental health.

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 the effectiveness of a virtual, rural outreach 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=54) menus and meals served. Foods will be evaluated against the CACFP requirements and best-practices. Trained Extension Educators will implement both interventions (n=27 intervention, n=27 comparison) focused in rural counties, reaching underserved rural and low-income populations. The intervention is based on theoretical foundations and formative interviews, and will consist of two virtual 60-90-minute one-on-one visits with the FCCH and one virtual group class lasting approximately 3 hours.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 69
• Est. completion date: December 7, 2021
• Est. primary completion date: December 7, 2021
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

Inclusion Criteria:

• Family Child Care Home Providers who participate in the Child and Adult Care Food Program in Oklahoma.

• Providers must serve at least 1 2-to-5 year old child and speak English.

• Providers must plan to continue their business while participating in CACFP for the next 12 months.

Exclusion Criteria:

• Family Child Care Home Providers who care for only infants and toddlers and not speak English.

• Participant withdraws.

Related Conditions & MeSH terms

• Health Behavior
• Malnutrition
• Nutrition Poor

Intervention

Behavioral:
• Nutrition technical assistance
Participating family child care home providers in rural counties will be randomized to either the Nutrition Intervention (n=27), or an environmental health comparison group (n=27) that will receive an Integrated Pest Management and Green Cleaning intervention with the same format and visit frequency. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with our intervention team: two 60-90 minutes virtual one-on-one visits scheduled at the convenience of the family child care home provider and a 3-hour virtual group class session with other providers. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention virtually over a period of three months.
• Children's environmental health technical assistance
Participating family child care home providers in rural counties will be randomized to either the Nutrition Intervention (n=27), or an environmental health comparison group (n=27) that will receive an Integrated Pest Management and Green Cleaning intervention with the same format and visit frequency. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with our intervention team: two 60-90 minutes virtual one-on-one visits scheduled at the convenience of the family child care home provider and a 3-hour virtual group class session with other providers. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention virtually over a period of three months.

Locations

Country	Name	City	State
United States	University of Oklahoma Health Sciences Center	Oklahoma City	Oklahoma

Sponsors (2)

Lead Sponsor	Collaborator
University of Oklahoma	United States Department of Agriculture (USDA)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Self-reported nutrition practices	Providers report the frequency and type of fruit and vegetables, milk, and salty snacks served using the NAPSACC Self-Report tool virtually/on-paper, tailored for FCCH	baseline, changes post 3-months, changes post 12-months
Primary	nutrition environment	Self-reporting the EPAO survey virtually/on-paper	baseline, changes post 3-months, changes post 12-months
Primary	compliance of menu and meal with Child and Adult Care Food Program requirements using compliance scoring tool created by collaborative research team	menus and meals served are compared to the requirements and best practices of the CACFP using compliance scoring tool created by the collaborative research team	baseline, changes post 3-months, changes post 12-months
Primary	dietary quality of foods served	analysis of remote food photograph of a child's breakfast, lunch, snack	baseline, changes post 3-months, changes post 12-months
Secondary	Provider self-efficacy	providers will self report nutrition and environmental health self-efficacy using using survey created by the collaborative research team virtually/on-paper	baseline, post 3-months, post 12-months
Secondary	Environmental health observation	observation of household cleaners and chemicals and signs of pests virtually, a tool created by the collaborative research team	baseline, post 3-months, post 12-months