Health Behavior Clinical Trial
Official title:
Compliance and Technical Assistance for Child and Adult Care Food Program in Family Child Care Homes
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.
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.
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