Addressing Disparities in Food Access Among Young Children in Louisiana: A Farm to ECE Approach

Health Knowledge, Attitudes, Practice Clinical Trial

— FarmtoECE  

Official title:

Addressing Disparities in Food Access Among Young Children in Louisiana: A Farm to ECE Approach

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05745376
• Other study ID #: IRB881-23
• Status: Recruiting
• Phase: N/A
• Start date: September 1, 2023
• Est. completion date: May 2024

Study information

• Verified date: January 2024
• Source: Xavier University of Louisiana.
• Contact: Megan Knapp, PhD
• Phone: 2143645483
• Email: mknapp[@]xula.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The goal of this pilot project is to increase access to healthy food, improve diets, and reduce food insecurity and, in turn, reduce health disparities among low-income, minority children under the age of five attending early childcare centers. Specific aims are to: 1) examine the feasibility of a six-month Farm to ECE intervention and 2) collect preliminary data to evaluate the efficacy of the program to 2.1) improve the ECE nutrition environment from baseline to follow-up; 2.2) increase access to local fruits and vegetables among children at ECEs from baseline to follow-up; and 2.3) increase parent knowledge and use of community food resources. The investigators will use this preliminary data to develop a larger scale project to test intervention efficacy.

Description:

The pilot study will take place at four centers within a network of Catholic Charities Early Head Start and Head Start Centers in New Orleans, Louisiana. Two centers will serve as intervention sites and two as comparison sites. Over 90% of the network centers' students identify as Black, and all qualify for federally funded free meals and snacks. The intervention will include: (1) assisting ECEs with conducting self-assessments; (2) connecting ECEs with local farmers and food producers; (3) providing technical assistance for menu changes, procuring healthy food, identifying and implementing best feeding practices and policies for the environment; (4) delivering nutrition education; and (5) connecting parents/guardians with local food resources and affordable fresh food to be consumed at home. The intervention will be implemented for 6 months.

Aim 1 uses a cross-sectional mixed methods design, collecting both quantitative and qualitative data in intervention centers. Aim 2 uses a pre-post design with a comparison group, collecting quantitative survey data at the center and parent level. At baseline and six-month follow-up, the investigators will conduct short surveys with staff and parents/caregivers of children attending ECEs.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 435
• Est. completion date: May 2024
• Est. primary completion date: May 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 99 Years

Eligibility

Inclusion Criteria (Key informant interviews and center assessments):

• Director or staff of participating center

• 18 years of age minimum

Exclusion Criteria (Key informant interviews and center assessments):

• Staff not involved with educational programming

Inclusion Criteria (Parent/guardian surveys):

• Parent or guardian of current student at participating center

• 18 years of age minimum

Exclusion Criteria (Parent/guardian surveys):

• None

Related Conditions & MeSH terms

• Food Insecurity
• Health Knowledge, Attitudes, Practice

Intervention

Behavioral:
• Farm to ECE programming
Students and parents at this center will receive program elements described in arm descriptions.

Locations

Country	Name	City	State
United States	Xavier University Of Louisiana	New Orleans	Louisiana

Sponsors (1)

Lead Sponsor	Collaborator
Xavier University of Louisiana.

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	incidence of parent/guardian use of community food resources	Parent/guardian surveys will ask questions about use of community food resources. Frequencies will be calculated based on results.	6 months
Primary	nutrition environment score measured by NAPSACC	Environmental assessments and pre/post staff surveys using validated tools (Nutrition and Physical Activity Self-Assessment for Child Care NAPSACC) will be used to determine changes in the nutrition environment and healthy options. Nutrition environment scores will be calculated using the tool scoring guide.	6 months
Primary	percent completion of program components (fidelity)	Staff will be asked to complete tracking records of all executed program components. Percent completion will be calculated by dividing program components executed by total program components.	6 months
Primary	satisfaction score with program implementation	Staff will be asked to complete a post intervention survey to indicate their satisfaction (scale of 1-5) with the program implementation and its components.	6 months