TY - JOUR
T1 - The keys to healthy family child care homes intervention
T2 - Study design and rationale
AU - Østbye, Truls
AU - Mann, Courtney M.
AU - Vaughn, Amber E.
AU - Namenek Brouwer, Rebecca J.
AU - Benjamin Neelon, Sara E.
AU - Hales, Derek
AU - Bangdiwala, Shrikant I.
AU - Ward, Dianne S.
N1 - Publisher Copyright:
© 2014.
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Background: Obesity is a major public health problem for which early preventive interventions are needed. Large numbers of young children are enrolled in some form of child care program, making these facilities influential environments in children's development. Family child care homes (FCCH) are a specific type of child care in which children are cared for within the provider's own residence. FCCHs serve approximately 1.5 million children in the U.S.; however, research to date has overlooked FCCH providers and their potential to positively influence children's health-related behaviors. Methods: Keys to Healthy Family Child Care Homes (Keys) is a cluster-randomized controlled trial testing the efficacy of an intervention designed to help providers become healthy role models, provide quality food- and physical activity-supportive FCCH environments, and implement effective business practices. The intervention is delivered through workshops, home visits, tailored coaching calls, and educational toolkits. Primary outcomes are child physical activity measured via accelerometry data and dietary intake data collected using direct observation at the FCCH. Secondary outcomes include child body mass index, provider weight-related behaviors, and observed obesogenic environmental characteristics. Conclusion: Keys is an innovative approach to promoting healthy eating and physical activity in young children. The intervention operates in a novel setting, targets children during a key developmental period, and addresses both provider and child behaviors to synergistically promote health.
AB - Background: Obesity is a major public health problem for which early preventive interventions are needed. Large numbers of young children are enrolled in some form of child care program, making these facilities influential environments in children's development. Family child care homes (FCCH) are a specific type of child care in which children are cared for within the provider's own residence. FCCHs serve approximately 1.5 million children in the U.S.; however, research to date has overlooked FCCH providers and their potential to positively influence children's health-related behaviors. Methods: Keys to Healthy Family Child Care Homes (Keys) is a cluster-randomized controlled trial testing the efficacy of an intervention designed to help providers become healthy role models, provide quality food- and physical activity-supportive FCCH environments, and implement effective business practices. The intervention is delivered through workshops, home visits, tailored coaching calls, and educational toolkits. Primary outcomes are child physical activity measured via accelerometry data and dietary intake data collected using direct observation at the FCCH. Secondary outcomes include child body mass index, provider weight-related behaviors, and observed obesogenic environmental characteristics. Conclusion: Keys is an innovative approach to promoting healthy eating and physical activity in young children. The intervention operates in a novel setting, targets children during a key developmental period, and addresses both provider and child behaviors to synergistically promote health.
KW - Children
KW - Family child care homes
KW - Obesity
KW - Overweight
KW - Randomized controlled trial
UR - http://www.scopus.com/inward/record.url?scp=84916608378&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84916608378&partnerID=8YFLogxK
U2 - 10.1016/j.cct.2014.11.003
DO - 10.1016/j.cct.2014.11.003
M3 - Article
C2 - 25460337
AN - SCOPUS:84916608378
SN - 1551-7144
VL - 40
SP - 81
EP - 89
JO - Contemporary Clinical Trials
JF - Contemporary Clinical Trials
ER -