The keys to healthy family child care homes intervention: study design and rationale.
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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.
Family child care homes
Randomized controlled trial
Published Version (Please cite this version)10.1016/j.cct.2014.11.003
Publication InfoBangdiwala, SI; Benjamin Neelon, SE; Hales, D; Mann, CM; Namenek Brouwer, RJ; Østbye, Truls; ... Ward, DS (2015). The keys to healthy family child care homes intervention: study design and rationale. Contemp Clin Trials, 40. pp. 81-89. 10.1016/j.cct.2014.11.003. Retrieved from http://hdl.handle.net/10161/11720.
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Professor of Family Medicine and Community Health
Chronic disease epidemiology; obesity; health services research; population health; public health; social medicine; health information systems; health surveys; programme evaluation; clinical trials; aging; nutrition; dementia; Global Health