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The keys to healthy family child care homes intervention: study design and rationale.

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Date
2015-01
Authors
Østbye, Truls
Mann, Courtney M
Vaughn, Amber E
Namenek Brouwer, Rebecca J
Benjamin Neelon, Sara E
Hales, Derek
Bangdiwala, Shrikant I
Ward, Dianne S
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(8 total)
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Abstract
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.
Type
Journal article
Subject
Children
Family child care homes
Obesity
Overweight
Randomized controlled trial
Accelerometry
Child Care
Child, Preschool
Diet
Exercise
Female
Health Behavior
Health Promotion
Humans
Infant
Male
Massage
Research Design
Sedentary Lifestyle
Self Efficacy
Single-Blind Method
Socioeconomic Factors
United States
Permalink
https://hdl.handle.net/10161/11720
Published Version (Please cite this version)
10.1016/j.cct.2014.11.003
Publication Info
Østbye, Truls; Mann, Courtney M; Vaughn, Amber E; Namenek Brouwer, Rebecca J; Benjamin Neelon, Sara E; Hales, Derek; ... Ward, Dianne S (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 https://hdl.handle.net/10161/11720.
This is constructed from limited available data and may be imprecise. To cite this article, please review & use the official citation provided by the journal.
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Scholars@Duke

Courtney Mann

Clinical Trials Project Leader I
Brouwer

Rebecca Brouwer

Dir, Research Initiatives
My overarching goal is to facilitate effective research and collaborations for the Duke research community, through the delivery of targeted programs, tools, and individual consultations.
Alphabetical list of authors with Scholars@Duke profiles.
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