The keys to healthy family child care homes intervention: study design and rationale.
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 articleSubject
ChildrenFamily 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
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https://hdl.handle.net/10161/11720Published Version (Please cite this version)
10.1016/j.cct.2014.11.003Publication 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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Show full item recordScholars@Duke
Courtney Mann
Clinical Trials Project Leader I
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.
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