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

dc.contributor.author

Østbye, Truls

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Mann, Courtney M

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Vaughn, Amber E

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Namenek Brouwer, Rebecca J

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Benjamin Neelon, Sara E

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Hales, Derek

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Bangdiwala, Shrikant I

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Ward, Dianne S

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United States

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2016-03-22T16:35:30Z

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2015-01

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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.

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http://www.ncbi.nlm.nih.gov/pubmed/25460337

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S1551-7144(14)00158-X

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1559-2030

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https://hdl.handle.net/10161/11720

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eng

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Elsevier BV

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Contemp Clin Trials

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10.1016/j.cct.2014.11.003

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Children

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Family child care homes

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Obesity

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Overweight

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Randomized controlled trial

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Accelerometry

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Child Care

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Child, Preschool

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Diet

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Exercise

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Female

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Health Behavior

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Health Promotion

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Humans

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Infant

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Male

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Massage

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Research Design

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Sedentary Lifestyle

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Self Efficacy

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Single-Blind Method

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Socioeconomic Factors

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United States

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

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Journal article

duke.contributor.orcid

Mann, Courtney M|0000-0002-6969-0754

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Namenek Brouwer, Rebecca J|0000-0001-8655-7368

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http://www.ncbi.nlm.nih.gov/pubmed/25460337

pubs.begin-page

81

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89

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Center for Child and Family Policy

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Clinical Science Departments

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Community and Family Medicine

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Duke

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Duke Cancer Institute

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Global Health Institute

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Institutes and Centers

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Institutes and Provost's Academic Units

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Pediatrics

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Pediatrics, Primary Care Pediatrics

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Sanford School of Public Policy

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School of Medicine

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School of Nursing

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School of Nursing - Secondary Group

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Staff

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University Institutes and Centers

pubs.publication-status

Published

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40

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