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Completed

NCT Number: NCT03560050

Technical Assistance for Child and Adult Care Food Program in Family Child Care Home

This study evaluates the effect of a nutrition technical assistance training program for family child care home providers on the food they serve young children in their care and the food environment in their home. Half the providers will be assigned to the nutrition program and the other half will receive a comparison on environmental health.

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Key information

Conditions

Nutrition Poor Behavior Health Behavior Malnutrition Nutrition Disorders Nutritional and Metabolic Diseases

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Oklahoma Health Sciences Center

Oklahoma City, Oklahoma, 73117, United States

About this study

Early care and education (ECE) providers play a vital role in ensuring that young children have access to nutritious foods. Over 25% of children in ECE (1.2 million children) attend Family Child Care Homes (FCCH). Improvements in the Child and Adult Care Food Program (CACFP) may introduce new barriers for FCCH, which have limited meal preparation capacity. Limited research has examined foods served by FCCH providers, and no group randomized trials have been conducted using a Community-Based Participatory approach in FCCH and including an evaluation of intervention costs.

Goals: 1. Determine compliance of menus and meals provided in FCCH with CACFP guidelines. 2. Determine the effectiveness of a community-based Nutrition Technical Assistance intervention to enhance meeting CACFP best-practices.

Methods: Conduct a cross-sectional assessment of a random sample of FCCH providers' (n=52) menus and meals served. Foods will be evaluated against the CACFP requirements and best-practices. After the cross-sectional examination, providers will be randomly assigned to a Nutrition Technical Assistance (n=26) or attention comparison intervention (n=26). The intervention is based on theoretical foundations and formative interviews, and will consist of two 60-90-minute visits to the FCCH and one group class lasting approximately 3 hours.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Family child care home providers within 60 minutes of Oklahoma City who participate in the Child and Adults Care Food Program

Exclusion criteria

  • none

Treatment and study plan

Nutrition assistance

Behavioral

Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.

Children's environmental health/comparison

Behavioral

Participating family child care home providers in and around the OKC area will be randomized to either the Nutrition, or an environmental health intervention that will receive an Integrated Pest Management and Green Cleaning intervention with the same format and visit frequency. Briefly, the Intervention will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.

Primary outcomes

  1. Change in Self-reported Nutrition Practices

    Time frame: baseline, post 3-months, post 12-months

    Providers report the nutrition environment using the Nutrition and Physical Activity Self Assessment for Child Care (NAPSACC). Scores averaged across items range 0-4. Higher score indicates more desired/healthier outcome.

Secondary outcomes

  1. Provider Nutrition Knowledge

    Time frame: baseline, post 3-months, post 12-months

    Self-reported nutrition knowledge using a modified Revised General Nutrition Knowledge Questionnaire. It was reduced in length to 38 items from 88 items. Scores ranged from 0-38 with a higher score indicating greater nutrition knowledge.

  2. Change in Compliance of Menu With Child and Adult Care Food Program Best Practices

    Time frame: baseline, post 3-months, post 12-months

    menus are compared to the best practices of the Child and Adult Care Food Program (CACFP). The scale measures the number of elements of the menu which are compliance with the CACFP best practices. The CACFP best Practice compliance tool has a range of 0-25. A higher score is associated with a more desirable outcome and thus higher CACFP best practice compliance.

  3. Change in Children's Dietary Intake of Vegetables at Lunch

    Time frame: baseline, post 3-months, post 12-months

    Observation of children's dietary intake on 2 unannounced days using the Dietary Observation in Child Care methods and Food Processor for nutrient analysis. Outcome is cups of vegetables consumed.

Sponsors and collaborators

Lead sponsor

University of Oklahoma

Other

Registry information

Official study title

Compliance and Technical Assistance for Child and Adult Care Food Program in Family Child Care Homes

Important dates

Study start
2017
Primary completion
2019
Study completion
2019
First posted
Jun 18, 2018
Registry last updated
May 28, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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