360 Participants Needed

EAT Family Style + Better Kid Care for Healthy Eating

DD
Overseen ByDipti Dev, PhD
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: University of Nebraska Lincoln
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a program can help young children in rural areas eat more fruits and vegetables and improve their overall health. Family childcare providers will either learn specific mealtime practices through the EAT Family Style program or general childcare topics with Better Kid Care. Researchers will track changes in children's diets to assess if the program makes a lasting difference. This trial is designed for licensed family childcare providers caring for preschool-aged children in rural communities, specifically those participating in the Child and Adult Care Food Program. As an unphased trial, it offers a unique opportunity to contribute to research that could enhance children's health and nutrition in rural areas.

Will I have to stop taking my current medications?

The trial information does not specify whether participants need to stop taking their current medications. It focuses on children's eating habits and mealtime practices, so it's unlikely that medication changes are required.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Previous studies have shown that the EAT Family Style program helps young children develop healthy eating habits. The program teaches caregivers to encourage children to eat well by recognizing their hunger signals. Research indicates that these methods are safe and well-received, involving enjoyable mealtime routines and limiting unhealthy foods.

No reports of negative effects have emerged from these practices in similar settings. Responsive feeding, which focuses on positive interactions during meals, is safe and supports children's growth. This makes the EAT Family Style program a safe option for those considering participation in the study.12345

Why are researchers excited about this trial?

Researchers are excited about the EAT Family Style approach because it offers a hands-on, interactive way to promote healthy eating habits in young children, especially in rural family childcare settings. Unlike typical nutrition education programs that might focus solely on providing information, this method involves personalized coaching sessions and feedback through recorded mealtime videos. This allows caregivers to receive tailored advice and engage in goal-setting, making it a more dynamic and potentially effective method for fostering responsive feeding practices. By integrating direct feedback and interactive tools, this approach aims to create a more engaging learning experience that could lead to lasting changes in children's eating behaviors.

What evidence suggests that this trial's programs could be effective for improving children's eating habits?

This trial will compare two approaches to promoting healthy eating among children in rural family childcare settings. Research has shown that regular family meals can improve children's nutrition and eating habits. Studies have found that children who eat with their families more often tend to consume more vegetables and maintain healthier diets. This habit also links to a lower risk of obesity in children. Additionally, family meals can enhance children's overall well-being and promote better eating behaviors. By following healthy mealtime routines, children in rural areas might experience better health and improved eating habits. Participants in this trial will either receive the EAT Family Style intervention, focusing on responsive feeding practices, or the Better Kid Care program, which covers general childcare topics.678910

Who Is on the Research Team?

DD

Dipti Dev, PhD

Principal Investigator

University of Nebraska Lincoln

Are You a Good Fit for This Trial?

This trial is for children aged 3 to 5 attending family childcare homes in rural areas, specifically those involved in the CACFP. Childcare providers must be licensed and willing to participate in training modules and coaching sessions. Children with poor diets or at risk of obesity are a focus, but all eligible from these settings can join.

Inclusion Criteria

FCCH Settings: Licensed family child care home-based early child care and education settings located in Nebraska (with potential expansion to Iowa, Kansas, South Dakota, Oklahoma, Illinois, and/or Northwest Missouri if needed) participating in the Child and Adult Care Food Program (CACFP) and caring for at least 2 preschool-aged non-sibling children (3-5 years old) without feeding disorders or developmental delays, providing meals and snacks to attending children, and located in a county designated as nonmetropolitan based on the 2023 Rural-Urban Continuum Codes (RUCC)
My child is 3-5 years old, eats normally despite some food allergies or preferences, and has no developmental delays.
I care for at least two 3-5 year old non-sibling children without special dietary needs, am over 19, and new to this study.

Exclusion Criteria

FCCH Providers: FCCH provider closes the business, stops serving meals to children, discontinues participation in CACFP and no longer adheres to CACFP meal pattern requirements, or loses all eligible study children due to children leaving care, developing developmental delays or feeding disorders, or other reasons making them ineligible
My child has eating difficulties due to dietary restrictions or a feeding disorder, has developmental delays, or is a sibling of a participating child.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

EAT Family Style Group completes 7 online training modules over 16 weeks, participates in 7 individual coaching sessions on Zoom, records mealtime videos for feedback, and receives printed materials. Better Kid Care Group completes 10 online modules on general childcare topics.

16 weeks
7 coaching sessions (virtual), multiple online module completions

Follow-up

Participants are monitored for changes in dietary intake and feeding practices. Data collection includes surveys, mealtime observations, and measurements of children's height, weight, and skin carotenoids.

8 weeks
2 visits (in-person) for data collection

What Are the Treatments Tested in This Trial?

Interventions

  • Better Kid Care
  • EAT Family Style
Trial Overview The 'Healthy Children, Healthy Communities' program aims to improve young children's eating habits by comparing two approaches: EAT Family Style intervention with mealtime practice training versus Better Kid Care general childcare education. The effectiveness will be measured through surveys, observations, child growth metrics, and Veggie Meter scans over a period of up to 24 weeks.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Arm 1: EAT Family StyleExperimental Treatment1 Intervention
Group II: Arm 2. Better Kid CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of Nebraska Lincoln

Lead Sponsor

Trials
40
Recruited
13,200+

Citations

Family meals among parents: Associations with nutritional ...Children and young people who frequently share meals with their families report better nutrition and eating behaviors like eating more vegetables and less fast ...
Come and Get It! A Discussion of Family Mealtime ...Increased family meal frequency may decrease risk of overweight or obesity in children and adolescents. Frequent family meals also may protect against eating ...
Systematic review of the effects of family meal frequency on ...This systematic review found that eating frequent family meals was associated with better psychosocial outcomes for children and adolescents. Frequent family ...
Family Mealtimes: A Systematic Umbrella Review of ...Sharing family meals was found to improve nutrition [3,8], as well as the presence of a family member [3,35], parental modelling [28], prioritisation of family ...
Family meals with young children: an online study of family ...Evidence suggests that family meals influence food intakes and behaviours, which in turn impact children's eating habits, diets and health.
The Impact of Responsive Feeding Practice Training ...The EAT Family Style intervention was developed to demonstrate these recommended feeding practices through videos and actionable strategies within the natural ...
Safety and effectiveness of responsive feeding for infants ...infant feeding practices, responsive feeding, avoiding SSBs, optimal complementar feeding practices, and whole family healthy eating practices. The control ...
Responsive Feeding Recommendations: Harmonizing ...Responsive feeding (RF) involves reciprocal nurturing feeding practices between the caregiver and the child that encourage the child to develop preferences ...
Applying the Family Stress Model to responsive feeding and ...Examples of responsive feeding practices include consistent mealtime routines and limiting exposure to unhealthy foods (Savage et al., 2017). In contrast, ...
A Responsive Feeding Program for Child Care Providers ...Objective: To determine if cooking classes tailored to college students would improve knowledge and behav- ior to eat healthfully and practice food safety.
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