Clinical trial

Deimplementation of Inappropriate Feeding Practices in Early Care and Education Settings

Invitation only · Not applicable · 1 countries · Registry ID NCT07107321

Invitation onlyNot applicableInterventional

What this study is about

Arkansas and Louisiana have among the highest rates of adult obesity in the United States at 38.7% and 38.6%, respectively. Prevention and intervention efforts are needed to reduce the number of children who will become obese adults and suffer the host of negative health consequences that accompany it. This proposal will develop and test strategies to stop the use of detrimental feeding practices by early childhood educators which promote unhealthy weight trajectories, inappropriate eating behaviors and poor dietary outcomes for children.

A promising-looking record is not the same as confirmed eligibility. The study team must review the full criteria and current recruitment status.

Basic eligibility

Age3 Years to Not listed

SexAll

Healthy volunteersNot accepted

ConditionObesity, Childhood

Full registry criteria

Inclusion Criteria: * Sites within a 100-mile radius of staff offices serving 12+ children ages 3 to 5 years * Agreeing to participate in data collection * Sites will serve meals. * All classrooms at a site will receive the same deimplementation strategies and participate in data collection. We will select one classroom at random per site to participate in the collection of child outcomes (N= 264 classrooms, 15 children per classroom= 1320 children total). Exclusion Criteria: * We will exclude sites that have participated in intervention studies with our team in the last 3 years.

Treatments and study arms

WISE Words

Behavioral

WISE Words is a co-designed, multicomponent deimplementation strategy package including 6 discrete strategies. Of these, three are delivered in a standard fashion: (1) dynamic training driven by improvisation methods, (2) a peer learning collaborative, and (3) external facilitation. The additional three are tailored to each educator's preferences and goals: (4) reminders, (5) educational materials, and (6) audit and feedback. Educators are supported to set and achieve goals for one feeding practice they want to stop and one they want to start.

Primary outcomes

Table TalkFive times: (1) baseline in the spring of the year prior to training, (2,3) during winter and spring in the implementation school year, and (4,5) during the fall of the following two school years.

This observational instrument includes the ability to rate the use of eight inappropriate and six evidence-based feeding practices within a single mealtime (approximately 30 minutes). Trained and field-reliable staff blinded to the study condition will collect fidelity data consistent with published protocols. This tool is not affected by ceiling effects are other measures feeding practices. That is, each discrete use of the 14 target feeding practices is captured. Continuous composite scores for inappropriate and evidence-based feeding practices will be used.

Study locations

1 locations were listed when this page was built. The first 40 are shown.

Arkansas Children's Nutrition Center🇺🇸 Little Rock, Arkansas, United States

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