Online Videos and New Feeding Content to Enhance a Current EFNEP Program

NCT ID: NCT03170700

Last Updated: 2022-05-23

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 543 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-09-11
• Study Completion Date: 2020-10-30

Brief Summary

The goal of this study is to further increase the impact of a validated and widely-used Eating Smart • Being Active EFNEP curriculum by teaching parents responsive feeding practices resulting in the development of healthier patterns of child eating behavior and food intake. Additionally, the effectiveness of two delivery strategies for adding feeding video-based content will be examined (in-person versus online lessons).

Detailed Description

During Phase I of the project (first two years), the leadership team composed of both research and extension investigators will work with the media production team to edit the SEEDS videotapes to meet the needs of the current project and to develop the website and activities for use in the online condition. Phase II (second three years) will be a large scale evaluation of this program. In this phase, classes of EFNEP participants in Colorado and Washington will be randomly assigned to one of three conditions: 1) Eating Smart • Being Active alone (control); 2) Eating Smart • Being Active plus feeding videos at the weekly EFNEP sessions, plus facilitated group discussion (in-person); or 3) Eating Smart • Being Active plus online videos and activities, (online). Pre- and post-program assessments, 6- and 12-month follow ups will be conducted to assess responsive feeding, providing structure, food exploration, child eating behaviors, parent knowledge, and child dietary intake. Child dietary intake will be obtained on a sub-sample of 90 participants. In Phase III, the investigators will begin dissemination.

A total of 543 participants were recruited in five locations to participate in the project: 262 from three counties in Colorado and 281 from three counties in Washington (English and Spanish participants). A total of 4 to 10 mothers were recruited for each group. After recruitment, groups were randomly assigned to the three conditions ensuring a relatively equal number of participants per condition.

Data from children who have any kind of food allergies or diabetes or are on special diet will be excluded from the analyses.

To ensure program fidelity, program educators will complete implementation checklists, and 20% of the sessions will be attended by an additional grant staff member to conduct implementation observations and assess participant engagement. Detailed records of participant attendance will be collected to assess dosage effects and attrition. All assessments will be conducted by grant project staff blind to the group status of the participants. Retention of participants will be maximized using strategies such as obtaining multiple phone numbers for each family; obtaining external contact information for siblings and close friends; sending interim reminders with the goal of fostering contact should the family move; and phone calls, emails or letters between data collection points to each family.

Conditions

Obesity, Childhood

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Study Groups

Control

Participants will receive a nutrition program without parental feeding content. They will attend the nutrition program (Eating Smart • Being Active).

Group Type: NO_INTERVENTION

No interventions assigned to this group

In-person

Nutrition program with in-person parental feeding content.

Group Type: EXPERIMENTAL

Nutrition program with in-person parental feeding content

Intervention Type: BEHAVIORAL

Participants will attend the nutrition program (Eating Smart • Being Active) and be provided with in-person parental feeding content.

Online

Nutrition program with online parental feeding content.

Group Type: EXPERIMENTAL

Nutrition program with online parental feeding content

Intervention Type: BEHAVIORAL

Participants will attend the nutrition program (Eating Smart • Being Active). They will access parental feeding content online.

Interventions

Nutrition program with in-person parental feeding content

Participants will attend the nutrition program (Eating Smart • Being Active) and be provided with in-person parental feeding content.

Intervention Type: BEHAVIORAL

Nutrition program with online parental feeding content

Participants will attend the nutrition program (Eating Smart • Being Active). They will access parental feeding content online.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Parents who attend EFNEP programs in the states of WA and CO.

Exclusion Criteria

• Parents with children younger than age 2 and older than age 8 will be excluded.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Washington State University

OTHER

Sponsor Role: collaborator

Colorado State University

OTHER

Sponsor Role: collaborator

Baylor College of Medicine

OTHER

Sponsor Role: lead

Responsible Party

Sheryl Hughes

Associate Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Sheryl O Hughes, PhD

Role: PRINCIPAL_INVESTIGATOR

Baylor College of Medicine

Locations

Colorado State University

Fort Collins, Colorado, United States

Washington State University

Pullman, Washington, United States

Countries

United States

References

Power TG, Baker SS, Barale KV, Aragon MC, Lanigan JD, Parker L, Garcia KS, Auld G, Micheli N, Hughes SO. Using Mobile Technology for Family-Based Prevention in Families with Low Incomes: Lessons from a Randomized Controlled Trial of a Childhood Obesity Prevention Program. Prev Sci. 2024 Feb;25(2):369-379. doi: 10.1007/s11121-023-01637-8. Epub 2024 Feb 7.

Reference Type: DERIVED

PMID: 38321316 (View on PubMed)

Hughes SO, Power TG, Baker SS, Barale KV, Aragon MC, Lanigan JD, Parker L, Silva Garcia K, Auld G, Johnston CA, Micheli N. Short-Term Efficacy of a Childhood Obesity Prevention Program Designed to Pair Feeding Content With Nutrition Education. Child Obes. 2023 Jun;19(4):239-248. doi: 10.1089/chi.2022.0030. Epub 2022 Jun 16.

Reference Type: DERIVED

PMID: 35708621 (View on PubMed)

Other Identifiers

2015-68001-23311

Identifier Type: OTHER

Identifier Source: secondary_id

H-36455

Identifier Type: -

Identifier Source: org_study_id