Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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RECRUITING
NA
1200 participants
INTERVENTIONAL
2024-08-01
2025-12-31
Brief Summary
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Detailed Description
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Obesity is a leading cause of multiple chronic diseases, including 13 types of cancer, heart disease, stroke, and type II diabetes. Major behavioral determinants of obesity are also independent risk factors for these chronic diseases, including unhealthy diet, lack of physical activity, and poor sleep quality. Childhood obesity increases risk for adult obesity and early onset of conditions such as high blood pressure, high cholesterol, asthma, sleep apnea, and joint problems. Childhood obesity disproportionately affects children of lower socioeconomic status, racial/ethnic minority groups, and rural areas, thus exacerbating and contributing to health disparities among obesity-related health conditions. Children in low-income families that qualify for income-based public assistance programs represent a population that is at high risk for obesity. These programs include the Women, Infants and Children (WIC) Supplemental Nutrition Program; Head Start (preschool child care centers); the Supplemental Nutrition Assistance Program (SNAP); Temporary Assistance for Needy Families (TANF); and Medicaid.
With the Attention Control Arm, the MAPP Study will also contribute valuable information about the effectiveness of using a mobile application with parent-targeted, guided goal-setting for reading to preschool-aged children. Previous studies have shown that adults reading to children is beneficial for child learning and development.
All parents/guardians (both samples and both arms) will be asked to use the respective apps for an 8-week intervention period. The primary outcome will be measured in the Baseline Survey and a Follow Up Survey after completing the 8-week intervention period. After completion of the Follow Up Survey, parents/guardians will be given the option to download and use the other app, if they are interested (i.e., information about the CHEW app for the Control Arm, and information about the Control app for the Intervention Arm). For both the Intervention Arm and those who choose to download the CHEW app in the Control Arm, usage of the CHEW app (i.e., app analytics) will be tracked for up to 20 weeks after the date of study enrollment.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
2. The INDIVIDUAL SAMPLE has a 2-arm parallel randomized control trial design, with an attention control design. The individual parent/guardian as the level of randomization (no clusters). After completing the Baseline Survey (Parts 1 and 2), each individual parent/guardian will be randomized to the Intervention Arm or Control Arm.
Both: Parents/guardians will be asked to use the assigned app for 8-weeks. Next, they will complete the Follow Up Survey, then they have the option to download the other app, if interested. For both arms, usage of the CHEW app will be tracked for up to 20 weeks after the date of study enrollment.
PREVENTION
NONE
Study Groups
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Intervention Arm: Nutrition and wellness app
The parents/guardians in this study arm will use the Children Eating Well (CHEW) mobile app focused on child and family nutrition and wellness for the first 8 weeks of the study. This app is designed to help parents/guardians of preschool-aged children to improve nutrition, physical activity, sleep, feeding children at mealtimes, and related wellness topics.
Children Eating Well (CHEW) mobile app
The target users of the CHEW app are parents/guardians of preschool aged children. The purpose of the CHEW app is to provide parents/guardians with easy, practical ways to improve nutrition and wellness among their preschool-aged children. The app provides guided goal setting and tracking tools. Parents/guardians set goals related to their preschool-aged children focused on nutrition, physical activity, sleep behaviors and parenting styles. The parents/guardians can also to set goals for themselves for behaviors related to nutrition, physical activity, sleep, and stress. The app does not have features that target children as users.
The CHEW app was developed by the study team and can be downloaded for mobile devices (phones or tablets) at no cost in the Apple App Store (iOS/Apple) and the Google Play Store (Android). After downloading the CHEW app, enrolled participants must enter the Access Code provided by the study team in order to unlock the app and use it.
Attention Control Arm: Reading app
The parents/guardians this study arm will use the Beanstack mobile app (or the Bookroo app, as an alternative) focused on parents reading to their children for the first 8 weeks of the study. This app may help parents/guardians to read more to their preschool children (and other children), which is good for child learning and development.
Beanstalk mobile app
Beanstack is free commercially-available mobile app that provides goal setting and tracking tools similar to the CHEW app, but focused on a different topic, specifically encouraging parents/guardians to read to their preschool children more frequently. In the case that a parent/guardian is not able to successfully download Beanstack to their mobile device, as a backup alternative they will be asked to use a similar free commercially-available mobile application called Bookroo.
Beanstack is available to the public for mobile devices (phones or tablets) at no cost in the Apple App Store (iOS/Apple) and the Google Play Store (Android). Bookroo is a web-based application that users access via the mobile device's web browser and looks and functions like a regular mobile application. It should work on any mobile device with a browser and data/wifi access,
Interventions
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Children Eating Well (CHEW) mobile app
The target users of the CHEW app are parents/guardians of preschool aged children. The purpose of the CHEW app is to provide parents/guardians with easy, practical ways to improve nutrition and wellness among their preschool-aged children. The app provides guided goal setting and tracking tools. Parents/guardians set goals related to their preschool-aged children focused on nutrition, physical activity, sleep behaviors and parenting styles. The parents/guardians can also to set goals for themselves for behaviors related to nutrition, physical activity, sleep, and stress. The app does not have features that target children as users.
The CHEW app was developed by the study team and can be downloaded for mobile devices (phones or tablets) at no cost in the Apple App Store (iOS/Apple) and the Google Play Store (Android). After downloading the CHEW app, enrolled participants must enter the Access Code provided by the study team in order to unlock the app and use it.
Beanstalk mobile app
Beanstack is free commercially-available mobile app that provides goal setting and tracking tools similar to the CHEW app, but focused on a different topic, specifically encouraging parents/guardians to read to their preschool children more frequently. In the case that a parent/guardian is not able to successfully download Beanstack to their mobile device, as a backup alternative they will be asked to use a similar free commercially-available mobile application called Bookroo.
Beanstack is available to the public for mobile devices (phones or tablets) at no cost in the Apple App Store (iOS/Apple) and the Google Play Store (Android). Bookroo is a web-based application that users access via the mobile device's web browser and looks and functions like a regular mobile application. It should work on any mobile device with a browser and data/wifi access,
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Living in United States
* Receives services at partner community organization (Organization Sample only)
Exclusion Criteria
* Does not have internet access for the mobile device (data plan on device or in-home WiFi)
* Not able to successfully load and access the Intervention Arm or Attention Control Arm mobile app on the mobile device at the time of enrollment
18 Years
99 Years
ALL
Yes
Sponsors
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United States Department of Agriculture (USDA)
FED
Pamela Hull
OTHER
Responsible Party
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Pamela Hull
Associate Professor
Principal Investigators
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Pamela C Hull, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Kentucky
Locations
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University of Kentucky
Lexington, Kentucky, United States
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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2017-68001-34846
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
93603
Identifier Type: -
Identifier Source: org_study_id
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