The Business of Childcare Homes & Child Health: Innovations for Nurturing Growth

托儿所业务

基本信息

批准号：
8661255
负责人：
TRULS OSTBYE
金额：
$ 70.88万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-05-01 至 2017-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8661255
关键词：
Address Age Behavior Body mass index Businesses Caregivers Caring Child Child Behavior Child Care Child Support Child health care Communication Development Diet Dietary intake Eating Eating Behavior Economics Educational workshop Environment Family Family Characteristics Food Frequencies Goals Growth Habits Health Food Health behavior Height Home environment Industry Intervention Licensing Life Life Style Measures Mediator of activation protein Motivation Obesity Parents Phase Physical activity Physical environment Play Policies Positioning Attribute Preventive Intervention Printing Provider Public Health Publishing Questionnaires Randomized Controlled Trials Regulation Self Assessment Self Efficacy Shapes Site Visit Social Environment Targeted Research Techniques Telephone Time Training Visit Weight Weight Gain age group arm base design early childhood efficacy testing follow-up good diet improved indexing innovation motivational enhancement therapy nutrition obesity in children obesity prevention patient home care primary outcome residence role model secondary outcome theories

项目摘要

DESCRIPTION (provided by applicant): Childhood obesity is a major public health problem and an important predictor of obesity later in life. Although early childhood is a formative period for dietary and activity habits, little research targeting this young age group has been conducted. Child care facilities are a prime setting for interventions targeting young children, given the number of families using some form of out-of-home care. Family child care homes (FCCH) are a particular type of child care facility in which the provider cares for children out of his/her own residence. FCCHs are less regulated than child care centers, and there have been no published obesity prevention interventions in FCCHs to date. Interventions targeting FCCH providers could help promote healthy child weight by creating child care environments that provide and support active play opportunities and healthy food choices, while helping providers become role models for healthy lifestyles (physical activity and diet). However, the child care industry is facd with many challenges including limited profitability. By incorporating strategies for overcoming some of these economic challenges, interventions may be able to more easily address barriers to implementing and sustaining the changes needed to promote regular physical activity and healthy dietary intakes in children. This project will use a cluster-randomized controlled trial (RCT) to test the efficacy of the 9- month intervention H3: Healthy You, Healthy Home, Healthy Business, which targets FCCHs and is designed to promote (1) providers as healthy role models, (2) physical activity- and nutrition-supportive environments at the FCCH, and (3) healthy business practices. By combining these components, the ultimate objective is to create healthy and stable FCCHs that promote healthy physical activity and eating behaviors in children. This intervention will be delivered through group workshops, onsite visits, tailored coaching phone contacts, and educational toolkits. Increased child physical activity and improved quality of child diet while at the FCCH will be the primary outcomes used to assess the impact of this innovative, theory-driven intervention. Secondary outcomes and mediators include child body mass index, provider weight-related behaviors, provider motivation and self-efficacy, communication between providers and parents, and obesogenic environmental characteristics of the FCCH.

描述（由申请人提供）：儿童肥胖是一个主要的公共卫生问题，也是晚年肥胖的重要预测因素。虽然幼儿期是一个性格形成期对于饮食和活动习惯，针对这一年轻群体的研究很少。鉴于使用某种形式的户外护理的家庭数量众多，儿童保育设施是针对幼儿进行干预的主要场所。家庭托儿所 (FCCH) 是一种特殊类型的托儿设施，提供者在其住所之外照顾儿童。 FCCH 的监管比托儿中心少，而且迄今为止 FCCH 还没有公布肥胖预防干预措施。针对 FCCH 提供者的干预措施可以通过创造提供和支持积极玩耍机会和健康食物选择的儿童保育环境来帮助促进健康的儿童体重，同时帮助提供者成为健康生活方式（身体活动和饮食）的榜样。然而，儿童保育行业面临着盈利能力有限等诸多挑战。通过纳入克服其中一些经济挑战的策略，干预措施可能能够更轻松地解决实施和维持促进儿童定期体育活动和健康饮食摄入所需的变革的障碍。该项目将使用整群随机对照试验 (RCT) 来测试为期 9 个月的干预措施 H3：健康您、健康家庭、健康企业的功效，该干预措施针对 FCCH，旨在促进 (1) 提供商作为健康榜样，(2) FCCH 的身体活动和营养支持环境，以及 (3) 健康的商业实践。通过结合这些组件，最终目标是创建健康稳定的 FCCH，促进儿童健康的身体活动和饮食行为。这种干预措施将通过小组研讨会、现场访问、定制的辅导电话联系和教育工具包来提供。在 FCCH 期间增加儿童体力活动和改善儿童饮食质量将是用于评估这种创新的、理论驱动的干预措施的影响的主要结果。次要结果和中介因素包括儿童体重指数、提供者体重相关行为、提供者动机和自我效能、提供者和父母之间的沟通以及 FCCH 的致肥胖环境特征。