Partnering for Prevention: Building Healthy Habits in Underserved Communities (P4P)
3. januar 2020 oppdatert av: Angela Caldwell, University of Pittsburgh
This pilot study will estimate the unique and additive benefits of two parent-training programs (Cooking Matters for Parents and Promoting Routines of Exploration and Play during Mealtime) offered in undeserved communities.
Studieoversikt
Status
Fullført
Intervensjon / Behandling
Detaljert beskrivelse
The overall purpose of this research study is to estimate the nutritional benefits (in terms of intake and variety) of the Mealtime PREP intervention, as compared to, and in combination with nutrition education programming being offered in underserved neighborhoods of the greater Pittsburgh area. This project will examine the effects of Mealtime PREP groups as compared with established nutrition education groups, Cooking Matters for Parents. More importantly, this study will determine if offering these interventions in combination offers greater benefits than each in isolation. There are two specific aims of this pilot trial.
- To examine the effects of a combined program (Cooking Matters + Mealtime PREP) in comparison to offering each of these programs (Cooking Matters vs. Mealtime PREP) in isolation on child nutrition over time.
- To explore the effects of each of these programs (Cooking Matters vs. Mealtime PREP) and the combined program (Cooking Matters + Mealtime PREP) on parental stress and parent/child interaction over time.
The investigators predict that children in all three arms (Cooking Matters, Mealtime PREP, and Cooking Matters + Mealtime PREP) will demonstrate improved nutrition. The investigators also predict that participants who receive the Mealtime PREP intervention will demonstrate better stability of gains over time.
Studietype
Intervensjonell
Registrering (Faktiske)
53
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
-
-
Pennsylvania
-
Pittsburgh, Pennsylvania, Forente stater, 15260
- University of Pittsburgh
-
-
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
1 år og eldre (Barn, Voksen, Eldre voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Parent to a child aged 1-5 years
- Speaks English
- Willing to participate in 6 or 12 weekly group sessions at local Family Support Center
Exclusion Criteria:
- Previously completed a Cooking Matters for Parents cooking class
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Cooking Matters for Parents
Trained instructors with a background in nutrition or culinary arts will lead six weekly, two-hour sessions to groups of 10 parent participants at local Family Support Centers.
|
Cooking Matters for Parents focuses on teaching parents of young children important lessons about self-sufficiency in the kitchen.
Participants have the opportunity to practice fundamental lessons including knife skills, reading ingredient labels, cutting up a whole chicken, and making a healthy meal for a family of four on a budget of ten dollars.
Each session includes meal preparation, didactic teaching, and sharing the meal as a group.
Instructors share their education and experience and discuss how to choose healthy, affordable fruits and vegetables at the grocery store.
Each week, adults take home a bag of groceries after each class so they can practice the recipes taught that day.
|
|
Eksperimentell: Mealtime PREP
Trained group leaders with experience in pediatric occupational therapy will lead six weekly, two-hour, Mealtime PREP sessions to groups of 10 parent participants at local Family Support Centers.
|
Parents are trained to deliver each intervention component during mealtimes using a step-wise, behavioral activation approach.
The parent-training prong of the Mealtime PREP intervention incorporates four active ingredients of behavioral activation (1.
skills training; 2. goal-setting; 3. activity scheduling; and 4. activity monitoring) to help parents build a family meal routine that is enriched with techniques to promote child food acceptance.
Each week, parents will take home healthy groceries to practice making healthy snacks and side dishes in the home.
Andre navn:
|
|
Eksperimentell: Cooking Matters + Mealtime PREP
Parents will receive both programs in succession.
They will attend Cooking Matters for Parents followed by Mealtime PREP.
In total, this will equal 12 weekly, two-hour sessions delivered to groups of 10 parent participants at a local Family Support Center.
|
Cooking Matters for Parents focuses on teaching parents of young children important lessons about self-sufficiency in the kitchen.
Participants have the opportunity to practice fundamental lessons including knife skills, reading ingredient labels, cutting up a whole chicken, and making a healthy meal for a family of four on a budget of ten dollars.
Each session includes meal preparation, didactic teaching, and sharing the meal as a group.
Instructors share their education and experience and discuss how to choose healthy, affordable fruits and vegetables at the grocery store.
Each week, adults take home a bag of groceries after each class so they can practice the recipes taught that day.
Parents are trained to deliver each intervention component during mealtimes using a step-wise, behavioral activation approach.
The parent-training prong of the Mealtime PREP intervention incorporates four active ingredients of behavioral activation (1.
skills training; 2. goal-setting; 3. activity scheduling; and 4. activity monitoring) to help parents build a family meal routine that is enriched with techniques to promote child food acceptance.
Each week, parents will take home healthy groceries to practice making healthy snacks and side dishes in the home.
Andre navn:
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from Baseline 3-Day Food Diary (dietary variety) at 6 months
Tidsramme: 6 months
|
The 3-Day Food Diary is the preferred method of dietary assessment (intake and variety of food consumed) because of a balance between validity and burden.
Includes all food consumed and approximate servings for 3 days.Frequencies of foods consumed from different food groups and basic nutritional intake related to the numbers of servings of food in each food group consumed will be calculated.
Servings in each category will be compared to national daily recommendations.
|
6 months
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Change from Baseline Nutrition Screening Tool for Every Preschooler (nutritional risk) at 6 months
Tidsramme: 6 months
|
17 item, validated screen for young children (1-5 years) that categorizes risk of nutritional problems into 3 categories (score range = 1 (minimum) - 68 (maximum); 1 - 20 = low risk, 21-25 = moderate risk, and 26+ = high risk).
Higher scores indicate higher risk for nutritional problems (i.e.
lower scores are better).
|
6 months
|
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Change from Baseline Parenting-Stress Inventory, Short-Form (PSI-SF) at 6 months
Tidsramme: 6 months
|
36 item scale validated in a sample of low-income families with preschoolers to assess parental stress in three domains and overall.
Raw scores are converted to percentiles for interpretation using this tool.
For the total parenting stress score, and all three domain scores (Parental Distress, Parent-Child Dysfunctional Interaction, and Difficult Child), higher percentiles are interpreted as higher stress (range =1-99%) with scores >90% indicating clinically significant levels of parenting stress.
|
6 months
|
Samarbeidspartnere og etterforskere
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Sponsor
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Studierekorddatoer
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Studer hoveddatoer
Studiestart (Faktiske)
5. september 2018
Primær fullføring (Faktiske)
5. november 2019
Studiet fullført (Faktiske)
5. november 2019
Datoer for studieregistrering
Først innsendt
15. mai 2018
Først innsendt som oppfylte QC-kriteriene
5. juni 2018
Først lagt ut (Faktiske)
18. juni 2018
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
6. januar 2020
Siste oppdatering sendt inn som oppfylte QC-kriteriene
3. januar 2020
Sist bekreftet
1. januar 2020
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- PRO17080038
Plan for individuelle deltakerdata (IPD)
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