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Interventions to promote healthy environments in family child care homes in Oklahoma—Happy Healthy Homes: study protocol for a randomized controlled trial

机译:促进俄克拉荷马州 - 快乐健康家庭家庭育房家庭健康环境的干预措施:随机对照试验的研究方案

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Early childhood is a critical period of development. Caregivers, including providers of early care and education (ECE), have a substantial influence on the health of young children. Family child care homes (FCCHs), which are small, licensed ECE businesses operated out of the residences of providers, are important settings for promoting child health. However, to date, few interventions to promote the health of children have been developed for FCCHs. The purpose of this article is to describe the protocol for Happy Healthy Homes, a pilot interdisciplinary, community-based study to improve FCCH environments and the health of children in Oklahoma. We describe the development and evaluation of two interventions to be tested in a matched attention randomized controlled trial: 1) a nutrition intervention aimed at enhancing the nutritional quality of meals served to young children, incorporating the Child and Adult Care Food Program best practices, and improving nutritional self-efficacy of providers; and 2) an environmental intervention aimed at increasing providers' environmental health literacy, self-efficacy for integrated pest management (IPM), and awareness of less toxic cleaning practices and FCCH provider cleaning behaviors. Both interventions are informed by common theoretical principles and are matched in attention (i.e., 6 h), format (i.e., two individual 90-min educational home visits and a 3-h small group class) and materials (i.e., tool kit of educational materials and supplies tailored to the allocated intervention). A randomized trial of both interventions is currently underway with 52 FCCH providers in the Oklahoma City metropolitan area who participate in the Child and Adult Care Food Program. Observed and self-reported measures will be collected at baseline, and 3 months and 12 months after baseline measurements. Randomization to one of the two interventions will occur after baseline data collection. This study aims to support FCCH providers in creating healthier FCCH environments for nutrition and environmental health. Successful completion will provide critical information about the nutritional quality and the environmental health of children in FCCHs, as well as much needed evidence about the efficacy of two community-based interventions to improve the nutrition and environmental health of children in home-based ECE settings. Clinicaltrials.gov, NCT03560050 . Retrospectively registered on 23 May 2018.
机译:童年早期是一个关键的发展时期。包括早期护理和教育提供者(ECE)的护理人员对幼儿的健康有重大影响。家庭儿童保育家庭(FCCH)是由提供者住宅运营的小型许可的ECE业务,是促进儿童健康的重要环境。然而,迄今为止,已经为FCCH制定了很少有利于促进儿童健康的干预措施。本文的目的是描述幸福健康家庭的议定书,试点跨学科,以社区为基础的研究,以改善俄克拉荷马州的儿童的健康。我们描述了在匹配的关注随机对照试验中测试了两种干预措施的开发和评估:1)旨在提高幼儿膳食营养质量的营养干预,纳入儿童和成人护理食品计划最佳实践,以及提高提供者的营养自我效能; 2)环境干预旨在提高供应商的环境健康识字,综合害虫管理(IPM)的自我效能,以及对毒性清洁实践和FCCH提供商清洁行为的认识。共同的理论原则通知了这两种干预,并在注意(即6小时),格式(即,两个单独的90分钟教育家庭访问和3-H小型群类)和材料(即教育套件适用于分配干预的材料和用品)。目前正在参加儿童和成人护理食品计划的俄克拉荷马城市大都市区的52个FCCH提供商正在进行随访的两种干预措施。观察和自我报告的措施将在基线收集,3个月和12个月后,基线测量后。基线数据收集后将发生两个干预措施之一的随机化。本研究旨在支持FCCH提供商在为营养和环境健康方面创造更健康的FCCH环境。成功完成将提供有关FCCH中儿童营养质量和环境健康的关键信息,以及有关两个基于社区的干预措施,以改善基于家庭的ECE设置中儿童的营养和环境健康的效果的许多证据。 ClinicalTrials.gov,NCT03560050。 2018年5月23日回顾性地注册。

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