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

托儿所业务

• 批准号: 8838232
• 负责人: TRULS OSTBYE
• 金额: $ 73.38万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-05-01 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8838232
• 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; 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; collaborative environment; design; early childhood; efficacy testing; follow-up; good diet; healthy lifestyle; improved; indexing; innovation; motivational enhancement therapy; nutrition; obesity in children; obesity prevention; patient home care; primary outcome; residence; role model; secondary outcome; theories

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，也是日后肥胖的重要预测因素。虽然幼儿期是一个形成期， 在饮食和活动习惯方面，很少有针对这一年轻群体的研究。 鉴于使用某种形式的家庭外照料的家庭数量，儿童照料设施是针对幼儿的干预措施的主要场所。家庭儿童保育院（FCCH）是一种特殊类型的儿童保育设施，其中提供者照顾他/她自己的住所之外的儿童。FCCHs比儿童保育中心监管较少，迄今为止，FCCHs中没有公布的肥胖预防干预措施。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，同时帮助提供者成为健康生活方式（体育活动和饮食）的榜样，从而帮助促进健康的儿童体重。然而，儿童保育行业面临着许多挑战，包括盈利能力有限。通过纳入克服其中一些经济挑战的战略，干预措施可能能够更容易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变革的障碍。该项目将使用随机分组对照试验（RCT）来测试为期9个月的干预措施H3的有效性：健康的你，健康的家庭，健康的商业，该项目针对FCCH，旨在促进（1）提供者作为健康的榜样，（2）FCCH的身体活动和营养支持环境，以及（3）健康的商业实践。通过结合这些成分，最终目标是创造健康稳定的FCCH，促进儿童健康的身体活动和饮食行为。这种干预将通过小组研讨会、现场访问、量身定制的辅导电话联系和教育工具包来提供。在FCCH期间，儿童体力活动的增加和儿童饮食质量的改善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。次要结果和介质包括儿童体重指数，供应商体重相关的行为，供应商的动机和自我效能，供应商和父母之间的沟通，以及FCCH的致胖环境特征。