4006-776-356 出国就医服务电话

免费获得国外相关药品,最快 1 个工作日回馈药物信息

出境医 / 临床实验 / A Trial to Increase Child Vegetable Intake Through Behavioral Strategies

A Trial to Increase Child Vegetable Intake Through Behavioral Strategies

Study Description
Brief Summary:
A community nutrition trial among a diverse low-income population that tested the effect of parent-child cooking nutrition intervention on vegetable intake among 9-12 children.

Condition or disease Intervention/treatment Phase
Obesity, Childhood Behavioral: Parent-led behavioral strategies Not Applicable

Detailed Description:
This study was a nonrandomized, controlled trial to determine whether a series of 6 weekly parent-child vegetable cooking skills classes and parent-led strategies informed by behavioral economics (1/week) (intervention group) improved dietary and non-dietary outcomes of a racially and ethnically diverse sample of low-income children (ages 9-12) more than a vegetable cooking skills program alone (control group).
Study Design
Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 103 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: controlled, non-randomized community nutrition intervention
Masking: Single (Participant)
Primary Purpose: Prevention
Official Title: A Controlled-intervention Trial to Increase Child Vegetable Intake Through Parent-implemented Behavioral Strategies
Actual Study Start Date : September 24, 2014
Actual Primary Completion Date : May 2, 2017
Actual Study Completion Date : May 2, 2017
Arms and Interventions
Arm Intervention/treatment
Experimental: Intervention
The intervention consisted of an enhanced Cooking Matters® for Families program that included behavioral strategies derived from behavioral economics, to be implemented by parents at home for increasing vegetable intake of low-income 9-12 year old children
Behavioral: Parent-led behavioral strategies
Intervention parents participated in an additional 20-25-min segment led by the nutrition educator during which the week's behavioral strategy was introduced. The following six behavioral strategies were introduced (one each week) as a segment of each cooking skills session: 1) have your child help prepare vegetables for meals (Child Help), 2) use a plate that shows the amount of vegetables to include for a meal (My Plate), 3) make vegetables visible and accessible by removing other foods from the dining area during the meal and leaving the vegetables (Make Avail/Visible), 4) serve at least 2 vegetables with the meal (Serve 2), 5) serve vegetables before the meal (Serve First), and 6) use a bigger spoon to serve the vegetables (Big Spoon).

No Intervention: Control
The control arm consisted of the enhanced Cooking Matters® for Families program alone--without lessons about the behavioral strategies for the parents
Outcome Measures
Primary Outcome Measures :
  1. change in # of vegetable servings consumed by child measured by averaging vegetable serving data extracted from 3, 24-hr recalls. [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Number of vegetable servings were assessed from 3, 24-hr dietary recalls, collected by trained study personnel in-person and over the phone from each child, using Nutrition Data System for Research (NDSR®)software). The 3, 24-hr recalls were averaged to come up with an aggregate # of vegetable servings.

  2. change in # of vegetable servings consumed by child measured by averaging vegetable serving data extracted from 3, 24-hr recalls. [ Time Frame: change from baseline to 6 months post-baseline ]
    Number of vegetable servings were assessed from 3, 24-hr dietary recalls, collected by trained study personnel in-person and over the phone from each child, using Nutrition Data System for Research (NDSR®)software). The 3, 24-hr recalls were averaged to come up with an aggregate # of vegetable servings.

  3. change in # of vegetable servings consumed by child measured by averaging vegetable serving data extracted from 3, 24-hr recalls. [ Time Frame: change from baseline to 12 months post-baseline ]
    Number of vegetable servings were assessed from 3, 24-hr dietary recalls, collected by trained study personnel in-person and over the phone from each child, using Nutrition Data System for Research (NDSR®)software). The 3, 24-hr recalls were averaged to come up with an aggregate # of vegetable servings.


Secondary Outcome Measures :
  1. change in liking of vegetables by child (liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it")) [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Each child rated his/her liking of 37 different vegetables.The liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it"). This type of liking rating scale has been validated for testing with children. (Kroll, B.J. 1990. Evaluating rating scales for sensory testing with children. Food Technology, 44(11), 78-86.) An aggregate vegetable liking score representing mean liking rating across all vegetables was calculated for each child.

  2. change in liking of vegetables by child ( liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it")) [ Time Frame: change from baseline to 6-months post baseline ]
    Each child rated his/her liking of 37 different vegetables.The liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it"). This type of liking rating scale has been validated for testing with children. (Kroll, B.J. 1990. Evaluating rating scales for sensory testing with children. Food Technology, 44(11), 78-86.) An aggregate vegetable liking score representing mean liking rating across all vegetables was calculated for each child.

  3. change in liking of vegetables by child ( liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it")) [ Time Frame: change from baseline to 12-months post baseline ]
    Each child rated his/her liking of 37 different vegetables.The liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it"). This type of liking rating scale has been validated for testing with children. (Kroll, B.J. 1990. Evaluating rating scales for sensory testing with children. Food Technology, 44(11), 78-86.) An aggregate vegetable liking score representing mean liking rating across all vegetables was calculated for each child.

  4. change in number different of vegetables tried by child [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Each child was asked the question "Have you ever tried (name of vegetable)" with following response options: Yes/No/Don't know. An aggregate score per child was tabulated by summing all "yes" answers.

  5. change in number different of vegetables tried by child [ Time Frame: change from baseline to 6-months post-baseline ]
    Each child was asked the question "Have you ever tried (name of vegetable)" with following response options: Yes/No/Don't know. An aggregate score per child was tabulated by summing all "yes" answers.

  6. change in number different of vegetables tried by child [ Time Frame: change from baseline to 12-months post-baseline ]
    Each child was asked the question "Have you ever tried (name of vegetable)" with following response options: Yes/No/Don't know. An aggregate score per child was tabulated by summing all "yes" answers.

  7. change in number of available vegetables in the child's home [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Each of the child's parent was asked to complete a validated Home Food Inventory developed by Fulkerson and colleagues [Fulkerson JA, Nelson MC, Lytle L, Moe S, Heitzler C, Pasch KE. The validation of a home food inventory. Int J Behav Nutr Phys Act. 2008;5:55. doi:10.1186/1479-5868-5-55], to self-report the availability of different vegetables currently in their home. Response options for each question asking if the vegetable was currently in the home were "yes /no/ don't know" . Final number of available vegetables in the home was calculated by summing the number of vegetables for which the parent answered "yes."

  8. change in number of available vegetables in the child's home [ Time Frame: change from baseline to 6-months post baseline ]
    Each of the child's parent was asked to complete a validated Home Food Inventory developed by Fulkerson and colleagues [Fulkerson JA, Nelson MC, Lytle L, Moe S, Heitzler C, Pasch KE. The validation of a home food inventory. Int J Behav Nutr Phys Act. 2008;5:55. doi:10.1186/1479-5868-5-55], to self-report the availability of different vegetables currently in their home. Response options for each question asking if the vegetable was currently in the home were "yes /no/ don't know" .Final number of available vegetables in the home was calculated by summing the number of vegetables for which the parent answered "yes."

  9. change in number of available vegetables in the child's home [ Time Frame: change from baseline to 12-months post baseline ]
    Each of the child's parent was asked to complete a validated Home Food Inventory developed by Fulkerson and colleagues [Fulkerson JA, Nelson MC, Lytle L, Moe S, Heitzler C, Pasch KE. The validation of a home food inventory. Int J Behav Nutr Phys Act. 2008;5:55. doi:10.1186/1479-5868-5-55], to self-report the availability of different vegetables currently in their home. Response options for each question asking if the vegetable was currently in the home were "yes /no/ don't know" . Final number of available vegetables in the home was calculated by summing the number of vegetables for which the parent answered "yes."

  10. change in child's body mass index (as measured by collected height (m) and weight (kg) from child) [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Child Body Mass Index (BMI) was calculated from collected height and weight of child that were combined to report BMI in kg/m^2

  11. change in child's body mass index (as measured by collected height (m) and weight (kg) from child) [ Time Frame: change from baseline to 6-months post baseline ]
    Child Body Mass Index (BMI) was calculated from collected height and weight of child that were combined to report BMI in kg/m^2

  12. change in child's body mass index (as measured by collected height (m) and weight (kg) from child) [ Time Frame: change from baseline to 12-months post baseline ]
    Child Body Mass Index (BMI) was calculated from collected height and weight of child that were combined to report BMI in kg/m^2

  13. change in child's Healthy Eating Index 2010 score (a measure of dietary quality) [ Time Frame: change from baseline to immediate post-intervention (i.e, 9 weeks post-baseline) ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in-person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient. NDSR data was imported into a SAS® program (version 9.4) (SAS Institute Inc. Cary, NC 2014), created by National Institutes of Health-NCI, Division of Cancer Control & Population Studies that calculated a Healthy Eating Index 2010 score, a validated measure of dietary quality, for each child (Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HAB, Kuczynski KJ, et al. Update of the Healthy Eating Index: HEI-2010. J Acad Nutr Diet. 2013;113:569-80..

  14. change in child's Healthy Eating Index 2010 score (a measure of dietary quality) [ Time Frame: change from baseline to 6-months post baseline ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in -person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient. NDSR data was imported into a SAS® program (version 9.4) (SAS Institute Inc. Cary, NC 2014), created by National Institutes of Health-NCI, Division of Cancer Control & Population Studies that calculated a Healthy Eating Index 2010 score, a validated measure of dietary quality, for each child.

  15. change in child's Healthy Eating Index 2010 score (a measure of dietary quality) [ Time Frame: change from baseline to 12-months post baseline ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in -person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient. NDSR data was imported into a SAS® program (version 9.4) (SAS Institute Inc. Cary, NC 2014), created by National Institutes of Health-NCI, Division of Cancer Control & Population Studies that calculated a Healthy Eating Index 2010 score, a validated measure of dietary quality, for each child.

  16. change in child's dietary energy (in kilocalories) intake [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in -person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient (e.g., dietary energy in kilocalories)

  17. change in child's dietary energy (in kilocalories) intake [ Time Frame: change from baseline to 6-months post-baseline ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in -person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient (e.g., dietary energy in kilocalories)

  18. change in child's dietary energy (in kilocalories) intake [ Time Frame: change from baseline to 12-months post-baseline ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in -person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient (e.g., dietary energy in kilocalories)

  19. change in child cooking skills self-efficacy as measured by a validated survey to measure child cooking self-efficacy [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Child cooking skills self-efficacy was measured using scales that have shown internal consistency and test-retest reliability in a psychometric evaluation of a cooking-based nutrition education intervention among low-income 9-11 year old children (Cronbach α = ≥ 0.74, test-retest r ≥ 0.66).(Lohse B, Cunningham-Sabo L, Walters LM, Stacey JE. Valid and Reliable Measures of Cognitive Behaviors toward Fruits and Vegetables for Children Aged 9 to 11 Years. J Nutr Educ Behav. 2011;43:42-49. doi:10.1016/j.jneb.2009.12.006). Response options for the child self-efficacy questions: 1 = YES! - 5 = NO!). The child-self-efficacy scale was calculated by summing 8 items measuring self-efficacy. A lower score indicated greater self-efficacy and more positive attitudes toward cooking.

  20. change in adult cooking skills confidence as measured by a validated survey to measure adult cooking confidence. Response options for the cooking confidence questions: (4 items, 1 = not at all confident - 5 = very confident). [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Parents completed the Cooking Matters for Families Before and After Course Survey to assess change in cooking skills confidence. Internal consistency and ability of the scales to reflect positive self-reported changes were previously among low-income adults (Pinard CA, Uvena LM, Quam JB, Smith TM, Yaroch AL. Development and testing of a revised cooking matters for adults survey. Am J Health Behav. 2015;39(6):866-873. doi:10.5993/AJHB.39.6.14). Response options for the 4 cooking confidence questions: (4 items, 1 = not at all confident - 5 = very confident). An aggregate score for each parent was tabulated by averaging the 4 questions. A higher score indicated greater cooking skills confidence.


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   9 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Participant child must be 9-12 years old
  • Parent must be the main food preparer for the household
  • The family must qualify for some form of public assistance
  • Have a phone
  • Must not have participated in a previous Cooking Matters for Families in the past 3 years
  • Be able to read, speak, and understand English (or Spanish for Spanish-only courses).

Exclusion criteria:

*No exclusions other than those that do not meet inclusion criteria

Contacts and Locations

Sponsors and Collaborators
University of Minnesota
Investigators
Layout table for investigator information
Principal Investigator: Marla Reicks, PhD University of Minnesota
Tracking Information
First Submitted Date  ICMJE August 14, 2018
First Posted Date  ICMJE August 22, 2018
Last Update Posted Date July 12, 2019
Actual Study Start Date  ICMJE September 24, 2014
Actual Primary Completion Date May 2, 2017   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: August 17, 2018)
  • change in # of vegetable servings consumed by child measured by averaging vegetable serving data extracted from 3, 24-hr recalls. [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Number of vegetable servings were assessed from 3, 24-hr dietary recalls, collected by trained study personnel in-person and over the phone from each child, using Nutrition Data System for Research (NDSR®)software). The 3, 24-hr recalls were averaged to come up with an aggregate # of vegetable servings.
  • change in # of vegetable servings consumed by child measured by averaging vegetable serving data extracted from 3, 24-hr recalls. [ Time Frame: change from baseline to 6 months post-baseline ]
    Number of vegetable servings were assessed from 3, 24-hr dietary recalls, collected by trained study personnel in-person and over the phone from each child, using Nutrition Data System for Research (NDSR®)software). The 3, 24-hr recalls were averaged to come up with an aggregate # of vegetable servings.
  • change in # of vegetable servings consumed by child measured by averaging vegetable serving data extracted from 3, 24-hr recalls. [ Time Frame: change from baseline to 12 months post-baseline ]
    Number of vegetable servings were assessed from 3, 24-hr dietary recalls, collected by trained study personnel in-person and over the phone from each child, using Nutrition Data System for Research (NDSR®)software). The 3, 24-hr recalls were averaged to come up with an aggregate # of vegetable servings.
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: August 17, 2018)
  • change in liking of vegetables by child (liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it")) [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Each child rated his/her liking of 37 different vegetables.The liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it"). This type of liking rating scale has been validated for testing with children. (Kroll, B.J. 1990. Evaluating rating scales for sensory testing with children. Food Technology, 44(11), 78-86.) An aggregate vegetable liking score representing mean liking rating across all vegetables was calculated for each child.
  • change in liking of vegetables by child ( liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it")) [ Time Frame: change from baseline to 6-months post baseline ]
    Each child rated his/her liking of 37 different vegetables.The liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it"). This type of liking rating scale has been validated for testing with children. (Kroll, B.J. 1990. Evaluating rating scales for sensory testing with children. Food Technology, 44(11), 78-86.) An aggregate vegetable liking score representing mean liking rating across all vegetables was calculated for each child.
  • change in liking of vegetables by child ( liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it")) [ Time Frame: change from baseline to 12-months post baseline ]
    Each child rated his/her liking of 37 different vegetables.The liking rating scale was comprised of values across a 10-point labeled hedonic scale (1 -"Hate it" to 5 - "It's okay" to 10 - "Love it"). This type of liking rating scale has been validated for testing with children. (Kroll, B.J. 1990. Evaluating rating scales for sensory testing with children. Food Technology, 44(11), 78-86.) An aggregate vegetable liking score representing mean liking rating across all vegetables was calculated for each child.
  • change in number different of vegetables tried by child [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Each child was asked the question "Have you ever tried (name of vegetable)" with following response options: Yes/No/Don't know. An aggregate score per child was tabulated by summing all "yes" answers.
  • change in number different of vegetables tried by child [ Time Frame: change from baseline to 6-months post-baseline ]
    Each child was asked the question "Have you ever tried (name of vegetable)" with following response options: Yes/No/Don't know. An aggregate score per child was tabulated by summing all "yes" answers.
  • change in number different of vegetables tried by child [ Time Frame: change from baseline to 12-months post-baseline ]
    Each child was asked the question "Have you ever tried (name of vegetable)" with following response options: Yes/No/Don't know. An aggregate score per child was tabulated by summing all "yes" answers.
  • change in number of available vegetables in the child's home [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Each of the child's parent was asked to complete a validated Home Food Inventory developed by Fulkerson and colleagues [Fulkerson JA, Nelson MC, Lytle L, Moe S, Heitzler C, Pasch KE. The validation of a home food inventory. Int J Behav Nutr Phys Act. 2008;5:55. doi:10.1186/1479-5868-5-55], to self-report the availability of different vegetables currently in their home. Response options for each question asking if the vegetable was currently in the home were "yes /no/ don't know" . Final number of available vegetables in the home was calculated by summing the number of vegetables for which the parent answered "yes."
  • change in number of available vegetables in the child's home [ Time Frame: change from baseline to 6-months post baseline ]
    Each of the child's parent was asked to complete a validated Home Food Inventory developed by Fulkerson and colleagues [Fulkerson JA, Nelson MC, Lytle L, Moe S, Heitzler C, Pasch KE. The validation of a home food inventory. Int J Behav Nutr Phys Act. 2008;5:55. doi:10.1186/1479-5868-5-55], to self-report the availability of different vegetables currently in their home. Response options for each question asking if the vegetable was currently in the home were "yes /no/ don't know" .Final number of available vegetables in the home was calculated by summing the number of vegetables for which the parent answered "yes."
  • change in number of available vegetables in the child's home [ Time Frame: change from baseline to 12-months post baseline ]
    Each of the child's parent was asked to complete a validated Home Food Inventory developed by Fulkerson and colleagues [Fulkerson JA, Nelson MC, Lytle L, Moe S, Heitzler C, Pasch KE. The validation of a home food inventory. Int J Behav Nutr Phys Act. 2008;5:55. doi:10.1186/1479-5868-5-55], to self-report the availability of different vegetables currently in their home. Response options for each question asking if the vegetable was currently in the home were "yes /no/ don't know" . Final number of available vegetables in the home was calculated by summing the number of vegetables for which the parent answered "yes."
  • change in child's body mass index (as measured by collected height (m) and weight (kg) from child) [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Child Body Mass Index (BMI) was calculated from collected height and weight of child that were combined to report BMI in kg/m^2
  • change in child's body mass index (as measured by collected height (m) and weight (kg) from child) [ Time Frame: change from baseline to 6-months post baseline ]
    Child Body Mass Index (BMI) was calculated from collected height and weight of child that were combined to report BMI in kg/m^2
  • change in child's body mass index (as measured by collected height (m) and weight (kg) from child) [ Time Frame: change from baseline to 12-months post baseline ]
    Child Body Mass Index (BMI) was calculated from collected height and weight of child that were combined to report BMI in kg/m^2
  • change in child's Healthy Eating Index 2010 score (a measure of dietary quality) [ Time Frame: change from baseline to immediate post-intervention (i.e, 9 weeks post-baseline) ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in-person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient. NDSR data was imported into a SAS® program (version 9.4) (SAS Institute Inc. Cary, NC 2014), created by National Institutes of Health-NCI, Division of Cancer Control & Population Studies that calculated a Healthy Eating Index 2010 score, a validated measure of dietary quality, for each child (Guenther PM, Casavale KO, Reedy J, Kirkpatrick SI, Hiza HAB, Kuczynski KJ, et al. Update of the Healthy Eating Index: HEI-2010. J Acad Nutr Diet. 2013;113:569-80..
  • change in child's Healthy Eating Index 2010 score (a measure of dietary quality) [ Time Frame: change from baseline to 6-months post baseline ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in -person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient. NDSR data was imported into a SAS® program (version 9.4) (SAS Institute Inc. Cary, NC 2014), created by National Institutes of Health-NCI, Division of Cancer Control & Population Studies that calculated a Healthy Eating Index 2010 score, a validated measure of dietary quality, for each child.
  • change in child's Healthy Eating Index 2010 score (a measure of dietary quality) [ Time Frame: change from baseline to 12-months post baseline ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in -person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient. NDSR data was imported into a SAS® program (version 9.4) (SAS Institute Inc. Cary, NC 2014), created by National Institutes of Health-NCI, Division of Cancer Control & Population Studies that calculated a Healthy Eating Index 2010 score, a validated measure of dietary quality, for each child.
  • change in child's dietary energy (in kilocalories) intake [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in -person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient (e.g., dietary energy in kilocalories)
  • change in child's dietary energy (in kilocalories) intake [ Time Frame: change from baseline to 6-months post-baseline ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in -person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient (e.g., dietary energy in kilocalories)
  • change in child's dietary energy (in kilocalories) intake [ Time Frame: change from baseline to 12-months post-baseline ]
    Child dietary data was assessed through from 3, 24-hr dietary recalls, collected by trained study personnel in -person and over the phone using Nutrition Data System for Research (NDSR) software.The 3, 24-hr recalls were averaged to come up with an aggregate score for each nutrient (e.g., dietary energy in kilocalories)
  • change in child cooking skills self-efficacy as measured by a validated survey to measure child cooking self-efficacy [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Child cooking skills self-efficacy was measured using scales that have shown internal consistency and test-retest reliability in a psychometric evaluation of a cooking-based nutrition education intervention among low-income 9-11 year old children (Cronbach α = ≥ 0.74, test-retest r ≥ 0.66).(Lohse B, Cunningham-Sabo L, Walters LM, Stacey JE. Valid and Reliable Measures of Cognitive Behaviors toward Fruits and Vegetables for Children Aged 9 to 11 Years. J Nutr Educ Behav. 2011;43:42-49. doi:10.1016/j.jneb.2009.12.006). Response options for the child self-efficacy questions: 1 = YES! - 5 = NO!). The child-self-efficacy scale was calculated by summing 8 items measuring self-efficacy. A lower score indicated greater self-efficacy and more positive attitudes toward cooking.
  • change in adult cooking skills confidence as measured by a validated survey to measure adult cooking confidence. Response options for the cooking confidence questions: (4 items, 1 = not at all confident - 5 = very confident). [ Time Frame: change from baseline to 9 weeks post-baseline (i.e., immediate post-intervention) ]
    Parents completed the Cooking Matters for Families Before and After Course Survey to assess change in cooking skills confidence. Internal consistency and ability of the scales to reflect positive self-reported changes were previously among low-income adults (Pinard CA, Uvena LM, Quam JB, Smith TM, Yaroch AL. Development and testing of a revised cooking matters for adults survey. Am J Health Behav. 2015;39(6):866-873. doi:10.5993/AJHB.39.6.14). Response options for the 4 cooking confidence questions: (4 items, 1 = not at all confident - 5 = very confident). An aggregate score for each parent was tabulated by averaging the 4 questions. A higher score indicated greater cooking skills confidence.
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE A Trial to Increase Child Vegetable Intake Through Behavioral Strategies
Official Title  ICMJE A Controlled-intervention Trial to Increase Child Vegetable Intake Through Parent-implemented Behavioral Strategies
Brief Summary A community nutrition trial among a diverse low-income population that tested the effect of parent-child cooking nutrition intervention on vegetable intake among 9-12 children.
Detailed Description This study was a nonrandomized, controlled trial to determine whether a series of 6 weekly parent-child vegetable cooking skills classes and parent-led strategies informed by behavioral economics (1/week) (intervention group) improved dietary and non-dietary outcomes of a racially and ethnically diverse sample of low-income children (ages 9-12) more than a vegetable cooking skills program alone (control group).
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:
controlled, non-randomized community nutrition intervention
Masking: Single (Participant)
Primary Purpose: Prevention
Condition  ICMJE Obesity, Childhood
Intervention  ICMJE Behavioral: Parent-led behavioral strategies
Intervention parents participated in an additional 20-25-min segment led by the nutrition educator during which the week's behavioral strategy was introduced. The following six behavioral strategies were introduced (one each week) as a segment of each cooking skills session: 1) have your child help prepare vegetables for meals (Child Help), 2) use a plate that shows the amount of vegetables to include for a meal (My Plate), 3) make vegetables visible and accessible by removing other foods from the dining area during the meal and leaving the vegetables (Make Avail/Visible), 4) serve at least 2 vegetables with the meal (Serve 2), 5) serve vegetables before the meal (Serve First), and 6) use a bigger spoon to serve the vegetables (Big Spoon).
Study Arms  ICMJE
  • Experimental: Intervention
    The intervention consisted of an enhanced Cooking Matters® for Families program that included behavioral strategies derived from behavioral economics, to be implemented by parents at home for increasing vegetable intake of low-income 9-12 year old children
    Intervention: Behavioral: Parent-led behavioral strategies
  • No Intervention: Control
    The control arm consisted of the enhanced Cooking Matters® for Families program alone--without lessons about the behavioral strategies for the parents
Publications *
  • Overcash F, Ritter A, Mann T, Mykerezi E, Redden J, Rendahl A, Vickers Z, Reicks M. Impacts of a Vegetable Cooking Skills Program Among Low-Income Parents and Children. J Nutr Educ Behav. 2018 Sep;50(8):795-802. doi: 10.1016/j.jneb.2017.10.016. Epub 2017 Dec 12.
  • Overcash FM, Reicks M, Ritter A, Leak TM, Swenson A, Vickers Z. Children Residing in Low-Income Households Like a Variety of Vegetables. Foods. 2018 Jul 20;7(7). pii: E116. doi: 10.3390/foods7070116.
  • Overcash FM, Vickers Z, Ritter AE, Mann T, Mykerezi E, Redden J, Rendahl AK, Davey C, Reicks M. An in-home intervention of parent-implemented strategies to increase child vegetable intake: results from a non-randomized cluster-allocated community trial. BMC Public Health. 2019 Jul 4;19(1):881. doi: 10.1186/s12889-019-7079-4.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: August 17, 2018)
103
Original Actual Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE May 2, 2017
Actual Primary Completion Date May 2, 2017   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Participant child must be 9-12 years old
  • Parent must be the main food preparer for the household
  • The family must qualify for some form of public assistance
  • Have a phone
  • Must not have participated in a previous Cooking Matters for Families in the past 3 years
  • Be able to read, speak, and understand English (or Spanish for Spanish-only courses).

Exclusion criteria:

*No exclusions other than those that do not meet inclusion criteria

Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 9 Years and older   (Child, Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Not Provided
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT03641521
Other Study ID Numbers  ICMJE 1111S06501
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: Yes
Plan Description: Although there is no formal plan in place, the investigative team will share any of the information with other researchers (study protocol, statistical analysis plan, informed consent form, analytic code/data). We are in the process of publishing the results of our trial in a peer-reviewed journal.
Supporting Materials: Study Protocol
Supporting Materials: Statistical Analysis Plan (SAP)
Supporting Materials: Informed Consent Form (ICF)
Supporting Materials: Clinical Study Report (CSR)
Supporting Materials: Analytic Code
Time Frame: No time frame
Access Criteria: Email Study Contact
Responsible Party University of Minnesota
Study Sponsor  ICMJE University of Minnesota
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Principal Investigator: Marla Reicks, PhD University of Minnesota
PRS Account University of Minnesota
Verification Date July 2019

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP