RecruitingNot ApplicableNCT06099288

Strong Families Start at Home/Familias Fuertes Comienzan en Casa

Strong Families Start at Home/Familias Fuertes Comienzan en Casa: A Novel Video and Motivational Interviewing Intervention to Improve Diet Quality of Low-income, Ethnically Diverse Children

Sponsor

Brown University

Enrollment

257 participants

Start Date

Jan 1, 2024

Study Type

INTERVENTIONAL

Conditions

Diet, Healthy Metabolic Syndrome, Protection Against

Summary

The goal of this clinical trial is to test the ability of a home-based parental nutrition intervention to improve diet quality in preschool aged children within low-income, Latinx/Hispanic families. The main questions it aims to answer are: * Does this enhanced intervention change children's diet quality? * Does this enhanced intervention change parental feeding practices? * Does this enhanced intervention change the availability of healthy foods in the home? Participants will: * Work with a support coach * Have a home visit with a support coach once a month, for three months * Have a phone call with a support coach once a month, for three months * Receive written materials and text messages over the six months Researchers will compare a control group receiving different written materials and messages to see if the enhanced intervention changes diet quality in children.

Eligibility

Min Age: 18 Years

Inclusion Criteria9

At least 18 years old
Self-identity as Latinx/Hispanic
Speak English or Spanish
Be the primary caregiver of a child between 2- 5 years of age
Live with the child most of the time
Eat a minimum of three evening meals per week with the child
Not have participated in the R34 study
Have a smart phone
Be willing to have a meal video recorded in the home

Exclusion Criteria2

A doctor or WIC provider has told them that their child was underweight in the past 6 months
The child has a diagnosed feeding disorder or dietary restriction that impacts how they eat

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Interventions

BEHAVIORALHome-Based Video and Motivational Interviewing Intervention

The intervention consists of three home-based visits, followed by phone calls during the last three months of the intervention. For each visit and phone call, participants will receive tailored print materials, and during the 6 months of the interventions, they will receive text messages 2x/week. The intervention will be delivered in English or Spanish by a bilingual Community Health Worker (CHW). The CHW will be hired to serve as MI counselors for the parents in the study, and will be in charge of delivering the MI in-home or telephone sessions. CHWs will be trained for 3 months, in Motivational Interviewing, study protocols, the use of video recordings, meal preparation, and cooking, and will undergo a MI certification process. During the sessions with the participants, the CHW will deliver semi-scripted MI sessions based on the scripts developed in the pilot study.

BEHAVIORALRead Educate and Develop Youth (READY) Comparison

The comparison group will receive an attention contact control intervention about school readiness promotion adapted from R.E.A.D.Y. (Read Educate and Develop Youth) designed by the Michigan Department of Education. The intervention consists of three home-based visits, followed by phone calls during the last three months of the intervention. For each visit and phone call, participants will receive tailored print materials, and during the 6 months of the interventions, they will receive text messages 2x/week. The intervention will be delivered in English or Spanish by a bilingual Community Health Worker (CHW). Families will receive the same intervention components as the intervention, but about reading instead of nutrition.