Peer-mentored Cooking Classes for Parents of Toddlers: Do Families Cook More and Eat Healthier After the Intervention?
This study aims to test the effectiveness of a community-located, peer mentored intervention to improve home food preparation practices in families with young children.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
|Official Title:||Improving Home Food Preparation Practices Among Families With Young Children: A Peer Mentoring Intervention|
- 24-hour dietary recall [ Time Frame: 23 weeks from Baseline ] [ Designated as safety issue: No ]The primary outcome will be the change in healthfulness of the diet as measured by 24-hour dietary recalls for participants through the course of the study. Study staff will meet with each participant and ask them to list all foods and beverages eaten during the previous day. The results will be analyzed for consumption of specific food-groups (fruits, vegetables, whole grains, dairy, etc.). The primary endpoint is the difference in the healthfulness of the diet (as measured by 24-hour dietary recall) between the immediate intervention group and the control group at week 23.
- Cooking-related self-efficacy [ Time Frame: 23 weeks from Baseline ] [ Designated as safety issue: No ]Self-efficacy related to cooking will be measured using a 25-item instrument. We will assess to assess the difference between the immediate intervention group and the control group at week 23.
- Home food preparation practices [ Time Frame: 23 weeks from Baseline ] [ Designated as safety issue: No ]Home food preparation practices will be measured using questions from the National Health and Nutrition Examination Survey. We will measure the difference in home food preparation practices between the immediate intervention group and the control group at week 23.
- Body mass index [ Time Frame: 43 weeks from Baseline ] [ Designated as safety issue: No ]We will measure the change in parent and child body mass index before and after the intervention.
|Study Start Date:||November 2012|
|Estimated Study Completion Date:||November 2013|
|Primary Completion Date:||May 2013 (Final data collection date for primary outcome measure)|
Experimental: Immediate Intervention
Peer mentoring intervention ('Cooking with Friends')
Behavioral: Peer mentoring intervention ('Cooking with Friends')
'Cooking with Friends' is a community-located, peer mentoring intervention aimed at improving home food preparation practices in families with young children.
The intervention was developed in an iterative, community-based research approach, and will be conducted in partnership with Early Head Start (EHS) at The Children's Hospital of Philadelphia. Cooking with Friends builds on existing monthly cooking classes at EHS that have proven popular with EHS families. This intervention will explore topics related to obtaining and preparing healthy foods at home, through 6 classes held weekly over a 6-week period.
A novel innovation of this intervention is the introduction of a peer mentoring component. Peer mentoring approaches have been shown to be effective in chronic disease management among adults. This intervention pairs peer mentors to individual mentees in a community setting, building on previous work to effect behavioral change among caregivers of young children.
|No Intervention: Delayed Entry Control|
Barriers to healthy eating and active living are at the heart of the obesity epidemic. This study focuses on a key factor underlying healthy eating: home food preparation. Preparing food at home entails a sequence of steps from obtaining food, to planning and cooking or preparing meals, to finally serving and eating the meal. Many strategies to curb obesity in children focus on eliminating processed and fast food from the diet, as well as improving access to fresh produce and other healthy ingredients. A collective ability to regularly and reliably prepare healthy food at home is implicit in these and other prevention strategies. Little research, however, has grappled with the phenomenon that there has been a generational loss of home food preparation ability over the past few decades. What is urgently needed is to design effective, enticing, and scalable interventions to improve home food preparation practices across diverse groups.
This study aims to test the effectiveness of a community-located, peer mentored intervention to improve home food preparation practices in families with young children. The investigators will partner with Children's Hospital of Philadelphia Early Head Start, a community-based organization serving families with children ages 0 to 3 years in West Philadelphia, aiming specifically to:
- Use the principles of Community Based Participatory Research (CBPR) to design, evaluate and disseminate a peer mentored intervention aimed at improving home food preparation practices among families with young children.
- Conduct a randomized controlled trial with a delayed entry control group to test the effect of the intervention on three outcomes: home food preparation practices, healthfulness of the diet, and cooking-related self-efficacy.
The investigators hypothesize that families participating in this intervention will demonstrate improvement in parental self-efficacy related to cooking, home food preparation practices, and the healthfulness of parents' and toddlers' diets post-intervention, compared to families who do not participate in the intervention.
|United States, Pennsylvania|
|The Children's Hospital of Philadelphia|
|Philadelphia, Pennsylvania, United States, 19104|
|Principal Investigator:||Senbagam Virudachalam, MD, MSHP||Children's Hospital of Philadelphia|