Starting Healthy Staying Healthy Pilot Trial

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00503074
Recruitment Status : Completed
First Posted : July 18, 2007
Last Update Posted : November 20, 2009
Seattle Children's Hospital
Information provided by:
University of Washington

Brief Summary:
The purpose of this study is to determine whether a reduction in toddlers' and preschoolers' exposure to television advertising leads to a change in their diet.

Condition or disease Intervention/treatment Phase
Obesity Behavioral: TV modification Behavioral: safety and injury prevention Not Applicable

Detailed Description:

TV viewing is among the most significant features of childhood. In the past generation or two, new technologies have made media viewing more ubiquitous and frequent: 30% of children eat regularly in front of TV, one-third under 6 have TVs in their bedrooms, and 30% make TV part of bedtime routines. By the age of 2 years, 90% of children watch TV or videos regularly. Among those who watch, average viewing is 1.5 hours daily by age 2.

Yet the effects of this early viewing are poorly understood. In this study, we focus on children's diet, because children's food preferences have been shown to be easily influenced by advertising, and children's non-educational programming is heavy with advertising for poor nutritional-quality foods.

We will recruit 70 families with children ages 24-30 months and randomize them to either a television-minimization intervention (the intervention arm) or a toddler safety and injury prevention arm (the control arm). A case manager will actively work with the intervention arm participants to strategize ways of minimizing their media exposure. In addition, families in the intervention arm will get access both to a study website and to a monthly newsletter. The website and newsletter will inform participants of the potential hazards of early media exposure, and will offer tips for alternative activities and strategies for keeping children occupied while the parent gets a much-needed break. The control arm will have no case manager, but will have access to a website and newsletter that will emphasize toddler safety and injury-prevention themes. At the conclusion of the 4-month trial, we will assess (a) whether the study participants regularly accessed their respective websites; (b) whether the intervention-arm participants have different beliefs and attitudes about television for toddlers; and (c) whether fewer intervention-arm children watch TV compared to control-arm infants.

The comparison group will receive a similar intervention, except that it will not mention television viewing, and will instead focus on toddler and preschooler safety and injury-prevention topics, such as the appropriate use of car seats, smoke detectors, hot water heater temperature, safe gun storage, and other similar topics.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 70 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Starting Healthy Staying Healthy Pilot Trial
Study Start Date : July 2007
Actual Primary Completion Date : February 2008
Actual Study Completion Date : July 2008

Arm Intervention/treatment
Experimental: 1
Parents receive tailored health-behavior change messages designed to reduce their child's exposure to televised food commercials. Intervention is delivered by a case manager, by a website, and by periodic newsletters.
Behavioral: TV modification
Parents receive a health behavior-change intervention consisting of 1 in-person visit from a case manager, followed by phone and e-mail contact at least monthly. The intervention is designed to promote healthy TV viewing, including viewing fewer commercials, by the target child aged 2-5 years old, and uses health behavior change theory and social cognitive theory.
Active Comparator: Control
Parents of children ages 2-5 receive behavioral-change counseling around toddler & preschooler safety and injury prevention.
Behavioral: safety and injury prevention
Parents receive behavior-change counseling around toddler and preschooler safety and injury prevention.

Primary Outcome Measures :
  1. Consumption of foods frequently advertised on television (sugary cereals, sugary beverages, candy, fast food, salty snacks) [ Time Frame: at conclusion of trial and 6 months post-intervention ]

Information from the National Library of Medicine

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Ages Eligible for Study:   2 Years to 5 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Must watch at least 1.5 hours of television a day on average
  • Must speak English at home
  • Residence in or near Seattle

Exclusion Criteria:

  • Developmental delay

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00503074

United States, Washington
Child Health Institute, University of Washington
Seattle, Washington, United States, 98195
Sponsors and Collaborators
University of Washington
Seattle Children's Hospital
Principal Investigator: Frederick J Zimmerman, Ph.D. University of Washington

Publications automatically indexed to this study by Identifier (NCT Number):
Responsible Party: Frederick J. Zimmerman, Associate Professor, University of Washington Identifier: NCT00503074     History of Changes
Other Study ID Numbers: 07-6609-J01
First Posted: July 18, 2007    Key Record Dates
Last Update Posted: November 20, 2009
Last Verified: November 2009

Keywords provided by University of Washington:
Diet, reducing
Child Behavior