The purpose of this study is to find out whether a program called "Healthy Children, Healthy Communities" can help young children in rural areas eat healthier and improve their health. The study focuses on children ages 3 to 5 who attend family childcare homes in rural communities.
The main goal is to see if the program can:
Help children eat healthier foods, like more fruits and vegetables.
Support childcare providers in using positive mealtime practices that encourage healthy eating.
The study will involve about 120 licensed family childcare providers in rural areas who participate in the Child and Adult Care Food Program (CACFP), along with about 240 children they care for.
Childcare providers will be randomly placed into one of two groups:
EAT Family Style Group (Intervention Group):
Complete 7 online training modules over 16 weeks about healthy mealtime practices.
Join 7 individual coaching sessions on Zoom.
Record short videos of their mealtimes to get personalized feedback from a coach.
Work with a coach to set goals and make plans to improve mealtimes.
Receive printed materials and conversation cards to use during meals.
Some providers may join Zoom interviews to share their experiences.
Better Kid Care Group (Comparison Group):
Complete 10 online modules about general childcare topics like child development, oral health, play, and managing a childcare home.
For both groups, the research team will:
Ask providers to fill out online surveys about how mealtimes work in their childcare homes.
Visit the childcare homes to observe and record children's mealtimes on two days at each data collection point.
Measure the height and weight of participating children.
Use a painless skin scanner (Veggie Meter) to check how many fruits and vegetables children have been eating.
Ask providers to complete surveys about the children's eating habits.
The study focuses on rural, low-income communities, where children are at higher risk of having poor diets and obesity compared to children in urban areas. Information will be collected at the start of the study, after 16 weeks, and again after 24 weeks to see if there are lasting changes.
Licensed family child care home-based early child care and education settings
Located in Nebraska (with potential expansion to Iowa, Kansas, South Dakota, Oklahoma, Illinois, and/or Northwest Missouri if needed)
Participate in the Child and Adult Care Food Program (CACFP)
Care for at least 2 preschool-aged non-sibling children (3-5 years old) without feeding disorders or developmental delays
FCCH provider closes the business
FCCH provider stops serving meals to children
FCCH provider discontinues participation in CACFP and no longer adheres to CACFP meal pattern requirements
FCCH provider loses all eligible study children due to children leaving care, developing developmental delays or feeding disorders, or other reasons making them ineligible