ECHO: Early Childhood Obesity Prevention Program
Study Details
Study Description
Brief Summary
This study is proposed on behalf of the Hartford Childhood Wellness Alliance, a 107 member, 35 group organization whose goal is to improve the health of children in Hartford, CT. In a randomized control trial, the primary aim of this study is to test the initial efficacy of a program of enhanced home visitation with neighborhood and community support to change maternal behaviors related to infant nutrition (sweetened beverage/juice consumption, breastfeeding and introduction of solids), parenting skills (establishing routines around sleep, reading cues for hunger, satiety, television time) and family wellness (improving the home food environment, enhancing physical activity). The investigators hypothesize that at 12 months of age, infants in the intervention arm will drink less sugar sweetened beverages/juices, will have ingested solids at an older age, will have been breastfed longer and more exclusively than infants in the control arm and will have less TV viewing, more established sleep routines and greater soothability (primary outcomes).
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
See Manuscript: 125. Cloutier MM, Wiley J, Wang Z, Grant A, Gorin AA. The Early Childhood Obesity Prevention Program (ECHO): An ecologically-based intervention delivered by home visitors for newborns and their mothers. BMC Public Health, 15:584 PMID 26073106, 2015.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Enhanced NFN Home Program Education and Skill set training with materials to implement the behaviors recommended. Using a motivational interviewing framework, intervention participants will receive dietary and activity counseling, develop a Family Wellness Plan and will be linked to community resources. |
Behavioral: Experimental
These participants will receive the enhanced intervention including decision support and problem solving skills in addition to the standard of care for the individuals in the Nuturing Family Network Home Visition Program
Other Names:
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Placebo Comparator: Nurturing Family Network Home Visitation Mothers will receive the standard of care from the Nurturing Families Network Home Visitation program |
Behavioral: Experimental
These participants will receive the enhanced intervention including decision support and problem solving skills in addition to the standard of care for the individuals in the Nuturing Family Network Home Visition Program
Other Names:
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Outcome Measures
Primary Outcome Measures
- Number of months of breast feeding [6 and 12 months]
Number of months that child is breastfed
Eligibility Criteria
Criteria
Inclusion Criteria:
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Enrolled in the Nurturing Families Network Program
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Singleton birth >34 weeks gestation
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Any race or ethnicity
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ECHO neighborhood
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Mothers and their newborns
Exclusion Criteria:
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Mothers or newborns with special health care needs
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Infant with major malformation
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Small for Gestational Age/low birth weight
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Connecticut Children's Medical Center | Hartford | Connecticut | United States | 06106 |
Sponsors and Collaborators
- Connecticut Children's Medical Center
- University of Connecticut
- UConn Health
Investigators
- Principal Investigator: Michelle M Cloutier, MD, Connecticut Children's Medical Centr
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- HD073966-02