Trial Outcomes & Findings for Technical Assistance for Child and Adult Care Food Program in Family Child Care Home (NCT NCT03560050)
NCT ID: NCT03560050
Last Updated: 2026-05-28
Results Overview
Providers report the nutrition environment using the Nutrition and Physical Activity Self Assessment for Child Care (NAPSACC). Scores averaged across items range 0-4. Higher score indicates more desired/healthier outcome.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
72 participants
Primary outcome timeframe
baseline, post 3-months, post 12-months
Results posted on
2026-05-28
Participant Flow
Family Child Care Home Providers who participated in the Child and Adult Care Food Program within 60 miles of the university campus were invited to participate. Recruitment efforts were made at local training events and through food program sponsor emails and newsletters.
Participants who were unresponsive after multiple follow-ups prior to group assignment OR those not interested anymore were excluded from the study.
Participant milestones
| Measure |
Behavioral: Environmental Health/Comparison
Three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Environmental health: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
Behavioral: Nutrition Assistance
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Nutrition assistance: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
|---|---|---|
|
Overall Study
STARTED
|
36
|
36
|
|
Overall Study
COMPLETED
|
21
|
24
|
|
Overall Study
NOT COMPLETED
|
15
|
12
|
Reasons for withdrawal
| Measure |
Behavioral: Environmental Health/Comparison
Three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Environmental health: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
Behavioral: Nutrition Assistance
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Nutrition assistance: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
|---|---|---|
|
Overall Study
Lost to Follow-up
|
12
|
9
|
|
Overall Study
no longer eligible
|
3
|
3
|
Baseline Characteristics
Technical Assistance for Child and Adult Care Food Program in Family Child Care Home
Baseline characteristics by cohort
| Measure |
Behavioral: Nutrition Assistance
n=24 Participants
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
Behavioral: Children's Environmental Health/Comparison
n=21 Participants
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
Total
n=45 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Continuous
|
43.0 years
STANDARD_DEVIATION 14.8 • n=51 Participants
|
46.6 years
STANDARD_DEVIATION 12.6 • n=14 Participants
|
44.6 years
STANDARD_DEVIATION 13.8 • n=65 Participants
|
|
Sex: Female, Male
Female
|
24 Participants
n=51 Participants
|
21 Participants
n=14 Participants
|
45 Participants
n=65 Participants
|
|
Sex: Female, Male
Male
|
0 Participants
n=51 Participants
|
0 Participants
n=14 Participants
|
0 Participants
n=65 Participants
|
|
Race/Ethnicity, Customized
Hispanic White
|
0 participants
n=51 Participants
|
2 participants
n=14 Participants
|
2 participants
n=65 Participants
|
|
Race/Ethnicity, Customized
Non-Hispanic White
|
12 participants
n=51 Participants
|
11 participants
n=14 Participants
|
23 participants
n=65 Participants
|
|
Race/Ethnicity, Customized
Non-Hispanic Black
|
10 participants
n=51 Participants
|
4 participants
n=14 Participants
|
14 participants
n=65 Participants
|
|
Race/Ethnicity, Customized
American Indian or Alaska Native
|
1 participants
n=51 Participants
|
3 participants
n=14 Participants
|
4 participants
n=65 Participants
|
|
Race/Ethnicity, Customized
Do not wish to provide
|
1 participants
n=51 Participants
|
1 participants
n=14 Participants
|
2 participants
n=65 Participants
|
|
Region of Enrollment
United States
|
24 Participants
n=51 Participants
|
21 Participants
n=14 Participants
|
45 Participants
n=65 Participants
|
|
Annual household income
$15 000-$34 999
|
3 participants
n=51 Participants
|
4 participants
n=14 Participants
|
7 participants
n=65 Participants
|
|
Annual household income
$35 000-$49 999
|
4 participants
n=51 Participants
|
4 participants
n=14 Participants
|
8 participants
n=65 Participants
|
|
Annual household income
$50 000-$99 999
|
9 participants
n=51 Participants
|
7 participants
n=14 Participants
|
16 participants
n=65 Participants
|
|
Annual household income
$100 000-$199 999
|
4 participants
n=51 Participants
|
6 participants
n=14 Participants
|
10 participants
n=65 Participants
|
|
Annual household income
Do not wish to provide
|
4 participants
n=51 Participants
|
0 participants
n=14 Participants
|
4 participants
n=65 Participants
|
|
Highest level of education
High school graduate or GED
|
3 participants
n=51 Participants
|
1 participants
n=14 Participants
|
4 participants
n=65 Participants
|
|
Highest level of education
Some college or vocational training
|
13 participants
n=51 Participants
|
14 participants
n=14 Participants
|
27 participants
n=65 Participants
|
|
Highest level of education
4-year college graduate or higher
|
8 participants
n=51 Participants
|
6 participants
n=14 Participants
|
14 participants
n=65 Participants
|
PRIMARY outcome
Timeframe: baseline, post 3-months, post 12-monthsProviders report the nutrition environment using the Nutrition and Physical Activity Self Assessment for Child Care (NAPSACC). Scores averaged across items range 0-4. Higher score indicates more desired/healthier outcome.
Outcome measures
| Measure |
Behavioral - Environmental Health
n=21 Participants
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Environmental health assistance: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
Behavioral: Nutrition Assistance
n=24 Participants
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Nutrition assistance: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
|---|---|---|
|
Change in Self-reported Nutrition Practices
baseline
|
3.20 units on a scale
Standard Deviation 0.29
|
3.06 units on a scale
Standard Deviation 0.26
|
|
Change in Self-reported Nutrition Practices
3-month
|
3.25 units on a scale
Standard Deviation 0.24
|
3.20 units on a scale
Standard Deviation 0.30
|
|
Change in Self-reported Nutrition Practices
12-,month
|
3.25 units on a scale
Standard Deviation 0.30
|
3.16 units on a scale
Standard Deviation 0.26
|
SECONDARY outcome
Timeframe: baseline, post 3-months, post 12-monthsSelf-reported nutrition knowledge using a modified Revised General Nutrition Knowledge Questionnaire. It was reduced in length to 38 items from 88 items. Scores ranged from 0-38 with a higher score indicating greater nutrition knowledge.
Outcome measures
| Measure |
Behavioral - Environmental Health
n=24 Participants
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Environmental health assistance: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
Behavioral: Nutrition Assistance
n=21 Participants
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Nutrition assistance: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
|---|---|---|
|
Provider Nutrition Knowledge
baseline
|
25.0 units on a scale
Standard Deviation 6.2
|
24.6 units on a scale
Standard Deviation 7.2
|
|
Provider Nutrition Knowledge
3-month
|
26.2 units on a scale
Standard Deviation 5.1
|
24.8 units on a scale
Standard Deviation 7.1
|
|
Provider Nutrition Knowledge
12-month
|
27.6 units on a scale
Standard Deviation 3.1
|
25.8 units on a scale
Standard Deviation 7.2
|
SECONDARY outcome
Timeframe: baseline, post 3-months, post 12-monthsmenus are compared to the best practices of the Child and Adult Care Food Program (CACFP). The scale measures the number of elements of the menu which are compliance with the CACFP best practices. The CACFP best Practice compliance tool has a range of 0-25. A higher score is associated with a more desirable outcome and thus higher CACFP best practice compliance.
Outcome measures
| Measure |
Behavioral - Environmental Health
n=24 Participants
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Environmental health assistance: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
Behavioral: Nutrition Assistance
n=21 Participants
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Nutrition assistance: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
|---|---|---|
|
Change in Compliance of Menu With Child and Adult Care Food Program Best Practices
baseline
|
16.3 units on a scale
Standard Deviation 2.2
|
17.3 units on a scale
Standard Deviation 2.4
|
|
Change in Compliance of Menu With Child and Adult Care Food Program Best Practices
3-month
|
18.1 units on a scale
Standard Deviation 2.2
|
15.0 units on a scale
Standard Deviation 2.2
|
|
Change in Compliance of Menu With Child and Adult Care Food Program Best Practices
12-month
|
17.5 units on a scale
Standard Deviation 2.2
|
14.4 units on a scale
Standard Deviation 2.2
|
SECONDARY outcome
Timeframe: baseline, post 3-months, post 12-monthsObservation of children's dietary intake on 2 unannounced days using the Dietary Observation in Child Care methods and Food Processor for nutrient analysis. Outcome is cups of vegetables consumed.
Outcome measures
| Measure |
Behavioral - Environmental Health
n=24 Participants
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Environmental health assistance: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
Behavioral: Nutrition Assistance
n=21 Participants
three encounters with Intervention team over three months: two home-based visits for 90 minutes each scheduled at the convenience of the provider and a 3- hour group class session with other providers.
Nutrition assistance: Participating family child care home providers in and around the Oklahoma City (OKC) area will be randomized to either the Nutrition, or an environmental health comparison group. Briefly, the Nutrition Technical Assistance Intervention and comparison group will consist of three encounters with the intervention team: two home-based, 90-minute visits scheduled at the convenience of the family child care home provider and a 3-hour group class session that will be conducted on a weekend. Total contact time with intervention staff will be 6 hours. All participants will receive a toolkit. Providers will complete either intervention over a period of three months.
|
|---|---|---|
|
Change in Children's Dietary Intake of Vegetables at Lunch
baseline
|
0.15 cups
Standard Deviation 0.15
|
0.20 cups
Standard Deviation 0.15
|
|
Change in Children's Dietary Intake of Vegetables at Lunch
3-month
|
0.17 cups
Standard Deviation 0.16
|
0.14 cups
Standard Deviation 0.10
|
|
Change in Children's Dietary Intake of Vegetables at Lunch
12-month
|
0.20 cups
Standard Deviation 0.21
|
0.18 cups
Standard Deviation 0.17
|
Adverse Events
Behavioral: Nutrition Assistance
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Behavioral: Children's Environmental Health
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Dr. Susan B. Sisson, Principal Investigator
University of Oklahoma Health Sciences
Phone: (405) 271-2113
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place