Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Improving Nutrition and Physical Activity Environments in Home-based Child Care
Brief Summary: Drs. Patricia Risica (Brown University) and Kim Gans (University of Connecticut) are Dual Principal Investigators for this project. The research team will first conduct formative research using focus groups and key-informant interviews of Family Child Care Home (FCCH) providers. This formative work will inform our adaptation of components of previous evidence-based interventions to create a new innovative intervention in both English and Spanish to improve food and PA environments of Family Child Care Homes (FCCH). The intervention will integrate: a) support from peer counselors with child care experience who will serve as team leaders for groups of FCCPs; b) tailored print and video materials; and c) a set of portable active toys. A cluster-randomized trial with 132 FCCH will evaluate the effectiveness of the intervention with a Steering Committee and Community Advisory Board guiding all aspects. The Specific Aims of the study are to: 1) Conduct formative research to inform the development and adaptation of the FCCH intervention. 2) Conduct a cluster-randomized trial of the intervention's efficacy with 66 FCCH providers and a control intervention with 66 demographically-matched FCCH providers to evaluate its impact on: a) Children's overall dietary quality at FCCHs; b) Children's PA and sedentary behaviors at FCCHs; and c) the physical and social food and PA environments of FCCHs. Evaluation methods will include survey data collection of the FCCH Providers; observation of children's' dietary intake and physical activity in FCCHs; recruitment of children within the FCCH for physical and survey measurement with permission from their parents.


Options:
A: Arm Label: Early Responders to Low Intensity; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Low Intensity | Arm Label: Non-Responders Continue Low Intensity; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Low Intensity | Arm Label: Non-Responders Increasing to High Intensity; Type: EXPERIMENTAL; Interventions: Behavioral: Low Intensity, Behavioral: High Intensity | Intervention Type: BEHAVIORAL; Name: Low Intensity; Assigned to Arm(s): Early Responders to Low Intensity, Non-Responders Continue Low Intensity, Non-Responders Increasing to High Intensity | Intervention Type: BEHAVIORAL; Name: High Intensity; Assigned to Arm(s): Non-Responders Increasing to High Intensity
B: Arm Label: Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Healthy Food and Physical Activity Environments | Arm Label: Comparison; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Comparison Group | Intervention Type: BEHAVIORAL; Name: Healthy Food and Physical Activity Environments; Assigned to Arm(s): Intervention | Intervention Type: BEHAVIORAL; Name: Comparison Group; Assigned to Arm(s): Comparison
C: Arm Label: parent intervention plus gym lessons; Type: EXPERIMENTAL; Interventions: Behavioral: parent-focused intervention, Behavioral: twice weekly gym lessons | Arm Label: gym lessons only; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: twice weekly gym lessons | Intervention Type: BEHAVIORAL; Name: parent-focused intervention; Assigned to Arm(s): parent intervention plus gym lessons | Intervention Type: BEHAVIORAL; Name: twice weekly gym lessons; Assigned to Arm(s): gym lessons only, parent intervention plus gym lessons
D: Arm Label: Standard Palatability and Standard Portion Size; Type: EXPERIMENTAL; Interventions: Other: Plain Vegetables Served in 100% Portion Size | Arm Label: Standard Palatability and Larger Portion Size; Type: EXPERIMENTAL; Interventions: Other: Plain Vegetables Served in 200% Portion Size | Arm Label: Enhanced Palatability and Standard Portion Size; Type: EXPERIMENTAL; Interventions: Other: Enhanced Vegetables Served in 100% Portion Size | Arm Label: Enhanced Palatability and Larger Portion Size; Type: EXPERIMENTAL; Interventions: Other: Enhanced Vegetables Served in 200% Portion Size | Intervention Type: OTHER; Name: Plain Vegetables Served in 100% Portion Size; Assigned to Arm(s): Standard Palatability and Standard Portion Size | Intervention Type: OTHER; Name: Plain Vegetables Served in 200% Portion Size; Assigned to Arm(s): Standard Palatability and Larger Portion Size | Intervention Type: OTHER; Name: Enhanced Vegetables Served in 100% Portion Size; Assigned to Arm(s): Enhanced Palatability and Standard Portion Size | Intervention Type: OTHER; Name: Enhanced Vegetables Served in 200% Portion Size; Assigned to Arm(s): Enhanced Palatability and Larger Portion Size

Answer: B