Jump Start Plus COVID-19 Support

Study Overview
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Brief Summary
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The purpose of the study is to further develop and examine the Jump Start Plus COVID Support (JS+CS) program, which encourages improved psychosocial functioning by promoting resiliency in childcare centers.

Official Title
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Jump Start Plus: Coronavirus Disease (COVID-19) Support to Improve Resiliency and Mitigate Risks in Childcare Centers Serving Children From Low-income Ethnic Minority Backgrounds.

Conditions
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Mental Health Wellness 1

Intervention / Treatment
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* Behavioral: Jump Start Plus COVID Support
* Behavioral: Healthy Caregivers-Healthy Children (HC2)


Participation Criteria
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Eligibility Criteria
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Center Inclusion Criteria: Have greater than 30 children ages 2- to 5-years old Serve low-income families Reflect the ethnic diversity of Miami-Dade County (60%Hispanic, 20% Non-Hispanic Black, 20% Non-Hispanic White Child Inclusion Criteria: Child ages 2-5 years old Child enrolled in a childcare center Exclusion Criteria: Children with feeding tubes or those that bring their own meals.

Ages Eligible for Study
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Minimum Age: 2 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Jump Start Plus COVID Support (JS+CS) Group<br>Participants in this group will receive the Jump Start Plus COVID Support intervention for 24 months. | Behavioral: Jump Start Plus COVID Support<br>* The Jump Start Plus COVID Support intervention is a resiliency program that provides behavior management and safety programs administered weekly via zoom.<br>|
| Active Comparator: Healthy Caregivers-Healthy Children (HC2) Control Group<br>Participants in this group will receive the Healthy Caregivers-Healthy Children intervention for 24 months. | Behavioral: Healthy Caregivers-Healthy Children (HC2)<br>* The HC2 intervention is an obesity prevention program that provides nutrition and healthy activities programs administered weekly via Zoom.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Health Environment Rating Scale Scores | The Health Environment Rating Scale has a total score ranging from 0 to 70 with higher scores indicating healthier practices | Baseline, Up to 3 years | 
| Change in Strengths and Difficulties Questionnaire Scores | The Strengths and Difficulties Questionnaire is a total difficulties score that ranges from 0 to 40 with higher scores indicating less child behavior concerns. | Baseline, Up to 3 years | 
| Change in Devereux Early Childhood Assessments Scores | The Devereux Early Childhood Assessments is a measure with a range of score from 0 to 100 with higher score on Behavior Concerns indicating more problem behaviors and a lower score on Initiative, Self-Control, Attachment indicated better protective factors. | Baseline, Up to 3 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Brief Resilient Coping Scale Scores | The Brief Resilient Coping Scale is a measure with a range of score from 4 to 20 with a higher score indicating better coping. | Baseline, Up to 3 years | 
| Change in Childcare Worker Job Stress Index Scores | The Childcare Worker Job Stress Index is a total score that ranges from 22 to 110 with higher scores indicating higher levels of stress | Baseline, Up to 3 years | 
| Change in Every Day Stressors Index Scores | The Every Day Stressors Index is a total score that ranges from 0 to 80 with higher scores indicating higher levels of stress. | Baseline, Up to 3 years | 
| Change in Healthy Caregivers-Healthy Children Survey | Teacher and parents complete this survey on the number of reported nutrition and physical activity practices | Baseline, Up to 3 years | 
| Change in Teacher Opinion Survey | The Teacher Opinion survey is a measure with a range of score from 12 to 44 with higher score indicating better self-efficacy as it relates to teaching practices. | Baseline, up to 3 years |