Integrating Food Rx With Best Feeding Practices With EFNEP

Study Overview
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Brief Summary
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To assess feasibility and acceptability of of integrating Food Rx and Best Feeding Practices with EFNEP participants via a pilot study.

Detailed Description
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The purpose of the pilot study is to test the FFYF feeding curriculum material and procedures for implementation, staff training, recruitment, and data collection.

Official Title
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Integrating Food Rx With Best Feeding Practices for Chronic Disease Prevention Among EFNEP Participants

Conditions
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Dietary Habits, Childhood Obesity, Food Selection, Feeding Behavior

Intervention / Treatment
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* Behavioral: Revised ESBA


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Living in Harris or Fort Bend counties being a parent of a child 4-8 years old ability to speak in English or Spanish have ready access to a telephone have access to the Internet with a smart phone, a tablet, a laptop, or a desktop computer Exclusion Criteria: parents of children with disabilities and/or those on prescription medications that affect weight and/or appetite parents who are not able to complete self-report questionnaires

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 64 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: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Usual Practice - ESBA<br>The control group sites will receive the existing ESBA curriculum which is their usual practice. | |
| Experimental: ESBA + Feeding Practices<br>The intervention site staff will implement the ESBA-FFYF feeding curriculum in classes using standardized implementation protocols. | Behavioral: Revised ESBA<br>* Four intervention site staff will implement the ESBA-FFYF feeding curriculum in classes using standardized implementation protocols. Two of the four intervention sites will also participate in the Food Rx program. The control group sites will receive the existing ESBA curriculum. All program materials will be available in English and Spanish. Study participation will be maintained via weekly phone calls/text messaging by the Extension staff. For the online feeding practices content, participants will receive messages to visit the project website and watch the videos, participate in online activities, and engage in facilitated online discussions. For the Food Rx arm, participants will receive a 'Food Rx' card for bi-weekly redemption of  30 lbs of fresh produce, plus whole grains, lean protein and low-fat dairy at a co-located Houston Food Bank food pantry. The prescription will be eligible for redemption every two weeks for 3 months, for a total of 6 redemptions.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in feeding practices at 3-months will be assessed using the Food Parenting Inventory | Feeding practices will be assessed using the Food Parenting Inventory | baseline and post-intervention at 3-months |