Deimplementation of Inappropriate Feeding Practices in Early Care and Education Settings

Part of paid clinical trials in Little Rock, Arkansas.

Sponsor
Arkansas Children's Hospital Research Institute
Study ID
NCT07107321
Status
Enrolling By Invitation

Conditions

  • Obesity, Childhood

Eligibility Criteria

Sex
ALL
Age
3 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • WISE Words — BEHAVIORAL
    WISE Words is a co-designed, multicomponent deimplementation strategy package including 6 discrete strategies. Of these, three are delivered in a standard fashion: (1) dynamic training driven by improvisation methods, (2) a peer learning collaborative, and (3) external facilitation. The additional three are tailored to each educator's preferences and goals: (4) reminders, (5) educational materials, and (6) audit and feedback. Educators are supported to set and achieve goals for one feeding practice they want to stop and one they want to start.

Study Details

Arkansas and Louisiana have among the highest rates of adult obesity in the United States at 38.7% and 38.6%, respectively. Prevention and intervention efforts are needed to reduce the number of children who will become obese adults and suffer the host of negative health consequences that accompany it. This proposal will develop and test strategies to stop the use of detrimental feeding practices by early childhood educators which promote unhealthy weight trajectories, inappropriate eating behaviors and poor dietary outcomes for children.

Key Dates

Start date
Aug 12, 2025
Status verified
Sep 2025
Primary completion
Apr 30, 2029
Completion
Apr 30, 2029

Study Design

Enrollment
2,640 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION

Arms

  • Experimental: WISE Words
    Bundle of deimplementation strategies including training, peer learning collaborative, external facilitation, audit and feedback, environmental reminders, and educational materials
  • No Intervention: Standard educational practice
    Usual practice in ECE does not require a standard approach to nutrition education, and implementation varies based on the discretion of the site and/or educator.

Primary Outcome Measure

Table Talk [ Time Frame: Five times: (1) baseline in the spring of the year prior to training, (2,3) during winter and spring in the implementation school year, and (4,5) during the fall of the following two school years. ]

Locations (1)

FacilityCityStateZIPSite coordinators
Arkansas Children's Nutrition CenterLittle RockArkansas72205-

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Arkansas Children's Nutrition Center· Little Rock, AR

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