Obesity, Obesity, Childhood, Obesity; Familial
Conditions
Keywords
obesity, childhood obesity, maternal and child health, health disparities, prevention, low-income, social network, home environment
Brief summary
Existing obesity prevention efforts have had limited success among underserved, low-income children. This study capitalizes on the strengths of a nationwide ongoing Home Visitation Program (HVP), which serves at-risk, low-income, ethnically/racially diverse mothers and their infants, to test the effectiveness of delivering obesity prevention as part of their weekly, in-home services. The study will evaluate whether the integration of an obesity prevention enhancement module into existing HVP services, reduces the risk and incidence of obesity and associated risk factors in mothers and infants, compared to the provision of standard home visitation services. The study also focuses on the role of maternal factors (maternal diet, physical activity, food insecurity and feeding practices) and social factors (social network support) as mechanisms operating on infant outcomes.
Detailed description
More than 40% of children enrolled in federally funded programs are overweight or obese by age 5. Unfortunately, extant obesity efforts have had a limited impact among low-income underserved children, in part because of limitations inherent to existing programs: 1) short duration and low intensity; 2) late timing of implementation, when children are already overweight or obese; 3) delivery methods limiting their accessibility and sustainability; and 4) failure to address barriers such as a lack of culturally competent services, poverty, housing instability, and access to care, which interfere with healthy lifestyle changes. To address these gaps, we have integrated simple, evidence-based nutrition and physical activity components as part of the services already delivered by our home visitation partner, Healthy Families America, with the long-term goal to deploy these efforts to Home Visitation Programs (HVPs) nationwide. Annually, over 500 publicly and privately funded HVPs provide nationwide services to more than 650,000 low-income, underserved infants and their families. The home visiting structure is not only an unparalleled model for scalable and sustainable childhood obesity prevention, but it also provides a unique opportunity to understand factors related to the intergenerational transmission of obesity in families who are most at risk. Over the last four years, our transdisciplinary team of researchers, home visiting stakeholders, families, and community stakeholders has integrated evidence-based nutrition and physical activity components into an engaging obesity prevention curriculum delivered in English and Spanish as an enhancement module to the services of our HVP partner. Our pilot work supports the successful integration, feasibility, and preliminary efficacy of integrating obesity prevention as part of HVP services. The proposed study tests the large-scale and sustained impact of home-based obesity prevention on infant's and mothers' obesity outcomes, and studies key mechanisms of maternal and social transmission on infants' obesity risk. Specifically, 300 low-income mothers/infants enrolled in Healthy Families America's HVP will be recruited and enrolled in the study. Based on standard HVP procedures, mothers/infants will be matched to highly trained home visitors based on their ethnicity/race and language preferences. Home visitors, in turn, will be randomly assigned to deliver the standard HVP curriculum only or the standard HVP curriculum + obesity prevention as part of their weekly home visits, for the first 12 months of HVP services. Comprehensive assessments of mothers/infants will be conducted at enrollment and after 6 and 12 months of intervention. Aim 1 (maternal and infant outcomes). Test the direct effects of obesity prevention on infants and mothers' weight, metabolic risks, diet/energy intake, and physical activity. This will be accomplished by comparing changes in body weight, metabolic markers, and eating and activity-related behaviors between infants/mothers across study arms (HVP only vs. HVP+obesity prevention). These results will indicate whether HVP is an effective infrastructure for primary and secondary obesity prevention. Aim 2 (maternal transmission). Test whether breastfeeding and maternal diet and activity, feeding practices, and food insecurity mediate the effect of obesity prevention on infants' outcomes. This aim will test mechanisms of maternal transmission on infants' obesity risks. Aim 3 (social transmission). Aim 3 is two-pronged. Aim 3a tests the direct effect of HVP+obesity prevention (vs. HVP only) on the characteristics of the social and community networks that surround mothers and infants (i.e., the density, composition, and quality of health support networks). Aim 3b tests whether the characteristics of social networks mediate the effects of obesity prevention on maternal and infant outcomes. These findings will indicate if the delivery of in-home obesity prevention efforts can alter and/or activate social network mechanisms. Secondary Aim. Conduct a real-life economic analysis (costs, cost-savings, and non-monetary benefits) of integrating obesity prevention into existing HVPs. This proposal addresses the impetus to develop interventions targeting at-risk infants before obesity is established. Although maternal-infant interventions are much-needed, they present implementation and dissemination challenges, including limitations on compliance and retention, and limited potential for scalability and sustainability. Our proposed strategy overcomes these challenges through an innovative solution that merges evidence-based nutrition and activity components into an existing, ongoing federally-funded infrastructure. The proposed research is timely as the Institute of Medicine, the United States Department of Agriculture, and Health and Human Services (DHHS) extend their recommendations to address key factors influencing obesity risk in children from birth to 24 months of age.
Interventions
BEHAVIORALStandard HVP Curriculum
Treatment in the control arm includes the content and services typically provided by the home visitation partner, which is focused on strengthening children's cognitive skills, early literacy skills, social/emotional and physical development.
BEHAVIORALObesity Prevention
Obesity prevention curriculum program targets 4 key behaviors (physical activity, increasing fruit and vegetable consumption, decreasing sugary beverages, and decreasing fried foods) aimed at reducing obesity risk in mothers and children. The module will also include weekly activity opportunities to develop social networks that foster healthy eating and physical activity.
Sponsors
Antelope Valley Partners for Health
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Cedars-Sinai Medical Center
University of Southern California
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Parallel Assignment Randomization occurs at the level of home visitors who deliver the home visitation program curriculum. Home visitors will be randomized to deliver the home visitation program curriculum with (Experimental comparator) or without (Active Comparator) the obesity prevention enhancement module. Mother-child dyads enrolled in home visitation programs, and who agree to participate in the study, will receive the intervention arm delivered by their home visitor.
Eligibility
Sex/Gender
FEMALE
Age
2 Months to No maximum
Healthy volunteers
Yes
Inclusion criteria
\*Important: Mother (or caregiver) and child dyads are enrolled together. Both must meet inclusion criteria to participate. Inclusion Criteria: Mothers: * Enrolled in a partnered home visitation program * Mother or primary caregiver of 2-8 month old child * BMI above 18.5 * Generally Healthy Children: * 2-8 months of age at time of enrollment * Parent or primary caregiver receiving home visitation services
Exclusion criteria
Mothers: * Any history of an eating or feeding disorder, or obesity related syndrome (such as Prader-Willi) * Diagnosis of Schizophrenia * Currently enrolled in a diet and weight loss program, AND either a) significant weight loss of 10+ pounds in the last 6 months, OR b) unwilling to discontinue from current diet and weight loss program. Infants: * Infant is clinically underweight (\<5th percentile) or has a history of a feeding or eating disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Infant Weight | Baseline, 6 months, 12 months | weight in pounds |
| Mother BMI | Baseline, 6 months, 12 months | Body mass index (BMI) at each assessment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Vegetable Intake Frequency | Baseline, 6 months, 12 months | Assessed using modified food and activity frequency measures from the National Health and Nutrition Examination Survey (NHANES) |
| Fried Food Intake Frequency | Baseline, 6 months, 12 months | Assessed using modified food and activity frequency measures from the National Health and Nutrition Examination Survey (NHANES) |
| Soda Intake Frequency | Baseline, 6 months, 12 months | Assessed using modified food and activity frequency measures from the National Health and Nutrition Examination Survey (NHANES) |
| Fruit Juice Intake Frequency | Baseline, 6 months, 12 months | Assessed using modified food and activity frequency measures from the National Health and Nutrition Examination Survey (NHANES) |
| Mother Movement Frequency | Baseline, 6 months, 12 months | Assessed using modified activity frequency measures from the National Health and Nutrition Examination Survey (NHANES) |
| Fruit Intake Frequency | Baseline, 6 months, 12 months | Assessed using modified food frequency measures from the National Health and Nutrition Examination Survey (NHANES). |
| Frequency of Infant Supervised Active Movement (Activity) | Baseline, 6 months, 12 months | Assessed using modified food and activity frequency measures from the National Health and Nutrition Examination Survey (NHANES) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Habit Strength of Maternal Eating, Activity, and Feeding Behaviors | Baseline, 6 months, 12 months | Habit strength will be assessed using the Self-Reported Habit Index (SRHI) specific to target eating and activity behaviors. |
| Demographic History | Baseline | Self-reported demographic history (gender, age, race, household income, etc) will be collected. Acculturation is measured using the Demographic Index of Cultural Exposure (DICE). |
| Medical History | Baseline, 6 months, 12 months | Self-reported medical history (prescription medications, child and parent/caregiver illnesses, etc.) will be collected |
| Depression | Baseline, 6 months, 12 months | The Edinburgh Postnatal Depression Scale (EPDS) will be used to determine maternal depression. Each of the 10 items has 4 optional responses with a set coding frame. Scores are summed and can range from 0 to 30. Values over 11 are indicative of risk for postnatal depression. |
| Mother's Blood Pressure | Baseline, 12 months | Blood pressure will be collected prior to all blood draws |
| Household Activity Environment | Baseline, 6 months, 12 months | Household environment assessing availability, accessibility, and visibility of activity items will be assessed using a modified Home Food Assessment (HFA) and Home - Inventory Describing Eating and Activity Development (H-IDEA), relating to the target activity behaviors. |
| Maternal Food Security | Baseline, 6 months, 12 months | The U.S. Adult Food Security Survey Module will be used to evaluate hunger and food sufficiency to meet the basic needs of families. |
| Maternal Social Isolation | Baseline, 6 months, 12 months | Measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) short form scale for social isolation. |
| Maternal Instrumental Support | Baseline, 6 months, 12 months | Measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) short form scale for instrumental support. |
| Maternal Emotional Support | Baseline, 6 months, 12 months | Measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) short form scale for emotional support. |
| Social Network Health Norms | Baseline, 6 months, 12 months | The characteristics of the social actors (people) and relationships that surround mothers will be assessed using egocentric social network methods and social network analysis (SNA) to compute the health behavior and weight norms. |
| Social Network Support | Baseline, 6 months, 12 months | The characteristics of the social actors (people, organizations) and relationships that surround mothers will be assessed using egocentric social network methods and social network analysis (SNA) to compute the density of relationships that provide health-related social support. |
| Household Food Environment | Baseline, 6 months, 12 months | Household environment assessing availability, accessibility, and visibility of food items will be assessed using a modified Home Food Assessment (HFA) and Home - Inventory Describing Eating and Activity Development (H-IDEA), relating to the target eating behaviors. |
Countries
United States
Participant flow
Recruitment details
Mother-child dyads were recruited into the study. Home visitors who delivered the program in the intervention and control arms were not enrolled into the study.
Pre-assignment details
The enrollment number represents the number of mother-infant dyads.
Participants by arm
| Arm | Count |
|---|---|
| Standard HVP Curriculum-Mothers Participants will receive the standard Healthy Families America (HFA) home visitation curriculum delivered by trained home visitors. The HFA model meets the Department of Health and Human Services criteria for an evidence-based early childhood home visiting service delivery model. HFA services begin prenatally and continue until children are 2-5yo. The curriculum focuses on strengthening parent-child relationships and family functioning, promoting positive child development, and linkage to community resources. Accredited home visitors are matched to families on cultural background and language, to provide culturally sensitive services. Home visitors receive weekly supervision, ongoing developmental training, and have limited caseloads (10-15 families) to meet their families' needs.
Standard HVP Curriculum: Treatment in the control arm includes the content and services typically provided by the home visitation partner, which is focused on strengthening children's cognitive skills, early literacy skills, social/emotional and physical development. | 34 |
| Obesity Prevention-Mothers Participants will receive the standard Healthy Families America home visitation curriculum with the obesity prevention enhancement module, delivered by trained home visitors. Families are matched to home visitors based on their ethnicity/race and language preferences. The obesity prevention program targets 4 key behaviors (physical activity, fruit and vegetable consumption, sugary beverages, fried foods) aimed at reducing obesity risks in mothers and their children. Participants will also be provided opportunities to meet in groups with other participating mothers/infants to enhance social networks that support healthy eating and physical activity.
Standard HVP Curriculum: Treatment in the control arm includes the content and services typically provided by the home visitation partner, which is focused on strengthening children's cognitive skills, early literacy skills, social/emotional and physical development.
Obesity Prevention: Obesity prevention curriculum program targets 4 key behaviors (physical activity, increasing fruit and vegetable consumption, decreasing sugary beverages, and decreasing fried foods) aimed at reducing obesity risk in mothers and children. The module will also include weekly activity opportunities to develop social networks that foster healthy eating and physical activity. | 42 |
| Standard HVP Curriculum-Children Participants will receive the standard Healthy Families America (HFA) home visitation curriculum delivered by trained home visitors. The HFA model meets the Department of Health and Human Services criteria for an evidence-based early childhood home visiting service delivery model. HFA services begin prenatally and continue until children are 2-5yo. The curriculum focuses on strengthening parent-child relationships and family functioning, promoting positive child development, and linkage to community resources. Accredited home visitors are matched to families on cultural background and language, to provide culturally sensitive services. Home visitors receive weekly supervision, ongoing developmental training, and have limited caseloads (10-15 families) to meet their families' needs.
Standard HVP Curriculum: Treatment in the control arm includes the content and services typically provided by the home visitation partner, which is focused on strengthening children's cognitive skills, early literacy skills, social/emotional and physical development. | 34 |
| Obesity Prevention-Children Participants will receive the standard Healthy Families America home visitation curriculum with the obesity prevention enhancement module, delivered by trained home visitors. Families are matched to home visitors based on their ethnicity/race and language preferences. The obesity prevention program targets 4 key behaviors (physical activity, fruit and vegetable consumption, sugary beverages, fried foods) aimed at reducing obesity risks in mothers and their children. Participants will also be provided opportunities to meet in groups with other participating mothers/infants to enhance social networks that support healthy eating and physical activity.
Standard HVP Curriculum: Treatment in the control arm includes the content and services typically provided by the home visitation partner, which is focused on strengthening children's cognitive skills, early literacy skills, social/emotional and physical development.
Obesity Prevention: Obesity prevention curriculum program targets 4 key behaviors (physical activity, increasing fruit and vegetable consumption, decreasing sugary beverages, and decreasing fried foods) aimed at reducing obesity risk in mothers and children. The module will also include weekly activity opportunities to develop social networks that foster healthy eating and physical activity. | 42 |
| Total | 152 |
Baseline characteristics
| Characteristic | Standard HVP Curriculum-Mothers | Obesity Prevention-Mothers | Standard HVP Curriculum-Children | Obesity Prevention-Children | Total |
|---|---|---|---|---|---|
| Age, Continuous | 28.7 Years STANDARD_DEVIATION 6.4 | 29.7 Years STANDARD_DEVIATION 7.3 | 0.875 Years STANDARD_DEVIATION 0.625 | 0.825 Years STANDARD_DEVIATION 0.767 | 15.05 Years STANDARD_DEVIATION 3.8 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 25 Participants | 27 Participants | 22 Participants | 28 Participants | 102 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 9 Participants | 13 Participants | 11 Participants | 11 Participants | 44 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 2 Participants | 1 Participants | 3 Participants | 6 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 1 Participants | 1 Participants | 1 Participants | 1 Participants | 4 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 1 Participants | 0 Participants | 1 Participants | 3 Participants |
| Race (NIH/OMB) Black or African American | 7 Participants | 6 Participants | 7 Participants | 6 Participants | 26 Participants |
| Race (NIH/OMB) More than one race | 1 Participants | 3 Participants | 4 Participants | 7 Participants | 15 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 9 Participants | 12 Participants | 6 Participants | 11 Participants | 38 Participants |
| Race (NIH/OMB) White | 15 Participants | 19 Participants | 16 Participants | 16 Participants | 66 Participants |
| Sex: Female, Male Female | 34 Participants | 42 Participants | 17 Participants | 24 Participants | 117 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 17 Participants | 18 Participants | 35 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk |
|---|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 35 | 0 / 42 | 0 / 35 | 0 / 42 |
| other Total, other adverse events | 2 / 35 | 1 / 42 | 2 / 35 | 1 / 42 |
| serious Total, serious adverse events | 0 / 35 | 0 / 42 | 0 / 35 | 0 / 42 |
Outcome results
Primary
Infant Weight
weight in pounds
Time frame: Baseline, 6 months, 12 months
Population: Missing data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Standard HVP Curriculum | Infant Weight | Baseline | 20.0 pounds | Standard Deviation 5.7 |
| Standard HVP Curriculum | Infant Weight | 6 Month | 24.2 pounds | Standard Deviation 5.6 |
| Standard HVP Curriculum | Infant Weight | 12 Months | 30.3 pounds | Standard Deviation 10.1 |
| Obesity Prevention | Infant Weight | Baseline | 19.3 pounds | Standard Deviation 6.5 |
| Obesity Prevention | Infant Weight | 6 Month | 22.1 pounds | Standard Deviation 3.3 |
| Obesity Prevention | Infant Weight | 12 Months | 28.9 pounds | Standard Deviation 5.8 |
Primary
Mother BMI
Body mass index (BMI) at each assessment
Time frame: Baseline, 6 months, 12 months
Population: Some participants did not compete all study assessments.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Standard HVP Curriculum | Mother BMI | Baseline | 30.6 kg/m^2 | Standard Deviation 8.1 |
| Standard HVP Curriculum | Mother BMI | 6 Month | 34 kg/m^2 | Standard Deviation 8.7 |
| Standard HVP Curriculum | Mother BMI | 12 Month | 32 kg/m^2 | Standard Deviation 9.6 |
| Obesity Prevention | Mother BMI | 12 Month | 35.4 kg/m^2 | Standard Deviation 10 |
| Obesity Prevention | Mother BMI | Baseline | 34.2 kg/m^2 | Standard Deviation 9.5 |
| Obesity Prevention | Mother BMI | 6 Month | 34.3 kg/m^2 | Standard Deviation 9.8 |
Secondary
Frequency of Infant Supervised Active Movement (Activity)
Assessed using modified food and activity frequency measures from the National Health and Nutrition Examination Survey (NHANES)
Time frame: Baseline, 6 months, 12 months
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | Baseline | 1 or 2 times a day | 5 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | 12 months | 1 to 6 times a week | 5 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | 12 months | Missing | 14 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | Baseline | Less than once a week | 1 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | Baseline | 1 to 6 times a week | 6 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | Baseline | 3 or more times a day | 19 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | Baseline | Missing | 3 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | 6 months | Less than once a week | 0 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | 6 months | 1 to 6 times a week | 2 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | 6 months | 1 or 2 times a day | 5 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | 6 months | 3 or more times a day | 13 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | 6 months | Missing | 14 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | 12 months | Less than once a week | 1 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | 12 months | 1 or 2 times a day | 10 Participants |
| Standard HVP Curriculum | Frequency of Infant Supervised Active Movement (Activity) | 12 months | 3 or more times a day | 4 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | 12 months | Missing | 20 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | Baseline | 1 or 2 times a day | 9 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | 12 months | Less than once a week | 2 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | 6 months | 1 to 6 times a week | 8 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | 12 months | 1 to 6 times a week | 3 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | 6 months | 1 or 2 times a day | 3 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | Baseline | Less than once a week | 5 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | 12 months | 3 or more times a day | 3 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | Baseline | 1 to 6 times a week | 11 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | 6 months | 3 or more times a day | 10 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | Baseline | 3 or more times a day | 13 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | 12 months | 1 or 2 times a day | 14 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | Baseline | Missing | 4 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | 6 months | Missing | 20 Participants |
| Obesity Prevention | Frequency of Infant Supervised Active Movement (Activity) | 6 months | Less than once a week | 1 Participants |
Secondary
Fried Food Intake Frequency
Assessed using modified food and activity frequency measures from the National Health and Nutrition Examination Survey (NHANES)
Time frame: Baseline, 6 months, 12 months
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Standard HVP Curriculum | Fried Food Intake Frequency | 12 months | 1 to 6 times a week | 9 Participants |
| Standard HVP Curriculum | Fried Food Intake Frequency | 12 months | Missing | 14 Participants |
| Standard HVP Curriculum | Fried Food Intake Frequency | 6 months | Missing | 10 Participants |
| Standard HVP Curriculum | Fried Food Intake Frequency | Baseline | Less than once a week | 16 Participants |
| Standard HVP Curriculum | Fried Food Intake Frequency | 12 months | Less than once a week | 10 Participants |
| Standard HVP Curriculum | Fried Food Intake Frequency | Baseline | 1 or more times a day | 6 Participants |
| Standard HVP Curriculum | Fried Food Intake Frequency | Baseline | Missing | 0 Participants |
| Standard HVP Curriculum | Fried Food Intake Frequency | Baseline | 1 to 6 times a week | 12 Participants |
| Standard HVP Curriculum | Fried Food Intake Frequency | 12 months | 1 or more times a day | 1 Participants |
| Standard HVP Curriculum | Fried Food Intake Frequency | 6 months | Less than once a week | 10 Participants |
| Standard HVP Curriculum | Fried Food Intake Frequency | 6 months | 1 to 6 times a week | 10 Participants |
| Standard HVP Curriculum | Fried Food Intake Frequency | 6 months | 1 or more times a day | 4 Participants |
| Obesity Prevention | Fried Food Intake Frequency | Baseline | 1 to 6 times a week | 17 Participants |
| Obesity Prevention | Fried Food Intake Frequency | 6 months | 1 or more times a day | 5 Participants |
| Obesity Prevention | Fried Food Intake Frequency | Baseline | Missing | 1 Participants |
| Obesity Prevention | Fried Food Intake Frequency | 12 months | Less than once a week | 14 Participants |
| Obesity Prevention | Fried Food Intake Frequency | 12 months | 1 to 6 times a week | 7 Participants |
| Obesity Prevention | Fried Food Intake Frequency | 6 months | Missing | 17 Participants |
| Obesity Prevention | Fried Food Intake Frequency | Baseline | Less than once a week | 19 Participants |
| Obesity Prevention | Fried Food Intake Frequency | 6 months | 1 to 6 times a week | 11 Participants |
| Obesity Prevention | Fried Food Intake Frequency | 6 months | Less than once a week | 9 Participants |
| Obesity Prevention | Fried Food Intake Frequency | Baseline | 1 or more times a day | 5 Participants |
| Obesity Prevention | Fried Food Intake Frequency | 12 months | Missing | 20 Participants |
| Obesity Prevention | Fried Food Intake Frequency | 12 months | 1 or more times a day | 1 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | 6 months | Missing | 10 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | Baseline | Less than once a week | 27 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | Baseline | 1 to 6 times a week | 6 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | Baseline | 1 or more times a day | 1 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | Baseline | Missing | 0 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | 6 months | Less than once a week | 19 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | 6 months | 1 to 6 times a week | 5 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | 6 months | 1 or more times a day | 0 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | 12 months | Less than once a week | 13 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | 12 months | 1 to 6 times a week | 7 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | 12 months | 1 or more times a day | 0 Participants |
| Standard HVP Curriculum - Children | Fried Food Intake Frequency | 12 months | Missing | 14 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | 6 months | 1 to 6 times a week | 4 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | 6 months | Less than once a week | 21 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | Baseline | Less than once a week | 36 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | 12 months | 1 to 6 times a week | 4 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | Baseline | Missing | 0 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | Baseline | 1 or more times a day | 3 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | 12 months | Missing | 20 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | 12 months | 1 or more times a day | 1 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | 6 months | Missing | 17 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | 6 months | 1 or more times a day | 0 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | Baseline | 1 to 6 times a week | 3 Participants |
| Obesity Prevention - Children | Fried Food Intake Frequency | 12 months | Less than once a week | 17 Participants |
Secondary
Fruit Intake Frequency
Assessed using modified food frequency measures from the National Health and Nutrition Examination Survey (NHANES).
Time frame: Baseline, 6 months, 12 months
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Standard HVP Curriculum | Fruit Intake Frequency | 12 months | 1 to 6 times a week | 11 Participants |
| Standard HVP Curriculum | Fruit Intake Frequency | 12 months | Missing | 14 Participants |
| Standard HVP Curriculum | Fruit Intake Frequency | 6 months | Missing | 10 Participants |
| Standard HVP Curriculum | Fruit Intake Frequency | Baseline | Less than once a week | 7 Participants |
| Standard HVP Curriculum | Fruit Intake Frequency | 12 months | Less than once a week | 2 Participants |
| Standard HVP Curriculum | Fruit Intake Frequency | Baseline | 1 or more times a day | 16 Participants |
| Standard HVP Curriculum | Fruit Intake Frequency | Baseline | Missing | 0 Participants |
| Standard HVP Curriculum | Fruit Intake Frequency | Baseline | 1 to 6 times a week | 11 Participants |
| Standard HVP Curriculum | Fruit Intake Frequency | 12 months | 1 or more times a day | 7 Participants |
| Standard HVP Curriculum | Fruit Intake Frequency | 6 months | Less than once a week | 4 Participants |
| Standard HVP Curriculum | Fruit Intake Frequency | 6 months | 1 to 6 times a week | 12 Participants |
| Standard HVP Curriculum | Fruit Intake Frequency | 6 months | 1 or more times a day | 8 Participants |
| Obesity Prevention | Fruit Intake Frequency | Baseline | 1 to 6 times a week | 17 Participants |
| Obesity Prevention | Fruit Intake Frequency | 6 months | 1 or more times a day | 7 Participants |
| Obesity Prevention | Fruit Intake Frequency | Baseline | Missing | 0 Participants |
| Obesity Prevention | Fruit Intake Frequency | 12 months | Less than once a week | 3 Participants |
| Obesity Prevention | Fruit Intake Frequency | 12 months | 1 to 6 times a week | 9 Participants |
| Obesity Prevention | Fruit Intake Frequency | 6 months | Missing | 17 Participants |
| Obesity Prevention | Fruit Intake Frequency | Baseline | Less than once a week | 3 Participants |
| Obesity Prevention | Fruit Intake Frequency | 6 months | 1 to 6 times a week | 13 Participants |
| Obesity Prevention | Fruit Intake Frequency | 6 months | Less than once a week | 5 Participants |
| Obesity Prevention | Fruit Intake Frequency | Baseline | 1 or more times a day | 22 Participants |
| Obesity Prevention | Fruit Intake Frequency | 12 months | Missing | 20 Participants |
| Obesity Prevention | Fruit Intake Frequency | 12 months | 1 or more times a day | 10 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | 6 months | Missing | 10 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | Baseline | Less than once a week | 13 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | Baseline | 1 to 6 times a week | 10 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | Baseline | 1 or more times a day | 11 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | Baseline | Missing | 0 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | 6 months | Less than once a week | 1 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | 6 months | 1 to 6 times a week | 6 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | 6 months | 1 or more times a day | 17 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | 12 months | Less than once a week | 0 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | 12 months | 1 to 6 times a week | 10 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | 12 months | 1 or more times a day | 10 Participants |
| Standard HVP Curriculum - Children | Fruit Intake Frequency | 12 months | Missing | 14 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | 6 months | 1 to 6 times a week | 8 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | 6 months | Less than once a week | 2 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | Baseline | Less than once a week | 21 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | 12 months | 1 to 6 times a week | 6 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | Baseline | Missing | 0 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | Baseline | 1 or more times a day | 15 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | 12 months | Missing | 20 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | 12 months | 1 or more times a day | 16 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | 6 months | Missing | 19 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | 6 months | 1 or more times a day | 13 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | Baseline | 1 to 6 times a week | 6 Participants |
| Obesity Prevention - Children | Fruit Intake Frequency | 12 months | Less than once a week | 0 Participants |
Secondary
Fruit Juice Intake Frequency
Assessed using modified food and activity frequency measures from the National Health and Nutrition Examination Survey (NHANES)
Time frame: Baseline, 6 months, 12 months
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Standard HVP Curriculum | Fruit Juice Intake Frequency | 12 months | 1 or more times a day | 2 Participants |
| Standard HVP Curriculum | Fruit Juice Intake Frequency | 12 months | Less than once a week | 15 Participants |
| Standard HVP Curriculum | Fruit Juice Intake Frequency | Baseline | Missing | 0 Participants |
| Standard HVP Curriculum | Fruit Juice Intake Frequency | 12 months | 1 to 6 times a week | 3 Participants |
| Standard HVP Curriculum | Fruit Juice Intake Frequency | Baseline | 1 or more times a day | 6 Participants |
| Standard HVP Curriculum | Fruit Juice Intake Frequency | 6 months | 1 or more times a day | 6 Participants |
| Standard HVP Curriculum | Fruit Juice Intake Frequency | 6 months | 1 to 6 times a week | 8 Participants |
| Standard HVP Curriculum | Fruit Juice Intake Frequency | Baseline | 1 to 6 times a week | 10 Participants |
| Standard HVP Curriculum | Fruit Juice Intake Frequency | Baseline | Less than once a week | 18 Participants |
| Standard HVP Curriculum | Fruit Juice Intake Frequency | 6 months | Missing | 10 Participants |
| Standard HVP Curriculum | Fruit Juice Intake Frequency | 6 months | Less than once a week | 10 Participants |
| Standard HVP Curriculum | Fruit Juice Intake Frequency | 12 months | Missing | 14 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | Baseline | 1 or more times a day | 8 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | 6 months | 1 or more times a day | 3 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | 6 months | Missing | 17 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | 12 months | Less than once a week | 8 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | 12 months | 1 to 6 times a week | 9 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | 12 months | 1 or more times a day | 5 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | Baseline | Less than once a week | 12 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | Baseline | 1 to 6 times a week | 22 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | 12 months | Missing | 20 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | Baseline | Missing | 0 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | 6 months | Less than once a week | 12 Participants |
| Obesity Prevention | Fruit Juice Intake Frequency | 6 months | 1 to 6 times a week | 10 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | 12 months | 1 or more times a day | 3 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | 6 months | Missing | 10 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | Baseline | Less than once a week | 24 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | 6 months | 1 or more times a day | 4 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | 12 months | Missing | 14 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | Baseline | 1 to 6 times a week | 7 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | 6 months | Less than once a week | 11 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | Baseline | 1 or more times a day | 3 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | 6 months | 1 to 6 times a week | 9 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | 12 months | Less than once a week | 11 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | Baseline | Missing | 0 Participants |
| Standard HVP Curriculum - Children | Fruit Juice Intake Frequency | 12 months | 1 to 6 times a week | 6 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | 12 months | 1 or more times a day | 5 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | Baseline | 1 or more times a day | 5 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | 6 months | 1 or more times a day | 4 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | 12 months | Missing | 20 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | 12 months | 1 to 6 times a week | 10 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | Baseline | Less than once a week | 32 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | 6 months | Less than once a week | 15 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | 12 months | Less than once a week | 7 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | 6 months | Missing | 17 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | Baseline | 1 to 6 times a week | 5 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | 6 months | 1 to 6 times a week | 6 Participants |
| Obesity Prevention - Children | Fruit Juice Intake Frequency | Baseline | Missing | 0 Participants |
Secondary
Mother Movement Frequency
Assessed using modified activity frequency measures from the National Health and Nutrition Examination Survey (NHANES)
Time frame: Baseline, 6 months, 12 months
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Standard HVP Curriculum | Mother Movement Frequency | Baseline | 2 times a day or less | 8 Participants |
| Standard HVP Curriculum | Mother Movement Frequency | Baseline | 3 to 7 times a day | 13 Participants |
| Standard HVP Curriculum | Mother Movement Frequency | Baseline | 8 or more times a day | 10 Participants |
| Standard HVP Curriculum | Mother Movement Frequency | Baseline | Missing | 3 Participants |
| Standard HVP Curriculum | Mother Movement Frequency | 6 months | 2 times a day or less | 4 Participants |
| Standard HVP Curriculum | Mother Movement Frequency | 6 months | 3 to 7 times a day | 10 Participants |
| Standard HVP Curriculum | Mother Movement Frequency | 6 months | 8 or more times a day | 6 Participants |
| Standard HVP Curriculum | Mother Movement Frequency | 6 months | Missing | 14 Participants |
| Standard HVP Curriculum | Mother Movement Frequency | 12 months | 2 times a day or less | 6 Participants |
| Standard HVP Curriculum | Mother Movement Frequency | 12 months | 3 to 7 times a day | 8 Participants |
| Standard HVP Curriculum | Mother Movement Frequency | 12 months | 8 or more times a day | 6 Participants |
| Standard HVP Curriculum | Mother Movement Frequency | 12 months | Missing | 14 Participants |
| Obesity Prevention | Mother Movement Frequency | 12 months | 8 or more times a day | 7 Participants |
| Obesity Prevention | Mother Movement Frequency | Baseline | 2 times a day or less | 8 Participants |
| Obesity Prevention | Mother Movement Frequency | 6 months | 8 or more times a day | 9 Participants |
| Obesity Prevention | Mother Movement Frequency | Baseline | 3 to 7 times a day | 12 Participants |
| Obesity Prevention | Mother Movement Frequency | 12 months | 3 to 7 times a day | 10 Participants |
| Obesity Prevention | Mother Movement Frequency | Baseline | 8 or more times a day | 17 Participants |
| Obesity Prevention | Mother Movement Frequency | 6 months | Missing | 20 Participants |
| Obesity Prevention | Mother Movement Frequency | Baseline | Missing | 5 Participants |
| Obesity Prevention | Mother Movement Frequency | 12 months | Missing | 21 Participants |
| Obesity Prevention | Mother Movement Frequency | 6 months | 2 times a day or less | 4 Participants |
| Obesity Prevention | Mother Movement Frequency | 12 months | 2 times a day or less | 4 Participants |
| Obesity Prevention | Mother Movement Frequency | 6 months | 3 to 7 times a day | 9 Participants |
Secondary
Soda Intake Frequency
Assessed using modified food and activity frequency measures from the National Health and Nutrition Examination Survey (NHANES)
Time frame: Baseline, 6 months, 12 months
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Standard HVP Curriculum | Soda Intake Frequency | Baseline | 1 to 6 times a week | 9 Participants |
| Standard HVP Curriculum | Soda Intake Frequency | Baseline | Less than once a week | 20 Participants |
| Standard HVP Curriculum | Soda Intake Frequency | 12 months | 1 or more times a day | 3 Participants |
| Standard HVP Curriculum | Soda Intake Frequency | Baseline | Missing | 0 Participants |
| Standard HVP Curriculum | Soda Intake Frequency | 12 months | Less than once a week | 12 Participants |
| Standard HVP Curriculum | Soda Intake Frequency | 12 months | Missing | 15 Participants |
| Standard HVP Curriculum | Soda Intake Frequency | 6 months | Missing | 10 Participants |
| Standard HVP Curriculum | Soda Intake Frequency | 6 months | Less than once a week | 15 Participants |
| Standard HVP Curriculum | Soda Intake Frequency | 6 months | 1 or more times a day | 2 Participants |
| Standard HVP Curriculum | Soda Intake Frequency | Baseline | 1 or more times a day | 5 Participants |
| Standard HVP Curriculum | Soda Intake Frequency | 12 months | 1 to 6 times a week | 4 Participants |
| Standard HVP Curriculum | Soda Intake Frequency | 6 months | 1 to 6 times a week | 7 Participants |
| Obesity Prevention | Soda Intake Frequency | Baseline | 1 or more times a day | 5 Participants |
| Obesity Prevention | Soda Intake Frequency | 12 months | Less than once a week | 18 Participants |
| Obesity Prevention | Soda Intake Frequency | 6 months | 1 or more times a day | 2 Participants |
| Obesity Prevention | Soda Intake Frequency | 6 months | Missing | 17 Participants |
| Obesity Prevention | Soda Intake Frequency | Baseline | 1 to 6 times a week | 16 Participants |
| Obesity Prevention | Soda Intake Frequency | 12 months | 1 or more times a day | 2 Participants |
| Obesity Prevention | Soda Intake Frequency | 6 months | 1 to 6 times a week | 8 Participants |
| Obesity Prevention | Soda Intake Frequency | Baseline | Missing | 0 Participants |
| Obesity Prevention | Soda Intake Frequency | Baseline | Less than once a week | 21 Participants |
| Obesity Prevention | Soda Intake Frequency | 12 months | 1 to 6 times a week | 2 Participants |
| Obesity Prevention | Soda Intake Frequency | 6 months | Less than once a week | 15 Participants |
| Obesity Prevention | Soda Intake Frequency | 12 months | Missing | 20 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | 6 months | 1 or more times a day | 0 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | Baseline | Less than once a week | 31 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | Baseline | 1 to 6 times a week | 2 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | Baseline | 1 or more times a day | 0 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | Baseline | Missing | 1 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | 6 months | Less than once a week | 22 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | 6 months | 1 to 6 times a week | 2 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | 6 months | Missing | 10 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | 12 months | Less than once a week | 19 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | 12 months | 1 to 6 times a week | 0 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | 12 months | 1 or more times a day | 0 Participants |
| Standard HVP Curriculum - Children | Soda Intake Frequency | 12 months | Missing | 15 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | 6 months | Less than once a week | 24 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | Baseline | Missing | 0 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | 6 months | 1 or more times a day | 0 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | 12 months | 1 to 6 times a week | 1 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | Baseline | 1 or more times a day | 0 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | Baseline | 1 to 6 times a week | 0 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | 12 months | Missing | 20 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | 12 months | 1 or more times a day | 0 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | 6 months | Missing | 17 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | 6 months | 1 to 6 times a week | 1 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | Baseline | Less than once a week | 42 Participants |
| Obesity Prevention - Children | Soda Intake Frequency | 12 months | Less than once a week | 21 Participants |
Secondary
Vegetable Intake Frequency
Assessed using modified food and activity frequency measures from the National Health and Nutrition Examination Survey (NHANES)
Time frame: Baseline, 6 months, 12 months
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Standard HVP Curriculum | Vegetable Intake Frequency | 6 months | Missing | 10 Participants |
| Standard HVP Curriculum | Vegetable Intake Frequency | 12 months | 1 or more times a day | 6 Participants |
| Standard HVP Curriculum | Vegetable Intake Frequency | Baseline | 1 or more times a day | 11 Participants |
| Standard HVP Curriculum | Vegetable Intake Frequency | Baseline | Less than once a week | 7 Participants |
| Standard HVP Curriculum | Vegetable Intake Frequency | 6 months | 1 or more times a day | 8 Participants |
| Standard HVP Curriculum | Vegetable Intake Frequency | 12 months | Missing | 14 Participants |
| Standard HVP Curriculum | Vegetable Intake Frequency | Baseline | Missing | 0 Participants |
| Standard HVP Curriculum | Vegetable Intake Frequency | Baseline | 1 to 6 times a week | 16 Participants |
| Standard HVP Curriculum | Vegetable Intake Frequency | 6 months | 1 to 6 times a week | 12 Participants |
| Standard HVP Curriculum | Vegetable Intake Frequency | 12 months | 1 to 6 times a week | 11 Participants |
| Standard HVP Curriculum | Vegetable Intake Frequency | 6 months | Less than once a week | 4 Participants |
| Standard HVP Curriculum | Vegetable Intake Frequency | 12 months | Less than once a week | 3 Participants |
| Obesity Prevention | Vegetable Intake Frequency | 6 months | Less than once a week | 3 Participants |
| Obesity Prevention | Vegetable Intake Frequency | 6 months | 1 to 6 times a week | 11 Participants |
| Obesity Prevention | Vegetable Intake Frequency | 12 months | Less than once a week | 3 Participants |
| Obesity Prevention | Vegetable Intake Frequency | Baseline | Less than once a week | 4 Participants |
| Obesity Prevention | Vegetable Intake Frequency | 6 months | Missing | 18 Participants |
| Obesity Prevention | Vegetable Intake Frequency | Baseline | 1 to 6 times a week | 15 Participants |
| Obesity Prevention | Vegetable Intake Frequency | 12 months | 1 or more times a day | 9 Participants |
| Obesity Prevention | Vegetable Intake Frequency | Baseline | 1 or more times a day | 23 Participants |
| Obesity Prevention | Vegetable Intake Frequency | 6 months | 1 or more times a day | 10 Participants |
| Obesity Prevention | Vegetable Intake Frequency | 12 months | 1 to 6 times a week | 10 Participants |
| Obesity Prevention | Vegetable Intake Frequency | Baseline | Missing | 0 Participants |
| Obesity Prevention | Vegetable Intake Frequency | 12 months | Missing | 20 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | Baseline | 1 to 6 times a week | 10 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | 6 months | Missing | 10 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | Baseline | Less than once a week | 13 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | Baseline | 1 or more times a day | 11 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | Baseline | Missing | 0 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | 6 months | Less than once a week | 2 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | 6 months | 1 to 6 times a week | 8 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | 6 months | 1 or more times a day | 14 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | 12 months | Less than once a week | 3 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | 12 months | 1 to 6 times a week | 7 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | 12 months | 1 or more times a day | 10 Participants |
| Standard HVP Curriculum - Children | Vegetable Intake Frequency | 12 months | Missing | 14 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | Baseline | Missing | 0 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | Baseline | 1 or more times a day | 15 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | 6 months | Missing | 17 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | 12 months | 1 to 6 times a week | 9 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | Baseline | 1 to 6 times a week | 6 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | 6 months | Less than once a week | 1 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | 12 months | Missing | 20 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | 12 months | 1 or more times a day | 13 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | 6 months | 1 or more times a day | 14 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | 6 months | 1 to 6 times a week | 10 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | Baseline | Less than once a week | 21 Participants |
| Obesity Prevention - Children | Vegetable Intake Frequency | 12 months | Less than once a week | 0 Participants |
Other Pre-specified
Demographic History
Self-reported demographic history (gender, age, race, household income, etc) will be collected. Acculturation is measured using the Demographic Index of Cultural Exposure (DICE).
Time frame: Baseline
Other Pre-specified
Depression
The Edinburgh Postnatal Depression Scale (EPDS) will be used to determine maternal depression. Each of the 10 items has 4 optional responses with a set coding frame. Scores are summed and can range from 0 to 30. Values over 11 are indicative of risk for postnatal depression.
Time frame: Baseline, 6 months, 12 months
Other Pre-specified
Habit Strength of Maternal Eating, Activity, and Feeding Behaviors
Habit strength will be assessed using the Self-Reported Habit Index (SRHI) specific to target eating and activity behaviors.
Time frame: Baseline, 6 months, 12 months
Other Pre-specified
Household Activity Environment
Household environment assessing availability, accessibility, and visibility of activity items will be assessed using a modified Home Food Assessment (HFA) and Home - Inventory Describing Eating and Activity Development (H-IDEA), relating to the target activity behaviors.
Time frame: Baseline, 6 months, 12 months
Other Pre-specified
Household Food Environment
Household environment assessing availability, accessibility, and visibility of food items will be assessed using a modified Home Food Assessment (HFA) and Home - Inventory Describing Eating and Activity Development (H-IDEA), relating to the target eating behaviors.
Time frame: Baseline, 6 months, 12 months
Other Pre-specified
Maternal Emotional Support
Measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) short form scale for emotional support.
Time frame: Baseline, 6 months, 12 months
Other Pre-specified
Maternal Food Security
The U.S. Adult Food Security Survey Module will be used to evaluate hunger and food sufficiency to meet the basic needs of families.
Time frame: Baseline, 6 months, 12 months
Other Pre-specified
Maternal Instrumental Support
Measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) short form scale for instrumental support.
Time frame: Baseline, 6 months, 12 months
Other Pre-specified
Maternal Social Isolation
Measured using the Patient-Reported Outcomes Measurement Information System (PROMIS) short form scale for social isolation.
Time frame: Baseline, 6 months, 12 months
Other Pre-specified
Medical History
Self-reported medical history (prescription medications, child and parent/caregiver illnesses, etc.) will be collected
Time frame: Baseline, 6 months, 12 months
Other Pre-specified
Mother's Blood Pressure
Blood pressure will be collected prior to all blood draws
Time frame: Baseline, 12 months
Other Pre-specified
Social Network Health Norms
The characteristics of the social actors (people) and relationships that surround mothers will be assessed using egocentric social network methods and social network analysis (SNA) to compute the health behavior and weight norms.
Time frame: Baseline, 6 months, 12 months
Other Pre-specified
Social Network Support
The characteristics of the social actors (people, organizations) and relationships that surround mothers will be assessed using egocentric social network methods and social network analysis (SNA) to compute the density of relationships that provide health-related social support.
Time frame: Baseline, 6 months, 12 months