Obesity, Childhood
Conditions
Brief summary
The goal of this study is to evaluate the impact of a primary care based intervention to promote optimal feeding, screen time and sleep practices among low-income Latino infants and toddlers. Infants and caregivers will receive brief health education and coaching sessions from health educators at primary care visits in the first two years of life as well as two text messages per week with health information and tips. Half of the participants will receive the Futuros Fuertes 2.0 intervention that includes health coaching and education on infant feeding, screen time and sleep (intervention group). The other half will receive health coaching and education on safety, home management of childhood illnesses, and promotion of language development (control group). We will look at the impact of the Futuros Fuertes 2.0 intervention on child BMI and various health behaviors.
Interventions
BEHAVIORALControl
The control intervention includes brief health education and coaching sessions just after well child visits in the first two years of life (total of 7 sessions), 2 text messages per week for the primary caregiver and up to two additional family members, and environmental prompts that support healthy behaviors. The control intervention focuses on home safety, home management of common childhood illnesses, and promotion of language development.
BEHAVIORALFuturos Fuertes 2.0
The Futuros Fuertes 2.0 intervention includes brief health education and coaching sessions just after well child visits in the first two years of life (total of 7 sessions), 2 text messages per week for the primary caregiver and up to two additional family members, and environmental prompts that support healthy behaviors. The Futuros Fuertes 2.0 intervention focuses on optimal infant feeding, screen time, and sleep practices.
Sponsors
University of California, San Francisco
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
7 Days to 2 Months
Healthy volunteers
No
Inclusion criteria
* Parent/caregiver self identifies as Latino * Parent/caregiver speaks Spanish or English * Parent/caregiver intends to receive primary care for infant at participating clinic * Infant gestational age of 37 weeks or greater * Infant birthweight of 2600 grams or greater * For multiples (twins, triplets), one sibling will be chosen at random to participate
Exclusion criteria
-Infant has a serious medical condition that affects feeding or growth
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BMI Z-score | 24-months | BMI Z-score based on WHO growth curves |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Breastfeeding | First year of life | Duration of breastfeeding in first year of life |
| Screen time | 24-months | Daily screen time |
| Sleep duration | 24-months | Daily sleep duration |
| Fruit and vegetable intake | 24-months | Daily fruit and vegetable intake |
| Sugar sweetened beverage and 100% fruit juice intake | 24-months | Weekly ounces of sugar-sweetened beverages and 100% fruit juice |
| Change in BMI Z-score | 6-months to 24-months | Trajectory of BMI Z-score (WHO growth curve) |
Countries
United States
Contacts
CONTACTAmy Beck, MD, MPH
PRINCIPAL_INVESTIGATORAmy Beck, MD, MPH
University of California, San Francisco
Outcome results
None listed