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Trial registered on ANZCTR
Registration number
ACTRN12610000981022
Ethics application status
Approved
Date submitted
12/11/2010
Date registered
15/11/2010
Date last updated
12/02/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
A nutrition intervention research project for low-income mothers of toddlers
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Scientific title
The Healthy Toddlers' Trial: An intervention for the reduction of childhood obesity in low-income populations. A home based Randomized Controlled Trial to assess the effect of promoting healthy eating behaviors in young children while dietary habits are forming on maternal child-feeding style, maternal child-feeding interaction and child eating behavior.
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Secondary ID [1]
252381
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NIL
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Obesity
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Condition category
Condition code
Diet and Nutrition
258052
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The Healthy Toddlers (HT) consists of eight in-home lessons, followed by four weekly reinforcement telephone calls, focusing on increasing toddlers' intake of fruits and vegetables; decreasing the amount of sweetened beverages consumed; and enhancing parental feeding behaviors.
Duration of Lessons: 60 to 90 minutes, administered once a week for 8 weeks targeting low-income mothers with toddlers 1 - 3 years.
Mode of Administration: Lessons are taught by trained paraprofessional nutrition instructors.
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Intervention code [1]
256943
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Prevention
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Intervention code [2]
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Lifestyle
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Intervention code [3]
256957
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Behaviour
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Comparator / control treatment
Active control Standard treatment of 8 in-home lessons that focus on basic nutrition messages, and food budgeting and menu planning, but not on feeding toddlers.
Duration of Lessons: 60 to 90 minutes, administered once a week for 8 weeks targeting low-income mothers with toddlers 1 - 3 years.
Mode of Administration: Lessons are taught by trained paraprofessional nutrition instructors.
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Control group
Active
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Outcomes
Primary outcome [1]
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Maternal child-feeding style-mean score in the Child Feeding Questionnaire
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Assessment method [1]
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Timepoint [1]
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Baseline (before the first lesson), post (after the eighth lesson), and at six months post
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Primary outcome [2]
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Maternal child-feeding interaction-mean score in the Parent-Toddler Mealtime Behavior Questionnaire and Observation
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Assessment method [2]
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Timepoint [2]
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Baseline (before the first lesson), post (after the eighth lesson), and at six months post
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Primary outcome [3]
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Child eating behavior-3 day Food Frequency Questionnaire
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Assessment method [3]
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Timepoint [3]
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Baseline (before the first lesson), post (after the eighth lesson), and at six months post
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Secondary outcome [1]
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Toddler weight/height-standardized measurements will be done according to Centers for Disease Control (CDC) guidelines and World Health Organization (WHO) guidelines. A toddler's weight will be attained with a digital scale measuring mass to the nearest ounce; a recumbent length or height will be used (depending on the toddler's age). A z score will be computed for the toddler's weight-for-height (length) plotted over time. Categories will be created according to CDC/WHO age/sex specific growth charts. Normal (5th and above and below 84th percentile) versus not normal (either below 5th ~ above 85th) or higher weight-for-height (length).
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Assessment method [1]
266307
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Timepoint [1]
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At baseline, at the 8th lesson, at at six months post
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Eligibility
Key inclusion criteria
Low-income population with toddlers 1 to 3 years.
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Minimum age
1
Years
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Maximum age
3
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Male parents. Neither the mother nor toddler could have diagnosed eating, physical, or chronic health problems that would interfere with the intervention such as an eating disorder.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
9/10/2007
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Actual
1/01/2010
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Date of last participant enrolment
Anticipated
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Actual
10/01/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
600
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Michigan, Colorado, Wisconsin
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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United States Department of Agriculture
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Address [1]
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1400 Independence Ave., S.W.
Washington, DC 20250
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Country [1]
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United States of America
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Primary sponsor type
Individual
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Name
Susan Baker
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Address
Colorado State University
1571 Campus Delivery
Fort Collins
CO 80523-1571
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Country
United States of America
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Secondary sponsor category [1]
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Individual
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Name [1]
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Mildred Horodynski
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Address [1]
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Michigan State University
515-G West Fee Hall
East Lansing
MI 48224
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Country [1]
256630
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United States of America
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Biomedical and Health Institutional Review Board
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Ethics committee address [1]
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Michigan State University 207 Olds Hall East Lansing MI 48824
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Ethics committee country [1]
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United States of America
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Date submitted for ethics approval [1]
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Approval date [1]
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Ethics approval number [1]
259417
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Summary
Brief summary
The goal of this project for low-income parents of children ages one to three is to promote healthy eating behaviors in young children. Critical factors address obesity prevention, specifically food consumption and the mealtime environment. Our objectives are to : (1) promote the development of healthy eating behaviors in young children while dietary habits are forming; (2) demonstrate that nutrition education provided through a multi-state intervention is effective in promoting healthy eating behaviors in young children; and (3) demonstrate that 'Healthy Toddlers' is a sustainable intervention with existing programs. Delivered by Extension paraprofessionals, eight in-home lessons (plus four telephone follow-up reinforcement contacts) are based on the social cognitive theory which addresses the influence of social, psychological and cognitive factors on health behaviors. A randomized experimental, short-term longitudinal design is proposed with intervention and control groups (300 participants per group), with three assessment periods: baseline, post assessment, and delayed post [six months after post]. Toddler eating skills and diet, and maternal toddler-feeding style, are assessed through parent self-report and in-home mealtime observations. Child and maternal BMI will be directly measured. Subjects in the intervention group are expected to demonstrate more positive dietary and eating skills and feeding interactions than the controls. The project's long-term goal is to improve the nation's nutrition and health by addressing childhood obesity through an effective intervention promoting the development of healthy eating habits at an early age.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Mildred Horodynski
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Address
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Michigan State University
1355 Bogue Street, C-244, East Lansing, MI, 48824
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Country
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United States of America
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Phone
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15173558060
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Mildred Horodynski
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Address
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Michigan State University
1355 Bogue Street, C-244, East Lansing, MI, 48824
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Country
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United States of America
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Phone
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1 517 3558060
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Fax
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1 517 3555002
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Email
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[email protected]
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Contact person for scientific queries
Name
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Susan Baker
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Address
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1571 Campus Delivery
Fort Collins
CO 80523-1571
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Country
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United States of America
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Phone
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1 970 4915798
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Fax
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1 970 4917252
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
The Healthy Toddlers Trial Protocol: An Intervention to Reduce Risk Factors for Childhood Obesity in Economically and Educationally Disadvantaged Populations
2011
https://doi.org/10.1186/1471-2458-11-581
N.B. These documents automatically identified may not have been verified by the study sponsor.
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