A Primary Care Based Intervention to Prevent Childhood Obesity Among Low-income Latino Children

University of California, San Francisco576 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

576

Conditions

Obesity, Childhood

Interventions

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.

Futuros Fuertes 2.0BEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 7 DaysMax age: 2 Months

Medical Language ↔ Plain English

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

Locations (2)

Children's Health Center San Francisco General Hospital

San Francisco, California, United States

RECRUITING

Valley Health Center Sunnyvale

Sunnyvale, California, United States

RECRUITING

Outcomes

Primary Outcomes

BMI Z-score

BMI Z-score based on WHO growth curves

Time frame: 24-months

Secondary Outcomes

Breastfeeding

Duration of breastfeeding in first year of life

Time frame: First year of life

Screen time

Daily screen time

Time frame: 24-months

Sleep duration

Daily sleep duration

Time frame: 24-months

Fruit and vegetable intake

Daily fruit and vegetable intake

Time frame: 24-months

Sugar sweetened beverage and 100% fruit juice intake

Weekly ounces of sugar-sweetened beverages and 100% fruit juice

Time frame: 24-months

Change in BMI Z-score

Trajectory of BMI Z-score (WHO growth curve)

Time frame: 6-months to 24-months

A Primary Care Based Intervention to Prevent Childhood Obesity Among Low-income Latino Children

Overview

Conditions

Interventions

Eligibility

Locations (2)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts