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CompletedNCT05745376FarmtoECEUpdated Aug 14, 2024

Addressing Disparities in Food Access Among Young Children in Louisiana: A Farm to ECE Approach

An interventional study of Farm to ECE programming in Food Insecurity, Health Knowledge, Attitudes, Practice and Nutrition, Healthy, sponsored by Xavier University of Louisiana.. Completed at 1 site in United States. Open to participants aged 18 Years to 99 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-08-14.

Sponsored by Xavier University of Louisiana. · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
228
Allocation
Non-randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

The goal of this pilot project is to increase access to healthy food, improve diets, and reduce food insecurity and, in turn, reduce health disparities among low-income, minority children under the age of five attending early childcare centers. Specific aims are to: 1) examine the feasibility of a six-month Farm to ECE intervention and 2) collect preliminary data to evaluate the efficacy of the program to 2.1) improve the ECE nutrition environment from baseline to follow-up; 2.2) increase access to local fruits and vegetables among children at ECEs from baseline to follow-up; and 2.3) increase parent knowledge and use of community food resources. The investigators will use this preliminary data to develop a larger scale project to test intervention efficacy.

Read the detailed description

The pilot study will take place at four centers within a network of Catholic Charities Early Head Start and Head Start Centers in New Orleans, Louisiana. Two centers will serve as intervention sites and two as comparison sites. Over 90% of the network centers' students identify as Black, and all qualify for federally funded free meals and snacks. The intervention will include: (1) assisting ECEs with conducting self-assessments; (2) connecting ECEs with local farmers and food producers; (3) providing technical assistance for menu changes, procuring healthy food, identifying and implementing best feeding practices and policies for the environment; (4) delivering nutrition education; and (5) connecting parents/guardians with local food resources and affordable fresh food to be consumed at home. The intervention will be implemented for 6 months.

Aim 1 uses a cross-sectional mixed methods design, collecting both quantitative and qualitative data in intervention centers. Aim 2 uses a pre-post design with a comparison group, collecting quantitative survey data at the center and parent level. At baseline and six-month follow-up, the investigators will conduct short surveys with staff and parents/caregivers of children attending ECEs.

02

Conditions studied

  • Food Insecurity
  • Health Knowledge, Attitudes, Practice
  • Nutrition, Healthy
03

In context

Lead sponsor

Xavier University of Louisiana. is the lead sponsor of 6 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion Criteria (Key informant interviews and center assessments):

  • Director or staff of participating center
  • 18 years of age minimum

Exclusion Criteria (Key informant interviews and center assessments):

  • Staff not involved with educational programming

Inclusion criteria

Inclusion Criteria (Parent/guardian surveys):

  • Parent or guardian of current student at participating center
  • 18 years of age minimum

Exclusion criteria

Exclusion Criteria (Parent/guardian surveys):

  • None
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
228 participants (actual)

Study arms

  • Experimental
    Intervention Center

    The intervention will include: (1) assisting ECEs with conducting self-assessments; (2) connecting ECEs with local farmers and food producers; (3) providing technical assistance for menu changes, procuring healthy food, identifying and implementing best feeding practices and policies for the environment; (4) delivering nutrition education; and (5) connecting parents/guardians with local food resources and affordable fresh food to be consumed at home

    Behavioral: Farm to ECE programming

  • No intervention
    Comparison

    No programming at center, only surveys

Interventions

  • BehavioralFarm to ECE programming

    Students and parents at this center will receive program elements described in arm descriptions.

06

What researchers measure

Primary outcomes

  1. incidence of parent/guardian use of community food resources

    Parent/guardian surveys will ask questions about use of community food resources. Frequencies will be calculated based on results.

    Time frame: 6 months

  2. nutrition environment score measured by NAPSACC

    Environmental assessments and pre/post staff surveys using validated tools (Nutrition and Physical Activity Self-Assessment for Child Care NAPSACC) will be used to determine changes in the nutrition environment and healthy options. Nutrition environment scores will be calculated using the tool scoring guide.

    Time frame: 6 months

  3. percent completion of program components (fidelity)

    Staff will be asked to complete tracking records of all executed program components. Percent completion will be calculated by dividing program components executed by total program components.

    Time frame: 6 months

  4. satisfaction score with program implementation

    Staff will be asked to complete a post intervention survey to indicate their satisfaction (scale of 1-5) with the program implementation and its components.

    Time frame: 6 months

07

Study locations

1 site
  • Xavier University Of Louisiana
    New Orleans, Louisiana 70125, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 14, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05745376
Lead sponsor
Xavier University of Louisiana.
Responsible party
Sponsor
First posted
Feb 27, 2023
Start date
Sep 1, 2023
Primary completion
Jul 31, 2024
Completion
Jul 31, 2024
Last update
Aug 14, 2024

Study contacts

Megan Knapp, PhD
principal investigator · Xavier University of Louisiana.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2024. You cannot join it, but the record below documents what was studied.

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