Trial reportContemporary clinical trials2015
The keys to healthy family child care homes intervention: study design and rationale.
Trial report in Contemporary clinical trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 11 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed, 11 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2024Pooled it
- Assessing the scalability of healthy eating interventions within the early childhood education and care setting: secondary analysis of a Cochrane systematic review.Public health nutrition · 2023Pooled it
- Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.The Cochrane database of systematic reviews · 2023Pooled it
- A systematic review of interventions to improve the dietary intake, physical activity and weight status of children attending family day care services.Public health nutrition · 2020Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2020Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2019Pooled it
- Interventions for preventing obesity in children.The Cochrane database of systematic reviews · 2019Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2018Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2018Pooled it
- Interventions for increasing fruit and vegetable consumption in children aged five years and under.The Cochrane database of systematic reviews · 2017Pooled it
- Keys to healthy family child care homes: Results from a cluster randomized trial.Preventive medicine · 2020Trial
- The physical environment in family childcare homes and children's physical activity.Child: care, health and development · 2018Trial
- Article
- How to integrate and leverage digital health modalities for health promotion in early childhood education: Opportunities to improve intervention access and engagement.Translational behavioral medicine · 2025Article
- Healthy eating interventions delivered in early childhood education and care settings for improving the diet of children aged six months to six years.The Cochrane database of systematic reviews · 2023Review
- An agent-based model of child sugar-sweetened beverage consumption: implications for policies and practices.The American journal of clinical nutrition · 2022Article
- Food Desert Status of Family Child Care Homes: Relationship to Young Children's Food Quality.International journal of environmental research and public health · 2022Article
- COVID-19 Vaccination Status and Attitudes of Family Child Care Providers in Delaware, September 2021.Vaccines · 2022Article
- Ethnic Differences in Family Childcare Providers' Nutrition- and Activity-Related Attitudes and Barriers.Journal of obesity · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundObesity is a major public health problem for which early preventive interventions are needed. Large numbers of young children are enrolled in some form of child care program, making these facilities influential environments in children's development. Family child care homes (FCCH) are a specific type of child care in which children are cared for within the provider's own residence. FCCHs serve approximately 1.5 million children in the U.S.; however, research to date has overlooked FCCH providers and their potential to positively influence children's health-related behaviors.
methodsKeys to Healthy Family Child Care Homes (Keys) is a cluster-randomized controlled trial testing the efficacy of an intervention designed to help providers become healthy role models, provide quality food- and physical activity-supportive FCCH environments, and implement effective business practices. The intervention is delivered through workshops, home visits, tailored coaching calls, and educational toolkits. Primary outcomes are child physical activity measured via accelerometry data and dietary intake data collected using direct observation at the FCCH. Secondary outcomes include child body mass index, provider weight-related behaviors, and observed obesogenic environmental characteristics.
conclusionKeys is an innovative approach to promoting healthy eating and physical activity in young children. The intervention operates in a novel setting, targets children during a key developmental period, and addresses both provider and child behaviors to synergistically promote health.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.