New Ulm at HOME (Healthy Offerings Via the Mealtime Environment), NU-HOME
| Status: | Recruiting |
|---|---|
| Conditions: | Food Studies |
| Therapuetic Areas: | Pharmacology / Toxicology |
| Healthy: | No |
| Age Range: | 7 - 99 |
| Updated: | 6/2/2018 |
| Start Date: | September 2016 |
| End Date: | August 2021 |
| Contact: | Jayne A Fulkerson, PhD |
| Email: | fulke001@umn.edu |
| Phone: | 612-624-4823 |
The goal of the proposed project is to see if an innovative family-based intervention can
reduce childhood obesity by actively engaging the whole family in promoting healthy behaviors
in the home. In addition, the project will also examine how the NU-HOME family intervention
influences children's dietary intake, availability of healthy and unhealthy foods in the home
and served at meals and snacks, physical activity as a family, and child screen time (TV,
game systems). The study will build upon a similar project conducted in an urban area and
translate the lessons learned and adapt the program for a rural community.
reduce childhood obesity by actively engaging the whole family in promoting healthy behaviors
in the home. In addition, the project will also examine how the NU-HOME family intervention
influences children's dietary intake, availability of healthy and unhealthy foods in the home
and served at meals and snacks, physical activity as a family, and child screen time (TV,
game systems). The study will build upon a similar project conducted in an urban area and
translate the lessons learned and adapt the program for a rural community.
Childhood obesity is a serious public health problem. Although previous environmental
approaches to obesity prevention show some promise, most studies have not shown excess weight
gain reductions. Moreover, few childhood obesity prevention studies significantly engage
parents or focus on the home environment, which is essential to promote healthy behaviors at
home. Children in rural communities are particularly vulnerable regarding increased risk for
obesity; thus, successful programs that engage families in rural communities to prevent
excess weight gain are critical. The proposed research project, New Ulm at Home (NU-HOME), is
a unique collaboration between leaders in a rural community (New Ulm, Minnesota) and
successful academic obesity researchers. The residents of New Ulm are poised for and are
requesting interventions to promote healthful behavior change, particularly for youth. In
conjunction with our many community stakeholder groups, the objective of the proposed
research is to test the effectiveness of the NU-HOME program, a 7-month, family-based health
promotion intervention to prevent excess weight gain (assessed via BMI z-score) among 7-10
year old children (n=120) in the New Ulm rural community. The intervention program is based
on Social Cognitive Theory and a socio-ecological framework and will focus on novel health
promotion components to prevent childhood obesity, including: 1) promoting regular meals in
which family members cook and eat together (i.e., family meals), 2) promoting
nutritionally-sound and appropriately-portioned snacks and meals, 3) reducing sedentary
behavior, particularly screen time in the home setting, and 4) promoting physical activity
through collaboration with community partners. The NU-HOME study is designed in four stages,
including substantial formative work between the academic and community partners, a two-arm
randomized controlled trial (RCT; intervention and wait-list control), and two activities to
facilitate sustainability (delayed intervention delivery for control group participants and
dissemination). A community-based participatory research (CBPR) approach will be used to
adapt an existing program, HOME Plus that was piloted and shown to be effective in urban
communities. The NU-HOME program has high translation potential and is likely to be
immediately useful to rural families of school-age children because it will be tested in a
real-world setting in collaboration with engaged, knowledgeable and influential community
partners.
approaches to obesity prevention show some promise, most studies have not shown excess weight
gain reductions. Moreover, few childhood obesity prevention studies significantly engage
parents or focus on the home environment, which is essential to promote healthy behaviors at
home. Children in rural communities are particularly vulnerable regarding increased risk for
obesity; thus, successful programs that engage families in rural communities to prevent
excess weight gain are critical. The proposed research project, New Ulm at Home (NU-HOME), is
a unique collaboration between leaders in a rural community (New Ulm, Minnesota) and
successful academic obesity researchers. The residents of New Ulm are poised for and are
requesting interventions to promote healthful behavior change, particularly for youth. In
conjunction with our many community stakeholder groups, the objective of the proposed
research is to test the effectiveness of the NU-HOME program, a 7-month, family-based health
promotion intervention to prevent excess weight gain (assessed via BMI z-score) among 7-10
year old children (n=120) in the New Ulm rural community. The intervention program is based
on Social Cognitive Theory and a socio-ecological framework and will focus on novel health
promotion components to prevent childhood obesity, including: 1) promoting regular meals in
which family members cook and eat together (i.e., family meals), 2) promoting
nutritionally-sound and appropriately-portioned snacks and meals, 3) reducing sedentary
behavior, particularly screen time in the home setting, and 4) promoting physical activity
through collaboration with community partners. The NU-HOME study is designed in four stages,
including substantial formative work between the academic and community partners, a two-arm
randomized controlled trial (RCT; intervention and wait-list control), and two activities to
facilitate sustainability (delayed intervention delivery for control group participants and
dissemination). A community-based participatory research (CBPR) approach will be used to
adapt an existing program, HOME Plus that was piloted and shown to be effective in urban
communities. The NU-HOME program has high translation potential and is likely to be
immediately useful to rural families of school-age children because it will be tested in a
real-world setting in collaboration with engaged, knowledgeable and influential community
partners.
Inclusion Criteria:
- child between the ages of 7-10 who lives with the target adult at least 50% of the
time
- parent/guardian must be the primary-meal preparing parent/guardian
Exclusion Criteria:
- planning to move out of the area in the next 6 months
- medical condition that would prevent family from participating in group sessions
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