Armstrong 2019.

Study name	CHAMP: a cluster randomized‐control trial to prevent obesity in child care centers
Methods	Study design: cluster‐RCT
Participants	Service type: centre‐based Country (region): USA (Maryland) Number of services participating: 54
Interventions	Number of conditions: 2 interventions, 1 control Intervention strategies: Intervention 1: CHAMP Health curriculum Children Curriculum: physical activity programme (Get Movin’ with Mighty Moves®) to increase gross motor skills and healthful eating programme (Fun with New Foods®), including nutrition activities and opportunities to try new foods Ethos and environment ECEC staff Workshops: ECEC staff will receive 2 training sessions during the year which last approximately 1–2 h each. During the training sessions, staff are provided with general psychoeducation regarding childhood obesity, food neophobia and gross motor development. Materials: detailed implementation manuals on lesson plans and classroom activities will be provided to ECEC staff. ECEC staff and directors will receive a printed manual and have access to a staff website where they can access weekly lesson plans, handouts, additional resources and programme content including music to accompany lessons. Each week, lesson plans are emailed or texted to ECEC staff. Intervention 2: CHAMP + Health curriculum Children Curriculum: physical activity programme (Get Movin’ with Mighty Moves®) to increase gross motor skills and healthful eating programme (Fun with New Foods®), including nutrition activities and opportunities to try new foods. Ethos and environment ECEC staff Workshops: ECEC staff will receive 2 training sessions during the year which last approximately 1–2 h each. During the training sessions, ECEc staff are provided with general psychoeducation regarding childhood obesity, food neophobia and gross motor development. Materials: detailed implementation manuals on lesson plans and classroom activities will be provided to ECEC staff. ECEC staff and directors will receive a printed manual and have access to a staff website where they can access weekly lesson plans, handouts, additional resources and programme content including music to accompany lessons. Each week, lesson plans are emailed or texted to ECEC staff. ECEC staff will also receive additional information about the caregiver website. Partnerships Families Education: caregivers were given access to a caregiver education website, hosted by the university. Each week, caregivers will be provided content on physical activity, nutrition, and wellness topics relevant to caregivers of preschoolers and co‐ordinated with the activities conducted in the classrooms. Quizzes and monthly challenges will be available to increase caregiver interaction with the online content. Caregivers will be notified weekly (by email or text message) when new content is available on the website.
Outcomes	Outcomes relating to child dietary intake: Fruit intake, vegetable intake, beverage consumption, red meats intake, processed meats intake, take‐out food intake, snack food intake, dessert intake Outcomes relating to child anthropometric measures: Height, weight, waist circumference, BMI
Starting date	June 2016
Contact information	Dr Maureen M Black, mblack@som.umaryland.edu
Notes	ClinicalTrials.gov: NCT03111264