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. 2023 Jun 12;2023(6):CD013862. doi: 10.1002/14651858.CD013862.pub2

Yin 2019.

Study name Study protocol for a cluster randomized controlled trial to test "¡Míranos! Look at Us, We Are Healthy!" ‐ an early childhood obesity prevention program
Methods Study design: cluster‐RCT
Participants Service type: centre‐based
Country (region): USA (San Antonio)
Number of services participating: 12
Interventions Number of conditions: 1 relevant intervention, 1 non‐ECEC intervention 1 control
Intervention strategies:
Health curriculumChildren
Curriculum: 9 modules with short, age‐appropriate learning activities, hands‐on games, and interactive DVD activities (The Get Healthy Now Show) will be integrated into daily centre routines.
Ethos and environmentChildren
Exposure: children will participate in daily physical activity (30‐min structured and 60‐min non‐structured play) during outdoor/indoor play, learning centre time, and transitions. Teachers will use ¡Míranos! Activity Cards (at least one card/d) and equipment supplied by the study to meet the physical activity goals.
ECEC staff
Wellness program: a staff wellness programme, which consists of a staff wellness manual and challenges, to improve staff's own health and become healthy role models for the children at the centre
Materials: teachers will have access to a wellness manual and the ¡Míranos! eBook that will provide weekly intervention schedules, electronic copies of intervention activities, access to online movement music and videos, and online audio/video versions of the children’s storybooks. Posters to track staff progress will be posted in a staff‐only area and centre directors will report the number of staff who participated in the challenge and who achieved their goal to receive cash incentives for their centre.
Service
Policy: nutrition policies will be modified to include best practices.
Meal modifications: menus will be modified to meet best practices and will be covered by supplemental funding from the study.
Materials: a training DVD will be provided to detail lesson implementation and demonstrate gross motor activities to help teachers develop confidence and overcome challenges in leading the activities and to reinforce key concepts from the staff training.
Outcomes Outcomes relating to child dietary intake:
Fruit intake, vegetable intake, beverage consumption
Outcomes relating to child anthropometric measures:
Height, weight, BMI, BMI z‐score
Starting date May 2018
Contact information Professor Zenong Yin, zenong.yin@utsa.edu
Notes ClinicalTrials.Gov: NCT03590834