Healthy Habits, Happy Homes: An Intervention to Improve Household Routines for Obesity Prevention

Study Summary

While childhood obesity rates may have plateaued in some US population subgroups, such as whites and those of higher socioeconomic status, overall rates of obesity remain high and racial/ethnic and socioeconomic disparities appear to be widening. Among the most promising approaches for childhood obesity prevention and management are interventions that begin early in life and that support change at the individual and community levels. The goal of this project is to develop and test an intervention delivered to racial/ethnic minority and low income parents of 2-5 year old children in their homes, designed to promote adoption of household routines and parenting strategies that are preventive of obesity. To achieve this goal, the investigators will work with community health centers in Boston, Cambridge, and Somerville to recruit families to participate in an individual-level randomized controlled trial. The investigators partner community health centers include the Roxbury Comprehensive Community Health Center, Dimock Community Health Centers, and the Cambridge Health Alliance (CHA). Participants will be randomized to receive either 1) mailed educational materials for the duration of the 6-month program (control), or 2) home-based health coaching visits and phone calls with a health educator, text messages, and educational materials promoting the adoption of household routines and target behaviors (intervention). The investigators goal is to evaluate the feasibility and effectiveness of the investigators designed intervention (as compared to the control condition) using baseline and post-intervention data. In order to do so, the investigators will assess change from baseline to post-intervention in the investigators key behavioral outcomes of interest, including adoption of three household routines: 1. Regularly eating meals together as a family 2. Obtaining adequate sleep 3. Limiting screen-viewing time

Primary Outcome

Using parent self-report surveys, we will assess change from baseline to post-intervention in parent and child behaviors related to the following health outcomes: * TV viewing, including TV in the room where the child sleeps, time spent watching TV, total screen time * Sleep, including parent and child sleep duration and presence of a calming nighttime routine * Diet, including eating meals together as a family, lowering intake of fast food, and lowering intake of sugar-sweetened beverages

Interventions

• BEHAVIORAL Home-Based Health Coaching
• BEHAVIORAL Mailed materials