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The Parents Together trial aims to determine if the Parents Together program consisting of virtual parent group sessions and coaching calls, will result in better health outcomes for children. The program which is facilitated by a Public Health Nurse seeks to encourage healthy lifestyle behaviours, help build strong family relationships, and promote child development and mental health.
This study will determine whether an intervention combining group-based parenting skills training and public health nurse coaching calls with a focus on healthy eating behaviours and nutrition, activity and sleep, compared to regular health care will lead to improved eating behaviours, movement behaviours, health and mental health in children aged 2-5 years and their caregivers.
Healthy children will be identified through primary care practices participating in The Applied Reearch Group for Kids (TARGet Kids!). Families who participate in this study will be randomly assigned to one of the two study groups that will run for 6-months:
Group A: Receive 8 weeks of group parenting education sessions and up to 4 public health nurse coaching calls. Group B: Receive regular health care.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention/treatment | Experimental | One or two caregivers of each enrolled child will attend an 8-week virtual parent/caregiver education program delivered by a Public Health Nurse. Additionally, the Public Health Nurse will deliver up to 4 individual coaching calls designed to address participant-identified goals related to the group content. The coaching calls will focus on helping to apply the messages and skills from the group sessions and making community connections. |
|
| Control | No Intervention | Participants randomized to the control group receive regular health care. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Parents Together parenting course | Behavioral | parenting course and coaching calls |
|
| Measure | Description | Time Frame |
|---|---|---|
| Child eating behaviours | Child Eating Behaviour Questionnaire (CEBQ) | 6 months post-randomization |
| Measure | Description | Time Frame |
|---|---|---|
| Dietary intake and food environment | Parent reported measures of dietary intake, and food environment (based on the Canadian Community Health Survey) | 6 months post-randomization |
| Nutritional risk |
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Inclusion Criteria:
Child enrolled in the The Applied Reearch Group for Kids (TARGet Kids!) cohort study Family is able to participate in English
Exclusion Criteria:
Children with a sibling already enrolled in the study Children with severe developmental delay or disability
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Catherine Birken, MD, MSc | Contact | 416-813-7654 | 301544 | catherine.birken@sickkids.ca |
| Michelle Mitchell | Contact | 416-525-5417 | michelle.mitchell@sickkids.ca |
| Name | Affiliation | Role |
|---|---|---|
| Catherine Birken, MD, MSc | The Hospital for Sick Children | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Michaels Hospital Pediatric Outpatient Clinic | Recruiting | Toronto | Ontario | Canada |
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Randomized control trial
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Nutrition Screeening Tool for Every Preschooler (NutriSTEP)
| 6 months post-randomization |
| Physical Activity, Sedentary Time, Sleep Duration | Parent reported measures of physical activity, sedentary time, and sleep duration (based on the Canadian Community Health Survey) | 6 months post-randomization |
| Physical activity | Parent reported measures of physical activity, sedentary time, and sleep duration (based on the Canadian Community Health Survey) | 6 months post-randomization |
| Social and emotional development | Strengths and Difficulty Questionnaire (SDQ) | 6 months post-randomization |
| Child development | Ages and Stages Questionnaire-3 (ASQ-3) | 6 months post-randomization |
| Family psychosocial health | Parenting Stress Index (PSI) and Patient Health Questionnaire (PHQ-9) | 6 months post-randomization |
| Parenting | Parenting Scale | 6 months post-randomization |
| Parenting sense of competence | Parenting Sense of Competency Scale-Revised (PSOC-R | 6 months post-randomization |
| sociodemographic, maternal and child characteristics | parent self-reported income, maternal education, ethnicity, immigration status, and marital status, questions about parents health, exposures during pregnancy, family medical history (based on the Canadian Community Health Survey) | 6 months post-randomization |
| zBMI | Measure the difference in age and sex-standardized BMI z-score (zBMI) using child height and weight | 6 months post-randomization |
| Waist circumference | Measure waist circumference using a tape measure | 6 months post-randomization |
| Blood pressure | Measurement of diastolic and systolic blood pressure in children Measurement of diastolic and systolic blood pressure in children Measurement of diastolic and systolic blood pressure in children Measurement of diastolic and systolic blood pressure in children | 6 months post-randomization |
| The Hospital for Sick Children | Recruiting | Toronto | Ontario | Canada |
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