iCOOK: a 4-H program to prevent childhood obesity by teaching children and parents to cook together, eat together, and play together

ISRCTN ISRCTN54135351
DOI https://doi.org/10.1186/ISRCTN54135351
Secondary identifying numbers 1305044336R003
Submission date
03/01/2018
Registration date
11/01/2018
Last edited
16/09/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Childhood obesity is a growing concern. Body mass index is a measurement of body fat based on height and weight. iCook 4-H follows a multifaceted family intervention model to approach childhood obesity prevention from three distinct, yet complementary, perspectives: cooking together, eating together, and playing together. At the core of iCook 4-H’s mission is its innovative concept of bringing parents and children together to work toward a healthier lifestyle as a team. In its curriculum, the program uses Social Cognitive Theory, a learn by watching model, and the Experiential 4-H Learning Model, centered around a trifecta of doing, reflecting, and applying. Existing 4-H curricula, including Fast Foods and Youth in Motion, were adapted and utilized as resources for the program. Children are introduced to basic knife skills, recipe following, family play time opportunities, and the importance of family meals in their daily routine. Additionally, participants learn how to create well-balanced meals. Parents gain valuable information about meal planning and preparation to promote healthy and more frequent family meals. Altogether, iCook 4-H is a 5-year project for a dyad (parent-child) model. The aim of this study is to positively impact the body mass index score of children through education and training.

Who can participate?
Youth aged 9 to 10 years old and their adult primary meal preparer.

What does the study involve?
Participants are randomly allocated to one of two groups. Those in first group engage in classes that are designed to increase competency in cooking skills, family meal times, and physical activity. Those in the second group receive no education or training. Measurements, including child body mass index and adult and child surveys, are assessed at the start and at four, 12, and 24 months after completing the study.

What are the possible benefits and risks of participating?
Benefits to participating in the study: both children and adults will gain knowledge and experience to improve culinary skills, child feeding practices, family meal times, and physical activity. Participation in this study will help to assist in creating healthier habits and environment for children. Potential to improve culinary skills and family time as well as the prevention of weight gain and chronic disease. There are some risks in learning to use culinary tools, but part of the skills are to learn how to use these tools safely and can be used for a lifetime of healthy meal preparation.

Where is the study run from?
This study is being run by the West Virginia University (USA) and takes place in Universities in the USA.

When is the study starting and how long is it expected to run for?
July 2012 to July 2018

Who is funding the study?
U.S. Department of Agriculture (USA)

Who is the main contact?
Dr Melissa Olfert

Contact information

Dr Melissa Olfert
Public

West Virginia University
Lifestyle Intervention Olfert Research Lab
G25 Agricultural Sciences Building
333 Evansdale Drive
Morgantown
26506
United States of America

Study information

Study designA multi-site randomised controlled interventional study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Community
Study typePrevention
Participant information sheet No participant information sheet available.
Scientific titleiCOOK: A 4-H program to promote culinary skills and family meals for obesity prevention
Study objectivesA 24-month intervention study, based on building foundational skills for competency in culinary skills, family meal times, and physical activity, will positively impact the body mass index (BMI) Z scores of children compared to a control condition at 4, 12, and 24 months.
Ethics approval(s)The Internal Review Board at West Virginia University, 01/02/2011, ref: 1305044336R003
Health condition(s) or problem(s) studiedChildhood obesity prevention
Intervention9-10-year-old youth (and the adult primary meal preparer) are randomly assigned to either the control arm (no treatment) or the intervention arm.

In the intervention group, child and parent dyads participate in 8 two-hour instructional and hands-pn classes focused on culinary skills, family meal times, and physical activity. These classes are conducted by trained researchers. The goal of these classes is to teach obesity prevention habits to both parents and children. In the control group, the child and parent dyads receive no education or training. Outcome measures are taken at baseline and 4, 12, and 24 months follow up.
Intervention typeBehavioural
Primary outcome measureBody mass index (BMI) z scores of children are assessed with height and weight measurements at baseline, 4, 12 and 24 months.
Secondary outcome measures1. Dietary quality is measured using surveys at baseline, 4, 12, and 24 months
2. Physical activity is measured using surveys at baseline, 4, 12, and 24 months
3. Cooking skills measured using surveys at baseline, 4, 12, and 24 months
4. Family Mealtime characteristics is measured using surveys at baseline, 4, 12, and 24 months
5. Quality of life is measured using surveys at baseline, 4, 12, and 24 months
6. Kitchen proficiency, food-related behaviour, feeding relationship, family mealtime routine, family dynamics and quality of life of the primary adult meal preparer are assessed using surveys at baseline, 4, 12 and 24 months
Overall study start date26/07/2012
Completion date26/07/2018

Eligibility

Participant type(s)Healthy volunteer
Age groupMixed
SexBoth
Target number of participants500
Total final enrolment228
Key inclusion criteriaYouth aged 9 to 10 years old and the adult primary meal preparer.
Key exclusion criteria1. Any kind of food allergy or sensitivity
2. Physical or medical limitations
3. No home internet
4. No parent willing to participate
5. Unwilling to eat meat or dairy
Date of first enrolment01/09/2013
Date of final enrolment01/09/2015

Locations

Countries of recruitment

  • United States of America

Study participating centres

West Virginia University
26505
United States of America
University of Maine
04469
United States of America
University of Tennessee
37996
United States of America
University of Nebraska-Lincoln
68588
United States of America
South Dakota State University
57007
United States of America

Sponsor information

West Virginia University
University/education

1 Waterfront Place
Morgantown
26505
United States of America

ROR logo "ROR" https://ror.org/011vxgd24

Funders

Funder type

Government

U.S. Department of Agriculture
Government organisation / National government
Alternative name(s)
United States Department of Agriculture, Department of Agriculture, U.S. Dept. of Agriculture, USDA
Location
United States of America

Results and Publications

Intention to publish date31/12/2019
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planExact plans for publication and dissemination are unknown at this time, but planned publication in a high-impact peer reviewed journal is expected in 2019. Additional study documents (study protocol, statistical analysis plan, etc.) will be available upon request. Please contact Dr. Melissa Olfert (Melissa.olfert@mail.wvu.edu) for requests for this information.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Dr. Melissa Olfert (Melissa.olfert@mail.wvu.edu).

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 29/08/2019 16/09/2019 Yes No

Editorial Notes

16/09/2019: Publication reference and total final enrolment added.