We will test the effectiveness of the Family Check-Up 4 Health (FCU4Health) intervention in a type I hybrid trial to simultaneously evaluate clinical effectiveness and the implementation process.
FCU4Health is an adaptation of the Family Check-Up (FCU), an evidence-based family-centered intervention. The program targets parenting behaviors to improve child nutrition and other family health routines. It includes a brief initial interview, an assessment of the child and family, and a feedback and motivation session for all families, followed by family support intervention(s) that are individually-tailored in content and dosage based on needs identified in the assessment. Family support sessions are derived from Everyday Parenting, a 12-module skills-based curriculum focusing on relationship quality, positive behavior support, and monitoring and limit setting. FCU4Health has been tested in a randomized hybrid II trial conducted in partnership with three primary care clinics to address obesity for patients 6-12 years old with elevated BMI (≥ 85th percentile). The current study focuses on obesity prevention by improving childhood nutrition among 2-5-year-olds. Specifically, we will deliver the FCU4Health three times (annually) to diverse, low-income families. Each year, families will complete a comprehensive assessment, parent training modules that address their specific parenting needs, and referrals to community resources to address contextual needs (e.g., food insecurity).
We will conduct a type I hybrid effectiveness and implementation trial of FCU4Health in a population of predominantly low-income and Latino families. Families will be recruited from an integrated behavioral health and primary care clinic, preschool, and a family resource center and randomized to the intervention (n = 130) or usual care (n = 70). Multiple implementation outcomes, including acceptability, feasibility, fidelity, and reach will be assessed and the economic impact of FCU4Health will be evaluated.
Conclusion and Implications
The FCU4Health is unique in its approach to improving pediatric nutrition through a focus on parenting. It is also one of the first parenting interventions to be delivered in primary care.