Universal childhood obesity prevention in a rural community: Study design, methods and baseline participant characteristics of the NU-HOME randomized controlled trial

Jayne A Fulkerson¹, Melissa L Horning², Daheia J Barr-Anderson³, Jennifer A Linde⁴, Abbey C Sidebottom⁵, Rebecca Lindberg⁶, Sarah Friend⁷, Colleen Flattum⁸, Rebecca L Freese⁹

Affiliations

¹ School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA. Electronic address: fulke001@umn.edu.
² School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA. Electronic address: horn0199@umn.edu.
³ School of Kinesiology, University of Minnesota, 1900 University Ave SE, Cooke Hall 209, Minneapolis, MN 55455, USA. Electronic address: barra027@umn.edu.
⁴ Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S. 2(nd) St., Suite 300, Minneapolis, MN 55454, USA. Electronic address: linde074@umn.edu.
⁵ Care Delivery Research, Allina Health, 710 East 24(th) Street, MR 43402, Minneapolis, MN 55404, USA. Electronic address: abbey.sidebottom@allina.com.
⁶ Minneapolis Heart Institute Foundation, 920 East 28(th) Street, Suite 100, Minneapolis, MN 55407, USA.
⁷ School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA. Electronic address: adki0032@umn.edu.
⁸ Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S. 2(nd) St., Suite 300, Minneapolis, MN 55454, USA. Electronic address: flatt018@umn.edu.
⁹ Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota, 717 Delaware Street, SE, Minneapolis, MN 55414, USA. Electronic address: frees048@umn.edu.

PMID: 33002598
PMCID: PMC8011038
DOI: 10.1016/j.cct.2020.106160

Universal childhood obesity prevention in a rural community: Study design, methods and baseline participant characteristics of the NU-HOME randomized controlled trial

Jayne A Fulkerson et al. Contemp Clin Trials. 2021 Jan.

. 2021 Jan:100:106160.

doi: 10.1016/j.cct.2020.106160. Epub 2020 Sep 28.

Authors

Jayne A Fulkerson¹, Melissa L Horning², Daheia J Barr-Anderson³, Jennifer A Linde⁴, Abbey C Sidebottom⁵, Rebecca Lindberg⁶, Sarah Friend⁷, Colleen Flattum⁸, Rebecca L Freese⁹

Affiliations

¹ School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA. Electronic address: fulke001@umn.edu.
² School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA. Electronic address: horn0199@umn.edu.
³ School of Kinesiology, University of Minnesota, 1900 University Ave SE, Cooke Hall 209, Minneapolis, MN 55455, USA. Electronic address: barra027@umn.edu.
⁴ Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S. 2(nd) St., Suite 300, Minneapolis, MN 55454, USA. Electronic address: linde074@umn.edu.
⁵ Care Delivery Research, Allina Health, 710 East 24(th) Street, MR 43402, Minneapolis, MN 55404, USA. Electronic address: abbey.sidebottom@allina.com.
⁶ Minneapolis Heart Institute Foundation, 920 East 28(th) Street, Suite 100, Minneapolis, MN 55407, USA.
⁷ School of Nursing, University of Minnesota, 5-140 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455, USA. Electronic address: adki0032@umn.edu.
⁸ Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S. 2(nd) St., Suite 300, Minneapolis, MN 55454, USA. Electronic address: flatt018@umn.edu.
⁹ Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota, 717 Delaware Street, SE, Minneapolis, MN 55414, USA. Electronic address: frees048@umn.edu.

PMID: 33002598
PMCID: PMC8011038
DOI: 10.1016/j.cct.2020.106160

Abstract

Childhood obesity is a major health concern in the United States (US) and those living in rural communities are at higher risk than their urban counterparts. Few prevention trials have engaged whole families of school-age children in community settings, and none to date have promoted family meals, family activity and healthful home environments in rural settings through a rigorous, randomized controlled trial (RCT). The New Ulm at HOME (NU-HOME) study recruited 114 parent/child dyads in a two-arm (intervention versus wait-list control) RCT to test the efficacy of a family meals-focused program aimed to prevent excess weight gain among 7-10 year-old children in rural Minnesota. The NU-HOME program was adapted from a previously tested program for urban families through a unique community collaboration. The program included 7 monthly in-person sessions for all family members. Parents also participated in 4 motivational goal-setting phone calls. The primary outcome measures were age- and sex-adjusted child body mass index (BMI) z-score, percent body fat, and incidence of overweight and obesity post-intervention. Secondary outcomes included quality of food and beverage availability in the home; family meals and snacks; children's dietary intake quality (e.g., Healthy Eating Index (HEI)-2015, fruits and vegetables, sugar-sweetened beverages, snacks); and children's screen time and weekly minutes of moderate-to-vigorous physical activity, total physical activity, and sedentary behavior. The NU-HOME RCT was a collaborative effort of academic and health system researchers, interventionists and community leaders that aimed to prevent childhood obesity in rural communities through engagement of the whole family in an interactive intervention.

Trial registration: ClinicalTrials.gov NCT02973815.

Keywords: Family; Family meals; Home; Intervention; Obesity; Rural.

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Figures

**Figure 2.**
NU-HOME Consort Flow Diagram for Randomized Clinical Trial

See this image and copyright information in PMC

References

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Universal childhood obesity prevention in a rural community: Study design, methods and baseline participant characteristics of the NU-HOME randomized controlled trial

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Universal childhood obesity prevention in a rural community: Study design, methods and baseline participant characteristics of the NU-HOME randomized controlled trial

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