Development of a Digital Parent Intervention to Promote Healthy Eating and Activity in Preschoolers: The eHEROs Study.
Laura L Bellows, Shariwa Oke, Ligia I Reyes...
https://pubmed.ncbi.nlm.nih.gov/39918513/Actively Recruiting
Led by Cornell University · Updated on 2026-02-12
60
Participants Needed
1
Research Sites
N/A
Total Duration
This research aims to evaluate the KnowHow program, a 10-week digital intervention designed to promote healthy eating and activity behaviors among families with young children. The study focuses on assessing how feasible and acceptable this program is for parents of preschool-aged children, including how well families engage with the program and their intentions to continue its practices. The intervention targets health behavior improvements in early childhood by providing parent education on mindful parenting, nutrition, and physical literacy. The KnowHow program includes three main components a custom mobile app delivering educational content and activities, virtual group discussions held via Zoom, and child-centered support materials mailed to families. The app is organized into five modules containing lessons, activities, and assessments focused on mindful parenting, healthy eating, and physical activity. Two groups are studied one receives the 10-week intervention, and a delayed control group does not receive the program during the study period but gains access afterward. Participants will be assessed at baseline week 0 and after the 10-week intervention post-test for several outcomes including recruitment, retention, usability, acceptability, digital engagement, and intention to sustain behaviors. Behavioral outcomes such as mindful parenting, parent-child feeding practices, and physical activity parenting practices are measured before and after the intervention. Parent self-efficacy and behavioral skills are also evaluated. The total study duration for participants is 10 weeks, with no additional assessments for the control group after the intervention period.
CONDITIONS
A Digital Intervention to Promote Preschool Nutrition and Activity: The eHEROs Study
L
Laura L Bellows, PhD, MPH, RDN
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Cornell University
Lead Sponsor
United States Department of Agriculture (USDA)
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | KnowHow Program (digital parent education) | Wait List (no intervention) | Standard early education support |
|---|---|---|---|
| What it is | A 10‑week digital parent education program with mobile app modules, online group sessions, and mailed materials to support mindful parenting, healthy eating, and physical activity behaviors in preschoolers. | Families receive no active intervention during the study period. | Typical early childhood education programs support healthy eating and physical activity through nutrition standards, movement routines, and limiting screen time. |
| Role in trial | Experimental intervention being tested in the study. | Control condition serving as comparison without intervention. | Represents the support typically available to preschoolers outside the trial within early childhood education. |
| Primary use | To teach parents mindful strategies for promoting healthy eating and physical activity in preschoolers. | No intervention delivered during study period. | To create environments that foster healthy habits through food choice standards, activity, and limited screen time. |
| How it is given or performed | Delivered via a mobile app with five modules, virtual group meetings through video calls, and mailed child activity materials over 10 weeks. | No delivery; families wait without receiving intervention components. | Typically delivered through in‑person childcare settings with set nutritional and movement routines. |
| Evidence status | Feasibility is being assessed; outcomes include usability, engagement, mindful parenting and behavior intentions. | Serves as the comparison baseline; no outcomes are expected beyond natural progression. | Evidence supports that ECE nutrition and physical activity practices help establish healthy habits, though parent‐delivered digital interventions remain under evaluation. |
| Important risks | No known risks beyond typical digital program concerns (e.g., screen time, privacy), none specified in the registry. | No risks; participants receive no intervention. | Routine educational practices have minimal risk when implemented according to guidelines. |
| Important limitations | Small sample feasibility study; effects on child behavior not yet established via digital parent intervention. | No intervention limits ability to assess active components; natural change may confound measurements. | ECE practices vary widely; not tailored to individual family needs and may lack mindful parenting components. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person or virtual) to confirm eligibility
Duration - 10 weeks
Participants engage in the 10-week KnowHow digital intervention program that includes a mobile app, virtual group discussions, and mailed child-centered support materials to promote healthy eating and activity behaviors.
Baseline and post-intervention assessments conducted via 2 visits (virtual or in-person)
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Laura L Bellows, Shariwa Oke, Ligia I Reyes...
https://pubmed.ncbi.nlm.nih.gov/39918513/Cornell University
Lead Sponsor
United States Department of Agriculture (USDA)
Collaborating Sponsor