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Clinical TrialNCT04469816

AFRI Childhood Obesity Prevention Challenge Area

A study testing Family Check-Up 4 Health and Services as Usual in people with Clinical Trial, run by Arizona State University at 4 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study is a hybrid type 2 effectiveness-implementation trial of the Family Check-Up 4 Health (FCU4Health), an adapted version of the Family Check-Up, in pediatric primary care. Read more about this study

Who is it for?
Ages 2 to 5 yearsHealthy volunteers can take part
Conditions the study is for
Clinical Trial
What is being tested?
Family Check-Up 4 Health and Services as Usual
Could I receive a placebo?
No, everyone receives an active treatment
How many people
217 participants
Where
4 sitesUnited States
Study dates
17 May 2017to 31 Jan 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 5 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Participating caregiver who is at least 18 years of age and understands English and/or Spanish well enough to complete study assessment.

Who cannot join

  • Two exceptions: (1) Children with special needs that preclude engagement in a nutrition-based behavioral intervention (e.g., g-tube dependence) and (2) children who are in state custody.

Trial locations and contacts

4 sites in 1 country.

United States4 sites
  • Avondale School District

    Avondale, Arizona, 852323

  • Bayless Integrated Healthcare

    Avondale, Arizona, 85323

  • Care1st Avondale Resource and Housing

    Avondale, Arizona, 85323

  • Arizona State University

    Tempe, Arizona, 85281

Other trials in United States

About this study

Official title: The Family Check-Up for Health: A Family-Centered Health Maintenance Approach to Improve Nutrition and Prevent Obesity in Early Childhood

This study is a hybrid type 2 effectiveness-implementation trial of the Family Check-Up 4 Health (FCU4Health), an adapted version of the Family Check-Up, in pediatric primary care. Patients will be recruited based on their age (2-5 years old) and randomized to receive the intervention, FCU4Health, or services as usual. All families will be assessed annually over three years.

Read the detailed description

The FCU4Health is an assessment-driven, Motivational Interviewing (MI) based, parent training program. Parents complete a comprehensive assessment, including questionnaire of the family environment, parenting skills, and child adjustment and health behaviors, and additional observation data. The FCU4Health coordinator reviews the assessment results with the parents, using MI strategies to engage families in making change to support child behavioral health, and to create tailored follow-up services which include parent training modules and referrals to additional support services in the community.

Conditions
Clinical Trial
Being tested
Family Check-Up 4 Health, Services as Usual
Keywords
Hybrid design, Implementation, Effectiveness, Parent Training, Cost-Effectiveness, Primary Care, Integrated Behavioral Health, Family-Based Prevention, Family Check-Up 4 Health, Fidelity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Family Check-Up 4 HealthBehavioural

    Also called FCU4Health

    A parent-training intervention to improve child health, school readiness and manage obesity.

  • Services as UsualOther

    Services/Treatment as usual.

Study groups in NCT04469816
Study groupRoleWhat they receive
Behavioral: Family Check-Up 4 HealthExperimentalFamilies will receive the FCU4Health program 3 times annually in a health maintenance model. The FCU4Health coordinator reviews the assessment results with the parents, using motivational interviewing strategies to create a tailored plan to address family needs. This plan may include referrals to community resources or parenting modules that focus on family management.
Receives: Behavioral: Family Check-Up 4 Health
Control-Services as UsualExperimentalFamilies will continue with their medical standard of care and referrals for services as appropriate from the healthcare staff in their respective FQHCs or primary healthcare clinics. Families will receive brochures about the community programs to which families in the FCU4Health arm are referred.
Receives: Other: Services as Usual

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Changes in the Family Health Behavior Scale

    Family Mealtime Routines. Minimum Value: 0. Maximum Value: 20. Where higher scores mean a better outcome.

    Measured: The investigators will examine trajectories of family mealtime routines over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  2. Changes in the HABITS questionnaire

    Child Food and Beverage Choices. Food Minimum Value: 0. Maximum Value: 24. Where higher food scores mean a better outcome and higher beverage scores mean a worse outcome.

    Measured: The investigators will examine trajectories of child food and beverage choices over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  3. Changes in the Family Health Behavior Scale

    Child Eating Behaviors. Minimum Value: 0. Maximum Value: 20. Where higher scores mean a worse outcome.

    Measured: The investigators will examine trajectories of child eating behaviors over 3 annual assessments (baseline, 1-year, 2-year follow-up).

Secondary outcomes (16)
  1. Strengths and Difficulties Questionnaire

    Conduct Problems. Minimum Value: 0. Maximum Value: 2. Where higher scores mean a worse outcome.

    Measured: The investigators will examine trajectories of child conduct problems over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  2. Children's Behavior Questionnaire

    Effortful Control. Minimum Value: 1. Maximum Value: 5. Where higher scores mean a better outcome.

    Measured: The investigators will examine trajectories of child effortful control over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  3. Strengths and Difficulties Questionnaire

    Prosocial Behavior. Minimum Value: 0. Maximum Value: 2. Where higher scores mean a better outcome.

    Measured: The investigators will examine trajectories of prosocial behavior over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  4. Strengths and Difficulties Questionnaire

    Emotional Problems. Minimum Value: 0. Maximum Value: 2. Where higher scores mean a worse outcome.

    Measured: The investigators will examine trajectories of emotional problems over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  5. Brief Infant Sleep Questionnaire

    Sleep Routines. Minimum Value: 0. Maximum Value: 24. Where higher scores mean a better outcome.

    Measured: The investigators will examine trajectories of child sleep routines over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  6. Media Parenting Scale

    Media Routines. Minimum Value: 0. Maximum Value: 24. Where higher scores mean a better outcome.

    Measured: The investigators will examine trajectories of child media routines over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  7. The Family Health Behavior Scale

    Child Physical Activity Habits. Minimum Value: 0. Maximum Value: 24. Where higher scores mean a better outcome.

    Measured: The investigators will examine trajectories of child physical activity habits over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  8. Trajectories of Community Action for Successful Youth Measure (See Reference Section for citing of title)

    Parenting Warmth. Minimum Value: 1. Maximum Value: 25. Where higher scores mean a worse outcome.

    Measured: The investigators will examine trajectories of parenting warmth over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  9. Trajectories of Community Action for Successful Youth Measure (See Reference Section for citing of title)

    Family Conflict. Minimum Value: 0. Maximum Value: 6. Where higher scores mean a worse outcome.

    Measured: The investigators will examine trajectories of family conflict over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  10. Child-parent relationship scale

    Parent Child Conflict. Minimum Value: 1. Maximum Value: 25. Where higher scores mean a worse outcome.

    Measured: The investigators will examine trajectories of parent child conflict over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  11. Center for Epidemiologic Studies Depression Scale

    Depression. Minimum Value: 0. Maximum Value: 80. Where higher scores mean a worse outcome.

    Measured: The investigators will examine trajectories of parent depression over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  12. Trajectories of Parenting Daily Hassles (See Reference Section for citing of title)

    Parenting Stress. Minimum Value: 1. Maximum Value: 4. Where higher scores mean a worse outcome.

    Measured: The investigators will examine trajectories of parenting stress over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  13. Tool for Substance Use Screening

    Parent Substance Use. Minimum Value: 0. Maximum Value: 1. Where higher scores mean a worse outcome.

    Measured: The investigators will examine trajectories of parent substance use over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  14. Trajectories of Parenting Young Children (See Reference Section for citing of title)

    Incentive and Encouragement. Minimum Value: 0. Maximum Value: 4. Where higher scores mean a better outcome.

    Measured: The investigators will examine trajectories of incentive and encouragement over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  15. Trajectories of Parenting Young Children (See Reference Section for citing of title)

    Proactive Parenting. Minimum Value: 0. Maximum Value: 4. Where higher scores mean a better outcome.

    Measured: The investigators will examine trajectories of proactive parenting over 3 annual assessments (baseline, 1-year, 2-year follow-up).

  16. Trajectories of Parenting Young Children (See Reference Section for citing of title)

    Limit Setting. Minimum Value: 0. Maximum Value: 4. Where higher scores mean a better outcome.

    Measured: The investigators will examine trajectories of parent limit setting over 3 annual assessments (baseline, 1-year, 2-year follow-up).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Jul 2020
  2. Study start17 May 2017
  3. Primary completion29 Jan 2024
  4. Study completion31 Jan 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
217 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04469816
Sponsor's protocol ID
FP00008342
Status last verified
May 2025
First submitted
26 Jun 2020
Last updated
25 May 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Crnic KA, Greenberg MT. Minor parenting stresses with young children. Child Dev. 1990 Oct;61(5):1628-37. doi: 10.1111/j.1467-8624.1990.tb02889.x.

    PubMed 2245752
  • McEachern AD, Dishion TJ, Weaver CM, Shaw DS, Wilson MN, Gardner F. Parenting Young Children (PARYC): Validation of a Self-Report Parenting Measure. J Child Fam Stud. 2012 Jun;21(3):498-511. doi: 10.1007/s10826-011-9503-y.

    PubMed 22876108
  • Stormshak EA, DeGarmo D, Garbacz SA, McIntyre LL, Caruthers A. Using Motivational Interviewing to Improve Parenting Skills and Prevent Problem Behavior During the Transition to Kindergarten. Prev Sci. 2021 Aug;22(6):747-757. doi: 10.1007/s11121-020-01102-w.

    PubMed 32036553
  • Berkel C, Smith JD, Bruening MM, Jordan N, Fu E, Mauricio AM, Grimm KJ, Winslow E, Ray K, Bourne A, Dishion TJ. The Family Check-Up 4 Health: Study protocol of a randomized type II hybrid effectiveness-implementation trial in integrated primary care (the healthy communities 4 healthy students study). Contemp Clin Trials. 2020 Sep;96:106088. doi: 10.1016/j.cct.2020.106088. Epub 2020 Jul 22.

    PubMed 32707101

Questions about this trial

What is this clinical trial studying?

A study testing Family Check-Up 4 Health and Services as Usual in people with Clinical Trial, run by Arizona State University at 4 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 25 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in the Family Health Behavior Scale (time frame: The investigators will examine trajectories of family mealtime routines over 3 annual assessments (baseline, 1-year, 2-year follow-up).). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04469816, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 May 2025; AzTrials last refreshed its copy on 6 Nov 2026.

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