Preparing Child Care Health Consultants to address childhood overweight: a randomized controlled trial comparing web to in-person training.
OBJECTIVE
Child care centers have recently become targets for overweight prevention efforts directed at young children. Child Care Health Consultants (CCHCs), who provide consultation to these centers, receive little training on the basic nutrition and physical activity principles important for the promotion of child healthy weight. Traditional approaches, such as in-person training, are limited in their ability to disseminate health information to a geographically diverse population of health professionals. The purpose of this study was to determine if web-based training is as effective as in-person training.


METHODS
A randomized controlled trial was conducted between August 2005 and June 2006 with 50 CCHCs. Web-based and in-person trained CCHCs were compared to each other and to controls. The main outcome of this study was performance on a test of nutrition knowledge related to childhood overweight measured by a 28-item multiple choice test administered pre- and post-training.


RESULTS
Results from the ANCOVA model suggest that web trained CCHCs performed similarly to in-person trained CCHCs on the knowledge test (P < .0001). Additionally, both training groups improved significantly compared to controls (P < .0001 for each group).


CONCLUSIONS
This study found no significant differences in post-training knowledge between in-person and web trained Child Care Health Consultants. Scores on the post-training knowledge test were within 0.5 points for the in-person and web trained groups. These results demonstrate that web-based instruction is as effective as in-person training on improving basic nutrition and physical activity knowledge for promoting healthy weight in preschool children.
Benjamin
Sara E
SE
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA. sara_benjamin@harvardpilgrim.org
Tate
Deborah F
DF
Bangdiwala
Shrikant I
SI
Neelon
Brian H
BH
Ammerman
Alice S
AS
Dodds
Janice M
JM
Ward
Dianne S
DS
D000328:Adult; D002648:Child; D002656:Child Day Care Centers; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007318:Inservice Training / Q000379:methods*; D020407:Internet; D008297:Male; D008875:Middle Aged; D050177:Overweight / Q000517:prevention & control*; D012017:Referral and Consultation; D000078329:Workforce
J Med Internet Res. 2001 Apr-Jun;3(2):E16
11720958
JAMA. 2001 Mar 7;285(9):1172-7
11231746
Health Promot Pract. 2003 Apr;4(2):120-8
14610981
Teach Learn Med. 2004 Summer;16(3):255-9
15388381
J Public Health Manag Pract. 2004 Nov-Dec;10(6):556-63
15643380
J Soc Pediatr Nurs. 2001 Oct-Dec;6(4):170-81
11777330
Med Teach. 2006 Feb;28(1):e1-9
16627311
J Nutr Educ Behav. 2007 May-Jun;39(3):142-9
17493564
Postgrad Med J. 2006 Apr;82(966):274-9
16597816
Nurs Educ Perspect. 2004 Jul-Aug;25(4):171-5
15387510
Clin Exp Optom. 2005 Jan;88(1):46-52
15658926
Am J Clin Nutr. 2000 Apr;71(4):873-7
10731491
Public Health Nurs. 2005 Jan-Feb;22(1):8-16
15670320
Comput Nurs. 1994 Mar-Apr;12(2):89-97
8199929
Phys Ther. 2005 Mar;85(3):226-37
15733047
Nurse Educ Today. 2004 Aug;24(6):452-8
15312954
JAMA. 2005 Sep 7;294(9):1043-51
16145024
BMC Nurs. 2004 Oct 07;3(1):4
15469616
Pediatrics. 2005 Oct;116(4):e499-505
16199677
J Contin Educ Health Prof. 2002 Winter;22(1):33-42
12004639
Med Teach. 2006 Feb;28(1):85-8
16627332
Int J Med Inform. 2004 Sep;73(9-10):731-42
15325330
J Gen Intern Med. 2005 Jan;20(1):68-74
15693931
Med J Malaysia. 2005 Oct;60(4):432-40
16570704
Public Health Nutr. 2004 Apr;7(2):271-7
15003134
Int J Palliat Nurs. 2006 Mar;12(3):123-31
16628179
J Telemed Telecare. 2006;12(2):57-63
16539750
Matern Child Health J. 2004 Jun;8(2):87-93
15198176
Aust J Rural Health. 2006 Apr;14(2):51-5
16512789
Teach Learn Med. 2006 Summer;18(3):208-14
16776607
Am J Clin Nutr. 2003 Apr;77(4 Suppl):1019S-1024S
12663311
J Contin Educ Health Prof. 2000 Spring;20(2):106-19
11232219
J Appl Behav Anal. 2006 Spring;39(1):49-61
16602385
Matern Child Health J. 2000 Mar;4(1):67-75
10941762