Participants and family childcare homes
Our study used baseline data from the Healthy Start/Comienzos Sanos study, an 8-month cluster-randomized controlled trial designed to evaluate the efficacy of a multicomponent nutrition and physical activity intervention directed at English- and Spanish-speaking FCCHs (We recruited FCCHs from November 2015 through July 2018. Eligible homes had to be within 60 miles of Providence, Rhode Island, and in operation for at least 6 months. Caregivers had to be able to read and speak Spanish or English, provide meals and snacks for children, and care for at least two 2- to 5-year-old children for at least 10 hours per week. Caregivers in eligible homes completed a baseline telephone survey and an in-person survey at their home. Once we received consent from at least 1 parent of a 2- to 5-year-old child in an eligible home, a 2-day observation and measurement session was scheduled. All data collection efforts were administered by trained project staff. Caregivers received $25 for completing the baseline in-person survey and $50 for the 2-day observation. Participating children received a reusable water bottle, and parents received a $20 gift card.