Evidence mapPaperPMID 31525490Full record

Trial reportContemporary clinical trials2019

CHAMP: A cluster randomized-control trial to prevent obesity in child care centers.

Bridget Armstrong, Angela C B Trude, Candace Johnson, Romulus J Castelo, Amy Zemanick, Sophie Haber-Sage, Raquel Arbaiza, Maureen M Black

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Contemporary clinical trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03111264 (Building Blocks for Healthy Preschoolers), which is not on this map. Cited by 17 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 5 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03111264 naterminatednot on this map

Building Blocks for Healthy Preschoolers: Child Care and Family Models

TypeinterventionalSponsorUniversity of Maryland, BaltimoreRan2016 to 2020Enrolled1,943ConditionsPediatric ObesityArmsCHAMP, CHAMP+
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Pooled it
  3. Cultural adaptations of obesity-related behavioral prevention interventions in early childhood: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2022
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Bridget ArmstrongUniversity of Maryland Baltimore School of Medicine, Department of Pediatrics, United States of America.
Angela C B TrudeUniversity of Maryland Baltimore School of Medicine, Department of Pediatrics, United States of America.
Candace JohnsonUniversity of Maryland Baltimore School of Medicine, Department of Pediatrics, United States of America.
Romulus J CasteloUniversity of Maryland Baltimore School of Medicine, Department of Pediatrics, United States of America.
Amy ZemanickUniversity of Maryland Baltimore School of Medicine, Department of Pediatrics, United States of America.
Sophie Haber-SageUniversity of Maryland Baltimore School of Medicine, Department of Pediatrics, United States of America.
Raquel ArbaizaUniversity of Maryland Baltimore School of Medicine, Department of Pediatrics, United States of America.
Maureen M BlackUniversity of Maryland Baltimore School of Medicine, Department of Pediatrics, United States of America; RTI International, Department of Pediatrics, United States of America. Electronic address: mblack@som.umaryland.edu.
University of Maryland, Baltimore · USRTI International · US

Funding

NIDDK NIH HHS R01 DK107761
6 · The paper itself

Abstract

Foundational elements of lifelong health are formed during the preschool years. Child care attendance has nearly doubled in the past 5 years making child care centers an ideal setting to establish healthy habits that prevent pediatric obesity. Despite the promising evidence of efficacy of child care-based obesity prevention interventions, limited attention has been directed to criteria needed for implementation at scale. There is potential to improve children's dietary and physical activity behaviors in diverse communities through theory-based, culturally appropriate, manualized interventions, delivered by child care staff. CHAMP (Creating Healthy Habits Among Maryland Preschoolers) is a 3-arm cluster randomized controlled childhood obesity prevention trial, aiming to improve motor skills, physical activity and willingness to try new foods among 864 preschoolers (age 3-5 years) enrolled in 54 child care centers in 10 Maryland counties. CHAMP is informed by social-cognitive and bioecological theories and based on an evidence-based program, The Food Friends®. The two intervention arms include: 1) child care-center based lessons (18-week gross motor and 12-week nutrition) administered by trained child care staff, and 2) a web-based intervention for caregivers in addition to center-based lessons. Evaluations are conducted among children, caregivers, and child care staff at fall enrollment, midline, and spring, following intervention completion. Analyses include linear mixed-models, accounting for clustering and repeated measures, incorporating center-arms as moderators. CHAMP will provide evidence-based information to inform wellness guidelines and policies that can be disseminated broadly, to ensure that child care centers provide opportunities for children to develop healthy eating, and physical activity habits. Trial Registration: NCT03111264; https://clinicaltrials.gov/ct2/show/NCT03111264.

Indexed as

Child Day Care CentersChild, PreschoolCultural CompetencyDiet, HealthyExerciseFemaleHealth PromotionHealth StatusHumansInservice TrainingMaleMental HealthMotor SkillsPediatric ObesityResearch DesignChild care-based interventionChildhood obesityCluster randomized controlled trialMotor skillsWillingness to try new foods

Identifiers

PMID31525490
PMCPMC6985456
OpenAlexW2972903302

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.