Improving the physical activity and nutrition environment through self-assessment (NAP SACC) in rural area child care centers in North Carolina

Battista, Rebecca A.; Oakley, Hillary; Weddell, Melissa S.; Mudd, Lanay M.; Greene, Jonathan B.; West, Stephanie T.

doi:10.1016/j.ypmed.2014.01.022

Cited by 40 publications

(35 citation statements)

References 16 publications

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“…It provides opportunity for interactive, synergistic efforts, as well as incremental improvements, consistent with child care provider readiness and resources. Implementation of NAP SACC resources is associated with improvements in child care provider practices in several communities, in Arizona, California, Connecticut, North Carolina, Maine, and South Dakota [7][8][9][10][11][12][25][26][27]. In the HAP pilot, each of the child care centers allocated to the CCHP + HAP group improved at least 5 practices and/or policies.…”

Section: Interacting Componentsmentioning

confidence: 99%

Healthy apple program to support child care centers to alter nutrition and physical activity practices and improve child weight: a cluster randomized trial

et al. 2017

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Background: North Carolina Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) resources improve child body mass index (BMI) when the resources are introduced by nurses to child care providers, and offered with workshops and incentives. In San Francisco, public health and child care agencies partnered to adapt NAP SACC resources into an annual "Healthy Apple" quality improvement program (HAP). Methods: This cluster randomized controlled trial pilot-tested integration of the HAP with bi-annual public health screenings by nurses. All child care centers that participated in Child Care Health Program (CCHP) screenings in San Francisco in 2011-2012 were offered routine services plus HAP in 2012-2013 (CCHP + HAP, n = 19) or routine services with delayed HAP in 2014-2015 (CCHP + HAP Delayed, n = 24). Intention-to-treat analyses (robust SE or mixed models) used 4 years of screening data from 12 to 17 CCHP + HAP and 17 to 20 CCHP + HAP Delayed centers, regarding 791 to 945 children ages 2 to 5y, annually. Year-specific, child level models tested if children in CCHP + HAP centers had greater relative odds of exposure to 3 index best practices and smaller Autumn-to-Spring changes in BMI percentile and z-score than children in CCHP + HAP Delayed centers, controlling for age, sex, and Autumn status. Multi-year, child care center level models tested if HAP support modified year-to-year changes (2013-2014 and 2014-2015 vs 2011-2012) in child care center annual mean Autumn-to-Spring BMI changes.

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Section: Interacting Componentsmentioning

confidence: 99%

Healthy apple program to support child care centers to alter nutrition and physical activity practices and improve child weight: a cluster randomized trial

et al. 2017

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“…18 Recommended best practices related to staff behaviors at mealtimes include (1) staff serve meals family style, allowing children to self-serve, (2) staff sit with children at meals, (3) staff eat the same foods as children, (4) staff informally talk with children about healthy foods, (5) staff encourage children to try new or less favorite foods, and (6) staff help children determine if they are still hungry before serving seconds. 19 Seven studies in child care centers have examined child care providers' adherence with these best practices, including both staff behaviors and comments at meals. 12,[20][21][22][23][24][25] Collectively, the studies indicate wide variation in mealtime environments and staff behaviors.…”

Section: Childhood Obesitymentioning

confidence: 99%

Are Mealtime Best Practice Guidelines for Child Care Centers Associated with Energy, Vegetable, and Fruit Intake?

et al. 2016

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Background: Mealtime best practices for obesity prevention in child care have been developed from experimental studies and expert opinion. Our objective was to describe adherence to best practices in child care centers and to evaluate the association between mealtime practices and children's dietary intake.Methods: We conducted an observational study of 349 preschoolers, ages 36 to 72 months, from 30 child care centers in Cincinnati, Ohio (November 2009 to January 2011). Trained observers recorded providers' behaviors related to six mealtime best practice recommendations and documented children's intake (n = 60 group lunches). General linear mixed models were used to evaluate the association between practice use and children's total energy (caloric consumption) and fruit and vegetable consumption.Results: Adherence to individual mealtime best practices was variable (0%-77%). Staff sitting with children at lunch was associated with lower energy intake and higher vegetable intake. Staff eating some of the same foods was associated with higher energy intake and higher vegetable intake. Staff encouraging children to try new/less-favorite foods more than once was associated with lower fruit intake. Staff having general conversations with children (not addressed in recommendations) was associated with lower vegetable intake. Family-style meal service, staff talking about healthy foods, and staff helping children assess hunger before seconds were not significantly associated with intake.Conclusions: Few mealtime best practices were associated with dietary intake. Given the number of meals children consume in child care and the prevalence of childhood obesity, efforts to identify mealtime practices that improve children's dietary intake are crucial for obesity prevention.

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“…For example, Robles et al (in this issue) describe the use of data collection and analysis for program planning. Battista and colleagues used an evaluation process for program improvement in rural child care settings (2014, this issue). Articles about traditional evaluations of interventions include analyses of joint-use agreements (Burbage et al, in this issue), trail use (Clark et al, in this issue), student consumption of school meals after nutrition standards changed (Gase et al, in this issue), and an educational media campaign about sugar content in beverages (Boles et al, in this issue).…”

Section: About the Supplementmentioning

confidence: 99%

“…The authors describe how the joint-use agreements assisted school districts with reaching more than 600,000 people a year with increased access to physical activity. Battista et al (in this issue) report on a systems approach to create changes in nutrition and physical activity recommendations and standards that lead to improved access to healthy food options in 29 child care centers among low-income communities in rural North Carolina. Clark et al (in this issue) describe Nevada’s innovative measure of trail use and their evaluation of the addition of trail markers and signs, finding that contrary to general recommendations, adding signs to trail sections that were evaluated did not increase trail use (Clark et al, in this issue).…”

Section: About the Supplementmentioning

confidence: 99%

“…The article by Robles et al (in this issue) compares interventions serving low-income women in Los Angeles and West Virginia, noting similarities and differences among the groups. Battista et al (in this issue) evaluated efforts to increase physical activity opportunities and access to healthy food for low-income North Carolina children who live in the mountains in preschool settings. In addition, CPPW served three Native American tribal communities and used a community-based participatory research model to develop training for them in scientific writing (Blue Bird Jernigan et al, in this issue).…”

Section: About the Supplementmentioning

confidence: 99%

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Communities putting prevention to work: Local evaluation of community-based strategies designed to make healthy living easier

Soler

Whitten

Ottley

2014

Preventive Medicine

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This introduction is an overview of the articles presented in this supplement that describe implementation and evaluation activities conducted as part of the Centers for Disease Control and Prevention’s (CDC’s) Communities Putting Prevention to Work (CPPW) initiative. CPPW was one of the largest federal investments ever to combat chronic diseases in the United States. CPPW supported high-impact, jurisdiction-wide policy, systems, and environmental changes to improve health by increasing access to physical activity and healthy foods, and by decreasing tobacco use and exposure to secondhand smoke. The articles included in this supplement describe implementation and evaluation efforts of strategies implemented as part of CPPW by local awardees. This supplement is intended to guide the evidence base for public health interventions on the basis of jurisdiction-wide policy and environmental-level improvements and to encourage rigorous evaluation of the public health interventions.

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Improving the physical activity and nutrition environment through self-assessment (NAP SACC) in rural area child care centers in North Carolina

Cited by 40 publications

References 16 publications

Healthy apple program to support child care centers to alter nutrition and physical activity practices and improve child weight: a cluster randomized trial

Healthy apple program to support child care centers to alter nutrition and physical activity practices and improve child weight: a cluster randomized trial

Are Mealtime Best Practice Guidelines for Child Care Centers Associated with Energy, Vegetable, and Fruit Intake?

Communities putting prevention to work: Local evaluation of community-based strategies designed to make healthy living easier

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