Evaluating Child Care Staff Weight Management for Children's Health

This study is looking at whether improving the health behaviors of child care providers can lead to better eating habits and more physical activity in 2-5 year old children in their care. It's also looking at how the child care environment changes. The study uses two different online programs: Go NAPSACC and Go NAPSACC Enhanced. Go NAPSACC helps centers adopt healthy weight practices for children. Go NAPSACC Enhanced includes the standard Go NAPSACC program plus an online weight management program specifically for child care providers. The study aims to see if children's diet quality and how much time they spend being active at child care improve over 6 months. This study is for child care centers that meet specific criteria, including being open year-round and having at least two classrooms for 2-5 year olds.

Study design
This is a randomized study involving 84 child care centers, 168 providers, and 672 children. Centers will be randomly assigned to one of two groups: Go NAPSACC or Go NAPSACC Enhanced.
What's involved
Participants will be involved in a 12-month trial, with 6 months of provider weight loss intervention and 6 months of follow-up.
Compensation
Not stated in the trial record.
Follow-up
Children's diet quality and non-sedentary time will be measured at 6 months post-intervention.

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NCT05656807

Evaluation of Child Care Staff Weight Management Program

Recruiting
NAAges 2+InterventionalPrevention
UNC Lineberger Comprehensive Cancer Center
~924 participants
Updated 2026-03-23 on ClinicalTrials.gov
What's tested:Go NAPSACC EnhancedGo NAPSACC

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change in Children's Diet Quality at Child Care from Baseline to 6 months
Measured over Baseline and 6 months post-intervention
+1 more outcome measured
Obesity
1 sites across 1 states
North Carolina1
  • Erik Willis, PhD · PRINCIPAL_INVESTIGATOR · University of North Carolina, Chapel Hill

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Eligibility criteria

Inclusion

Be open year-round
Licensed with no plans to close in the next 2 years
Been in operation for at least 1 year
Have at least two classrooms serving children 2-5 years-old
Serve at least lunch to the 2-5-year old children
Have no history of Go NAPSACC participation in the past 6 months
Two 2-5-year-old classroom providers and 4 parents from each classroom must provide consent to participate in the study
Ability to provide informed consent.
Age 18 years or older.
Teacher only: Be a teacher in a 2-5-year-old classroom.
Teacher only: Not pregnant, nor planning to become pregnant in the next year
Be in a classroom with a participating child care teacher.
Be 2-5 years old.
The consenting primary caregiver must be able to read English

Exclusion

Serve only non-English speaking families
  • Change in Children's Diet Quality at Child Care from Baseline to 6 monthsBaseline and 6 months post-intervention

    Dietary intake of food consumed by 2-5-year-old children will be assessed via the Diet Observation in Child Care (DOCC) by a trained and certified data collector in the 2-5-year old classroom. Dietary intake data will be used to calculate Healthy Eating Index 2015 (HEI2015) scores to produce an estimate of children's diet quality. Scores range from 0-100, where scores closer to 100 indicate higher diet quality.

  • Change in Children's Non-sedentary Time at Child Care from Baseline to 6 monthsBaseline and 6 months post-intervention

    Physical activity of children 2-5-years old will be assessed by a GT3X+ accelerometer. Children are fitted on the first day of data collection and wear the accelerometer on their non-dominant wrist for 24 hours per day over 7 consecutive days. Cut-points developed for preschool-aged children will be applied to children's accelerometer data to calculate minutes spent in different levels of physical activity (total non-sedentary, sedentary, light, moderate, and vigorous). Non-sedentary time (light, moderate, and vigorous combined) is the primary outcome for this study.