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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Evaluation of Child Care Staff Weight Management Program
At a glance
Conditions
Where it's being run
1 sites across 1 statesStudy leadership
- Erik Willis, PhD · PRINCIPAL_INVESTIGATOR · University of North Carolina, Chapel Hill
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Inclusion
Exclusion
What this trial measures
- 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.