Physical activity, sedentary time and diet Not Applicable
Conditions
Interventions
The Nutrition and Physical Activity Self Assessment for Child Care (NAP SACC) -http://www.napsacc.org/ - is an intervention delivered in child care centres with the aim of improving policies, practice
Sponsors
University of Bristol (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Participants for Phase 1: 1. Child care provider managers and staff in day nurseries, private nursery schools, maintained nurseries, children?s centres with nurseries and pre-schools 2. Health Visitors in North Somerset 3. Healthy Preschool Programme staff in Cardiff and the Vale of Glamorgan 4. Early Years? staff working at local authorities in North Somerset and Cardiff 5. Parents/carers with children aged 2-4 attending child care providers in North Somerset and Cardiff Participants for Phase 2: 1. Child care provider managers and staff recruited to the trial 2. NAP SACC Partners (health visitors in North Somerset and Healthy Preschool Programme staff in Cardiff) 3. Parents/carers in the recruited providers with children aged 2-4 attending the providers recruited to the trial 4. Children aged 2-4 attending child care in the recruited providers attending for at least an average of 12 hours per week across the year (15 hours per week term time only), being provided with at least 1 main meal by the child care setting
Exclusion criteria
Exclusion criteria: 1. Child care settings in North Somerset and Cardiff which are: 1.1. Childminders 1.2. Crèches 1.3. Playgroups 1.4. Primary school reception classes, where schools operate an early admission policy to admit four year olds 1.5 Au pairs 1.7 Child care providers previously or currently participating in the Wales Healthy and Sustainable Preschool Scheme 1.8 Child care providers defined as ‘Flying Start’ centres 2. Children aged 4 in providers which are recruited 3. Children where the parents know the child will be leaving the child care provider during the academic year September 2015-August 2016 4. Children whose parents/carers refuse consent for measurements
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| For the purposes of the feasibility study, the primary outcomes are the acceptability of the intervention and the trial methods. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Environment and Policy Assessment and Observation (EPAO) Instrument score: The (EPAO) instrument was developed for NAP SACC14 and assesses child-care nutrition and physical activity environments, policies, and practices and was developed using the standards, recommendations, and research literature upon which the NAP SACC intervention itself was based. The EPAO consists of a 1-day observation and review of pertinent centre documents using 75-item responses, with the average of all subscale scores representing total nutrition and physical activity scores. The EPAO will be administered by a researcher who will receive a day of training and be blind to child care provider allocation. . The EPAO will be adapted for use in the UK prior to use. 2. Anthropometric measures of children (zBMI and proportion of overweight and obese, as determined by the UK1990 age and gender reference charts at 85% and 95% centiles, respectively; with further sensitivity analysis using the International Obesity Task Force thresholds). All anthropometric measurements will be completed with children in a private area with two DAB checked trained fieldworkers present and a member of nursery staff. Weight will be measured without shoes in light clothing to the nearest 0.1kg using a Seca digital scale. Height will be measured, to the nearest 0.1cm, without shoes using a portable Harpenden stadiometer. Fieldworkers will be trained to ensure correct position for height assessment. 3. Accelerometry measured activity (mean minutes of sedentary, light, moderate and vigorous activity per day). We will use ActiGraph accelerometers which have been described as ?the most widely used and extensively validated accelerometer for assessment of physical activity among children?. We have extensive experience (with over 8000 children) of collecting and processing Actigraph accelerometer data. Accelerometers have been widely used with pre-school aged children. Accelerometers will | — |
Countries
United Kingdom
Outcome results
None listed