Childhood Obesity
Conditions
Keywords
Water, Physical activity, Child care, Weight change
Brief summary
This randomized controlled trial uses administrative public health screening data to test whether the Healthy Apple program (HAP), designed to support local implementation of national Let's Move! Child Care guidelines in San Francisco (SF), improves child care center nutrition and physical activity practices and child weight change.
Detailed description
In the USA, First Lady Michelle Obama started a nationwide child care initiative called 'Let's Move! Child Care' which aims to improve nutrition and physical activity practices in child care centers to promote healthy weight for children ages 0-5y. The San Francisco Child Care Wellness Collaborative, including the San Francisco Department of Public Health (SFDPH) and SF Children's Council, developed a citywide Healthy Apple Program (HAP) to support local implementation of the Let's Move! initiative. The San Francisco Department of Public Health (SFDH) has an existing Child Care Health Program (CCHP) which provides nurse consultation and health education materials for child care centers and annual health screenings for children. The aim of this analysis is to see whether child care centers offered the HAP in addition to usual CCHP services can improve child care center nutrition and physical activity practices and child weight change better than usual CCHP services alone.
Interventions
BEHAVIORALUsual services + HAP
The HAP process includes child care center providers completing a self-assessment(s), setting improvement goals, receiving technical assistance materials, attending topic-specific workshops, improving best practices, re-self-assessment and qualification for a HAP award.
BEHAVIORALUsual services
Control condition
Sponsors
San Francisco Department of Public Health
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
2 Years to 5 Years
Healthy volunteers
Yes
Inclusion criteria
* Child care center received nutrition screening services from the SFDPH Child Care Health Program in 2011-2012.
Exclusion criteria
* Child care center declines CCHP services in 2012-2015. * Child care center is ineligible for CCHP services (based on funding source) * Child care center is closed or not serving children * Child or family decline the voluntary services
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BMI percentile change | Fall to Spring (about 6 months) | Annually, child BMI percentile is measured in Fall and about 6 months later in Spring. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incident overweight or obesity | 6 months | New cases of overweight or obesity that developed between the Fall and Spring screening during the school year. % of children who are normal weight in Fall who become overweight or obese by Spring. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Number of best practices | 6 months | Child care center best practices, including use of physical activity curricula or pitchers of drinking water, and staff practice of joining in active play with children. |
Countries
United States
Outcome results
None listed