Overweight, Obesity, Prevention, skin cancer, safety, substance abuse, sleeping problems, psychological problems, emotional wellbeing, sexual development.
Conditions
Interventions
The aim of the intervention Healthy Childcare is to improve the health of children in child daycare and after school care settings through an integrated approach. In order to achieve this aim, Healthy
Sponsors
TNO, department of Child Health, The Netherlands, Hogeschool van Amsterdam
Eligibility
Inclusion criteria
Inclusion criteria: In order to be eligible to participate in this study, a childcare organizations must meet all of the following criteria: - The childcare organisations is on the waiting list for the train-the-trainer “Een Gezonde Start”. - Childcare organizations takes care of children aged 2-12. - The aspiring Healthy Childcare coach must meet the criteria set by “Een Gezonde Start”, which are: Educational requirements, experience and competencies: a. At least MBO4-level diploma b. Demonstrable experience with teaching/training daycare providers c. Ability to train groups using interactive methods d. Being able to supervise processes (having an eye for the process of change in practice, the process in the group and the process of the individual, and being able to respond to this). e. Being able to give feedback from a positive approach f. Demonstrable experience with coaching and supervision (of daycare providers) And have the following competencies: g. Quality oriented h. Customer-focused i. Being able to enthuse j. Communicative skills k. Environmentally conscious, broadly interested in developments within and outside their own field and use this knowledge in their work.
Exclusion criteria
Exclusion criteria: A childcare organizations who meets any of the following criteria will be excluded from participation in this study: - Childcare organizations that already have a Healthy Childcare coach - Childcare organizations working with in-home daycare providers (“gastouders”)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter is the change in knowledge score as measured in the questionnaires for daycare providers. This will be measured during the pre-test and post-test. The questionnaire for daycare providers will consist of background characteristics and questions on knowledge (primary outcome), skills, attitude and (modeling) behavior of daycare providers (secondary outcomes) on each health theme. The questionnaire is based on the CFAPQ questionnaire (Gubbels et al., 2016) which was adapted and used in the PreSchool@HealthyWeight project (Toussaint, 2019). Because this questionnaire mainly focusses on food/activity-related practices, we adapted and extended the questionnaire to include items on all 11 health themes. The adaptations are based on (inter)national questionnaires, e.g. of the Early Learning Healthy Teacher Program and the Toybox teacher questionnaire (Sharma et al., 2019; Manios et al., 2014; Mouratidou et al., 2014). | — |
Secondary
| Measure | Time frame |
|---|---|
| • Secondary outcome measures (observations): In order to evaluate actual changes at daycare, observations will be performed. With observations, it is possible to evaluate the (un)healthy environment of children in an objective way. An observation protocol is being developed based on the studies of Gubbels et al., (2015;2010). Examples of items which will be observed are: are children offered sweet drinks, how much time children spend playing outside, if children wash their hands etc. Different protocols will be developed for different age groups. The observations will be performed during the pre-test and post-test. • Secondary outcome measures (questionnaire): The questionnaire for daycare providers will also consist of skills, attitude and (modeling) behavior of daycare providers (secondary outcomes) on each health theme. The questionnaire is based on the CFAPQ questionnaire (Gubbels et al., 2016) which was adapted and used in the PreSchool@HealthyWeight project (Toussaint, 2019). Because this questionnaire mainly focusses on food/activity-related practices, we adapted and extended the questionnaire to include items on all 11 health themes. The adaptations are based on (inter)national questionnaires, e.g. of the Early Learning Healthy Teacher Program and the Toybox teacher questionnaire (Sharma et al., 2019; Manios et al., 2014; Mouratidou et al., 2014). • Other outcome measures: Background characteristics of daycare providers will be collected, e.g. age, gender, cultural background, educational level, age of children in the group, years of experience in daycare. For the observations background information will also be collected, for example weather conditions, number of children present, number of daycare providers present, etc. The questionnaires for managers and Healthy Childcare coaches will consist of question on the implementation of Healthy Childcare, based on the MIDI questionnaire (Fleuren et al. 2014) and the monitor (www.monitorgezondekinderopvang.nl | — |
Contacts
Public ContactEline Vlasblom
TNO
Outcome results
None listed