Determining the Efficacy and Effectiveness of a State-Sponsored Intervention Promoting Physical Activity and Nutrition in the Early Child Care Setting
This project seeks to determine the extent to which a successful state-sponsored program to improve the activity and nutrition environments of schools can be adapted successfully for child care centers. Investigators will evaluate the state-sponsored policy intervention that will begin in Montgomery County (Ohio) child care centers in April 2009. This natural experiment is timed such that investigators can evaluate the efficacy and effectiveness of the intervention in the pilot county, using a nearby, demographically-matched control county (slated for a later roll-out of the same intervention) for comparison. The target study population for this work will include 162 licensed full-time child care centers in Montgomery County and 209 licensed full-time centers in demographically similar Hamilton County. The main outcome to be assessed is the six-month change in an overall the Physical Activity and Nutrition Score that reflects 24 environment characteristics addressed by the intervention. The impact of key covariates, such as race, on intervention effectiveness and participation will also be explored. In addition, investigators will conduct qualitative one-on-one interviews with directors of non-participant centers serving primarily low-income clientele in Montgomery County to assess barriers to participation.
This cross-sectional study reviewed infant feeding regulations for all U.S. states for child care centers and family child care homes, then compared the regulations with ten national standards and also assessed the number of new regulations consistent with these standards since a previous review conducted in 2008. The 2008 review … More
This study updates a previous review, conducted in 2012, assessing the extent to which state child care regulations support a woman’s ability to continue to breastfeed her infant in child care. For this study, child care regulations were reviewed related to breastfeeding for centers and homes in all 50 states … More
The Environment and Policy Assessment and Observation (EPAO) is a tool designed to evaluate practices, environmental attributes, and policies of early care and education settings that influence children’s nutrition, physical activity, and sedentary environments. The tool has been updated to assess all current best practices in Go NAP SACC. The … More