The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) was developed in 2002 to help child-care providers improve their food and physical activity environments. Evaluations of NAP SACC have shown it to be effective, but the program’s reliance on trained technical assistance professionals and on in-person delivery limit its potential for large-scale dissemination. “Go NAP SACC” was developed to overcome this challenge, providing tailored web-based tools and resources that allow child-care providers to complete more of the program on their own. This study will evaluate Go NAP SACC to determine if web-based delivery can improve the nutrition environment of child-care centers in low-resource, rural areas of North Carolina. Forty licensed child-care centers in counties with high rates of childhood obesity and poverty will be randomly assigned to one of two conditions: access to the website tools, or assignment to a waitlist control. The centers’ nutrition environments will be assessed before and after exposure to the website tools (four months) to assess any changes in foods and beverages provided and nutrition policies.
Evaluating the Impact of a Web-Based Intervention Designed for Child-Care Providers to Improve Their Food and Physical Activity Environments
Engaging Fathers in Early Obesity Prevention During the First 1,000 Days: Policy, Systems, and Environmental Change Strategies
Fathers are critical stakeholders in childhood obesity prevention but are difficult to engage. This review presents a new approach to engaging fathers in obesity prevention during the first 1,000 days. The review focuses on five existing health and social service programs, including prenatal care, pediatric care, the Special Supplemental Nutrition … More
Parental and Provider Perceptions of Sugar-Sweetened Beverage Interventions in the First 1,000 Days: A Qualitative Study
Novel approaches to reduce sugar-sweetened beverage (SSB) consumption during the first 1,000 days – pregnancy through age 2 years – are urgently needed. This study examined perceptions of SSB consumption and acceptability of potential intervention strategies to promote SSB avoidance in low income families in the first 1,000 days. Themes … More
The Cost-Effectiveness of Interventions for Reducing Obesity among Young Children through Healthy Eating, Physical Activity, and Screen Time
Early childhood is an important period for interventions to prevent obesity, before poor diet and physical activity behaviors become entrenched and related chronic diseases develop. To date there are still few programs that have been evaluated using experimental study designs that demonstrate impacts on young children’s weight. As a result, … More