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J Nutr Educ Behav. 2007 May-Jun;39(3):142-9.

Nutrition and physical activity self-assessment for child care (NAP SACC): results from a pilot intervention.

Author information

1
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA. sara_benjamin@harvardpilgrim.org

Abstract

OBJECTIVE:

To determine the feasibility, acceptability, and reported impact of a nutrition and physical activity environmental intervention in child care.

DESIGN:

Self-assessment instrument completed pre- and post-intervention by randomly assigned intervention and comparison child care centers.

SETTING:

Child care centers in 8 counties across North Carolina.

PARTICIPANTS:

A convenience sample of 19 child care centers (15 intervention and 4 comparison).

INTERVENTION:

Intervention centers completed the self-assessment instrument at baseline and then selected 3 environmental improvements to make over the 6-month intervention period with assistance from a trained NAP SACC Consultant.

MAIN OUTCOME MEASURE:

Changes in pre- and post-intervention self-assesment of the nutrition and physical activity child care environment with additional process measures to evaluate project implementation, feasibility and acceptability.

ANALYSIS:

Comparison of pre- and post-test scores for the intervention group using a Wilcoxon signed-rank test and descriptions of environmental changes.

RESULTS:

Intervention centers rated themselves higher at follow-up than at baseline, and relative to comparison centers, reported a variety of environmental nutrition and physical activity improvements confirmed by research staff.

CONCLUSIONS AND IMPLICATIONS:

The NAP SACC pilot intervention shows promise as an approach to promote healthy weight environments in preschool settings. Additional evaluation of the project is needed using a greater number of centers and a more objective outcome measure.

PMID:
17493564
DOI:
10.1016/j.jneb.2006.08.027
[Indexed for MEDLINE]

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