Child Care Wellness Study on Nutrition and Physical Activity

Obesity Clinical Trial

— CCWS  

Official title:

Promoting Nutrition and Physical Activity in Child Care Centers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01921842
• Other study ID #: 07-1861
• Secondary ID: R40MC08727
• Status: Completed
• Phase: N/A
• First received: August 7, 2013
• Last updated: August 9, 2013
• Start date: January 2008
• Est. completion date: August 2010

Study information

• Verified date: August 2013
• Source: University of North Carolina, Chapel Hill
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review BoardUnited States: Federal Government
• Study type: Interventional

Clinical Trial Summary

The study is an evaluation of a nutrition and physical activity intervention in child care centers in NC, CA, and CT.

Description:

The broad, long term goal is to develop a reproducible nutrition and physical activity intervention which utilizes child care consultant nutrition specialists to reduce the risk of overweight among children in regulated out-of-home child care. The objectives are:

1. To train Child Care Health consultants (CCHCs) to become specialists in nutrition consultation in child care such that they will increase their daily consultation activities on nutrition, physical activity, and childhood overweight,

2. To increase child care staff and parental knowledge of and positive attitudes toward providing healthy foods, appropriate portions of foods, and appropriate levels of physical activity for young children in out-of-home child care centers.,

3. To strengthen child care center policies, procedures, practices and behaviors, regarding providing healthy foods, appropriate portions of foods, and appropriate levels of physical activity for young children in out-of-home child care centers, and

4. To improve dietary intake and levels of physical activity, and to prevent increases in overweight and the risk of overweight as determined by body mass indexes among children in out-of-home child care centers.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 18
• Est. completion date: August 2010
• Est. primary completion date: May 2010
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 2 Years to 5 Years

Eligibility

Inclusion Criteria:

• In each of the three geographical areas (NC, CA, CT), two pairs of community-based child care centers in urban areas with English-speaking directors, kitchens, and with 50-60 children between the ages of 2 and 5 years, 35% of whom are eligible for subsidy.

Exclusion Criteria:

• If the randomly selected child care center has an open case of child abuse or neglect.

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Prevention

Related Conditions & MeSH terms

• Obesity
• Overweight

Intervention

Behavioral:
• NAP-SACC Child Care Wellness Program
Nutrition And Physical activity Self-Assessment for Child Care

Locations

Country	Name	City	State
United States	Child Care Centers	Wilmington	North Carolina

Sponsors (4)

Lead Sponsor	Collaborator
University of North Carolina, Chapel Hill	HRSA/Maternal and Child Health Bureau, University of California, San Francisco, Yale University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Change in Body-Mass Index (BMI) of children in child care centers	Determine if the use of a Nurse Child Care Health Consultant changes BMI of children at child care centers.	Baseline, Year 1, Year 2	No
Primary	Change in Nutrition and Physical Activity Policies	Determine if the use of a Nurse Child Care Health Consultant changes nutrition and physical activity policies at child care centers using criteria based on the national standards identified from resources such as NAEYC accreditation guidelines, Child and Adult Care Food Program (CACFP) policies and requirements, and the joint APHA/AAP publication Caring for our Children (American Academy of Pediatrics, American Public Health Association & National Resource Center for Health and Safety in Child Care, 2002; 1992). If written policies were present, they were compared to the gold-standard criteria from the national resource material and assigned a rating of either none (no written policies), poor (written policies fail to meet either state regulatory criteria or national standards), adequate (meets state regulatory criteria but not all of the national standards), or excellent (meets all of the national criteria present).	Baseline, Year 1, Year 2	No
Secondary	Change in Nutrition and Physical Activity Behaviors	Determine if the use of a Nurse Child Care Health Consultant changes nutrition and physical activity behaviors at child care centers using the NAP SACC instrument intervention tool which consists of fifteen different areas of interest (9 nutrition and 6 physical activity) with several items each. The total number of items scored, 34, evaluate the center's environment with regard to support of healthy eating and regular physical activity. The instrument scoring is at one of four levels moving from minimal to best practice.	Baseline, Year 1, Year 2	No