Baby Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) Intervention Study

Not Applicable

Completed

• Conditions: Obesity
• Interventions: Behavioral: Back to Sleep; Behavioral: Baby NAP SACC

• Registration Number: NCT01890681
• Lead Sponsor: Johns Hopkins University

Brief Summary

This study will evaluate the efficacy of a six-month-long intervention in improving the nutrition and physical activity environments of child care centers serving racially and ethnically diverse children from birth to two years of age and the family home. The focus of the intervention will be on center policies, provider and parent practices, and children's home environments that influence dietary intake and physical activity. Outcomes for this study include child dietary intake, physical activity, and two adiposity measures: weight-for-length and skinfold thicknesses. Child care centers and children's home environments will also be measured to evaluate how well they support healthy behaviors.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2013-06-27
• Study First Submitted QC: 2013-07-01
• Study First Posted: 2013-07-02
• Study Start: 2013-08-01
• Primary Completion: 2017-12-31
• Study Completion: 2018-12-31
• Status Verified: 2019-01
• Last Update Submitted: 2019-01-28
• Last Update Posted: 2019-01-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 960

Inclusion Criteria

• licensed child care centers in North Carolina (NC) serving children birth - 2
• within 120 mile radius of Duke University
• children must be from participating center and 3-18 months of age at baseline
• read/speak English
• adult teachers from infant/toddler classrooms within participating centers
• adult parents of infant/toddlers within participating centers

Exclusion Criteria

• child care centers outside of 120 mile radius of Duke University
• children younger than 3 months or over 18 months of age
• parents with children who intend to leave the participating center in < 12 months

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Back to Sleep	Back to Sleep	The Back to Sleep arm will encourage safe sleep practices to reduce the risk of Sudden Infant Death Syndrome (SIDS) in child care and at home. This include: 1. center and family self-assessment, 2. center intervention materials delivered several times over the 6-month period, and; 3. parent handouts After the intervention period, comparator centers will receive an abbreviated version of the Baby NAP SACC intervention.
Baby NAP SACC	Baby NAP SACC	The intervention will include four complementary and mutually reinforcing components: 1. center and family self-assessment; 2. targeted technical assistance by Baby NAP SACC consultant for providers and parents; 3. training workshops for child care providers; and 4. parent outreach and support.

Primary Outcome Measures

Name	Time	Method
change in weight-for-length z-score	pre to post-intervention (from baseline to post-intervention; approximately 8 months later)
change in skinfold thickness	pre to post-intervention (from baseline to post-intervention; approximately 8 months later)

Secondary Outcome Measures

Name	Time	Method
change in child physical activity via accelerometer	pre to post-intervention (from baseline to post-intervention; approximately 8 months later)
change in child dietary intake	pre to post-intervention (from baseline to post-intervention; approximately 8 months later)
change in child care policies and practices	pre to post-intervention (from baseline to post-intervention; approximately 8 months later)

Trial Locations

Locations (3)

Johns Hopkins University; 🇺🇸 Baltimore, Maryland, United States

Duke University Medical Center, Department of Community and Family Medicine; 🇺🇸 Durham, North Carolina, United States

University of North Carolina Chapel Hill; 🇺🇸 Chapel Hill, North Carolina, United States