Evaluation of the Healthy Apple Program to Improve Nutrition and Physical Activity Practices and Child Weight Change in Child Care Centers in San Francisco
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3,493
- 试验地点
- 1
- 主要终点
- BMI percentile change
研究概览
简要总结
This randomized controlled trial uses administrative public health screening data to test whether the Healthy Apple program (HAP), designed to support local implementation of national Let's Move! Child Care guidelines in San Francisco (SF), improves child care center nutrition and physical activity practices and child weight change.
详细描述
In the USA, First Lady Michelle Obama started a nationwide child care initiative called 'Let's Move! Child Care' which aims to improve nutrition and physical activity practices in child care centers to promote healthy weight for children ages 0-5y.
The San Francisco Child Care Wellness Collaborative, including the San Francisco Department of Public Health (SFDPH) and SF Children's Council, developed a citywide Healthy Apple Program (HAP) to support local implementation of the Let's Move! initiative.
The San Francisco Department of Public Health (SFDH) has an existing Child Care Health Program (CCHP) which provides nurse consultation and health education materials for child care centers and annual health screenings for children.
The aim of this analysis is to see whether child care centers offered the HAP in addition to usual CCHP services can improve child care center nutrition and physical activity practices and child weight change better than usual CCHP services alone.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 2 Years 至 5 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Child care center received nutrition screening services from the SFDPH Child Care Health Program in 2011-2012.
排除标准
- •Child care center declines CCHP services in 2012-
- •Child care center is ineligible for CCHP services (based on funding source)
- •Child care center is closed or not serving children
- •Child or family decline the voluntary services
研究组 & 干预措施
Usual Services
This group of child care centers receives standard services from the San Francisco Department of Public Health Child Care Health Program. CCHP offers services to child care centers annually. The standard services include nurse consultation, health education, monitoring of nutrition and physical activity resource need, vision, hearing, oral health, and height and weight screenings.
干预措施: Usual services (Behavioral)
Usual services + HAP
This group of child care centers receives all the standard services plus invitation to participate in the voluntary Healthy Apple Program (HAP). The Healthy Apple program involves child care provider self-assessment, followed by an iterative process of goal setting, technical assistance/training, and re-assessment.
干预措施: Usual services + HAP (Behavioral)
结局指标
主要结局
BMI percentile change
时间窗: Fall to Spring (about 6 months)
Annually, child BMI percentile is measured in Fall and about 6 months later in Spring.
次要结局
- Incident overweight or obesity(6 months)
研究者
Jodi Stookey
Senior Epidemiologist
San Francisco Department of Public Health