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Child Care Wellness Study on Nutrition and Physical Activity (CCWS)

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ClinicalTrials.gov Identifier: NCT01921842
Recruitment Status : Completed
First Posted : August 13, 2013
Last Update Posted : August 13, 2013
Sponsor:
Collaborators:
Yale University
University of California, San Francisco
HRSA/Maternal and Child Health Bureau
Information provided by (Responsible Party):
University of North Carolina, Chapel Hill

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

Condition or disease Intervention/treatment Phase
Overweight Obesity Behavioral: NAP-SACC Child Care Wellness Program Not Applicable

Detailed 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.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 18 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Promoting Nutrition and Physical Activity in Child Care Centers
Study Start Date : January 2008
Actual Primary Completion Date : May 2010
Actual Study Completion Date : August 2010

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Nutrition and Physical Activity Training
NAP-SACC Child Care Wellness program administered in year 1 of study
Behavioral: NAP-SACC Child Care Wellness Program
Nutrition And Physical activity Self-Assessment for Child Care

Delayed Intervention Group
NAP-SACC Child Care Wellness Program is administered in year 2 of study.
Behavioral: NAP-SACC Child Care Wellness Program
Nutrition And Physical activity Self-Assessment for Child Care




Primary Outcome Measures :
  1. Change in Nutrition and Physical Activity Policies [ Time Frame: Baseline, Year 1, Year 2 ]
    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).


Secondary Outcome Measures :
  1. Change in Nutrition and Physical Activity Behaviors [ Time Frame: Baseline, Year 1, Year 2 ]
    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.


Other Outcome Measures:
  1. Change in Body-Mass Index (BMI) of children in child care centers [ Time Frame: Baseline, Year 1, Year 2 ]
    Determine if the use of a Nurse Child Care Health Consultant changes BMI of children at child care centers.



Information from the National Library of Medicine

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Ages Eligible for Study:   2 Years to 5 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

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.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01921842


Locations
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United States, North Carolina
Child Care Centers
Wilmington, North Carolina, United States, 28401
Sponsors and Collaborators
University of North Carolina, Chapel Hill
Yale University
University of California, San Francisco
HRSA/Maternal and Child Health Bureau
Investigators
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Principal Investigator: Jonathan B Kotch, MD University of North Carolina in Chapel Hill

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier: NCT01921842     History of Changes
Other Study ID Numbers: 07-1861
R40MC08727 ( Other Grant/Funding Number: Maternal and Child Health Bureau )
First Posted: August 13, 2013    Key Record Dates
Last Update Posted: August 13, 2013
Last Verified: August 2013

Additional relevant MeSH terms:
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Overweight
Body Weight
Signs and Symptoms