Title: NAP SACC UK: A feasibility cluster randomised controlled trial in child care settings to increase physical activity and healthy eating in 2-4 year olds
Funder: Department of Health (England)

Abstract: Research questions:1) Can the NAP SACC child care intervention from the US be adapted and developed for use in the UK? 2) Does the child care intervention have the potential to increase healthy eating increase physical activity and decrease sedentary time among 2-4 year old children in child care provider settings?3) Is it feasible to conduct a cluster RCT evaluation of NAP SACC in child care providers in the UK and how should such a trial be designed? NAP SACC intervention: The Nutrition and Physical Activity Self Assessment for Child Care (NAP SACC) - http://www.napsacc.org/ - is an intervention delivered in child care centres with the aim of improving policies practices and the nutrition and physical activity environment through a process of self-assessment and targeted assistance. NAP SACC is a theory-based programme that employs components of social cognitive theory and socio-ecological framework. Goals of the programme are to improve the nutritional quality of food served amount and quality of physical activity staff-child interactions and centre nutrition and physical activity policy. Proposed NAP SACC UK intervention: NAP SACC will be adapted for use in the UK through the formative work of this study with a particular emphasis on increasing parental involvement and tailoring the intervention for the UK context. The intervention will be delivered in child care providers. The intervention will be delivered in North Somerset by Health Visitors and in Cardiff by Wales Healthy and Sustainable Preschool Scheme Staff. The intervention will be funded by Public Health in North Somerset Council and by Public Health Wales.NHS components: Public Health Wales is part of the NHS in Wales. Wales Healthy and Sustainable Preschool Scheme Staff are employed by Public Health Wales and work in settings such as Local Authorities. Public Health in North Somerset is provided by the Council and Health Visitors in North Somerset are not employed by the NHS (they are employed by a social enterprise: North Somerset Community Partnership).Setting: Eligible settings will be local child care providers (day nurseries private nursery schools maintained nursery schools Children’s Centres with nurseries and pre-schools) which provide lunch in North Somerset and Cardiff. Providers will have a minimum of 20 children aged 2-4 who attend for at least an average of 12 hours per week. Twelve child care providers (6 in each area) will participate in the feasibility trial. Participants: Child care provider managers/staff; children aged 2-4 attending child care an average of 12 hours per week and their parents; NAP SACC Consultants. Comparator: Usual careResearch design and outcomes: This proposed project has 2-phases: Intervention adaptation and development and pilot cluster RCT with process evaluation. The intervention will take place over 6 months and data collection will be at baseline and 12 months after baseline. Data collection will include:1) Environmental audit of the child care provider2) Child measurements of zBMI food diary and accelerometry measured physical activity/sedentary time 3) Process evaluation of the feasibility and acceptability of the intervention and trial methods using observations logs and semi-structured interviews.4) Costs to the public sector child care providers and parents intervention related resource use in the form of time and expenses.


Research activity codes: 3.2 INTERVENTIONS TO ALTER PHYSICAL AND BIOLOGICAL ENVIRONMENTAL RISKS;3.1 PRIMARY PREVENTION INTERVENTIONS TO MODIFY BEHAVIOURS OR PROMOTE WELL-BEING
Health categories: STROKE;CANCER AND NEOPLASMS;METABOLIC AND ENDOCRINE;CARDIOVASCULAR;ORAL AND GASTROINTESTINAL