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

Study Overview
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Brief Summary
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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.

Official Title
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Preventing Obesity in Infants and Toddlers in Child Care

Conditions
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Obesity

Intervention / Treatment
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* Behavioral: Baby NAP SACC
* Behavioral: Back to Sleep


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 3 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Back to Sleep<br>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: center and family self-assessment, center intervention materials delivered several times over the 6-month period, and; parent handouts After the intervention period, comparator centers will receive an abbreviated version of the Baby NAP SACC intervention. | Behavioral: Back to Sleep<br> <br> |
| Experimental: Baby NAP SACC<br>The intervention will include four complementary and mutually reinforcing components: center and family self-assessment; targeted technical assistance by Baby NAP SACC consultant for providers and parents; training workshops for child care providers; and parent outreach and support. | Behavioral: Baby NAP SACC<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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childhood obesity, child care, infant, toddler