Clinical trial NCT02799433: Evaluation of the Healthy Apple Program in San Francisco
Official title: Evaluation of the Healthy Apple Program to Improve Nutrition and Physical Activity Practices and Child Weight Change in Child Care Centers in San Francisco
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Childhood Obesity
Keywords: Water
Physical activity
Child care
Weight change
Lead sponsor: San Francisco Department of Public Health
Sponsor class: OTHER_GOV
First posted: 2016-06-14
Enrollment: 3493
Sex: ALL
Minimum age (years): 2
Maximum age (years): 5
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* Child care center received nutrition screening services from the SFDPH Child Care Health Program in 2011-2012.

Exclusion Criteria:

* Child care center declines CCHP services in 2012-2015.
* 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

Primary outcomes:
measure: BMI percentile change
timeFrame: Fall to Spring (about 6 months)
Secondary outcomes:
measure: Incident overweight or obesity
timeFrame: 6 months
Other outcomes:
measure: Number of best practices
timeFrame: 6 months
Locations:
city: San Francisco
country: United States
facility: San Francisco Department of Public Health
state: California
Study officials:
affiliation: San Francisco Department of Public Health
name: Jodi Stookey, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Ammerman AS, Ward DS, Benjamin SE, Ball SC, Sommers JK, Molloy M, Dodds JM. An intervention to promote healthy weight: Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) theory and design. Prev Chronic Dis. 2007 Jul;4(3):A67. Epub 2007 Jun 15.
citation: Alkon A, Crowley AA, Neelon SE, Hill S, Pan Y, Nguyen V, Rose R, Savage E, Forestieri N, Shipman L, Kotch JB. Nutrition and physical activity randomized control trial in child care centers improves knowledge, policies, and children's body mass index. BMC Public Health. 2014 Mar 1;14:215. doi: 10.1186/1471-2458-14-215.