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

Johns Hopkins University

Status: Completed

Conditions: Obesity

Treatments: Behavioral: Back to Sleep; Behavioral: Baby NAP SACC

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01890681

R01DK093838 (U.S. NIH Grant/Contract)

Pro00039195

Details and patient eligibility

About

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.

Enrollment: 960 patients

Sex: All

Ages: 3+ months old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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960 participants in 2 patient groups

Back to Sleep

Active Comparator group

Description:

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.

Treatment:

Behavioral: Back to Sleep

Baby NAP SACC

Experimental group

Description:

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.

Treatment:

Behavioral: Baby NAP SACC