My Weight-their Weight: eHealth Intervention for Managing Obesity in Child Care Settings
UNC Lineberger Comprehensive Cancer Center
Summary
The goal of this 12-month cluster clinical trial is to evaluate if improving child care providers' health behaviors using an online provider weight management program elicits meaningful change in dietary and physical activity behaviors in 2-5-year-old preschool children in their care and the child care environment. The study sample will include 84 child care centers. Including: 84 center directors, 168 2-5-year-old classroom teachers, 672 2-5-year old children. Some centers will do only the online Nutrition and Physical Activity Self-Assessment for Child Care (Go NAPSACC) program. This program works with child care center directors to make changes to their center around child nutrition and physical activity to foster healthier habits for the children enrolled in their care. Other centers will do Go NAPSACC Enhanced. This will include center directors doing Go NAPSACC and 2-5 year old teachers doing an online weight management program with support. Researchers will compare centers in Go NAPSACC with centers in Go NAPSACC Enhanced to see if there are greater improvements in children's diet quality and physical activity, as well as the nutrition and physical activity environment of centers in the Go NAPSACC Enhanced group. Additionally, they will see if there are greater improvements in teachers' weight, diet quality, and physical activity in centers using Go NAPSACC Enhanced.
Description
This study is a two-group clustered randomized trial to evaluate if improving child care providers' health behaviors elicit meaningful change in dietary and physical activity behaviors in 2-5-year-old preschool children in their care and the child care environment. The investigators will randomize (by center, 1:1 ratio) 84 child care centers, 168 child care providers, and 672 children from these centers to one of two groups (standard Go NAPSACC or Go NAPSACC enhanced) for a 12 month trial (6 months provider weight loss; 6 months no contact follow-up). The specific aims are to 1) improve dietar…
Eligibility
- Age range
- 2+ years
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: Child Care Centers: * Be open year-round * Licensed with no plans to close in the next 2 years * Been in operation for at least 1 year * Have at least two classrooms serving children 2-5 years-old * Serve at least lunch to the 2-5-year old children * Have no history of Go NAPSACC participation in the past 6 months * Two 2-5-year-old classroom providers and 4 parents from each classroom must provide consent to participate in the study Child Care Providers (Directors and Teachers): * Ability to provide informed consent. * Age 18 years or older. * Teacher only: Be a teache…
Interventions
- BehavioralGo NAPSACC Enhanced
Centers will receive the Go NAPSACC program as well as an online weight management intervention that focuses on personal weight management strategies. Participants will have access to materials that will support their adoption of evidence-based strategies for their weight management or loss goal. Behavior change strategies used are meant to increase intervention adherence and improve weight loss.
- BehavioralGo NAPSACC
Go NAPSACC is an online evidence-based behavioral intervention that supports centers as they adopt center-wide healthy weight practices. It anticipates producing change in the child care environment through fostering best practices in center provisions, practices, policies, and professional development around child nutrition and physical activity and in turn foster healthier habits in the children in their care.
Location
- UNC Center for Health Promotion and Disease PreventionChapel Hill, North Carolina