Improving the physical activity and nutrition environment through self-assessment (NAP SACC) in rural area child care centers in North Carolina

Rebecca A. Battista; Hillary Oakley; Melissa S. Weddell; Lanay M. Mudd; J. B. Greene; Stephanie T. West

doi:10.1016/j.ypmed.2014.01.022

Improving the physical activity and nutrition environment through self-assessment (NAP SACC) in rural area child care centers in North Carolina

Rebecca A. Battista
, Hillary Oakley
, Melissa S. Weddell
, Lanay M. Mudd
, J. B. Greene
, Stephanie T. West

W. A. Franke College of Forestry and Conservation

Research output: Contribution to journal › Article › peer-review

41 Scopus citations

Abstract

Objective: To determine if child care centers in rural, Western North Carolina met recommendations for nutrition and physical activity, if focusing on nutrition and physical activity practices and policies was effective in improving the center environment, and if differences existed between centers affiliated or unaffiliated with schools. Methods: Of 33 child care centers in three counties, 29 submitted mini-grant requests and participated in a pre-post evaluation using Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC). NAP SACC assesses compliance for nutrition and physical activity recommendations and standards. Between October 2011 and April 2012, centers participated in workshops and goal setting specific to nutrition and physical activity. Results: At baseline, over 95% of the centers met all recommendations. However, post-intervention, Wilcoxon Signed Ranks Test (p. <. 0.05) indicated significant improvement across center types in five out of 37 nutrition and seven out of 17 physical activity standards following the intervention. Centers unaffiliated with schools made significant changes in ten nutrition standards, while those affiliated with schools improved in only two standards and decreased on one standard. Conclusion: Overall, rural child care centers in Western North Carolina were meeting standards, they were still able to strengthen policies and practices by following NAP SACC. This was especially true for centers unaffiliated with schools. Continued financial support may assist centers in sustaining increased physical activity in children. •We evaluated child care centers located in a rural environment.•We examine changes in nutrition and physical activity environments in childcare.•Most child care centers are meeting expectations for nutrition and physical activity.•Providing resources enhances nutrition and physical activity practices in childcare.

Original language	English
Pages (from-to)	S10-S16
Journal	Preventive Medicine
Volume	67
Issue number	S1
DOIs	https://doi.org/10.1016/j.ypmed.2014.01.022
State	Published - Oct 1 2014

Funding

The project was supported in part by a (cooperative agreement) (contract) with the Centers for Disease Control and Prevention ( #1U58DP003053-01 ). Portions of this project's work involve the Communities Putting Prevention to Work initiative supported by CDC funding. However, the findings and conclusions in this paper are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Users of this document should be aware that every funding source has different requirements governing the appropriate use of those funds. Under the U.S. law, no Federal funds are permitted to be used for lobbying or to influence, directly or indirectly, specific pieces of pending or proposed legislation at the federal, state, or local levels. Organizations should consult appropriate legal counsel to ensure compliance with all rules, regulations, and restriction of any funding sources. The Centers for Disease Control and Prevention (CDC) supported staff training and review by scientific writers for the development of this manuscript, through a contract with ICF International (Contract No. 200-2007-22643-0003). CDC staff reviewed the paper for scientific accuracy and also reviewed the evaluation design and data collection methodology. CDC invited authors to submit this paper for the CDC-sponsored supplement through a contract with ICF International (Contract No. 200-2007-22643-0003).

Funders	Funder number
ICF International	200-2007-22643-0003
U58DP003053
Centers for Disease Control and Prevention	1U58DP003053-01

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Child care
Nutrition
Obesity
Physical activity
Rural health

Access to Document

10.1016/j.ypmed.2014.01.022

Cite this

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title = "Improving the physical activity and nutrition environment through self-assessment (NAP SACC) in rural area child care centers in North Carolina",

abstract = "Objective: To determine if child care centers in rural, Western North Carolina met recommendations for nutrition and physical activity, if focusing on nutrition and physical activity practices and policies was effective in improving the center environment, and if differences existed between centers affiliated or unaffiliated with schools. Methods: Of 33 child care centers in three counties, 29 submitted mini-grant requests and participated in a pre-post evaluation using Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC). NAP SACC assesses compliance for nutrition and physical activity recommendations and standards. Between October 2011 and April 2012, centers participated in workshops and goal setting specific to nutrition and physical activity. Results: At baseline, over 95\% of the centers met all recommendations. However, post-intervention, Wilcoxon Signed Ranks Test (p. <. 0.05) indicated significant improvement across center types in five out of 37 nutrition and seven out of 17 physical activity standards following the intervention. Centers unaffiliated with schools made significant changes in ten nutrition standards, while those affiliated with schools improved in only two standards and decreased on one standard. Conclusion: Overall, rural child care centers in Western North Carolina were meeting standards, they were still able to strengthen policies and practices by following NAP SACC. This was especially true for centers unaffiliated with schools. Continued financial support may assist centers in sustaining increased physical activity in children. •We evaluated child care centers located in a rural environment.•We examine changes in nutrition and physical activity environments in childcare.•Most child care centers are meeting expectations for nutrition and physical activity.•Providing resources enhances nutrition and physical activity practices in childcare.",

keywords = "Child care, Nutrition, Obesity, Physical activity, Rural health",

author = "Battista, \{Rebecca A.\} and Hillary Oakley and Weddell, \{Melissa S.\} and Mudd, \{Lanay M.\} and Greene, \{J. B.\} and West, \{Stephanie T.\}",

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AU - Battista, Rebecca A.

AU - Oakley, Hillary

AU - Weddell, Melissa S.

AU - Mudd, Lanay M.

AU - Greene, J. B.

AU - West, Stephanie T.

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N2 - Objective: To determine if child care centers in rural, Western North Carolina met recommendations for nutrition and physical activity, if focusing on nutrition and physical activity practices and policies was effective in improving the center environment, and if differences existed between centers affiliated or unaffiliated with schools. Methods: Of 33 child care centers in three counties, 29 submitted mini-grant requests and participated in a pre-post evaluation using Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC). NAP SACC assesses compliance for nutrition and physical activity recommendations and standards. Between October 2011 and April 2012, centers participated in workshops and goal setting specific to nutrition and physical activity. Results: At baseline, over 95% of the centers met all recommendations. However, post-intervention, Wilcoxon Signed Ranks Test (p. <. 0.05) indicated significant improvement across center types in five out of 37 nutrition and seven out of 17 physical activity standards following the intervention. Centers unaffiliated with schools made significant changes in ten nutrition standards, while those affiliated with schools improved in only two standards and decreased on one standard. Conclusion: Overall, rural child care centers in Western North Carolina were meeting standards, they were still able to strengthen policies and practices by following NAP SACC. This was especially true for centers unaffiliated with schools. Continued financial support may assist centers in sustaining increased physical activity in children. •We evaluated child care centers located in a rural environment.•We examine changes in nutrition and physical activity environments in childcare.•Most child care centers are meeting expectations for nutrition and physical activity.•Providing resources enhances nutrition and physical activity practices in childcare.

AB - Objective: To determine if child care centers in rural, Western North Carolina met recommendations for nutrition and physical activity, if focusing on nutrition and physical activity practices and policies was effective in improving the center environment, and if differences existed between centers affiliated or unaffiliated with schools. Methods: Of 33 child care centers in three counties, 29 submitted mini-grant requests and participated in a pre-post evaluation using Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC). NAP SACC assesses compliance for nutrition and physical activity recommendations and standards. Between October 2011 and April 2012, centers participated in workshops and goal setting specific to nutrition and physical activity. Results: At baseline, over 95% of the centers met all recommendations. However, post-intervention, Wilcoxon Signed Ranks Test (p. <. 0.05) indicated significant improvement across center types in five out of 37 nutrition and seven out of 17 physical activity standards following the intervention. Centers unaffiliated with schools made significant changes in ten nutrition standards, while those affiliated with schools improved in only two standards and decreased on one standard. Conclusion: Overall, rural child care centers in Western North Carolina were meeting standards, they were still able to strengthen policies and practices by following NAP SACC. This was especially true for centers unaffiliated with schools. Continued financial support may assist centers in sustaining increased physical activity in children. •We evaluated child care centers located in a rural environment.•We examine changes in nutrition and physical activity environments in childcare.•Most child care centers are meeting expectations for nutrition and physical activity.•Providing resources enhances nutrition and physical activity practices in childcare.

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KW - Obesity

KW - Physical activity

KW - Rural health

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ER -

Improving the physical activity and nutrition environment through self-assessment (NAP SACC) in rural area child care centers in North Carolina

Abstract

Funding

UN SDGs

Keywords

Access to Document

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