Improving the Physical Activity and Outdoor Play Environment of Family Child Care Homes in Nebraska Through Go Nutrition and Physical Activity Self-Assessment for Child Care

in Journal of Physical Activity and Health

Click name to view affiliation

Danae Dinkel
Search for other papers by Danae Dinkel in
Current site
Google Scholar
PubMed
Close
,
Dipti Dev
Search for other papers by Dipti Dev in
Current site
Google Scholar
PubMed
Close
,
Yage Guo
Search for other papers by Yage Guo in
Current site
Google Scholar
PubMed
Close
,
Emily Hulse
Search for other papers by Emily Hulse in
Current site
Google Scholar
PubMed
Close
,
Zainab Rida
Search for other papers by Zainab Rida in
Current site
Google Scholar
PubMed
Close
,
Ami Sedani
Search for other papers by Ami Sedani in
Current site
Google Scholar
PubMed
Close
, and
Brian Coyle
Search for other papers by Brian Coyle in
Current site
Google Scholar
PubMed
Close
Restricted access

Background: The purpose of this study was to determine if the Go Nutrition and Physical Activity Self-Assessment in Child Care (Go NAP SACC) intervention was effective in improving best practices in the areas of infant and child physical activity and outdoor play and learning in family child care homes (FCCHs) in Nebraska. Methods: FCCHs (n = 201) participated in a pre–post evaluation using the Infant and Child Physical Activity and Outdoor Play and Learning assessments from the Go NAP SACC validated measure to assess compliance with best practices. Results: At post, FCCHs demonstrated significant differences in 85% of the Infant and Child Physical Activity items (17 of 20) and 80% of the Outdoor Play and Learning items (12 of 15). Significant differences in best practices between urban and rural FCCH providers were also found. Conclusion: Go NAP SACC appears to be an effective intervention in Nebraska as, after participation in the initiative, providers were improving child care physical activity best practices. Additional research is needed to objectively determine if these changes resulted in objective improvements in children’s physical activity levels. Further, efforts are needed to develop and/or identify geographic-specific resources for continued improvement.

Dinkel is with the School of Health and Kinesiology, University of Nebraska Omaha, Omaha, NE. Dev and Guo are with the University of Nebraska–Lincoln, Lincoln, NE. Hulse is with the Center for the Child & Community, Children’s Hospital & Medical Center, Lincoln, NE. Rida is with the Nebraska Department of Education, Lincoln, NE. Sedani and Coyle are with the Nebraska Department of Health and Human Services, Lincoln, NE.

Dinkel (dmdinkel@unomaha.edu) is corresponding author.
  • Collapse
  • Expand
  • 1.

    Erinosho T, Hales D, Vaughn A, Mazzucca S, Ward DS. Impact of policies on physical activity and screen time practices in 50 child-care centers in North Carolina. J Phys Act Health. 2016;13:5966. PubMed doi:10.1123/jpah.2014-0467

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Measuring America. A child’s day: at a glance. United States Census Bureau website. March 17, 2015. https://www.census.gov/library/visualizations/2015/comm/childs_day_2015.html. Accessed June 4, 2017.

    • Search Google Scholar
    • Export Citation
  • 3.

    Glynn SJ. Fact sheet: child care. Center for American Progress website. August 16, 2012. https://www.americanprogress.org/issues/economy/news/2012/08/16/11978/fact-sheet-child-care/. Accessed May 13, 2017.

    • Search Google Scholar
    • Export Citation
  • 4.

    Ammerman AS, Ward DS, Benjamin SE, et al. An intervention to promote healthy weight: nutrition and physical activity self-assessment for child care (NAP SACC) theory and design. Prev Chronic Dis. 2007;4(3):67.

    • Search Google Scholar
    • Export Citation
  • 5.

    Birch LL, Ventura AK. Preventing childhood obesity: what works? Int J Obes. 2009;33:S7481. doi:10.1038/ijo.2009.22

  • 6.

    Van Cleave J, Gortmaker SL, Perrin JM. Dynamics of obesity and chronic health conditions among children and youth. JAMA. 2010;303:623630. PubMed doi:10.1001/jama.2010.104

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Dietz WH. Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics. 1998;101:518525. PubMed

  • 8.

    American Academy of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care and Early Education. Preventing Childhood Obesity in Early Care and Education Programs: Selected Standards From Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs. 3rd ed. AAP, APHA, and NRCHSCC; 2012. http://reader.aappublications.org/preventing-childhood-obesity-in-early-care-and-education-programs-2nd-edition/1

    • Search Google Scholar
    • Export Citation
  • 9.

    Barnes M. Solving the Problem of Childhood Obesity Within a Generation. White House Task Force on Childhood Obesity Report to the President. Washington, DC: Executive Office of the President of the United States; 2010.

    • Search Google Scholar
    • Export Citation
  • 10.

    The 5 steps of Go NAP SACC. Go NAP SACC website. 2017. https://gonapsacc.org/about-nap-sacc/5-steps-of-go-nap-sacc. Accessed May 15, 2017.

    • Search Google Scholar
    • Export Citation
  • 11.

    Bonis M, Loftin M, Ward D, Tseng TS, Clesi A, Sothern M. Improving physical activity in daycare interventions. Child Obes. 2014;10:334341. PubMed doi:10.1089/chi.2014.0040

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Drummond RL, Staten LK, Sanford MR, et al. Steps to a healthier Arizona. Health Prom Pract. 2009;10(suppl 2):156S167S. doi:10.1177/1524839908331267

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Trost SG, Messner L, Fitzgerald K, Roths B. A nutrition and physical activity intervention for family child care homes. Am J Prev Med. 2011;41:392398. PubMed doi:10.1016/j.amepre.2011.06.030

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    About family child care. National Association for Family Child Care website. 2016. https://www.nafcc.org/About-Us. Accessed May 17, 2017.

  • 15.

    Early childhood totals of type and capacity. Nebraska Department of Health and Human Services website. July 7, 2017. http://dhhs.ne.gov/publichealth/Documents/statewidedata.pdf. Accessed May 14, 2017.

    • Search Google Scholar
    • Export Citation
  • 16.

    Delaney SL, Monsivais P, Johnson DB. Physical activity levels in family child care homes. J Phys Act Health. 2014;11:13621366. PubMed doi:10.1123/jpah.2012-0297

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Rural health disparities. Rural Health Information Hub website. October 31, 2014. https://www.ruralhealthinfo.org/topics/rural-health-disparities. Accessed June 2, 2017.

    • Search Google Scholar
    • Export Citation
  • 18.

    Nebraska Nutrition and Physical Activity Self-Assessment. NE Go NAP SACC website. June 2017. http://negonapsacc.unl.edu/. Accessed May 10, 2017.

    • Search Google Scholar
    • Export Citation
  • 19.

    Benjamin B, Ammerman A, Sommer J, Dodds J, Neelon B, Ward DS. Nutrition and physical activity self-assessment for child care (NAP SACC): results from a pilot intervention. J Nutr Educ Behav. 2007;39(3):142149. doi:10.1016/j.jneb.2006.08.027

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Lin G, Qu M. Smart Use of State Public Health Data for Health Disparity Assessment. Boca Raton, FL: CRC Press, Taylor & Francis; 2016.

  • 21.

    Frampton AM, Sisson SB, Horm D, Campbell JE, Lora K, Ladner JL. What’s for lunch? An analysis of lunch menus in 83 urban and rural Oklahoma child-care centers providing all-day care to preschool children. J Acad Nutr Diet. 2013;114(9):13671374. PubMed doi:10.1016/j.jand.2013.09.025

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Natale R, Page M, Sanders L. Nutrition and physical activity practices in childcare centers versus family childcare homes. Early Child Educ J. 2013;42:327334. doi:10.1007/s10643-013-0607-4

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23.

    Battista RA, Oakley H, Weddell MS, Mudd LM, Greene JB, West ST. Improving the physical activity and nutrition environment through self-assessment (NAP SACC) in rural area child care centers in North Carolina. Prev Med. 2014;67:S10S16. PubMed doi:10.1016/j.ypmed.2014.01.022

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Tandon PS, Garrison MM, Christakis DA. Physical activity and beverages in home- and center-based child care programs. J Nutr Educ Behav. 2012;44:355359. doi:10.1016/j.jneb.2011.10.009

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Child and Adult Care Food Program (CACFP). United States Department of Agriculture website. September 1, 2015. https://www.fns.usda.gov/cacfp/family-day-care-homes. Accessed May 25, 2017.

    • Search Google Scholar
    • Export Citation
  • 26.

    Team Nutrition. United States Department of Agriculture website. May 11, 2017. https://www.fns.usda.gov/tn/resource-library. Accessed May 24, 2017.

    • Search Google Scholar
    • Export Citation
  • 27.

    Healthy habits. Sesame Street website. 2017. http://www.sesamestreet.org/toolkits/healthyhabits. Accessed June 9, 2017.

  • 28.

    Brown WH, Pfeiffer KA, McIver KL, Dowda M, Addy CL, Pate RR. Social and environmental factors associated with preschoolers’ nonsedentary physical activity. Child Dev. 2009;80:4558. PubMed doi:10.1111/j.1467-8624.2008.01245.x

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Trost SG, Fees B, Dzewaltowski D. Feasibility and efficacy of a “move and learn” physical activity curriculum in preschool children. J Phys Act Health. 2008;5:88103. PubMed doi:10.1123/jpah.5.1.88

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 30.

    Copeland KA, Kendeigh CA, Saelens BE, Kalkwarf HJ, Sherman SN. Physical activity in child-care centers: do teachers hold the key to the playground? Health Educ Res. 2012;27:81100. PubMed doi:10.1093/her/cyr038

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 2537 959 12
Full Text Views 69 2 0
PDF Downloads 49 5 0