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
Restricted access

Purchase article

USD $24.95

Student 1 year subscription

USD $115.00

1 year subscription

USD $153.00

Student 2 year subscription

USD $218.00

2 year subscription

USD $285.00

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.
Journal of Physical Activity and Health
Article Sections
References
  • 1.

    Erinosho THales DVaughn AMazzucca SWard 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 172015. https://www.census.gov/library/visualizations/2015/comm/childs_day_2015.html. Accessed June 4 2017.

    • Export Citation
  • 3.

    Glynn SJ. Fact sheet: child care. Center for American Progress website. August 162012. https://www.americanprogress.org/issues/economy/news/2012/08/16/11978/fact-sheet-child-care/. Accessed May 13 2017.

    • Export Citation
  • 4.

    Ammerman ASWard DSBenjamin SEet 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 LLVentura AK. Preventing childhood obesity: what works? Int J Obes. 2009;33:S7481. doi:10.1038/ijo.2009.22

  • 6.

    Van Cleave JGortmaker SLPerrin 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.

    • Export Citation
  • 11.

    Bonis MLoftin MWard DTseng TSClesi ASothern 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 RLStaten LKSanford MRet 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 SGMessner LFitzgerald KRoths 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.

    • PubMed
    • Export Citation
  • 15.

    Early childhood totals of type and capacity. Nebraska Department of Health and Human Services website. July 72017. http://dhhs.ne.gov/publichealth/Documents/statewidedata.pdf. Accessed May 14 2017.

    • Export Citation
  • 16.

    Delaney SLMonsivais PJohnson 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 312014. https://www.ruralhealthinfo.org/topics/rural-health-disparities. Accessed June 2 2017.

    • 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.

    • Export Citation
  • 19.

    Benjamin BAmmerman ASommer JDodds JNeelon BWard 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 GQu M. Smart Use of State Public Health Data for Health Disparity Assessment. Boca Raton, FL: CRC Press, Taylor & Francis; 2016.

  • 21.

    Frampton AMSisson SBHorm DCampbell JELora KLadner 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 RPage MSanders 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 RAOakley HWeddell MSMudd LMGreene JBWest 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 PSGarrison MMChristakis 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 12015. https://www.fns.usda.gov/cacfp/family-day-care-homes. Accessed May 25 2017.

    • Export Citation
  • 26.

    Team Nutrition. United States Department of Agriculture website. May 112017. https://www.fns.usda.gov/tn/resource-library. Accessed May 24 2017.

    • Export Citation
  • 27.

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

    • Export Citation
  • 28.

    Brown WHPfeiffer KAMcIver KLDowda MAddy CLPate 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 SGFees BDzewaltowski 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 KAKendeigh CASaelens BEKalkwarf HJSherman 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
Article Metrics
All Time Past Year Past 30 Days
Abstract Views 63 63 16
Full Text Views 20 20 6
PDF Downloads 7 7 4
Altmetric Badge
PubMed
Google Scholar
Cited By