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Completed

NCT Number: NCT02799433

Evaluation of the Healthy Apple Program in San Francisco

This randomized controlled trial uses administrative public health screening data to test whether the Healthy Apple program (HAP), designed to support local implementation of national Let's Move! Child Care guidelines in San Francisco (SF), improves child care center nutrition and physical activity practices and child weight change.

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Key information

Conditions

Childhood Obesity Behavior Body Weight Body Weight Changes Motor Activity Nutrition Disorders Nutritional and Metabolic Diseases Obesity Overnutrition Overweight Pathological Conditions, Signs and Symptoms Pediatric Obesity Signs and Symptoms

Age range

2 year–5 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

San Francisco Department of Public Health

San Francisco, California, 94102, United States

About this study

In the USA, First Lady Michelle Obama started a nationwide child care initiative called 'Let's Move! Child Care' which aims to improve nutrition and physical activity practices in child care centers to promote healthy weight for children ages 0-5y.

The San Francisco Child Care Wellness Collaborative, including the San Francisco Department of Public Health (SFDPH) and SF Children's Council, developed a citywide Healthy Apple Program (HAP) to support local implementation of the Let's Move! initiative.

The San Francisco Department of Public Health (SFDH) has an existing Child Care Health Program (CCHP) which provides nurse consultation and health education materials for child care centers and annual health screenings for children.

The aim of this analysis is to see whether child care centers offered the HAP in addition to usual CCHP services can improve child care center nutrition and physical activity practices and child weight change better than usual CCHP services alone.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Child care center received nutrition screening services from the SFDPH Child Care Health Program in 2011-2012.

Exclusion criteria

  • Child care center declines CCHP services in 2012-2015.
  • Child care center is ineligible for CCHP services (based on funding source)
  • Child care center is closed or not serving children
  • Child or family decline the voluntary services

Treatment and study plan

Usual services + HAP

Behavioral

The HAP process includes child care center providers completing a self-assessment(s), setting improvement goals, receiving technical assistance materials, attending topic-specific workshops, improving best practices, re-self-assessment and qualification for a HAP award.

Usual services

Behavioral

Control condition

Primary outcomes

  1. BMI percentile change

    Time frame: Fall to Spring (about 6 months)

    Annually, child BMI percentile is measured in Fall and about 6 months later in Spring.

Secondary outcomes

  1. Incident overweight or obesity

    Time frame: 6 months

    New cases of overweight or obesity that developed between the Fall and Spring screening during the school year. % of children who are normal weight in Fall who become overweight or obese by Spring.

Other outcomes

  1. Number of best practices

    Time frame: 6 months

    Child care center best practices, including use of physical activity curricula or pitchers of drinking water, and staff practice of joining in active play with children.

Sponsors and collaborators

Lead sponsor

San Francisco Department of Public Health

Other Gov

Registry information

Official study title

Evaluation of the Healthy Apple Program to Improve Nutrition and Physical Activity Practices and Child Weight Change in Child Care Centers in San Francisco

Important dates

Study start
2011
Primary completion
2015
Study completion
2015
First posted
Jun 14, 2016
Registry last updated
Jun 14, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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